Psychology Research and Behavior Management最新文献

{"title":"Development and Validation of a Predictive Model for Anxiety Trajectories in Patients with Breast Cancer: A Retrospective Study.","authors":"Xia Li, Ben-Kai Wei, Fan Li, Huan-Huan Yan, Jun Shen","doi":"10.2147/PRBM.S501127","DOIUrl":"10.2147/PRBM.S501127","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to develop and validate a predictive model for short-term post-treatment anxiety trajectories in patients with breast cancer, utilizing baseline patient characteristics and initial anxiety scores to inform precise clinical interventions.</p><p><strong>Methods: </strong>Baseline characteristics were collected from 424 patients diagnosed with breast cancer who underwent surgical treatment at our hospital between January 1, 2021, and December 30, 2022. Anxiety levels were assessed using the Self-Rating Anxiety Scale (SAS) scores at admission and at 3-, 6-, 9-, and 12-months post-treatment. Distinct trajectories of SAS score changes were identified and categorized. Variables were screened, and multiple models were developed. The optimal model was identified through comparative analysis, and a nomogram was generated following model simplification.</p><p><strong>Results: </strong>We found three distinct trends in the trajectory of anxiety, but we grouped them into two broad categories: gradual reduction of anxiety and persistent anxiety. LM Model was established by logistic regression, and Model 1 and Model 2 were established by Random Forest (RF) and eXtreme Gradient Boosting (Xgboost) screening variables. The ROC curve areas in the validation set were 0.822 (0.757-0.887), 0.757 (0.680-0.834) and 0.781 (0.710-0.851), respectively. Model comparison, using Net Reclassification Improvement (NRI) and Integrated Discrimination Improvement (IDI), identified the Lm model as optimal, which underwent further simplification and value assignment. Decision Curve Analysis (DCA) and Clinical Impact Curve (CIC) analyses confirmed the superiority of model-based interventions over general interventions.</p><p><strong>Conclusion: </strong>Distinct anxiety trajectories are observed in patients diagnosed with breast cancer during the first 12 months post-treatment. Predictive modeling based on baseline characteristics is feasible although though further research is warranted.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"315-329"},"PeriodicalIF":2.8,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic Impact of the Sleep Disorder, Depression and Anxiety on the Cognitive Function in the First-Episode Depressive Patients.","authors":"Wenqiong Zhang, Nan Zhou, Jie Li","doi":"10.2147/PRBM.S489690","DOIUrl":"10.2147/PRBM.S489690","url":null,"abstract":"<p><strong>Background: </strong>Sleep disorder is closely related to depressive and anxious status as well as cognitive symptoms.</p><p><strong>Materials and methods: </strong>A total of 173 cases with the first-episode major depressive disorder (MDD) were involved in this study. The Hamilton Depression Scale (HAMD-17), Hamilton Anxiety Scale (HAMA), Pittsburgh Sleep Quality Index (PSQI), and Repeatable battery for the Assessment of Neuropsychological Status (RBANS) were used to assess the patients. Three visits were set at baseline at the 4^th and the 8^th weeks. Latent Growth Curve Models (LGCM) were used to analyze the changing tendency and correlation between sleep disorder, depression, anxiety status, and cognitive function in patients with MDD.</p><p><strong>Results: </strong>Baseline sleep status in patients with MDD could predict cognitive function (<i>p</i>=0.043) and changes in cognitive function (<i>p</i>=0.016), and changes in depressive symptoms could negatively predict cognitive function (<i>p</i>=0.021). Changes in depressive status negatively predictability of its cognitive function (<i>p</i>=0.005). Changes in sleep status negatively predict cognitive function (<i>p</i>=0.099). Sex, age, educational duration, and nature of work were included in the LGCM. The comparison among the subgroups in the LGCM indicated that these four dimensions showed consistency in dynamic tendency, demonstrating that cognitive function changes with sleep status.</p><p><strong>Conclusion: </strong>The more severe the sleep disorder in patients with first-episode MDD, the more obvious was the damage to cognition. The dynamic impact of sleep quality on cognitive function is positively correlated, and over time, there is an association between the remission speed of depressive or anxiety symptoms and improving the speed of cognitive function in patients with MDD.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"299-314"},"PeriodicalIF":2.8,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sedentary Behavior and Its Association With Psychological Well-Being and Sleep Quality in Adolescents: Evidence from a Propensity Score Analysis.","authors":"Lirong Zhang, Shaocong Zhao, Shuangyin Zhao, Hua Zheng, Yizhen Ke, Weichen Yang, Mingxing Lei","doi":"10.2147/PRBM.S508382","DOIUrl":"10.2147/PRBM.S508382","url":null,"abstract":"<p><strong>Background: </strong>Sedentary lifestyles among adolescents have been associated with various health concerns, particularly regarding psychological well-being and sleep quality. However, the associative relationship between sedentary behavior and these health outcomes remains unclear. This study aims to clarify the association between sedentary lifestyle and psychological and sleep health among adolescents through propensity scores matching analysis.</p><p><strong>Methods: </strong>A total of 2,846 adolescents from three universities participated in the study. Data on demographics, exercise habits, eating patterns, sedentary behavior, psychological health, sleep health, self-esteem, and social support were collected. A sedentary lifestyle was defined as sitting for more than six hours daily. Psychological health was assessed using the Generalized Anxiety Disorder-7 (GAD-7) scale for anxiety and the Patient Health Questionnaire-9 (PHQ-9) for depression, while sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Self-esteem was evaluated with the Self-Esteem Scale (SES), and social support was measured using the Social Support Rating Scale (SSRS). Propensity scores matching analysis was employed to investigate the associative relationship between sedentary lifestyles and the measured outcomes.</p><p><strong>Results: </strong>Prior to propensity scores matching, significant differences were observed in baseline characteristics between participants with and without sedentary lifestyles, including gender (P=0.01), dietary habits (P<0.001), mobile device usage (P<0.001), stress events (P=0.001), physical activity (P<0.001), and chronic diseases (P=0.024). Participants with sedentary lifestyles exhibited higher scores on the GAD-7 (P<0.001), PHQ-9 (P<0.001), and PSQI (P<0.001), along with lower self-esteem (SES, P=0.041) and social support (SSRS, P<0.001) compared to their more active counterparts. Following propensity scores matching, no significant differences in baseline characteristics were found between the two groups (All P>0.282), indicating a successful matching process. Post-matching analysis revealed that individuals with sedentary lifestyles had significantly higher GAD-7 (P=0.002), PHQ-9 (P=0.013), and PSQI scores (P=0.001) than those without sedentary lifestyles, while no significant differences were found in SES (P=0.755) and SSRS (P=0.676).</p><p><strong>Conclusion: </strong>Our findings indicate that a sedentary lifestyle is associated with poorer psychological health and sleep quality among adolescents, even after controlling for various demographic and lifestyle factors. These results underscore the importance of promoting physical activity and reducing sedentary behavior in this population to enhance their overall well-being.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"281-298"},"PeriodicalIF":2.8,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11814057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Medication Adherence, Internalized Stigma and Social Support Among Outpatients with Major Depressive Disorder in a Malaysian Hospital: A Cross-Sectional Study.","authors":"Rahilah Halim, Manveen Kaur, Sharifah Suziah Syed Mokhtar, Norliza Chemi, Martha Sajatovic, Yee Kee Tan, Ching Sin Siau, Chong Guan Ng","doi":"10.2147/PRBM.S485333","DOIUrl":"10.2147/PRBM.S485333","url":null,"abstract":"<p><strong>Background: </strong>Internalized stigma and medication non-adherence pose significant challenges for treating major depressive disorder (MDD), leading to disability, increased suicide risk, and morbidity. Limited data exists on modifiable factors associated with adherence in lower-resourced settings like Malaysia. This study aimed to investigate poor adherence prevalence and the demographic and clinical factors associated with poor medication adherence among patients with MDD.</p><p><strong>Methods: </strong>This cross-sectional survey recruited participants using universal sampling from a major hospital in Selangor, Malaysia. Participants answered questionnaires consisting of demographic and clinical information (medical history, duration of anti-depressant treatment for MDD, psychiatric ward admission history, and any medication side effects experienced), the Internalized Stigma of Mental Illness Scale (comprising alienation, stereotype, perceived discrimination, and social withdrawal), the Multidimensional Scale of Perceived Social Support (comprising family, friend, and significant other support), and the Malaysia Medication Adherence Assessment Tool. Simple and multiple logistic regression and mediation analyses were conducted.</p><p><strong>Results: </strong>Of the 268 participants (69% female), 57.1% were suboptimally or moderately adherent to their medication. Buddhists (adjusted odds ratio [a<i>OR</i>] = 0.280, 95% <i>CI</i> [0.115, 0.679], <i>p</i> = 0.005), higher family support (a<i>OR</i> = 0.753, 95% <i>CI</i> [0.591, 0.960], <i>p</i> = 0.022), a history of ward admissions (a<i>OR</i> = 3.523, 95% <i>CI</i> [1.537, 8.072], <i>p</i> = 0.003), and higher internalized stigma (a<i>OR</i> = 2.828, 95% <i>CI</i> [1.497, 5.344], <i>p</i> = 0.001) were significantly associated with low/moderate medication adherence. The effect of internalized stigma subdomains (alienation, perceived discrimination, and social withdrawal) on medication adherence were partially mediated by family support.</p><p><strong>Conclusion: </strong>More than half of the participants demonstrated low to moderate medication adherence. Those with higher internalized stigma demonstrated higher odds of low/moderate medication adherence, but this effect was attenuated by family support. Therefore, internalized stigma and family support are important points of consideration when assessing patients with MDD in Malaysia.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"209-223"},"PeriodicalIF":2.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empathy and Mental Health of Preschool Teachers: A Latent Profile Analysis.","authors":"Rong Jin, Xiangyu Li, Heqing Huang","doi":"10.2147/PRBM.S487754","DOIUrl":"10.2147/PRBM.S487754","url":null,"abstract":"<p><strong>Purpose: </strong>This research, grounded in the self-other oriented empathy theoretical framework, aimed to explore the classification of empathy and its relationship with mental health among preschool teachers.</p><p><strong>Methods: </strong>A total of 4345 preschool teachers participated in the study. Mental health was assessed using the Symptom Checklist 90 (SCL-90), and empathy was measured with the Chinese version of the Interpersonal Reactivity Index (IRI-C). Data were collected through a comprehensive preschool education service platform. Latent profile analysis (LPA) was employed to identify subgroups of preschool teachers by self- and other empathy pattern types. Descriptive statistics, bivariate cross-tabulations, and multinomial logistic regression were used to characterize each profile while quantifying associations with mental health.</p><p><strong>Results: </strong>A four-profile model was identified as the best fit in this latent profile analysis: the largest profile of preschool teachers was characterized by moderate self- and other-oriented empathy (46.5%), a second profile was characterized by high self- and other-oriented empathy (25.2%), a third profile was characterized by high other-oriented and low self-oriented empathy (20.8%), and the smallest profile was characterized by both low self- and other-oriented empathy (7.5%). Significant differences in mental health were observed between the latent profile. The high empathy profile exhibited the highest level of mental health risk, while the other-oriented groups showed the lowest level.</p><p><strong>Conclusion: </strong>There are four latent profiles of empathy in preschool teachers, and the profiles of empathy are related to mental health.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"255-269"},"PeriodicalIF":2.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Rumination and Emotional Regulation on Non-Suicidal Self-Injury Behaviors in Depressed Adolescents in China: A Multicenter Study.","authors":"Kongliang He, Lu Chen, Hongbin Fan, Lingmin Sun, Tingting Yang, Huanzhong Liu, Kai Wang","doi":"10.2147/PRBM.S483267","DOIUrl":"10.2147/PRBM.S483267","url":null,"abstract":"<p><strong>Objective: </strong>Emotion dysregulation is one of the core causes of non-suicidal self-injury (NSSI). However, little is known about the effects of emotion regulation and rumination on NSSI behaviors in adolescents with depressive disorder.</p><p><strong>Methods: </strong>In total, 1782 depressed adolescents (1464 females and 318 males) completed questionnaires on rumination, emotion regulation, and NSSI, with an average age of 14.85. Participants were recruited from the outpatient and inpatient wards of 14 hospitals across the country.</p><p><strong>Results: </strong>NSSI behavior frequency was positively correlated with rumination and negatively correlated with emotion regulation. Cognitive reappraisal and expression inhibition play a significant mediating role in the relationship between rumination and NSSI.</p><p><strong>Conclusion: </strong>Among adolescents with depression, rumination has an impact on the frequency of NSSI behavior, and the relationship between the two is mediated by emotional regulation. The results indicate that intervention with adaptive emotion regulation strategies in adolescent depression patients may reduce the frequency of NSSI, especially in adjusting cognitive evaluation.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"271-279"},"PeriodicalIF":2.8,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Problematic Online Video Watching, Boredom Proneness and Loneliness Among First-Year Chinese Undergraduates: A Two-Wave Longitudinal Study.","authors":"Zhihao Yan, Zeyang Yang, Xinyuan Xu, Chengjun Zhou, Qingsong Sang","doi":"10.2147/PRBM.S498142","DOIUrl":"10.2147/PRBM.S498142","url":null,"abstract":"<p><strong>Purpose: </strong>While previous cross-sectional studies have investigated the relationship between problematic online video watching and mental health issues, longitudinal studies exploring their bidirectional relationship remain relatively scarce. This study aimed to fill this gap by conducting a two-wave longitudinal design.</p><p><strong>Participants and methods: </strong>Six hundred and ninety-nine first-year undergraduates voluntarily completed two rounds of questionnaire surveys assessing problematic online video watching, boredom proneness and loneliness with an interval of 4 months. To test the research hypotheses, cross-lagged panel models were performed using AMOS 24.0.</p><p><strong>Results: </strong>Our results revealed the that (1) Boredom proneness and problematic online video watching were mutually influenced. (2) Loneliness at T1 positively predicted the level of problematic online video watching at T2 but not vice versa. (3) Boredom proneness mediated the link between loneliness and problematic online video watching. (4) Chinese first-year undergraduates' levels of problematic online video watching and boredom proneness significantly increased during their educational transition period from high school to university.</p><p><strong>Conclusion: </strong>The present study enhances our understanding of the dynamic relationships between problematic online video watching, boredom proneness and loneliness, highlighting the targeted prevention and interventions for first-year undergraduates.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"241-253"},"PeriodicalIF":2.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coupling Bio-Resonance Neurotechnology (BRNT) and Dual Hemispheric Repetitive Transcranial Magnetic Stimulation (rTMS) Reduces Comorbid Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD) as Demonstrated by PHQ-9 and GAD-7: Pilot Case Series.","authors":"Keerthy Sunder, Milan T Makale, Miles Makale, Jothsna Bodhanapati, Kevin T Murphy, Catherine A Dennen, David Baron, Panayotis K Thanos, Colin Hanna, John Wesson Ashford, Kai-Uwe Lewandrowski, Kenneth Blum","doi":"10.2147/PRBM.S482960","DOIUrl":"10.2147/PRBM.S482960","url":null,"abstract":"<p><p>Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD) are prevalent comorbidities related to a greater likelihood of poor treatment outcomes and prolonged treatment for Reward Deficiency Syndrome (RDS) behaviors. The current exploratory case study of a small cohort (n=3; f=2 m=1) used novel neurotechnology to treat co-occurring MDD and GAD with a multifaceted intervention that combines the novel bio-resonance neurotechnology (BRNT) referred to as NuCalm^®, to restore autonomic nervous system balance and dual hemispheric repetitive transcranial magnetic stimulation (rTMS) of the ipsilateral Dorsal Lateral Prefrontal Cortex (DLPFC) to treat the disrupted structural components of the brain. Neuroacoustic brainwave entrainment, electromagnetic frequency bio-resonance, and light-blocking combine to place patients into a parasympathetic dominant state. The paired <i>t</i>-tests indicated a significant decrease in comparing before and after the intervention. The Patient Health Questionnaire PHQ-9 scores from the first to the last time-point (mean difference = 20, t(2) = 6.55, p = 0.0226), with a 95% confidence interval of mean difference ranging from 6.86 to 33.14. Similarly, there was a significant decrease in General Anxiety Disorder GAD-7 questionnaire scores from the first to the last time point (mean difference = 18.67, t(2) = 12.85, p = 0.0060), with a 95% confidence interval of the mean difference ranging from 12.42 to 24.92. After applying the Bonferroni correction, the corrected p-values for PHQ-9 and GAD-7 are 0.0452 and 0.0120, respectively. Cohen's d standardized effect size indicated that the main effect size was 5.47 and 13.8 times the noise (variability), respectively, for the initial versus final PHQ-9 and GAD-7. Further, more extensive, much larger sham-controlled and blinded studies are required to confirm these encouraging results and explore this multifaceted intervention.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"225-240"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11796452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment Options for Psychotic Depression in Adolescents: A Comprehensive Review.","authors":"Violeta Perez-Rodriguez, Claudia Aymerich, Ana Catalan, Sameer Jauhar, Gonzalo Salazar de Pablo","doi":"10.2147/PRBM.S460988","DOIUrl":"10.2147/PRBM.S460988","url":null,"abstract":"<p><p>Despite being associated with increased illness severity and suicidality compared to non-psychotic depression, psychotic depression remains under-researched, particularly in adolescents. With this article, we aim to review treatment options for psychotic depression in adolescents. We performed a multi-step narrative review, first identifying studies on adolescents with psychotic depression evaluating any intervention and with any methodological design. We subsequently complemented our search with systematic reviews and meta-analysis evaluating treatment interventions in adults with psychotic depression and adolescents with bipolar depression. Finally, we reviewed clinical guidelines to complement the evidence found and provided recommendations for clinical practice. Based on the findings, we recommend a stepped approach to the treatment of psychotic depression in adolescents. For mild cases with predominance of depressive symptoms, antidepressant monotherapy with a serotonin selective reuptake inhibitor (eg fluoxetine, sertraline or citalopram) could be trialed first. In severe presentations, antidepressant-antipsychotic combination would be the treatment of choice. The antidepressant-antipsychotic combination has been recommended by several clinical guidelines, systematic reviews and meta-analysis in this population, adolescents with bipolar depression and adults with psychotic depression. Another combination of antidepressant-antipsychotic with evidence from a case report is the fluoxetine-quetiapine combination. For those adolescents not responding to the antidepressant-antipsychotic combination, or those requiring a rapid response or unable to take medication, electroconvulsive therapy could be considered. Psychological interventions (eg cognitive behavioral therapy, family therapy or interpersonal psychotherapy training for adolescents) are recommended by clinical guidelines but require further research. Overall, literature on the field is scarce and limited, with most evidence coming from adults and other populations. Further research into effective and safe treatment of psychotic depression in adolescent population is needed.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"197-208"},"PeriodicalIF":2.8,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Post-Traumatic Stress Disorder and Associated Factors Among Internally Displaced Persons (IDPS) In Mogadishu Cross-Sectional Study.","authors":"Ismail Mohamed Sh Abukar, Abdirashid Ali Asir Rage, Mohamed Omar Warsame","doi":"10.2147/PRBM.S488388","DOIUrl":"10.2147/PRBM.S488388","url":null,"abstract":"<p><strong>Background: </strong>An important mental health concern is Post-Traumatic Stress Disorder (PTSD), especially for Internally Displaced Persons (IDPs) in the Horn of Africa. Limited access to psychosocial support and primary health care exacerbates mental health issues.</p><p><strong>Aim: </strong>This study was to examine the prevalence of post-traumatic stress disorder and factors associated with IDPs in Mogadishu.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from Sep 25 to Oct 20, 2023, employing analytical design. The study population included individuals aged 18 and older directly exposed to forced displacement due to conflicts and disasters. A multistage random sampling method was used, with a final sample size of 364 participants from over 20 different camps in Daynile and KAHDA. Post-Traumatic Stress Disorder (PTSD) was assessed using Questionnaire of Post-Traumatic Stress Disorder Checklist for DSM-5 (PCL-5).</p><p><strong>Results: </strong>The prevalence of PTSD among participants was 60%. The PTSD prevalence was highest among male respondents at 75% compared to 54% among the females with over half (63%) of the PTSD cases being females, while 37% were males. Only 0.3% reported the availability of mental health services, emphasizing the lack of adequate support.</p><p><strong>Conclusion: </strong>The study highlights a significant prevalence of PTSD among Mogadishu's IDPs, underscoring the immediate need for mental health prioritization to address challenges in conflict-affected areas. The lack of mental health integration into primary care requires urgent intervention for enhanced services in the Horn of Africa. Recommendations propose targeted mental health interventions, especially for females, addressing gender-based violence and loss. Programs should consider those with multiple displacements, addressing cumulative trauma impact. Providing comprehensive support for those facing property destruction is crucial. Collaborative efforts among humanitarian organizations, local authorities, and mental health professionals are vital for an effective response to the mental health challenges faced by IDPs in conflict-affected areas.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"183-196"},"PeriodicalIF":2.8,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}