Psychiatry Investigation最新文献

{"title":"Efficacy and Safety of Acupuncture for Anxiety Disorders in Adults: A Systematic Review and Meta-Analysis.","authors":"Dan Wang, Jingwen Sun, Eu Yong Chuan, Qinming Yu","doi":"10.30773/pi.2025.0437","DOIUrl":"https://doi.org/10.30773/pi.2025.0437","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy and safety of acupuncture in treating anxiety disorders in adults and provide evidence-based support for clinical practice.</p><p><strong>Methods: </strong>Randomised controlled trials (RCTs) comparing experimental groups that received acupuncture for anxiety disorders with control groups that did not were retrieved from four databases (PubMed, Web of Science, the Cochrane Library, and Embase). The standardised mean difference (SMD) and relative risk (RR) of each, along with its 95% confidence interval (CI), were calculated.</p><p><strong>Results: </strong>Twelve RCTs involving 1,240 patients were included in this meta-analysis. Meta-analysis results showed a significantly superior improvement in anxiety symptoms in the acupuncture group compared with the control group, based on both post-treatment scores (SMD=-0.80, 95% CI: -1.11 to -0.48, p<0.001) and change score values (SMD=-1.11, 95% CI: -1.56 to -0.65, p<0.001). Subgroup analyses demonstrated a consistent trend of efficacy across different assessment scales, and there was no significant difference in the incidence of adverse events between the acupuncture group and the control group (RR=1.97, 95% CI: 0.50 to 7.74). Sensitivity analysis did not reveal significant changes in the results, confirming the robustness of these findings.</p><p><strong>Conclusion: </strong>Current evidence indicates that acupuncture is an effective and safe intervention for treating anxiety disorders in adults, significantly reducing anxiety symptoms with an incidence of adverse events comparable to that of a control group. It is recommended that acupuncture be considered an alternative option in the comprehensive management of anxiety disorders.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 8","pages":"963-975"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797589","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 Post-Traumatic Growth and Stigma Among Post-Thyroidectomy Patients: An Explanatory Sequential Mixed-Methods Study.","authors":"Minghong Chen, Li Li, Susu He, Jiaqian Huang, Shanshan Xiao, Wen Li, Hongtao Chen, Xiaohua Song","doi":"10.30773/pi.2025.0254","DOIUrl":"https://doi.org/10.30773/pi.2025.0254","url":null,"abstract":"<p><strong>Objective: </strong>To explore the current status and associated factors of stigma among postoperative thyroid cancer patients, and the association and potential pathways of post-traumatic growth (PTG) on stigma.</p><p><strong>Methods: </strong>We adopted a mixed-methods design based on an explanatory sequential approach, encompassing both quantitative and qualitative methods. Quantitative analysis was performed utilizing the convenience sampling method, involving 184 post-operative patients with thyroid cancer from a tertiary hospital in Hunan Province for a cross-sectional survey. Data were collected via demographic questionnaires, the Social Impact Scale, and the Post-Traumatic Growth Inventory. Qualitative analysis was conducted through purposive sampling, and semi-structured in-depth interviews were conducted with 12 of the patients.</p><p><strong>Results: </strong>The recruited patients had mean stigma and PTG scores of 61.62±13.33 and 60.54±14.78, respectively. We also found that PTG correlated significantly negatively with stigma (p<0.05). Hierarchical regression analysis further revealed that PTG accounted for 21.7% of the variance in stigma scores (p<0.05). Additionally, the qualitative analysis yielded three major themes and six subthemes: 1) reconstructing a positive mindset amid psychological struggles; 2) reconstructing illness cognition through social support; and 3) behavioral adaptation and self-identity reconstruction.</p><p><strong>Conclusion: </strong>Thyroid cancer patients may experience some level of stigmatization post-surgery, which may be inversely correlated with their PTG levels. Therefore, researchers should develop clinical interventions to improve PTG via emotional regulation, cognitive restructuring, social support, and health behavior promotion.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 8","pages":"994-1004"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797566","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 Traumatic Event Checklist for North Korean Defectors.","authors":"Kyoung-A Kim, Hokon Kim, OckSim Kim, Woo Taek Jeon, Sang Hui Chu","doi":"10.30773/pi.2025.0149","DOIUrl":"https://doi.org/10.30773/pi.2025.0149","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to develop and validate a trauma checklist specifically designed to capture the complex and culturally unique potentially traumatic events (PTEs) experienced by North Korean defectors (NKDs), in alignment with International Classification of Diseases, 11th Revision criteria that distinguish posttraumatic stress disorder (PTSD) from complex PTSD (cPTSD).</p><p><strong>Methods: </strong>A cross-sectional secondary data analysis was conducted using online survey data from 520 NKDs. Participants were randomly divided into two groups (n=260 each) for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). A preliminary 22-item PTE checklist was refined through factor analysis and reliability testing. Criterion validity was assessed using the Depression and Somatic Symptom Scale and World Health Organization of Life Assessment Instrument Bref. Statistical analyses were performed using SPSS 28.0 and AMOS 28.0.</p><p><strong>Results: </strong>EFA identified a four-factor model: \"death and life-threatening events,\" \"interpersonal violence and discrimination,\" \"violence by public authorities,\" and \"family dissolution\"-comprising 17 refined items. CFA confirmed a good model fit (RMSEA=0.059, GFI=0.930, CFI=0.930). Internal consistency for the total scale was high (Cronbach's α=0.830), with acceptable reliability across most subscales. The checklist demonstrated strong criterion validity with depression, somatic symptoms, and quality of life indices.</p><p><strong>Conclusion: </strong>The revised PTEs checklist is a valid and reliable screening tool that reflects NKDs' unique trauma experiences across the pre-, peri-, and post-migration phases. Its combined use with the International Trauma Questionnaire is recommended for comprehensive trauma assessment and tailored intervention planning.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 8","pages":"1005-1013"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797637","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":"Beyond Traditional Continuous Performance Tests: The Incremental Diagnostic Value of Distractor-Embedded Paradigms.","authors":"Şenay Kılınçel, Furkan Bulut, Oğuzhan Kılınçel","doi":"10.30773/pi.2026.0080","DOIUrl":"https://doi.org/10.30773/pi.2026.0080","url":null,"abstract":"<p><strong>Objective: </strong>Distractor-embedded continuous performance test (CPT) paradigms have been developed to enhance the ecological validity and diagnostic precision of attention-deficit/hyperactivity disorder (ADHD) assessment. This study aimed to quantitatively synthesize the diagnostic performance of distractor-embedded CPT models and evaluate their incremental validity beyond traditional CPT paradigms.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted in accordance with PRISMA 2020 guidelines. PubMed, Scopus, and Web of Science were searched through February 2026. Studies were included if they employed distractor-embedded CPT paradigms and reported sufficient data to compute standardized mean differences between ADHD and control groups. Hedges g was calculated for each study. Random-effects meta-analyses (DerSimonian-Laird method) were performed to estimate pooled effect sizes.</p><p><strong>Results: </strong>Eight studies comprising 2,135 participants were included. The pooled standardized mean difference was 1.14 (95% confidence interval: 0.53-1.75), indicating substantial separation between ADHD and control groups. Subgroup analyses revealed comparable pooled effects for MOXO-based (|g|=1.26) and virtual reality (VR)-based paradigms (|g|=1.30), with lower heterogeneity observed in VR-based studies. Domain-specific analyses showed the largest effect for attention (g=1.35), followed by impulsivity (g=0.82) and hyperactivity (g=0.80). Incremental validity findings demonstrated improved diagnostic precision when eye-tracking augmentation and multivariate composite scoring methods were applied. Sensitivity analyses confirmed stability of the pooled estimates.</p><p><strong>Conclusion: </strong>Distractor-embedded and ecologically enriched CPT paradigms demonstrate robust diagnostic discrimination in ADHD assessment. Multimodal and integrated models may provide incremental advantages over conventional CPT approaches. These findings support the integration of ecologically valid and multimodal objective measures into ADHD diagnostic frameworks.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 8","pages":"1047-1057"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797579","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":"Diagnosis-Specific Clinical and Longitudinal Predictors of Suicide Attempts in Early-Onset Mood Disorders.","authors":"Yaerim Nam, Jaegwon Jeong, Sojeong Kim, Soohyun Park, Ji Won Yeom, Chul-Hyun Cho, Heon-Jeong Lee","doi":"10.30773/pi.2025.0445","DOIUrl":"https://doi.org/10.30773/pi.2025.0445","url":null,"abstract":"<p><strong>Objective: </strong>To identify diagnosis-specific clinical and longitudinal predictors of suicide attempts in early-onset mood disorders, comparing major depressive disorder (MDD), bipolar I disorder (BD-I), and bipolar II disorder (BD-II) within a single cohort to inform targeted risk stratification.</p><p><strong>Methods: </strong>We analyzed 430 patients aged under 35 years (a proxy for early-onset) with MDD, BD-I, or BD-II from a prospective South Korean cohort. Diagnoses were based on Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and the Mini International Neuropsychiatric Interview. Lifetime and follow-up suicide attempts and suicidal ideation (Beck Scale for Suicide Ideation, SSI-beck) were assessed using structured interviews and standardized scales. Logistic regression examined predictors of lifetime suicide attempts, and Cox proportional hazards models evaluated baseline predictors of time to first suicide attempt over approximately 60 weeks of follow-up.</p><p><strong>Results: </strong>At baseline, 40.5% of patients reported a lifetime suicide attempt, and 62 patients attempted suicide during follow-up. In the total patients, earlier age at onset, longer untreated duration, alcohol use problems, psychiatric family history, and higher SSI-beck scores were associated with lifetime suicide attempts. Diagnosis-specific analyses showed distinct patterns. Prospectively, depressive severity and SSI-beck scores predicted first suicide attempts, with alcohol use and impulsivity additionally important in MDD.</p><p><strong>Conclusion: </strong>Suicidal ideation and depressive severity are key transdiagnostic predictors of suicide attempts in early-onset mood disorders, while alcohol use, impulsivity, psychiatric family history, and illness burden mark diagnosis-specific risk profiles guiding tailored monitoring and interventions.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 8","pages":"953-962"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797629","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":"Separation Anxiety in Emerging Adults: The Role of Attachment Styles and Personality Traits.","authors":"Gülsüm Hançer, İbrahim Halil Deniz, M Murat Kırpınar, Neşe Kocabaşoğlu","doi":"10.30773/pi.2026.0158","DOIUrl":"https://doi.org/10.30773/pi.2026.0158","url":null,"abstract":"<p><strong>Objective: </strong>To examine childhood and adult separation anxiety symptoms and their associations with attachment styles, personality traits, and sociodemographic factors among university students.</p><p><strong>Methods: </strong>This cross-sectional study included 200 first-year university students. Attachment styles and personality traits were assessed using the Three-Dimensional Attachment Style Scale and the Five-Factor Personality Inventory, respectively. Based on validated cut-off scores from the Separation Anxiety Symptom Inventory and the Adult Separation Anxiety Questionnaire, participants were classified as screen-negative (n=48, 24%), childhood separation anxiety symptom-positive (CSAD) (n=30, 15%), adult separation anxiety symptom-positive (ASAD) (n=27, 13.5%), or childhood and adult separation anxiety symptom-positive (CSAD&ASAD) (n=95, 47.5%). Group differences were analyzed using non-parametric tests, and hierarchical regression examined factors associated with adult separation anxiety symptom scores.</p><p><strong>Results: </strong>The CSAD&ASAD group showed significantly lower secure attachment and higher avoidant and anxious-ambivalent attachment scores compared with other groups. Emotional stability scores were significantly higher in the screen-negative group than in the ASAD and CSAD&ASAD groups. Parental separation/divorce and firstborn status were associated with higher symptom levels. In multivariable analyses, higher Beck Anxiety Inventory scores (β=0.275, p<0.001), lower emotional stability (β=-0.266, p<0.001), lower conscientiousness (β=-0.155, p=0.012), and firstborn status (β=-0.114, p=0.045) were independently associated with adult separation anxiety symptom scores, with the final model explaining 48.3% of the variance.</p><p><strong>Conclusion: </strong>Separation anxiety symptoms were common among university students. Findings highlight the role of internalizing symptom severity, personality traits, and selected sociodemographic factors in adult separation anxiety symptom scores. These findings should be interpreted at the symptom level and require confirmation through longitudinal and clinically structured studies.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 8","pages":"1058-1070"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797567","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":"Neurocognitive Functions and Their Associations With Autistic Symptoms, Emotion, and Behavior in High-Functioning Children and Adolescents With Autism Spectrum Disorder.","authors":"Wei-Chih Chin, Yi-Min Fang, Chen Lin, Tsun Hei Leung, I Tang, Yu-Shu Huang","doi":"10.30773/pi.2025.0244","DOIUrl":"https://doi.org/10.30773/pi.2025.0244","url":null,"abstract":"<p><strong>Objective: </strong>Studies have revealed the prognostic significance of intelligence in children with autism spectrum disorder (ASD), but the correlations of non-social cognitive functions and clinical characteristics of high-functioning children and adolescents with ASD remain unclear. To identify individual needs, this study aimed to investigate their correlations in high-functioning children and adolescents with ASD and conduct an exploratory comparison between subgroups.</p><p><strong>Methods: </strong>We recruited children and adolescents who met the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria for ASD, excluding those with intellectual disability. The Wechsler Intelligence Scale for Children, Fourth Edition and Conners' Continuous Performance Test, Second-Edition were administered to assess intelligence and attention. Their parents completed questionnaires, including the Child Behaviour Checklist, the Social Responsiveness Scale, and the Aberrant Behaviour Checklist, to report their clinical characteristics. Group differences were analyzed using t-tests and chi-square tests. Partial correlation was used to measure correlations between variables of cognitive tests and questionnaires, while adjusting for age, sex, and, where appropriate, the presence of attention-deficit/hyperactivity disorder.</p><p><strong>Results: </strong>A total of 98 high-functioning participants with ASD were recruited (mean age, 11.44±3.13 years; 75.5% male). Significant correlations were found between their non-social cognitive functions and clinical characteristics. Specifically, Full Scale Intelligence Quotient (FSIQ), working memory, processing speed, attention, and impulse control were negatively associated with the severity of autistic, emotional, and behavioral symptoms. In addition, the Asperger's disorder group demonstrated significantly better FSIQ, perceptual reasoning, working memory, processing speed, attention, and impulse control than the high-functioning autism group.</p><p><strong>Conclusion: </strong>Significant correlations between non-social cognitive functions and autistic, emotional, and behavioral symptoms underscore the increased needs of high-functioning individuals with relatively poorer non-social cognitive abilities. Individualized support and management strategies can be developed and provided accordingly.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 8","pages":"1014-1023"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797537","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 of Daily E-Cigarette Use Duration With Anxiety in Adolescents: A Comparison With Cigarette-Only and Dual Use.","authors":"Jeong Soo Kim, Sun Mi Kim, Hongsin Ahn, Caroline J Easton, Richard L Doolittle, Doug Hyun Han","doi":"10.30773/pi.2025.0441","DOIUrl":"https://doi.org/10.30773/pi.2025.0441","url":null,"abstract":"<p><strong>Objective: </strong>This study examined whether duration of daily e-cigarette use was associated with anxiety symptoms among Korean adolescents, with comparisons across cigarette-only, e-cigarette-only, and dual-use groups. The study also evaluated whether negative health perception showed indirect effects in the association between duration of daily use and anxiety.</p><p><strong>Methods: </strong>Data were drawn from the 2024 Korea Youth Risk Behavior Survey, a nationally representative sample of 54,653 middle and high school students. Primary analyses were restricted to 992 current users classified as cigarette-only, e-cigarette-only, or dual users. Anxiety symptoms were assessed using the Generalized Anxiety Disorder-7 (GAD-7). Multiple linear regression models were used to examine associations between daily use duration and anxiety, and structural equation modeling (SEM) was conducted to estimate indirect effects involving negative health perception.</p><p><strong>Results: </strong>Longer duration of daily e-cigarette use and dual use was significantly associated with higher GAD-7 anxiety scores, whereas duration of cigarette-only use was not. SEM findings showed statistically significant indirect effects involving negative health perception, with the smallest standardized indirect effect observed among e-cigarette-only users. Although statistically significant, the indirect effects were small in magnitude.</p><p><strong>Conclusion: </strong>Among Korean adolescents, longer duration of daily e-cigarette use and dual use were associated with higher anxiety scores. Negative health perception also showed small but statistically significant indirect effects in these associations. These findings should be interpreted cautiously given the cross-sectional design and modest effect sizes, but they suggest that adolescent e-cigarette use may warrant attention in relation to anxiety symptoms and perceptions of health risk.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 8","pages":"986-993"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797561","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 Health Correlates of Problematic Smartphone Use Among Multicultural Adolescents: The Findings From a National Survey in South Korea.","authors":"Mi-Sun Lee, Kamilla Bargiel-Matusiewicz, Soo-Young Bhang","doi":"10.30773/pi.2025.0462","DOIUrl":"https://doi.org/10.30773/pi.2025.0462","url":null,"abstract":"<p><strong>Objective: </strong>This study estimated the prevalence of problematic smartphone use (PSU) among multicultural adolescents and examined its association with major mental health indicators.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis of the 2020 Korea Youth Risk Behavior Web-based Survey, which included 1,065 adolescents from multicultural families. PSU was assessed via the validated Korean version of the Smartphone Overdependence Scale. The mental health variables included perceived stress, loneliness, anxiety symptoms, and suicidal ideation, plans, and attempts. Multivariate logistic regression models were used to identify factors associated with PSU. Structural equation modeling (SEM) was applied to evaluate the direct associations between PSU and mental health outcomes and to test the moderating effects of key demographic and psychosocial factors.</p><p><strong>Results: </strong>The prevalence of PSU among multicultural adolescents was 26.2%. Compared with adolescents not in the PSU group, those in the PSU group more frequently reported high perceived stress, frequent loneliness, elevated anxiety symptoms, and suicidal ideation. In adjusted models, PSU was independently associated with higher odds of stress, loneliness, anxiety, and suicidal planning, as well as lower academic achievement. The SEM findings supported significant associations between PSU and multiple mental health indicators, with some associations being stronger among girls, adolescents from lower-income households, and those experiencing higher levels of stress or loneliness.</p><p><strong>Conclusion: </strong>Among Korean multicultural adolescents, PSU is common and is associated with multiple adverse mental health and poorer academic self-perceptions. These findings underscore the importance of culturally sensitive strategies that address both digital media use and psychosocial well-being among multicultural adolescents.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 8","pages":"1024-1034"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797622","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":"Validation of the Chinese Stress Sensitivity Inventory and Its Association With Internet Gaming Disorder Symptoms.","authors":"Yanyin Zhou, Yi Wang, Yunjie Du, Xiaoyuan Liao, Yuanfeng Wang, Xiaohong Peng, Yu Huang, Kezhi Liu, Ke Gong, Min Liang, Jing Chen, Wei Lei","doi":"10.30773/pi.2025.0423","DOIUrl":"https://doi.org/10.30773/pi.2025.0423","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the psychometric properties of the Chinese version of the Stress Sensitivity Inventory (SSI), a self-reported instrument that assesses trait stress sensitivity in adults, and to examine the relationship between the SSI and symptoms of internet gaming disorder (IGD).</p><p><strong>Methods: </strong>The Chinese SSI was administered, along with the Internet Gaming Disorder Scale (IGDS) and scales assessing perceived stress, anxiety, depression, and neuroticism. Data from 1,085 valid respondents (with 347 respondents who retested 4 weeks later) were analyzed. A mixed graphical model was utilized to estimate the network structure properties of stress sensitivity and IGDS symptoms.</p><p><strong>Results: </strong>Item #5 was removed due to low coherence with other items. The scale demonstrated a unidimensional structure with strong reliability (Cronbach's α=0.90, test-retest reliability=0.75) and validity. SSI scores were positively correlated with IGDS scores (r=0.42, p<0.001). In the SSI network, items with the highest expected influence were #8 (functional impairment), #6 (cognitive decline), and #3 (mental freeze). In the SSI-IGD network, items #8 (functional impairment) and #9 (substance use) showed the strongest bridge expected influence on the SSI side.</p><p><strong>Conclusion: </strong>The Chinese SSI demonstrates good reliability and validity, making it a suitable instrument for assessing stress sensitivity in both clinical and research settings. Network analysis revealed significant interconnections between stress sensitivity and IGD symptoms, with functional impairment (item #8) emerging as a particularly influential node both within the SSI cluster and in linking SSI to IGD.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"23 8","pages":"976-985"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797721","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}