Psychiatry Investigation最新文献

{"title":"Association of Game Use With Loneliness and Social Isolation: A Nationwide Korean Study.","authors":"Jin Young Jung, Han Mil Choi, Jin Pyo Hong, Myung Hyun Kim, Dahae Kim, So Hee Park, Bong-Jin Hahm, Ji Hyun An","doi":"10.30773/pi.2023.0385","DOIUrl":"https://doi.org/10.30773/pi.2023.0385","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this article is to examine the correlation between social isolation, loneliness, and the use of online games. Conflicting conclusions have been drawn in previous studies on this topic due to small sample sizes and the confounding effects of psychiatric disorders. To address these limitations, the authors conducted a nationwide study that gives consideration to sociodemographic variables and psychiatric disorders.</p><p><strong>Methods: </strong>A total of 5,511 Koreans responded to the Loneliness and Social Isolation Scale-6, Game Overuse Screening Questionnaire, and Korean version of the Composite International Diagnostic Interview between January 2021 and March 2021. Participants were classified as non-gamer, low-risk gamer, and high-risk gamer according to their game usage. Multivariate linear regression was performed to evaluate the association of game usage with loneliness and social isolation after propensity matching controlling for sociodemographic data and presence of psychiatric disorders.</p><p><strong>Results: </strong>Low-risk gamers reported significantly lower loneliness scores (0.53±1.02) compared to other gaming groups (non-risk: 0.94±1.44, high-risk: 1.02±1.64). Among male participants, non-risk gamers (2.49±1.51) showed lower social network scores than low-risk gamers (2.10±1.11) and high-risk gamers (2.09±1.31). Loneliness (p=0.001) was more strongly correlated with game usage than social support (p=0.839) or network (p=0.055). The relationship between loneliness and game usage was significantly stronger in non-risk (B=0.41) and high-risk (B=0.44) gamers than in low-risk gamers.</p><p><strong>Conclusion: </strong>Increased use of game does not show a linear relationship with loneliness and isolation when correcting for confounding factors including psychiatric disease. Rather, low-risk game use was associated with lower scores for loneliness and isolation. Further studies exploring other factors that affect gaming overuse, loneliness and social isolation are needed.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 6","pages":"714-721"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497969","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":"Possible Role of Cancer-Related Dysfunctional Beliefs About Sleep and Intolerance of Uncertainty on Cognitive-Behavioral Model of the COVID-Related Hypochondriasis Among Patients With Cancer.","authors":"Harin Kim, Seockhoon Chung","doi":"10.30773/pi.2024.0393","DOIUrl":"https://doi.org/10.30773/pi.2024.0393","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the present study was to evaluate the reliability and validity of the Korean version of the Obsession with COVID-19 Scale (OCS) and the feasibility of cognitive-behavioral models of COVID-related hypochondriasis among patients with cancer. Furthermore, we explored whether intolerance of uncertainty and cancer-related dysfunctional beliefs about sleep could be incorporated into this model.</p><p><strong>Methods: </strong>An online survey was conducted among patients who visited a cancer treatment center from March to June 2022. Responses were collected for questionnaires including the OCS, Coronavirus Reassurance-seeking Behaviors Scale (CRBS), Stress and Anxiety to Viral Epidemics-6 items (SAVE-6), Cancer-related Dysfunctional Beliefs and Attitudes about Sleep-14 items (C-DBAS-14) scale, and Intolerance of Uncertainty-12 items (IUS-12) scale.</p><p><strong>Results: </strong>A total of 154 patients with cancer were included. The OCS was a reliable and valid measure for coronavirus-related concerns among cancer patients, and it was significantly correlated with CRBS (p<0.01), SAVE-6 (p<0.01), IUS-12 (p<0.01), and C-DBAS-14 (p<0.01). Linear regression revealed that OCS was expected by CRBS (p<0.001), SAVE-6 (p=0.032), and IUS-12 (p=0.003). The mediation analysis revealed that dysfunctional beliefs about sleep did not directly affect coronavirus-related concerns. Instead, this relationship was fully mediated by anxiety toward coronavirus, coronavirus reassurance-seeking behavior, and intolerance of uncertainty.</p><p><strong>Conclusion: </strong>The cognitive-behavioral model of COVID-related hypochondriasis is feasible for patients with cancer. Anxiety toward coronavirus, coronavirus reassurance-seeking behavior, and intolerance of uncertainty are positively correlated with coronavirus-related concerns. Additionally, dysfunctional beliefs about sleep may mediate this relationship.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 6","pages":"722-729"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497974","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":"Classification of Depressive Symptoms Among Bereaved Families of Sewol Ferry Disaster Victims Using Latent Profile Analysis.","authors":"Yu-Ri Lee, Jinhee Hyun, Sunju Sohn, Jong-Sun Lee, Hyu Jung Huh, Kyonghwa Kang","doi":"10.30773/pi.2024.0272","DOIUrl":"10.30773/pi.2024.0272","url":null,"abstract":"<p><strong>Objective: </strong>After the Sewol Ferry Disaster, most empirical studies on the bereaved families of victims conceptually categorized their depressive symptoms. However, the actual depressive features of bereaved families and the factors that influence such features remain unclear. Accordingly, this study aimed to categorize latent types of depression using latent profile analysis based on the sub-variables of the Patient Health Questionnaire-9 and identify the influencing factors for each type.</p><p><strong>Methods: </strong>This study included 302 individuals aged ≥15 years who were members of the bereaved families of Sewol Ferry Disaster victims. Data were collected through an online questionnaire survey platform between October 5 and December 13, 2021.</p><p><strong>Results: </strong>Latent profiles were divided into three groups: \"overall low-level\" (LOW), \"lethargy and physical symptoms\" (LPS), and \"overall high-level\" (HIGH). The participants with lower levels of social support and higher levels of family relationship stress were more likely to belong to the HIGH than LPS group. Moreover, the participants with higher levels of non-family relationship stress were more likely to belong to the LPS than the LOW group. Furthermore, the participants with poorer physical health and lower levels of social support were more likely to belong to the HIGH than LOW group.</p><p><strong>Conclusion: </strong>Since bereaved families with poorer physical symptoms showed a higher risk for depressive symptoms, strategies to prevent their physical health problems are needed to ensure that their depressive symptoms do not become worse in the future.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":" ","pages":"650-659"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151105","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":"Comparative Analysis of Violent Crime Statistics in Korea by Mental Illness Status (2012-2022): Implications of Deinstitutionalization.","authors":"Cheol Park, Ju-Yeon Lee, Jae-Min Kim, Il-Seon Shin, Seunghyong Ryu, Sung-Wan Kim","doi":"10.30773/pi.2024.0309","DOIUrl":"https://doi.org/10.30773/pi.2024.0309","url":null,"abstract":"<p><strong>Objective: </strong>This study examines violent crime trends in South Korea from 2012 to 2022, comparing offenders with and without mental illness. It evaluates the impact of the 2017 amendments to the Mental Health and Welfare Act, which made involuntary psychiatric hospitalization more difficult, on violent crime rates among individuals with mental illness.</p><p><strong>Methods: </strong>We analyzed the annual number of violent crime offenders without and with mental illness (psychosis, mental retardation, or other mental disorders) between 2012 and 2022, as provided by the National Police Agency statistics. We compared the total number of offenders between the two groups before and after 2017 when the Mental Health and Welfare Act was implemented.</p><p><strong>Results: </strong>Significant differences in crime trends were found between the groups. Serious violent crimes, such as murder and attempted murder, decreased in both groups. However, robbery rates fell sharply among offenders without mental illness but declined minimally among those with mental illness, increasing their proportional involvement. Arson rates rose significantly post-2017 among offenders with mental illness. While assault and battery decreased in offenders without mental illness, they slightly increased in those with mental illness. Crimes such as threats, vandalism, and confinement also showed more substantial increases among the mentally ill group.</p><p><strong>Conclusion: </strong>Over the past decade, the number and proportion of violent crimes committed by individuals with mental illness have increased relative to those without, suggesting potential unintended consequences of deinstitutionalization. This highlights the need for comprehensive mental health strategies, including more substantial community-based support.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 6","pages":"612-619"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497970","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":"Exploring the Correlation of Childhood Trauma With the Behavioral Activation and Inhibition System in Major Depressive Disorder and Bipolar I and II Disorders.","authors":"Yoonjeong Jang, Sarah Soonji Kwon, Hyeona Yu, Daseul Lee, Joohyun Yoon, Chan Woo Lee, Yun Seong Park, Hyun A Ryoo, Yejin Park, Hyuk Joon Lee, Yeong Chan Lee, Hong-Hee Won, Tae Hyon Ha, Woojae Myung","doi":"10.30773/pi.2024.0247","DOIUrl":"https://doi.org/10.30773/pi.2024.0247","url":null,"abstract":"<p><strong>Objective: </strong>Studies examining the relationship between the behavioral inhibition system (BIS), behavioral activation system (BAS), and mood disorders in individuals who have experienced childhood trauma remain limited. This study aimed to investigate the associations between childhood trauma, the BIS/BAS, and mood disorders.</p><p><strong>Methods: </strong>This study included 1,026 patients with major depressive disorder (MDD, n=338), bipolar I disorder (BD-I, n=152), bipolar II disorder (BD-II, n=536), and 734 comparisons. The Childhood Trauma Questionnaire-Short Form (CTQ) and BIS/BAS scale were used for evaluation.</p><p><strong>Results: </strong>Differences in the CTQ and BIS/BAS scores among the patient and comparison groups were examined. Patients in the BD-II group had significantly higher total BIS scores than those in the comparison, MDD, and BD-I groups. Patients with BD-I had significantly higher total BAS scores than those with MDD. The CTQ and total BIS scores were positively correlated, and the total BIS scores showed a significant correlation with emotional neglect and emotional abuse subscale scores. In contrast, no correlation was observed between the CTQ and total BAS scores or between MDD and the total BIS/BAS scores.</p><p><strong>Conclusion: </strong>Differences in childhood trauma and behavioral patterns were observed based on mood disorders. Hence, this study provides valuable insights for future studies on how childhood trauma affects the BIS/BAS in various mental disorders.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 6","pages":"620-631"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497971","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":"Effectiveness of Non-Pharmacological Interventions on Gaming Disorder: A Systematic Review and Meta-Analysis.","authors":"Chan-Myung Ock, Hyung-Suk Lee, Jisoo Chae, Hyekyeong Kim","doi":"10.30773/pi.2024.0358","DOIUrl":"10.30773/pi.2024.0358","url":null,"abstract":"<p><strong>Objective: </strong>Non-pharmacological interventions (NPIs) are effective in treating gaming disorder (GD). However, studies have not comprehensively evaluated the most effective NPIs. This systematic review and meta-analysis aimed to evaluate the effects of NPIs on the prevention and reduction of GD in the general population with GD.</p><p><strong>Methods: </strong>We searched five databases (MEDLINE, Embase, Cochrane CENTRAL, PsycINFO, and CINAHL) for English-language randomized controlled trials (RCTs) published till May 12, 2024, using Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Two independent reviewers selected studies, extracted data, and assessed quality using the Cochrane Risk of Bias Tool (RoB2). Meta-analyses were conducted using a random-effect model, with effect sizes calculated using Hedges's g and heterogeneity assessed using I2 statistics.</p><p><strong>Results: </strong>A total of 18 RCTs involving 1,950 participants were included. The NPIs included psychotherapy, behavioral interventions, and other strategies. The pooled analysis showed a significant reduction in GD severity (Hedges's g=-0.82; 95% confidence interval, -1.23 to -0.52; I2=90.36%). Psychotherapy, particularly cognitive-behavioral therapy, showed the most substantial effect (10 studies, 1,036 participants; Hedges's g=-1.34). Behavioral interventions (4 studies, 456 participants) and prevention-focused interventions (6 studies, 1,164 participants) had smaller but positive effects. Subgroup analyses revealed greater effectiveness of treatment interventions in adults than in adolescents. Sensitivity analyses confirmed the robustness of these results despite high heterogeneity (I2=90.36%).</p><p><strong>Conclusion: </strong>NPIs, particularly psychotherapy, are effective in reducing GD severity. However, more high-quality RCTs are needed robust, evidence-based treatment guidelines.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 5","pages":"490-503"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12104761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128509","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":"Psychological Autopsy in Adolescent Suicide: Evaluating Risk Factors and Research Methods.","authors":"Sangha Lee, Seoha Kyung, Donghun Lee","doi":"10.30773/pi.2024.0256","DOIUrl":"10.30773/pi.2024.0256","url":null,"abstract":"<p><strong>Objective: </strong>The primary purpose of this literature review is to explore and integrate findings from various psychological autopsy (PA) studies to identify critical risk factors associated with adolescent suicide and evaluate the methodologies employed in these investigations.</p><p><strong>Methods: </strong>A systematic review of 15 studies reporting psychological autopsies of adolescent suicides was conducted. Data sources included databases such as PubMed, Google Scholar, and RISS. Studies were selected based on empirical research focused on adolescent suicides, conducted since 1970, and written in English. Two reviewers independently screened and selected studies, with a third reviewer resolving any disagreements. The studies were analyzed for sample characteristics, included variables, and specific features of the PA methodology.</p><p><strong>Results: </strong>The review identified consistent findings across studies, highlighting the significant role of mental illnesses and sociodemographic factors in adolescent suicides. Methodological variations were noted in interview timing, source selection, and the use of semi-structured interviews. The review also emphasized the importance of comprehensive data collection, including social network and mobile activity data, to better understand suicide risk factors. Key challenges identified include retrospective data bias and cultural differences affecting the generalizability of findings.</p><p><strong>Conclusion: </strong>The review underscores the need for standardized PA procedures, particularly tailored to adolescents, to improve the reliability and validity of findings. The consistent association of psychiatric disorders with suicide risk emphasizes the urgent need for effective mental health interventions. Future research should focus on developing ethical, culturally sensitive, and methodologically rigorous approaches to enhance the understanding and prevention of adolescent suicide.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 5","pages":"475-489"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12104756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128559","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 Effect of Anhedonia on Suicidal Ideation: The Moderated Mediation Effect of Emotional Intelligence Through Loneliness.","authors":"Seonghee Lee, Sung-Man Bae","doi":"10.30773/pi.2024.0388","DOIUrl":"10.30773/pi.2024.0388","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the mediating effect of loneliness on the relationship between anhedonia and suicidal ideation, and the moderated mediating effect of emotional intelligence on the relationship between loneliness and suicidal ideation.</p><p><strong>Methods: </strong>Participants (390 adults; males=194, females=196) aged between 19-59 years completed self-report questionnaires. Frequency and descriptive statistics, correlation analysis, mediating effect analysis, moderating effect analysis, and moderated mediating effect analysis were conducted using SPSS Statistics version 23.0 and the PROCESS Macro for SPSS version 4.2.</p><p><strong>Results: </strong>Loneliness partially mediated the relationship between anhedonia and suicidal ideation. Additionally, emotional intelligence and its four subfactors moderated the relationship between loneliness and suicidal ideation. Finally, emotional intelligence and its subfactors (self-emotional appraisal, others' emotional appraisal, emotion utilization) moderated the mediating effect of anhedonia on suicidal ideation through loneliness, verifying the moderated mediating effect.</p><p><strong>Conclusion: </strong>It clarified the path that anhedonia has on suicidal ideation and confirmed the role of emotional intelligence.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 5","pages":"591-601"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12104765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128561","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":"Cognitive Function as a Predictor of Short-Term Pharmacological Treatment Response in Major Depressive Disorder: Mediating Effect of Mentalization.","authors":"Seon Hee Hwang, Myung Sun Kim, Byung Joo Ham","doi":"10.30773/pi.2024.0203","DOIUrl":"10.30773/pi.2024.0203","url":null,"abstract":"<p><strong>Objective: </strong>Deficits in social cognition (mentalization) and other cognitive deficits have been reported in patients with major depressive disorder (MDD) and may influence treatment response. This study examined the impact of cognitive function on treatment response of patients with MDD after 8 weeks of medication and whether the impact was mediated by mentalization.</p><p><strong>Methods: </strong>Cognitive function (memory, attention, executive function, processing speed) and mentalization were measured in 28 patients with MDD at baseline using neuropsychological tests and self-report scales. The treatment response was defined as the rate of improvement in symptom severity and global function.</p><p><strong>Results: </strong>Multiple regression analyses, controlling for mentalization and cognitive function, separately revealed that delayed recall was a negative predictor of functional improvement after 8 weeks of treatment, while mentalization was a positive predictor. A single mediation model using PROCESS macro showed that delayed recall and Digit Span backward indirectly affected functional improvement, mediated by mentalization. When age at onset was controlled for as a covariate, the mediating effect lost significance, and the direct effect of delayed recall on functional improvement was still significant.</p><p><strong>Conclusion: </strong>Despite the small sample size, our results provide evidence that patients with MDD and low memory (delayed recall) at baseline may benefit more from short-term pharmacological treatments.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 5","pages":"522-530"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12104764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128503","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":"Sexual Victimization and Psychological and Behavioral Outcomes Among Children and Adolescents in South Korea.","authors":"Hyun Ji Lee, Jungtae Choi, Jae-Won Kim, Kihyun Kim","doi":"10.30773/pi.2024.0289","DOIUrl":"10.30773/pi.2024.0289","url":null,"abstract":"<p><strong>Objective: </strong>By focusing on a person-centered approach using latent class analyses (LCA), this study examined the patterns of sexual victimization among children and adolescents in South Korea and compared the psycho-behavioral outcomes of these classes.</p><p><strong>Methods: </strong>Participants were 546 females aged 6-17, including 117 sexual victimization survivors and 429 non-victims in South Korea. LCA, an analysis of covariance, and Bonferroni post-hoc tests were conducted. Psychological and behavioral outcomes were measured using the Korean version of the Child Behavior Checklist 6-18 and the Youth Self Report. Variables include internalizing (anxious/depressed, withdrawn/depressed, somatic complaints), externalizing (rule-breaking, aggressive behavior), social, thought, and attention problems.</p><p><strong>Results: </strong>Based on the fit statistics, proportion of each class, and interpretability, a three-class solution was selected as the best fitting model. Profile 1 mainly involved survivors of rape, which first occurred in adolescence through social relations involving alcohol, drugs, or filming. Profile 2 mainly comprised survivors of both rape and physical sexual harassment by close relations, such as family members or relatives, more than once. Profile 3 mainly comprised survivors of sexual harassment by strangers or social relations. Statistically significant differences were suggested in the psych-behavioral outcomes of the profiles compared with the non-victim group.</p><p><strong>Conclusion: </strong>These findings highlight the importance of examining experiences of sexual violence in a multifaceted manner. This approach may provide more effective interventions for survivors and allow clinicians to gain an in-depth understanding of sexual victimization in children and adolescents while also increasing the understanding of potential psycho-behavioral consequences.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 5","pages":"564-573"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12104758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128560","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}