Psychiatry Investigation最新文献

{"title":"Indonesian Validation of the YouTube Addiction Scale Among Young Adults.","authors":"Kamolthip Ruckwongpatr, Ira Nurmala, Muthmainnah Muthmainnah, Lutfi Agus Salim, Asma Nadia, Yuli Puspita Devi, Guo-Jia Hsieh, Yi-Ching Lin, Iqbal Pramukti, Chao-Ying Chen, Amir H Pakpour, Mark D Griffiths, Chung-Ying Lin","doi":"10.30773/pi.2025.0081","DOIUrl":"https://doi.org/10.30773/pi.2025.0081","url":null,"abstract":"<p><strong>Objective: </strong>There is an increasing body of evidence suggesting that YouTube addiction may be associated with health issues among individuals in Indonesia. However, there is currently no validated instrument available in the Indonesian language to assess YouTube addiction. The present study represents the inaugural effort to translate and evaluate the psychometric properties of the Indonesian version of the YouTube Addiction Scale (YAS).</p><p><strong>Methods: </strong>An online survey was administered to 515 Indonesian university students (mean age=20 years; 79.8% female), who were recruited through convenience sampling. All participants were proficient in Bahasa Indonesian and completed the survey between February and March 2024. The YAS was evaluated through confirmatory factor analysis (CFA) to assess its one-factor structure. Additionally, multigroup CFA was employed to examine measurement invariance across sex and varying levels of behavioral addictions. Pearson correlation analysis was utilized to establish concurrent validity.</p><p><strong>Results: </strong>CFA confirmed that YAS has a one-factor structure. Moreover, multigroup CFA provided evidence for invariance across genders as well as varying levels of smartphone and social media addiction. The YAS had acceptable internal consistency (Cronbach's α=0.74, McDonald's ω=0.76). Additionally, the YAS was significantly correlated with scores from other social media behavior questionnaires.</p><p><strong>Conclusion: </strong>These results suggest that YAS is a psychometrically robust and valid tool for evaluating the risk of YouTube addiction among young adults in Indonesia. Healthcare professionals and researchers may utilize the YAS to determine the severity of YouTube addiction, thereby gaining valuable insights into this specific form of social media dependency.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131747","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":"Depression, Anxiety, and Stress in a Burned-Out Oncologist.","authors":"Nevena Randjelovic, Marija Peulic, Marina Petronijevic, Aleksandar Djuric, Kristina Dugalic","doi":"10.30773/pi.2024.0311","DOIUrl":"https://doi.org/10.30773/pi.2024.0311","url":null,"abstract":"<p><strong>Objective: </strong>Considering the established intertwined relationships between burnout and other psychiatric disorders, this study aimed to clarify the existing levels of depression, anxiety, stress, emotional exhaustion, depersonalization, and personal accomplishment and their relationship among oncologists-a seemingly professional group at risk for mental health issues development.</p><p><strong>Methods: </strong>A cross-sectional observational study was conducted in January 2024, involving 159 oncologists from Serbia and the Serbian Republic. Participants completed an online questionnaire assessing socio-demographic characteristics and working conditons, depression, anxiety, stress, and burnout using validated scales-the Depression Anxiety Stress Scale-21 and the Maslach Burnout Inventory- Human Services Survey.</p><p><strong>Results: </strong>Results indicate that respondents were mildly depressed, moderately anxious, and mildly stressed overall. Regarding three dimensions of burnout respondents have moderate emotional exhaustion, depersonalization, and low personal accomplishment. No significant differences were found in depression, anxiety, and stress among medical, surgical, and radiation oncologists. Whether the respondents are seeing a psychiatrist and/or undergoing psychiatric therapy was predictive of depression, anxiety, and stress. Economic status was predictive for depression and stress, while an additional predictive factor of anxiety was the presence of somatic illness. Further analysis showed depression and stress levels can be predicted by all three dimensions of burnout, whereas anxiety levels can be predicted by the level of depersonalization.</p><p><strong>Conclusion: </strong>These findings emphasize the complex interplay between burnout and other mental health disorders in oncologists, highlighting the need for targeted mental health interventions and support systems within the oncology field to mitigate the psychological toll on these physicians.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131701","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":"Analysis of Antipsychotic Drug Use Patterns and Safety in Patients With Bipolar Disorder.","authors":"Liwei Cheng, Wenge Chu, Jie Yang, Bing Zhao, Tongli Wan","doi":"10.30773/pi.2025.0174","DOIUrl":"https://doi.org/10.30773/pi.2025.0174","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the pattern of antipsychotic drug use and safety in patients with bipolar disorder (BD).</p><p><strong>Methods: </strong>A retrospective analysis was conducted using a convenience sampling method to collect medical records of 150 BD patients who attended our psychiatric outpatient clinic from July to December 2023. The treatment and follow-up period lasted for 12 months. Based on the use of antipsychotics during the follow-up period, patients were categorized into three subgroups: typical antipsychotics only atypical antipsychotics only, and concurrent use of both antipsychotics. Their medication use, adverse effects, and specific observation indicators including the number of antipsychotics used, the percentage of anticholinergics used, the incidence of somatic discomfort, cognitive impairment, memory loss, and decreased attention were compared.</p><p><strong>Results: </strong>There was no statistically significant difference between the three groups in terms of gender, age, whether they worked or not, and comorbidities (p>0.05); the difference between the three groups was statistically significant in terms of the percentage of the number of antipsychotics used and the percentage of anticholinergics used (p<0.001), and there was no statistically significant difference in terms of the percentage of other adjunctive psychotropic medications or the percentage of the use of traditional Chinese medicines (p>0.05); during the follow-up period, all three groups of patients had symptoms of somatic discomfort, cognitive impairment, memory loss, and decreased attention, but the difference in their incidence was not statistically significant (p>0.05); moreover, none of the three groups of patients had impairments of liver and kidney functions during the follow-up period.</p><p><strong>Conclusion: </strong>Antipsychotics play a crucial role in treating BD patients. This study provides insights into optimizing treatment strategies by highlighting the importance of considering both safety and efficacy when prescribing antipsychotics.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131734","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":"Validation of the Korean Version of the Self-Compassion Scale-Short Form Among Young Adults: A Comparison of Factor Structures.","authors":"Danbi Oh, Hyunjoo Na, Young-Eun Jung","doi":"10.30773/pi.2025.0073","DOIUrl":"https://doi.org/10.30773/pi.2025.0073","url":null,"abstract":"<p><strong>Objective: </strong>Self-compassion plays a crucial role in emotional well-being and positive mental health. Self-Compassion Scale (SCS) can facilitate measurement of psychological distress and positive affect. SCS-Short Form (SCS-SF) offers an economical and efficient means of reducing burden of both respondents and researchers.</p><p><strong>Methods: </strong>This study conducted secondary data analysis to construct and validate the Korean version of the SCS-SF (K-SCS-SF) using a sample of 650 young adults residing in Korea. To evaluate the factorial structure of the scale, confirmatory factor analyses were performed on two-, three-, and six-factor models, and model comparisons were conducted using multiple fit indices. Concurrent validity was assessed by analyzing correlations of the SCS-SF with measures of resilience, depression, and anxiety. Reliability was examined based on item-total correlations and internal consistency analysis.</p><p><strong>Results: </strong>Findings revealed that the two-factor model comprising negative and positive indicators was the best-fitting model. The two-factor model demonstrated strong validity and reliability in its application, highlighting its robustness in assessing self-compassion and its associations with resilience, depression, and anxiety.</p><p><strong>Conclusion: </strong>The validated K-SCS-SF serves as a reliable, efficient, and practical assessment tool, advancing self-compassion research and its applications in mental health assessment, intervention studies, and psychological well-being research.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070464","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":"Functioning Level as a Buffer: Longitudinal Associations Between Heart Rate Variability and Post-Traumatic Stress Disorder Risk Over 2 Years.","authors":"Jae-Min Kim, Hee-Ju Kang, Ju-Wan Kim, Hyunseok Jang, Jung-Chul Kim, Ju-Yeon Lee, Sung-Wan Kim, Il-Seon Shin","doi":"10.30773/pi.2025.0084","DOIUrl":"https://doi.org/10.30773/pi.2025.0084","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the modifying effects of functional levels on the associations of the low frequency (LF) and high frequency (HF) components of heart rate variability (HRV) with post-traumatic stress disorder (PTSD) development.</p><p><strong>Methods: </strong>Participants with physical injuries were recruited from a trauma center and followed for 2 years. Baseline assessments included LF, HF, and functional levels measured by the Social and Occupational Functioning Scale. Socio-demographic and clinical covariates were collected. PTSD diagnoses were made at 3, 6, 12, and 24 months post-injury using the Clinician-Administered PTSD Scale for DSM-5. Logistic regression analyses were performed to assess associations. Among 538 participants, 58 (10.8%) developed PTSD during the study period.</p><p><strong>Results: </strong>A significant modifying effect was found: lower LF/HF were significantly associated with PTSD in patients with lower functioning levels, but not in those with higher functioning levels, with significant interaction terms.</p><p><strong>Conclusion: </strong>The study observed functioning level-dependent associations between LF/HF and PTSD development, highlighting the buffering effects of higher functioning levels. These findings underscore the importance of considering functional status in PTSD risk assessments and the potential benefits of interventions aimed at enhancing social and occupational functioning to mitigate PTSD risk.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070455","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":"Cognitive and Psychological Characteristics in Young Adults With Major Depressive Disorder and Suicide Attempts.","authors":"Hye-Won Lee, So-Young Park, Hyeon-Jin Jeong, Jun-Young Lee, So Young Yoo, Su Mi Park","doi":"10.30773/pi.2024.0271","DOIUrl":"https://doi.org/10.30773/pi.2024.0271","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to identify the cognitive and psychological characteristics associated with suicide attempts in young adults with major depressive disorder (MDD).</p><p><strong>Methods: </strong>The study involved 49 young adults aged 19-29 years diagnosed with MDD (28 attempters and 21 non-attempters) who visited psychological tests were retrospectively conducted. Additionally, data were collected from a healthy control (HC) group of 49 individuals, matched for age and gender, who were screened from the community. The Korean Beck Depression Inventory-2, Korean Reasons for Living Inventory, Korean Wechsler Adult Intelligence Scale-IV (K-WAIS-IV), Minnesota Multiphasic Personality Inventory-2 (MMPI-2) were used to assess psychological factors. Kruskal-Wallis was conducted to compare the mean differences among the three groups in each test.</p><p><strong>Results: </strong>In the K-WAIS-IV, individuals with attempters and non-attempters exhibited significantly lower performance in the Full-Scale Intelligence, Perceptual Reasoning Index, and Processing Speed Index compared to the HCs. The MMPI-2 revealed significant differences between the suicide attempt and non-suicide attempt groups in scales Hypomanic Activation (RC9), Anger (ANG), Antisocial Practices (ASP), Social Responsibility (Re), MacAndrew's Alcoholism-Revised, Addiction, and Disconstraint (DISC).</p><p><strong>Conclusion: </strong>Young adults with MDD who attempted suicide are characterized by heightened externalized psychological issues such as anger, impulsivity, and lack of control. This study provides clinical implications for reducing suicide risk and improving mental health among young adults with MDD.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070485","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":"Effects of Intranasal Oxytocin Across Various Depressive Disorders.","authors":"Miao Wang, Shuaibiao Hou, Chaoyang Tian, Zhiyi Fu, Jing Jie","doi":"10.30773/pi.2024.0320","DOIUrl":"10.30773/pi.2024.0320","url":null,"abstract":"<p><strong>Objective: </strong>Depression is a prevalent psychiatric disorder posing significant global public health challenges. Although traditional antidepressants are widely used, their full therapeutic effects typically require prolonged administration, which may compromise patient outcomes. To enhance treatment efficacy and patient well-being, identifying rapidly acting and safe therapeutic agents is critical. Oxytocin, an endocrine polypeptide hormone, has shown therapeutic potential in depression by modulating physiological, cognitive, and social behaviors via central and peripheral mechanisms.</p><p><strong>Methods: </strong>This review was conducted using the PubMed and Web of Science databases without time restrictions. It provides the first systematic synthesis of empirical evidence on the oxytocin's therapeutic efficacy across depressive disorders, comprehensively describes its potential neurobiological targets, and rigorously evaluates its therapeutic mechanisms. Data from randomized controlled trials were analyzed to assess the clinical feasibility and scientific validity of oxytocin.</p><p><strong>Results: </strong>Evidence from included studies suggested that oxytocin enhanced maternal perception of infants in females with postpartum depression, although its impact on maternal mood was inconsistent. Oxytocin demonstrated efficacy as an adjunctive therapy to psychotherapy or pharmacotherapy in major depressive disorder and treatment-resistant depression. Additionally, studies identified sex differences in oxytocin's antidepressant effects.</p><p><strong>Conclusion: </strong>The present study provides a comprehensive summary of oxytocin's antidepressant effects, offers new insights into its use for treating diverse subtypes of depression, and presents useful guidance for developing evidence-based depression treatment protocols.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":"964-978"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12444206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144837507","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":"The Association of Zolpidem and Suicidality in Psychiatric Outpatients With Insomnia.","authors":"Jin Young Jung, Hyewon Yeo, Haein Kim, Yunsu Kim, Sujung Yoon, In Kyoon Lyoo, Seog Ju Kim","doi":"10.30773/pi.2024.0397","DOIUrl":"10.30773/pi.2024.0397","url":null,"abstract":"<p><strong>Objective: </strong>Zolpidem is widely prescribed to psychiatric outpatients for the management of insomnia due to its rapid and potent efficacy. However, concerns persist regarding its potential association with suicidal tendencies. While studies have suggested that Z-drugs may influence suicidal behavior in the general population, the specific association of Z-drug use and suicide risk in psychiatric outpatients with insomnia remains unclear. This study aims to investigate the association of zolpidem use and suicidal tendencies in this population.</p><p><strong>Methods: </strong>This retrospective study analyzed the medical records of psychiatric outpatients who visited a mental health clinic between January 2018 and December 2022. Of the 6,193 patients assessed, 3,128 (average age: 49.4 years; 36.6% male) reported insomnia, and 364 (11.6%) were prescribed zolpidem. Suicidal tendencies including past suicide attempts, current suicidal ideation, and plans were evaluated in relation to zolpidem use.</p><p><strong>Results: </strong>Psychiatric outpatients with insomnia who used zolpidem demonstrated significantly higher rates of suicidal tendencies (χ2=3.97, p=0.046) and suicide attempts (χ2=8.12, p=0.004, 23.6% in zolpidem users) compared to non-users. Logistic regression analysis revealed that zolpidem use was significantly associated with increased suicidal tendencies (β=0.314, standard error=0.137, odds ratio= 1.368, 95% confidence interval [CI] 1.05-1.79, p=0.022), suicidal ideation (β=0.326, standard error=0.138, odds ratio=1.386, 95% CI 1.06-1.82, p=0.018), and suicide attempts (β=0.379, standard error=0.157, odds ratio=1.460, 95% CI 1.07-1.98, p=0.016), even after adjusting for relevant clinical factors.</p><p><strong>Conclusion: </strong>This study highlights a significant association of zolpidem use and elevated suicidal tendencies among psychiatric outpatients with insomnia. Although a causal relationship cannot be definitively established, these findings highlight the critical importance of thorough suicide risk assessment and ongoing monitoring in patients prescribed zolpidem.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":"1006-1011"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12444203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966628","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":"Association Between Eye Diseases and Sleep Duration: A Nationwide Cross-Sectional Study.","authors":"Young-Chan Kim, Suhyung Kim, Tae-Won Kim, Seung-Chul Hong, Ho Jun Seo, Jong-Hyun Jeong, Hyun Kook Lim, Yoo Hyun Um","doi":"10.30773/pi.2025.0117","DOIUrl":"10.30773/pi.2025.0117","url":null,"abstract":"<p><strong>Objective: </strong>The visual system plays a crucial role in regulating sleep by providing cues that synchronize the circadian rhythm. Consequently, ophthalmic diseases-particularly diabetic retinopathy (DMR), age-related macular degeneration (AMD), epiretinal membrane (EM), and glaucoma-may influence sleep duration through circadian disruption and disease-related psychological stress. However, large-scale studies examining the relationship between these conditions and sleep duration remain limited. This study investigated these associations in a nationwide, population-based sample.</p><p><strong>Methods: </strong>This cross-sectional study analyzed data from the 2019 and 2020 the Korea National Health and Nutrition Examination Survey. Ophthalmic diseases were diagnosed through fundoscopy, and sleep duration on weekdays and weekends was self-reported. The study included 8,395 participants aged 40 years or older who underwent fundoscopy. Statistical models were adjusted for demographic and clinical covariates, including age, sex, body mass index, and comorbidities.</p><p><strong>Results: </strong>Patients with DMR and EM had significantly reduced sleep duration, with reductions of 0.3 hours to 0.5 hours on weekdays and weekends compared to individuals without these conditions. No significant differences in sleep duration were observed for AMD or glaucoma. After covariate adjustment, the associations between shorter sleep duration and DMR or EM remained significant.</p><p><strong>Conclusion: </strong>This nationwide population-based study using fundus photography revealed that DMR and EM are significantly associated with reduced sleep duration, while AMD and glaucoma are not. These findings suggest a differential sleep impact by disease type and support the need for targeted evaluation and management of sleep in patients with ophthalmic diseases. Further research is warranted to clarify underlying mechanisms and guide public health strategies.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":"1038-1047"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12444205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144837506","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":"Gender Differences in the Association Between Sexting and Self-Harm Behavior Among Taiwanese Adolescents.","authors":"Yu-Chuan Chiu, Chun-Hao Liu, Shan-Mei Chang, Yu-Hsuan Lin","doi":"10.30773/pi.2025.0042","DOIUrl":"10.30773/pi.2025.0042","url":null,"abstract":"<p><strong>Objective: </strong>Sexting has been linked to negative mental health outcomes. This Taiwan-based study addresses the links between sexting, cyberbullying, self-harm, and gender differences in the association of sexting and self-harm behavior.</p><p><strong>Methods: </strong>A two-stage stratified sampling of 5,190 Taiwanese adolescents aged 11-18 completed an online questionnaire measuring sexting, bullying/cyberbullying, and self-harm. Two-way interaction model was used to identify the effect of gender on the relationship between sexting and self-harm behavior. The relationship between sexting and self-harm risk was tested in both the total sample and in different gender groups using univariable and multivariable linear regression models.</p><p><strong>Results: </strong>2.5% of adolescents engaged in some form of sexting in the past year. 1.7% had sent their own picture or video. 1.0% had experienced non-consensual sexting, and 0.9% had sexted under pressure. Female gender, sexting one's own information, non-consensual sexting, and pressured sexting were associated with higher self-harm scores.</p><p><strong>Conclusion: </strong>This is the first study to focus on gender differences in the association between different types of sexting and self-harm in a non-Western society. The impact of sexting on self-harm was found to differ between males and females. Different types of sexting may also be associated with different risks of self-harm.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":"989-996"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12444201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966537","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}