Psychiatry Investigation最新文献

{"title":"The Relationship Between Aging Anxiety and Depression in Middle-Aged Adults: The Moderating Effect of Gratitude Disposition.","authors":"Seon-Gyeong Kang, Sung-Man Bae","doi":"10.30773/pi.2025.0112","DOIUrl":"10.30773/pi.2025.0112","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the moderating effect of gratitude disposition on the relationship between aging related anxiety and depression in middle-aged adults. Gratitude disposition was divided into two subfactors, and the moderating effect was analyzed for each.</p><p><strong>Methods: </strong>A total of 489 participants aged 40 to 64 years completed an online self-report questionnaire. Data from 28 participants who did not meet the recruitment criteria or provide insincere responses were excluded, resulting in a final analysis of 461 participants (mean age=51.15 years, standard deviation=6.99 years, 216 males, 245 females). The PROCESS Macro for SPSS version 2.16 was used to verify the moderating effect.</p><p><strong>Results: </strong>First, aging anxiety was positively related to depression. Second, gratitude disposition moderated the relationship between aging, anxiety, and depression. Third, recognition and acknowledgment of objects of gratitude moderated the relationship between aging, anxiety, and depression. Fourth, the \"experience of gratitude emotion and response tendency\" moderated the relationship between aging anxiety and depression.</p><p><strong>Conclusion: </strong>These results provide a theoretical basis for the development and application of intervention programs targeting middle-aged individuals experiencing psychological problems related to aging anxiety and depression.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 4","pages":"488-497"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147691979","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":"Mental Contamination in Obsessive-Compulsive Disorder: Associations With Childhood Trauma, Alexithymia, and Clinical Symptomatology.","authors":"Emine Merve Akdag, Hilal Busra Ardic Usta, Rukiye Ay Diker","doi":"10.30773/pi.2025.0391","DOIUrl":"10.30773/pi.2025.0391","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the relationships between mental contamination, childhood trauma, alexithymia, and clinical characteristics in individuals diagnosed with obsessive-compulsive disorder (OCD), and to evaluate factors associated with mental contamination within a cross-sectional design.</p><p><strong>Methods: </strong>The study included 70 patients with OCD and 70 control groups (CGs). Participants completed a sociodemographic information form, the Vancouver Obsessional Compulsive Inventory-Mental Contamination Scale, the Childhood Trauma Questionnaire, the Toronto Alexithymia Scale, and the Yale-Brown Obsessive Compulsive Scale. Group comparisons, correlation analyses with correction for multiple comparisons, and hierarchical regression analyses were conducted using IBM SPSS 26.0.</p><p><strong>Results: </strong>The OCD had significantly higher scores for mental contamination, childhood trauma and alexithymia compared with CGs. In the OCD, mental contamination showed significant associations with childhood trauma and alexithymia; however, associations with obsession and compulsion severity were attenuated after correction for multiple comparisons. In hierarchical regression analyses, alexithymia remained the only variable significantly associated with mental contamination even after controlling for childhood trauma and contamination-related obsessions and cleaning compulsions. In the CG, alexithymia was also the only variable significantly associated with mental contamination.</p><p><strong>Conclusion: </strong>Our findings suggest that mental contamination in patients with OCD may be associated with childhood trauma and, in particular, alexithymic features rather than with OCD symptom severity or specific symptom subtypes. Future studies employing longitudinal and experimental designs are recommended to examine the causal nature of the relationships between mental contamination, alexithymia, and childhood trauma.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":"451-459"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434871","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":"AVATA Cure Digital Therapeutics for Social Communication in Children With Autism Spectrum Disorder: A Pilot Clinical Trial.","authors":"Minkyung Kim, Jisoo Lee, MinYoung Kim, Jiyoung Kim, Hyunju Park, Suvin Yang, Heonsu Yoon, Jun Chang, Minhwa Chung, Yeon Kyu Jung, Seung Hyun Hong, Hyun-Ju Kim, Tai Kiu Choi","doi":"10.30773/pi.2025.0354","DOIUrl":"10.30773/pi.2025.0354","url":null,"abstract":"<p><strong>Objective: </strong>Autism spectrum disorder (ASD) is characterized by deficits in social interactions, reciprocal communication, and pragmatic language. Traditional therapeutics are effective but limited by economic, temporal, and spatial constraints. This pilot trial evaluated the effectiveness of AVATA Cure, a mobile-based digital therapeutic application, in improving the social communication skills of children with ASD.</p><p><strong>Methods: </strong>Thirty-three children with ASD aged 1-7 years were enrolled, of whom 29 completed the study. Participants used AVATA Cure at home on a tablet device for at least 30 minutes per day, 4 days per week, for 8 weeks. The program included modules targeting joint attention, receptive and expressive pragmatics, and non-verbal communication. Social communication skills were assessed at baseline, 4 weeks, and 8 weeks using the Autism Diagnostic Observation Schedule-2 (ADOS-2); Sequenced Language Scale for Infants (SELSI) or Preschool Receptive-Expressive Language Scale (PRES); Social Communication Questionnaire (SCQ); and Korean Vineland Adaptive Behavior Scales 2nd edition (K-Vineland-II). The statistical analyses included complete case analysis with analysis of variance and Bonferroni correction.</p><p><strong>Results: </strong>Significant improvements were observed in all measures. ADOS-2 reciprocal social interaction scores decreased significantly, indicating reduced impairment. SELSI/PRES pragmatic language scores increased significantly. SCQ scores decreased, and the K-Vineland-II subscales improved, reflecting enhanced adaptive functioning.</p><p><strong>Conclusion: </strong>AVATA Cure demonstrated preliminary efficacy for enhancing social communication among children with ASD. Notable improvements across multiple assessments suggest its potential as a scalable, accessible, and cost-effective intervention that may complement existing therapies and provide early therapeutic benefits.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 4","pages":"510-519"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147691855","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":"Exploring the Potential of a Scenario-Based Approach to Early Autism Spectrum Disorder Screening.","authors":"Guiyoung Bong, Yoonji Jung, Seoha Kyung, Da-Yea Song, Jinju Jung, Jae Hyun Han, Jongseok Lim, Hee Jeong Yoo","doi":"10.30773/pi.2025.0409","DOIUrl":"10.30773/pi.2025.0409","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility and screening accuracy of a brief scenario-based, video-delivered tool for early identification of autism spectrum disorder (ASD) in young children.</p><p><strong>Methods: </strong>Data were analyzed from 211 children aged 12-42 months (ASD [n=140], other developmental disorders [OD] [n=35], and typically developing [TD] [n=36]) who completed a 5-minute scenario-based ASD early screening tool eliciting eight target behaviors: initiation/response to joint attention, response to name, eye contact, social referencing, imitation, social smiling, and pointing. Behaviors were scored using two criteria (0-16 symptom score; number of activities with partial or complete non-response). Diagnostic classification (ASD, OD, and TD) followed best-estimate diagnoses integrating Korean Version of the Autism Diagnostic Observation Schedule, Korean Version of the Autism Diagnostic Interview-Revised, Behavior Development Screening for Toddlers, Social Responsiveness Scale 2nd edition, Social Communication Questionnaire, and Korean Version of the Vineland Adaptive Behavior Scales-Second Edition. Group differences and screening performance were examined with analysis of variance, chi-square tests, and receiver operating characteristic analyses.</p><p><strong>Results: </strong>Significant group differences emerged for response to name, eye contact, pointing, social referencing, social smiling, and initiation of joint attention, especially between ASD and non-ASD groups. Across scoring methods, children with ASD showed higher total scores and more non-responsive activities (all p<0.001). Area under the curve values were 0.703 for the total score and 0.676 and 0.700 for the two non-response indices, indicating good overall discrimination with relatively high sensitivity and modest specificity.</p><p><strong>Conclusion: </strong>This scenario-based ASD early screening tool shows promising feasibility and accuracy as a brief, standardized video screener for toddlers and preschoolers. With its accessibility and scalability, it has potential for widespread use in community and home settings, warranting further refinement to improve specificity and implementation in real-world practice.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 3","pages":"426-435"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481535","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 Effectiveness of Group Logotherapy on Middle-Aged Women With Depression.","authors":"Jung A Son, Myeong-Hui Choe","doi":"10.30773/pi.2025.0372","DOIUrl":"10.30773/pi.2025.0372","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to evaluate the efficacy of a group logotherapy-based intervention, the life meaning promotion (LMP) program, in improving psychological outcomes for middle-aged women with depression.</p><p><strong>Methods: </strong>A randomized, single-blind controlled trial was conducted with 38 women (age 40-59 years) diagnosed with mild-to-moderate major depressive disorder. Participants were randomly assigned to the LMP group (8 sessions of meaning-oriented group therapy over 4 weeks) or a control group (no intervention). Outcome measures-including the Meaning in Life Questionnaire, purpose in life (PIL) scale, Center for Epidemiologic Studies Depression Scale, Self-Efficacy Scale, and Quality of Life scale-were administered at baseline, post-treatment (4 weeks), and follow-up (8 weeks). Between-group differences over time were analyzed using repeated-measures analysis of variance.</p><p><strong>Results: </strong>The LMP group showed significantly greater improvements than controls on all outcome measures at 4 and 8 weeks (p<0.05). Specifically, participants receiving LMP reported increased meaning and PIL, higher self-efficacy, improved quality of life, and reduced depressive symptoms. These gains were maintained at 8 weeks. The effect sizes for group differences were large, indicating clinically meaningful benefits of the LMP intervention.</p><p><strong>Conclusion: </strong>A structured, meaning-focused group logotherapy intervention was effective in enhancing meaning in life, purpose, and overall psychological well-being while reducing depression in middle-aged women. The LMP program may be a valuable therapeutic approach to improve mental health outcomes in this population.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 3","pages":"418-425"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481608","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":"Exploring the Characteristics of Individuals Grouped Based on the Multimodal Optimized Treatment for Insomnia Framework Among Individuals Complaining of Insomnia.","authors":"Seockhoon Chung","doi":"10.30773/pi.2025.0274","DOIUrl":"10.30773/pi.2025.0274","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the feasibility of the Multimodal Optimized Treatment for Insomnia Framework (MOTIF) among people with insomnia symptoms among the general population.</p><p><strong>Methods: </strong>An online survey among people in the general population complaining of insomnia was conducted anonymously. Participants were categorised into two groups based on 6 hours of time in bed (TIB). Each group was further clustered into two groups based on favourable attitudes toward taking hypnotics. Their psychological states were assessed using the Insomnia Severity Index (ISI), Patient Health Questionnaire-9 (PHQ-9), Dysfunctional Beliefs and Attitudes about Sleep-6 (DBAS-6), Adaptive Cognition and Behaviors about Sleep-6 (ACBS-6), and Depressive Symptoms Inventory-Suicidality Scale (DSI-SS).</p><p><strong>Results: </strong>There were 600 responses collected, with 548 responses analysed from people whose bedtime was between 9:00 PM and 1:00 AM. In total, 86.1% were categorized as individuals who can sleep without medications, while 13.9% as individuals who cannot. The ISI score was significantly higher among individuals with TIB ≤6 hours. Based on the attitude toward taking hypnotics, the proportions of participants in each category were 46.9%, 39.2%, 7.8%, and 6.0%. The ISI and DSI-SS scores (18.7±5.3 and 2.9±2.6, respectively) were significantly higher among the group who cannot sleep without medications and who had a favourable attitude to taking hypnotics. The proportion of participants taking hypnotics was lowest among the group who cannot sleep without medications and had an unfavourable attitude to taking hypnotics.</p><p><strong>Conclusion: </strong>Individuals unable to sleep without hypnotics exhibit more severe insomnia symptoms and higher psychological distress.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 3","pages":"396-408"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481532","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":"Development and Validation of the Scale for Understanding Life-Oriented Expression and Dispositions.","authors":"Hyukjae Kwon, Sojung Hong, Sunhae Kim, Tae Hyun Sung, Kounseok Lee","doi":"10.30773/pi.2025.0379","DOIUrl":"10.30773/pi.2025.0379","url":null,"abstract":"<p><strong>Objective: </strong>This study developed and validated the Scale for Understanding Life-Oriented Expression and Dispositions (SULEDIS), a self-report tool designed to assess adult dispositional orientations across multiple life domains. The SULEDIS addresses limitations in existing temperament and personality measures by capturing both motivational drives and relational context.</p><p><strong>Methods: </strong>Researchers created the SULEDIS through theoretical review, expert consultation, and iterative item refinement. Grounded in a dual-axis framework, the scale evaluates four orientations-health and wellness, relationships, achievement, and meaning-across three domains: self, family and friends, and organization. The instrument includes 96 forced-choice items. Data from 212 adults, including 42 participants retested after 2 weeks, were analyzed for reliability, validity, and factorial structure using Categorical Principal Component Analysis (CATPCA).</p><p><strong>Results: </strong>Most SULEDIS subscales showed adequate internal consistency and test-retest reliability. Correlation analyses revealed coherent relationships among subscales, particularly between self and meaning (r=-0.78) and organization and meaning (r=0.79). The scale demonstrated partial convergent validity with traditional personality assessments. CATPCA confirmed consistent three-factor structures across orientation scales.</p><p><strong>Conclusion: </strong>The SULEDIS provides a practical and nuanced framework for understanding adult dispositions beyond trait-based models, with promising applications in counseling, education, and personal development.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 3","pages":"409-417"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481424","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":"Traumatic Loss After the Sewol Ferry Disaster: Latent Profiles of Grief and Posttraumatic Stress Disorder and Their Links to Social Stress, Growth, and Quality of Life.","authors":"Jong-Sun Lee, Yu-Ri Lee, Jinhee Hyun, Sunju Sohn, Kyonghwa Kang, Hyu Jung Huh","doi":"10.30773/pi.2025.0126","DOIUrl":"10.30773/pi.2025.0126","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify different symptom profiles of complicated grief/bereavement-related posttraumatic stress disorder (PTSD) and examine the associations with social life factors, posttraumatic growth, and quality of life in a sample of parents whose children died in Sewol ferry accident.</p><p><strong>Methods: </strong>A total of 272 bereaved parents affected by the Sewol ferry accident participated and completed self-report scales about traumatic loss-related symptoms. The latent profile analysis (LPA) of complicated grief and posttraumatic symptoms was classified. To examine the predictors (interpersonal stress/familial conflict/social support) and outcomes (posttraumatic growth/quality of life) of the traumatic loss symptom profiles, an automatic three-step approach was chosen.</p><p><strong>Results: </strong>The LPA identified three symptom profiles of complicated grief and posttraumatic stress: low symptomatology group (30.4%), moderate symptomatology group (49.6%), and high symptomatology group (20.0%). Higher perceived interpersonal stress significantly increased the odds of moderate and high symptomatology, while higher family stress was a significant predictor for high symptomatology compared to both low and moderate symptomatology groups. In addition, higher perceived social support significantly decreased the odds of being in both moderate and high symptomatology groups compared to the low group. The low symptomatology group showed the highest quality of life, followed by the moderate and high groups. Posttraumatic growth was also significantly different between the classes, with the moderate symptomatology group reporting higher growth than the low symptomatology group.</p><p><strong>Conclusion: </strong>Our findings suggest that managing the mental health of people who have experienced a traumatic loss will be a critical component of their quality of life in the future. In addition, interventions to help reduce family conflict and interpersonal stress may be necessary to reduce difficulties associated with psychopathology.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 3","pages":"374-383"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481587","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":"Meta-Analysis of Anxiety Symptoms and Influencing Factors Among Chinese College Students.","authors":"Jiami Wu, Jiayi Gu, Dadong Gu","doi":"10.30773/pi.2025.0337","DOIUrl":"10.30773/pi.2025.0337","url":null,"abstract":"<p><strong>Objective: </strong>To explore the influencing factors on anxiety symptoms among Chinese college students and provide a reference for the prevention and treatment of mental disorders in this population.</p><p><strong>Methods: </strong>The PubMed, Embase, CNKI, Wanfang Data, and VIP databases were searched electronically for published studies on anxiety symptoms among Chinese college students. A meta-analysis was conducted using RevMan 5.4 software after extracting the relevant data. A random-effects meta-analysis was applied.</p><p><strong>Results: </strong>Twenty articles were included, with a total sample size of 34,672 participants and a detection rate of 23.46% for anxiety symptoms. The results revealed that graduation status (I²=84%, odds ratio [OR]=1.52, p=0.020), professional satisfaction (I²=0%, OR=0.55, p<0.001), only-child status (I²=0%, OR=1.25, p=0.007), family structure (I²=63%, OR=2.41, p<0.001), left-behind experience (I²=80%, OR=2.05, p<0.001), personality characteristics (I²=29%, OR=1.45, p<0.001), and drinking habits (I²=0%, OR=2.05, p=0.040) were substantial influencing factors in college students' anxiety. Substantial between-study heterogeneity was observed for several factors (e.g., graduation status, I²=84%), suggesting contextual differences across campuses. Accordingly, we interpreted the pooled effects alongside heterogeneity metrics and sensitivity analyses to aid readability.</p><p><strong>Conclusion: </strong>Chinese college students exhibit a high detection rate of anxiety symptoms. Students nearing graduation, those dissatisfied with their major, only children, those from incomplete family structures, and those with left-behind experience, introverted personalities or drinking habits may be more prone to developing anxiety symptoms.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 3","pages":"332-344"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481616","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":"Internet Addiction and Emotion Regulation Difficulties in Patients Diagnosed With Attention-Deficit/Hyperactivity Disorder.","authors":"Rukiye Ay, Senay Kilincel, Oguzhan Kilincel, Alparslan Hafif","doi":"10.30773/pi.2025.0320","DOIUrl":"10.30773/pi.2025.0320","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine the relationship between internet addiction and emotion regulation difficulties in individuals with attention-deficit/hyperactivity disorder (ADHD).</p><p><strong>Methods: </strong>Sixty-three patients diagnosed with ADHD according to DSM-5 and 63 healthy controls were included in our study. Sociodemographic data form, Adult ADHD Self-Report Scale (ASRS), Young Internet Addiction Scale (YIAS), Difficulties in Emotion Regulation Scale (DERS), Barratt Impulsivity Scale-11 (BIS), and Beck Depression Inventory (BDI) were applied to both groups.</p><p><strong>Results: </strong>According to the independent samples t-test, the ADHD group had higher scores on YIAS (t=4.754, p<0.001), ASRS (t=11.832, p<0.001), DERS (t=7.167, p<0.001), lack of emotional awareness (t=2.411, p=0.017), clarity (t=5.976, p<0.001), non-acceptance of emotional reactions (t=3.724, p<0.001), impulsivity (t=5.976, p<0.001), goal (t=8.298, p<0.001), strategy (t=5.210, p<0.001), and means were found to be statistically significantly higher than the control group (CG). According to the Pearson correlation analysis, no statistically significant correlation was found between the YIAS scores and other scale scores in the ADHD group. According to Pearson correlation analysis, a statistically significant positive correlation was found between the YIAS scores in the CG and the ASRS (r=0.474, p<0.01) and inattention (r=0.450, p<0.01) scores. According to the regression analysis, lack of emotional awareness, non-acceptance of emotional reactions, and BDI were found to be significant predictors of risky internet use.</p><p><strong>Conclusion: </strong>It has been determined that risky internet use increases in adults with ADHD and that some emotion regulation difficulties increase the risk.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 3","pages":"321-331"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481544","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}