Psychiatry Research最新文献

Non-invasive neuromodulation treatment for depression in adolescents: A systematic review and meta-analysis. 青少年抑郁症的非侵入性神经调节治疗：系统回顾和荟萃分析。

IF 4.2 2区医学

Psychiatry Research Pub Date : 2025-02-01 Epub Date: 2024-12-17 DOI: 10.1016/j.psychres.2024.116329

Mingcong Tang, Yi Zheng, Xiwen Zhang, Xiwang Fan

{"title":"Non-invasive neuromodulation treatment for depression in adolescents: A systematic review and meta-analysis.","authors":"Mingcong Tang, Yi Zheng, Xiwen Zhang, Xiwang Fan","doi":"10.1016/j.psychres.2024.116329","DOIUrl":"10.1016/j.psychres.2024.116329","url":null,"abstract":"Background: Synthesized evidence regarding the effectiveness of non-invasive neuromodulation treatment for adolescents remains scarce. This study aimed to perform the first meta-analysis of the impact of neuromodulation treatment on depressive symptoms in adolescents.Methods: According to the PRISMA guidelines, a comprehensive review covering databases in English and Chinese from their inception to November 30, 2023, was conducted. Data were pooled to compute the standardized mean difference (SMD) and risk ratio (RR), along with their respective 95 % confidence intervals (CI).Results: A total of 27 studies involving 2075 participants were included and examined. Noninvasive neuromodulation treatment demonstrated significant positive effects on depression symptoms compared with controlled conditions (Hamilton Depression Scale (HAMD) 17: SMD = 3.503, 95 % CI = 2.404-4.602, p < 0.001; HAMD 24: SMD = 3.375, 95 % CI = 2.437-4.314, p < 0.001). High heterogeneity was observed (I2 = 95.2 % and 97.2 %, p < 0.01), along with a substantial risk of publication bias (p < 0.05). In terms of the treatment response, the RR reached 1.39 (95 % CI = 1.29-1.50, p < 0.001), with low heterogeneity (I2 = 35 %, p = 0.07).Conclusions: Noninvasive neuromodulation treatment significant alleviated depressive symptoms in adolescents. Future research should prioritize conducting high-quality clinical trials to determine the suitable selection of adolescent patients for this treatment. In addition, these trials can help guide precision medicine approaches for stimulation protocols.","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"344 ","pages":"116329"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Exploring delusional themes and other symptoms in first episode psychosis: A network analysis over two timepoints. 探索妄想主题和其他症状在首发精神病：两个时间点的网络分析。

IF 4.2 2区医学

Psychiatry Research Pub Date : 2025-02-01 Epub Date: 2025-01-02 DOI: 10.1016/j.psychres.2024.116349

Fjolla Berisha, Vincent Paquin, Ian Gold, Bratislav Misic, Lena Palaniyappan, Ashok Malla, Srividya Iyer, Ridha Joober, Martin Lepage, Jai Shah

{"title":"Exploring delusional themes and other symptoms in first episode psychosis: A network analysis over two timepoints.","authors":"Fjolla Berisha, Vincent Paquin, Ian Gold, Bratislav Misic, Lena Palaniyappan, Ashok Malla, Srividya Iyer, Ridha Joober, Martin Lepage, Jai Shah","doi":"10.1016/j.psychres.2024.116349","DOIUrl":"10.1016/j.psychres.2024.116349","url":null,"abstract":"Delusions are a defining feature of psychosis and play an important role in the conceptualization and diagnosis of psychotic disorders; however, the particular role that different delusions play in the prognosis of these disorders is not well understood. This study explored relationships between delusions and other symptoms in 674 first episode psychosis (FEP) individuals by comparing symptom networks between baseline and 12 months after intake to an early intervention service. Specifically, we (1) estimated regularized partial correlation networks at baseline and month 12, (2) identified the most central symptoms in each network, (3) identified clusters of highly connected symptoms, and (4) compared networks to examine changes in structure and connectivity. At baseline, the most central symptoms were depression, delusions of mind reading, and delusions of thought insertion. At month 12, they were hallucinations, persecutory delusions, and delusions of thought insertion. A symptom cluster was identified at both timepoints comprising of five delusions corresponding to passivity experiences. While network structures did not differ significantly, the month 12 network was significantly more highly connected. Our study captures a shift in illness trajectory over time, wherein transdiagnostic symptomatology at baseline becomes more consolidated around psychotic symptoms by month 12.","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"344 ","pages":"116349"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Association between triglyceride-glucose (TyG) index and the incidence of depression in US adults with diabetes or pre-diabetes. 甘油三酯-葡萄糖（TyG）指数与美国糖尿病或糖尿病前期成人抑郁症发病率之间的关系

IF 4.2 2区医学

Psychiatry Research Pub Date : 2025-02-01 Epub Date: 2024-12-15 DOI: 10.1016/j.psychres.2024.116328

Pengfei Shi, Jianbang Fang, Chunyang Lou

{"title":"Association between triglyceride-glucose (TyG) index and the incidence of depression in US adults with diabetes or pre-diabetes.","authors":"Pengfei Shi, Jianbang Fang, Chunyang Lou","doi":"10.1016/j.psychres.2024.116328","DOIUrl":"10.1016/j.psychres.2024.116328","url":null,"abstract":"Background: The relationship between the triglyceride glucose (TyG) index and the incidence of depression in populations with diabetes or pre-diabetes remains unclear. This study aims to investigate the association between the TyG index and depression incidence in diabetic/pre-diabetic populations.Method: Data from the 2005-2018 National Health and Nutrition Examination Survey (NHANES) were analyzed. After adjustment for confounders, multivariate logistic regression models were fitted to investigate the association between TyG index and depression incidence. Restricted cubic splines (RCS), subgroup analysis, interaction analysis, and mediation analysis were also constructed.Results: A total of 8,970 participants with diabetes or pre-diabetes were enrolled. The linear positive association between TyG index and the incidence of depression was observed. Insulin resistance partly mediates this association in mediation analysis. There is a U-shape association between TyG index and the incidence of depression in diabetic/pre-diabetic populations whose ethnicity is Other Hispanic (p for nonlinearity =0.0237). Subgroup analysis evaluated the robustness of our findings and interaction analysis showed that this association can be modified by race/ethnicity.Conclusion: There is a linear positive association between the TyG index and the incidence of depression in populations with diabetes or pre-diabetes.","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"344 ","pages":"116328"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

The structure of meaning in schizophrenia: A study of spontaneous speech in Chinese. 精神分裂症的意义结构：汉语自发言语的研究。

IF 4.2 2区医学

Psychiatry Research Pub Date : 2025-02-01 Epub Date: 2024-12-28 DOI: 10.1016/j.psychres.2024.116347

Han Zhang, Rui He, Claudio Palominos, Ning Hsu, Hintat Cheung, Wolfram Hinzen

{"title":"The structure of meaning in schizophrenia: A study of spontaneous speech in Chinese.","authors":"Han Zhang, Rui He, Claudio Palominos, Ning Hsu, Hintat Cheung, Wolfram Hinzen","doi":"10.1016/j.psychres.2024.116347","DOIUrl":"10.1016/j.psychres.2024.116347","url":null,"abstract":"Narrative speech production requires the retrieval of concepts to refer to entities, which need to be referenceable more than once for any form of narrative coherence to arise. Such coherence has long been observed to be affected in schizophrenia spectrum disorders (SSD), yet the underlying mechanisms have been a longstanding puzzle, with existing evidence predominantly derived from Indo-European languages. Here we analyzed two picture descriptions from 22 native Mandarin Chinese speakers with SSD and 15 healthy controls. An analysis scheme was created targeting key mechanisms in the genesis of referential meaning in speech. Results revealed that individuals with SSD used more definite-anaphoric noun phrases (NPs), which refer back to a previously mentioned entity in a narrative, and fewer NPs with adjectival modifiers. Definite NPs appeared earlier in their speech, and both definite and indefinite NPs occurred at shorter temporal distances. Participants with SSD referenced fewer entities, which in turn were more recurrent (referenced more than once). Furthermore, speech graphs capturing how entities are referenced across a narrative exhibited higher clustering, centrality, density, and shorter characteristic path lengths in SSD. Overall, these results from a non-Indo-European language support the new concept of a 'shrinking' or more condensed semantic space in SSD, impeding normal mental navigation across the concepts we retrieve during speech.","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"344 ","pages":"116347"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Examining the potential of an internet-based emotion regulation intervention added to acute psychiatric inpatient care: results from a randomized controlled pilot trial. 检查基于网络的情绪调节干预增加到急性精神病住院治疗的潜力：来自随机对照试点试验的结果。

IF 4.2 2区医学

Psychiatry Research Pub Date : 2025-02-01 Epub Date: 2024-12-15 DOI: 10.1016/j.psychres.2024.116326

Gwendolyn Wälchli, Thomas Berger, Christoph Nissen, Franz Moggi, Laura Luisa Bielinski

{"title":"Examining the potential of an internet-based emotion regulation intervention added to acute psychiatric inpatient care: results from a randomized controlled pilot trial.","authors":"Gwendolyn Wälchli, Thomas Berger, Christoph Nissen, Franz Moggi, Laura Luisa Bielinski","doi":"10.1016/j.psychres.2024.116326","DOIUrl":"10.1016/j.psychres.2024.116326","url":null,"abstract":"The feasibility and the preliminary effectiveness of an internet-based emotion regulation intervention added to acute psychiatric inpatient care were assessed with a randomized controlled pilot trial. Sixty patients were allocated in a 1:1 ratio to the intervention group or treatment as usual (TAU). Feasibility was evaluated via patient satisfaction, system usability, and program usage. The primary outcome was symptom severity (Brief-Syptom-Inventory-18-GSI), secondary outcomes included two emotion regulation measures. Assessments occurred at baseline, after four weeks (T1), eight weeks (T2), and patient discharge. Satisfaction scores (CSQ-8: M = 2.97, SD = 0.64) and usability ratings (SUS: M = 69.89, SD = 10.34) were positive. Program usage was low, with only 12 of 30 patients completing at least 50 % of the program. In the ITT-analysis, no significant group-by-time interaction effects were found for symptom severity or emotion regulation. Descriptively, effect sizes favored the intervention for symptom severity at T1 (d = 0.16) and T2 (d = 0.12) and favored TAU for the emotion regulation parameters at both time points. Thus, while the internet-based program showed good usability and satisfaction, it did not significantly impact symptom severity or emotion regulation. Future research should examine how to enhance program use in this treatment context.","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"344 ","pages":"116326"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Reducing mental health distress and preventing depression in young people in the community: A multimethod observational study with a real-world and prospective 12-month controlled approach: mental health distress in community youths. 减少社区年轻人的心理健康困扰和预防抑郁症：一项多方法观察性研究，采用现实世界和前瞻性12个月的对照方法：社区年轻人的心理健康困扰。

IF 4.2 2区医学

Psychiatry Research Pub Date : 2025-02-01 Epub Date: 2024-11-23 DOI: 10.1016/j.psychres.2024.116279

Christy Lai-Ming Hui, Eric Yu-Hai Chen, Stephanie Ming-Yin Wong, Gloria Hoi-Yan Wong, Sherry Kit-Wa Chan, Pak-Chung Sham, Michael Tak-Hing Wong, Kai-Tai Chan, Charlton Cheung, Gabriel Chun-Hei Lai, Debra Rickwood, Patrick D Mcgorry, Yi-Nam Suen

{"title":"Reducing mental health distress and preventing depression in young people in the community: A multimethod observational study with a real-world and prospective 12-month controlled approach: mental health distress in community youths.","authors":"Christy Lai-Ming Hui, Eric Yu-Hai Chen, Stephanie Ming-Yin Wong, Gloria Hoi-Yan Wong, Sherry Kit-Wa Chan, Pak-Chung Sham, Michael Tak-Hing Wong, Kai-Tai Chan, Charlton Cheung, Gabriel Chun-Hei Lai, Debra Rickwood, Patrick D Mcgorry, Yi-Nam Suen","doi":"10.1016/j.psychres.2024.116279","DOIUrl":"10.1016/j.psychres.2024.116279","url":null,"abstract":"Community-based youth mental health (YMH) platforms are challenging to evaluate. Using a multi-method approach, we examined the efficacy of an integrated YMH program in Hong Kong. The real-world outcomes of 1047 participants were compared with a propensity score (PS) matched control group randomly selected from the community (study 1). In a separate prospective 12-month study, a sample of up to 133 matched pairs of YMH and controls were compared for more detailed symptomatic and functional outcomes (study 2). Study 1 revealed that the YMH program was associated with a significant reduction in distress. A higher proportion of YMH participants improved, and fewer deteriorated compared with controls. The YMH program also translated into a net reduction of 1.28 % in the risk of common disorders. Study 2 revealed that the YMH program showed significant reductions in depressive symptoms, anxiety symptoms, distress, and functioning after 12 months. The two complementary studies, using PS-matched controlled comparisons, enabled the sample representativeness and the comprehensive examination of the longitudinal impact. This YMH program reduces current distress, symptoms, and functional impairment, and prevents the emergence of probable mental disorder. Findings have significant implications for developing and evaluating future YMH services.","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"344 ","pages":"116279"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Insight into potential long COVID effects: Antidepressant use in post SARS-CoV-2 Infection scenarios. A multiregional nested case-control study. 洞察COVID的潜在长期影响：抗抑郁药在SARS-CoV-2感染后的使用情况多地区巢式病例对照研究。

IF 4.2 2区医学

Psychiatry Research Pub Date : 2025-02-01 Epub Date: 2024-11-28 DOI: 10.1016/j.psychres.2024.116290

Valentina Rosolen, Yvonne Beorchia, Luigi Castriotta, Caterina Fanizza, Francesco Profili, Marco Floridia, Marina Giuliano, Flavia Pricci, Marika Villa, Tiziana Grisetti, Tiziana Grassi, Dorina Tiple, Andrea Silenzi, Paolo Francesconi, Lucia Bisceglia, Fabio Barbone, Silvio Brusaferro, Graziano Onder

{"title":"Insight into potential long COVID effects: Antidepressant use in post SARS-CoV-2 Infection scenarios. A multiregional nested case-control study.","authors":"Valentina Rosolen, Yvonne Beorchia, Luigi Castriotta, Caterina Fanizza, Francesco Profili, Marco Floridia, Marina Giuliano, Flavia Pricci, Marika Villa, Tiziana Grisetti, Tiziana Grassi, Dorina Tiple, Andrea Silenzi, Paolo Francesconi, Lucia Bisceglia, Fabio Barbone, Silvio Brusaferro, Graziano Onder","doi":"10.1016/j.psychres.2024.116290","DOIUrl":"10.1016/j.psychres.2024.116290","url":null,"abstract":"This study aimed to investigate the impact of previous SARS-CoV-2 infection and the role of vaccination in the onset of neuropsychiatric conditions, evaluated through antidepressant prescriptions. This case-control study evaluated the risk of new antidepressant prescriptions in relation to previous exposure to SARS-CoV-2 infection and vaccination. It was conducted in three Italian Regions on adults who did not receive antidepressant prescriptions in the year preceding the study period. Individuals with newly prescribed antidepressants (cases) were matched by sex and age to non-users of antidepressants (controls). Pooled estimates of regional Odds Ratios (ORs) were obtained through a meta-analysis. Findings showed that individuals previously infected with SARS-CoV-2 had a higher risk of receiving a new prescription of antidepressants. Moreover, this association was stronger among subjects hospitalized due to infection, and SARS-CoV-2 vaccination may have acted as an effect modifier by reducing that risk. In fact, the pooled OR for receiving a new antidepressant prescription was higher for unvaccinated individuals than for those vaccinated. The results of this study confirm the role of SARS-CoV-2 infection as a risk factor for the onset of neuropsychiatric symptoms. Antidepressant treatment initiation was much more likely after severe COVID-19 infection but vaccination reduced such a risk.","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"344 ","pages":"116290"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Prevalence and factors related to psychological distress among Ebola survivors and healthcare workers in the Eastern DR Congo. 刚果（金）东部埃博拉幸存者和医护人员的心理困扰发生率及相关因素。

IF 4.2 2区医学

Psychiatry Research Pub Date : 2025-02-01 Epub Date: 2024-12-08 DOI: 10.1016/j.psychres.2024.116319

Jude Mary Cénat, Seyed Mohammad Mahdi Moshirian Farahi, Jacqueline Bukaka, Rose Darly Dalexis

引用次数: 0

The use of Experience Sampling Method in psychopharmacological studies: A systematic review. 经验抽样法在精神药理学研究中的应用：系统综述。

IF 4.2 2区医学

Psychiatry Research Pub Date : 2025-02-01 Epub Date: 2024-12-15 DOI: 10.1016/j.psychres.2024.116327

Davy Quadackers, Fionneke Bos, Johanna Hovenkamp-Hermelink, Danielle Cath, Harriëtte Riese

{"title":"The use of Experience Sampling Method in psychopharmacological studies: A systematic review.","authors":"Davy Quadackers, Fionneke Bos, Johanna Hovenkamp-Hermelink, Danielle Cath, Harriëtte Riese","doi":"10.1016/j.psychres.2024.116327","DOIUrl":"10.1016/j.psychres.2024.116327","url":null,"abstract":"The Experience Sampling Method (ESM) is increasingly used to validate and assess treatment effects. We conducted a systematic review to update, and extend, the previous review by Bos et al. (2015), by performing literature searches in PubMed, PsycInfo, and EMBASE. Search queries included every DSM-disorder, ATC-listed psychotropic medication, and multiple search-terms for ESM. Studies included medicated psychiatric patients who filled-out ambulatory prompts ≥2/day. Templates served to distil research themes. The majority of the 79 included studies involved substance use- (n = 47), mood- (n = 17), and psychotic disorders (n = 11). Less studied were anxiety disorders and PTSD (n = 3), and ADHD (n = 1). We identified six research themes:1)Effects of psychopharmacological treatment on symptoms and factors influencing outcome, 2)Fluctuations of psychiatric symptoms in medicated patients, 3)Prediction of relapse, exacerbation of symptoms or medication non-compliance, 4)Added value of ESM compared to care as usual, 5)Using ESM to establish treatment response-trajectories, 6)Acceptability and feasibility of newly-devised ESM-applications. This review reveals that ESM is predominantly used in psychopharmacological studies to monitor treatment effects and establish fluctuations of momentary psychiatric symptoms. Future research might facilitate personalising psychopharmacological prescribing decisions using ESM. Currently underrepresented patient groups include elderly patients, and personality disorders. Finally, to facilitate ESM-implementation multiple context-levels should be optimised.","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"344 ","pages":"116327"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Decisional capacity to consent to treatment in children and adolescents: A systematic review. 儿童和青少年同意治疗的决策能力：系统综述。

IF 4.2 2区医学

Psychiatry Research Pub Date : 2025-02-01 Epub Date: 2024-12-25 DOI: 10.1016/j.psychres.2024.116343

Giovanna Parmigiani, Marcello Benevento, Biagio Solarino, Anna Margari, Davide Ferorelli, Luigi Buongiorno, Roberto Catanesi, Felice Carabellese, Antonio Del Casale, Stefano Ferracuti, Gabriele Mandarelli

{"title":"Decisional capacity to consent to treatment in children and adolescents: A systematic review.","authors":"Giovanna Parmigiani, Marcello Benevento, Biagio Solarino, Anna Margari, Davide Ferorelli, Luigi Buongiorno, Roberto Catanesi, Felice Carabellese, Antonio Del Casale, Stefano Ferracuti, Gabriele Mandarelli","doi":"10.1016/j.psychres.2024.116343","DOIUrl":"10.1016/j.psychres.2024.116343","url":null,"abstract":"Obtaining informed consent in vulnerable populations like children and adolescents, is a relevant issue and raises ethical concerns. Minors are considered unable to consent to treatment, and permission from guardians is required for them. Nevertheless, several studies have been carried out on the competence of pediatric patients, with mixed results. Following PRISMA guidelines, a systematic review was performed to assess children and adolescents' decisional capacity to consent to treatment. The search strategy identified 2,790 studies, including 10 that survived full-text screening and evaluation. Studies included in the analysis evaluated the decision-making capacity of minors using the MacArthur Competency Assessment Tool - Treatment (MacCAT-T), the Adolescent Psychiatric Patient Competency Questionnaire (CQ-ChP); the Measure of Competency (MOC), the Measure of Competency- Hypothetical (MOCHyp). Overall, minors over the age of 13 showed an acceptable decisional capacity. However, further research, preferably on larger groups, is needed to shed more light on this topic.","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"344 ","pages":"116343"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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