World Journal of Psychiatry最新文献

{"title":"Harnessing psychological resilience in hip fracture recovery: The overlooked role of sense of coherence.","authors":"Zhi-Peng Li, Jin-Ke Sun, Yi-Gong Tian, Peng-Yu Lu, Chang-Jiang Zhang","doi":"10.5498/wjp.v16.i2.115306","DOIUrl":"10.5498/wjp.v16.i2.115306","url":null,"abstract":"<p><p>Hip fracture recovery hinges on more than fixation and early mobilization; patients' capacity to interpret the event, regulate emotions, and re-engage with valued roles is equally decisive. Sense of coherence (SOC) - comprising comprehensibility, manageability, and meaningfulness - offers a concise resilience lens that connects perioperative education, symptom self-management, and values-based rehabilitation. Converging evidence links stronger SOC with lower anxiety/depression and greater post-traumatic growth, suggesting an underused lever for improving both psychological and functional trajectories. This article synthesizes conceptual and clinical signals around SOC in orthogeriatric care and outlines a practical pathway to integrate it without adding burden: (1) Plain-language mapping of the care timeline to strengthen comprehensibility; (2) Brief goal-setting, graded activity, and pain-coping skills to enhance manageability; and (3) Narrative reframing plus small prosocial actions to cultivate meaningfulness. Routine tracking with the 13-item Sense of Coherence Scale, the Hospital Anxiety and Depression Scale, and the Post-Traumatic Growth Inventory can be paired with pragmatic endpoints - time-to-mobilization, length of stay, and 90-day events - to evaluate feasibility and impact. Positioning SOC as a modifiable resilience target may help bridge psychology and rehabilitation in standard hip-fracture pathways and yield measurable gains in emotional recovery and participation.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"115306"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120416","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":"Neurofeedback for autism spectrum disorder: Current evidence, challenges, and future directions.","authors":"Yan Zhang, Jun-Jie Wang, Hao-Yu Xing, Juan Yan","doi":"10.5498/wjp.v16.i2.114358","DOIUrl":"10.5498/wjp.v16.i2.114358","url":null,"abstract":"<p><p>Neurofeedback therapy (NFT) has emerged as a promising noninvasive intervention for autism spectrum disorder (ASD), targeting core symptoms such as social communication deficits and emotional dysregulation. This editorial synthesizes findings from recent studies, including Wang <i>et al</i>'s retrospective analysis (2025), which reported improvements in Social Responsiveness Scale and Aberrant Behavior Checklist scores following NFT combined with conventional therapy. Mechanistically, NFT may modulate prefrontal gamma-band activity, enhances neuroplasticity in social brain networks (<i>e.g.,</i> default mode network, a brain network involved in social cognition), and optimizes cognitive processing <i>via</i> event-related potential changes (<i>e.g.,</i> shortened P300 latency). Emerging trends include hybrid approaches (<i>e.g.,</i> NFT with repetitive transcranial magnetic stimulation and artificial intelligence-driven protocols). However, challenges persist in protocol standardization, long-term efficacy validation, and biomarker identification. Future research must prioritize large-scale randomized trials, neuromarker discovery, and individualized protocols to establish NFT as a viable component of precision psychiatry for ASD.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"114358"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119828","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":"Rocuronium-sugammadex as an alternative muscle relaxant to succinylcholine in electroconvulsive therapy: A meta-analysis.","authors":"Rishi Anand, Deb Sanjay Nag, Roshan Lal Gope, Manoj Kumar Sahoo, Pratul Bhushan, Bappa Ditya Pal, Roushan Patel, Srirala Shivani, Murari Kumar Bharadwaj, Mohd Amir Ansari","doi":"10.5498/wjp.v16.i2.112462","DOIUrl":"10.5498/wjp.v16.i2.112462","url":null,"abstract":"<p><strong>Background: </strong>Electroconvulsive therapy (ECT) requires optimal muscle relaxation, which is conventionally achieved with succinylcholine (SCC) despite its adverse effects. In this context, rocuronium-sugammadex (RS) has emerged as a potential alternative, but its comparative efficacy remains uncertain. Hence, this meta-analysis evaluated the recovery times, seizure duration, and safety of these agents in ECT.</p><p><strong>Aim: </strong>To compare the recovery times, seizure duration, and side effect profiles of RS and SCC in ECT.</p><p><strong>Methods: </strong>PubMed, EMBASE, and Cochrane Library (from inception to June 2025) were systematically searched for randomized and observational studies comparing RS with SCC in ECT. The primary outcomes were seizure duration (motor/electroencephalogram) and recovery time, and the secondary outcomes included adverse events (<i>e.g.</i>, myalgia). Pooled standardized mean differences (SMDs) and risk ratios (RRs) with 95% confidence intervals (CIs) were calculated using random-effects models.</p><p><strong>Results: </strong>This meta-analysis included 7 studies involving 250 observations of patients who received RS and 282 sessions in which patients received SCC. Regarding seizure duration required for effective ECT, RS was associated with a longer duration (SMD: 0.43, 95%CI: 0.15-0.70, <i>P</i> < 0.05). However, this effect became nonsignificant in analyses limited to randomized controlled trials (SMD: 0.54, 95%CI: -0.17 to 1.25, <i>P</i> > 0.05). No significant difference was found between the groups in the recovery time (SMD: -0.51, 95%CI: -1.57 to 0.56, <i>P</i> = 0.277), despite trends favoring RS in three out of six studies. Qualitatively, the RS combination was associated with fewer adverse events, such as myalgia, although the reporting was inconsistent across studies. Substantial heterogeneity (<i>I</i> ² = 89%-93%) was a key finding for recovery outcomes, likely stemming from variability in the dosing and procedural protocols.</p><p><strong>Conclusion: </strong>RS is a feasible alternative to SCC for ECT, with acceptable recovery and fewer side effects without affecting the seizure duration. However, larger high-quality randomized controlled trials are necessary to statistically substantiate these findings and assess the long-term outcomes.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"112462"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120191","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 signatures of conditional reasoning dysfunction in major depression.","authors":"Elif Yöyen","doi":"10.5498/wjp.v16.i2.114478","DOIUrl":"10.5498/wjp.v16.i2.114478","url":null,"abstract":"<p><p>Major depressive disorder (MDD) represents one of the most urgent global mental health challenges, affecting hundreds of millions of individuals across cultures and socioeconomic contexts. While the affective and motivational dimensions of depression have long been emphasized, the cognitive dimension of the disorder has increasingly attracted attention. Within this cognitive framework, the study by Li <i>et al</i> represents an important milestone. It is the first investigation to combine the Wason selection task (WST), a classical paradigm for examining conditional reasoning, with event-related potentials (ERP), a method uniquely suited for revealing the temporal dynamics of cognitive processing. By integrating behavioral performance with electrophysiological measures, the authors provide valuable new insights into the neural mechanisms underlying reasoning dysfunction in MDD. However, while this study makes an important contribution, caution is warranted in interpreting its clinical and diagnostic implications. The methodological limitations, such as small sample size, limited ecological validity of the WST, and absence of control for confounding variables, should be carefully considered when evaluating the generalizability of ERP findings. Beyond summarizing the findings of Li <i>et al</i>, this letter emphasizes both the strengths and weaknesses of their approach. While the integration of cognitive reasoning and neurophysiological evidence is commendable, the lack of replication and comparative data leaves important open questions about how these results align with prior ERP or functional magnetic resonance imaging studies of depressive cognition. A more critical synthesis of these contextual gaps enhances the interpretative depth of the article. Overall, the study offers valuable preliminary evidence of conditional reasoning dysfunction in MDD, but its conclusions should be viewed as exploratory rather than definitive. Future research must address methodological limitations before clinical translation is possible.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"114478"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120248","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":"Effect of multidisciplinary closed-loop care on pregnancy outcomes in anxiety and depression.","authors":"Tian-Tian Shen, Ya-Juan Zhang, Qiu-Xia Xie","doi":"10.5498/wjp.v16.i2.113734","DOIUrl":"10.5498/wjp.v16.i2.113734","url":null,"abstract":"<p><strong>Background: </strong>Perinatal anxiety and depression are prevalent conditions associated with significant health risks. Investigating the efficacy of a multidisciplinary approach combined with a closed-loop psychological intervention is essential for improving related outcomes.</p><p><strong>Aim: </strong>To evaluate the clinical value of a multidisciplinary closed-loop intervention in improving pregnancy outcomes and promoting postpartum recovery in pregnant women with anxiety and depression.</p><p><strong>Methods: </strong>We conducted a randomized controlled trial involving 240 pregnant women with anxiety and depressive symptoms who received regular prenatal care at Shanghai Songjiang Maternal and Child Health Hospital between January 2024 and January 2025. Participants were randomized to an intervention group (multidisciplinary closed-loop intervention) or a control group (routine care). Delivery outcomes, maternal and neonatal complications, and postpartum pelvic floor function were compared.</p><p><strong>Results: </strong>The intervention group exhibited significantly lower rates of cesarean section (31.7% <i>vs</i> 44.2%, <i>P</i> < 0.05), adverse maternal outcomes (15% <i>vs</i> 32.5%, <i>P</i> < 0.01), and adverse neonatal outcomes (6.7% <i>vs</i> 15.8%, <i>P</i> < 0.05). Additionally, the intervention group demonstrated higher rates of normal labor progression (96.3% <i>vs</i> 86.5%, <i>P</i> < 0.05) and intact perineum (50.0% <i>vs</i> 32.8%, <i>P</i> < 0.05), alongside superior pelvic floor muscle recovery.</p><p><strong>Conclusion: </strong>This integrated multidisciplinary closed-loop intervention model effectively improves maternal and infant outcomes and enhanced postpartum recovery in women experiencing perinatal anxiety and depression.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"113734"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120360","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":"Sarcopenia in older adults: Prevalence and links to depression and physical activity.","authors":"Wen-Na Sha, Dan Chen, Hua-Fang Li, Mei-Jie Zhou, Xiang-Ying Yang","doi":"10.5498/wjp.v16.i2.112901","DOIUrl":"10.5498/wjp.v16.i2.112901","url":null,"abstract":"<p><strong>Background: </strong>Sarcopenia, a common debilitating geriatric syndrome, is frequently accompanied by depression and physical inactivity, forming a detrimental cycle that accelerates functional decline. However, hospital-based data on these interrelationships among Chinese older adults remain limited. This study aimed to determine the prevalence of sarcopenia in geriatric in- and out-patients and to test the hypothesis that sarcopenia is independently associated with higher depression scores and lower objectively measured physical activity.</p><p><strong>Aim: </strong>To determine sarcopenia prevalence and its associations with depression and physical activity in older adults.</p><p><strong>Methods: </strong>In this cross-sectional study, 346 adults aged ≥ 60 years were recruited <i>via</i> convenience sampling from geriatric departments of hospitals. Data were analyzed using SPSS 26.0. Descriptive statistics, <i>t</i>-tests, <i>χ</i> ² tests, Spearman correlation, and binary logistic regression were employed to examine group differences, variable associations, and independent predictors of sarcopenia.</p><p><strong>Results: </strong>Sarcopenia was identified in 62/346 participants (17.92%). Significant inter-group differences emerged for age, body mass index (BMI), coronary artery disease, hypertension, appendicular skeletal muscle mass index (ASMI), grip strength, and 6-m gait speed (<i>P</i> < 0.05). Individuals with sarcopenia reported markedly lower physical activity: A higher prevalence of low activity and lower Physical Activity Scale for the Elderly (PASE) scores (<i>P</i> < 0.001). Spearman correlations revealed ASMI, grip strength, and gait speed were inversely related to depressive symptoms, while positively linked to physical activity (<i>P</i> < 0.01). Logistic regression confirmed 30-item Geriatric Depression Scale and PASE scores independently predicted sarcopenia after adjustment for age, BMI, coronary artery disease, and hypertension (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Sarcopenia is linked to depression and physical inactivity in elderly inpatients, supporting the need for integrated screening and comprehensive management in clinical practice.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"112901"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120162","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":"Prevalence, severity, and risk factors for depressive and anxiety symptoms among adolescents: A cross-sectional study.","authors":"Hai-Dong Yang, Jing Zhang, Man Yang, Ling-Shu Luan, Jun-Jie Liu, Xiao-Bin Zhang","doi":"10.5498/wjp.v16.i2.112996","DOIUrl":"10.5498/wjp.v16.i2.112996","url":null,"abstract":"<p><strong>Background: </strong>Depressive and anxiety symptoms among adolescents have become significant public health concerns, yet comprehensive studies examining their prevalence and associated factors are limited. Functional constipation (FC), as a common gastrointestinal disorder potentially linked to brain-gut axis dysfunction, along with other modifiable factors such as physical activity and electronic device use, may influence adolescent mental health, though these relationships remain understudied.</p><p><strong>Aim: </strong>To examine depressive/anxiety symptoms prevalence and their associations with FC and other potential risk factors among adolescents in Lianyungang, Jiangsu Province, China.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey of 22925 adolescents using the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 for depressive and anxiety symptoms, respectively. FC was evaluated using the Rome IV criteria, and social support using the Perceived Social Support Scale.</p><p><strong>Results: </strong>Depressive symptoms were reported by 16.0%, anxiety symptoms by 24.1%, with 13.1% experiencing both. Among the total group, 27.5% reported mild, 10.0% moderate, 4.0% moderately severe, and 2.0% severe depressive symptoms, while 23.0% reported mild, 7.2% moderate, and 3.8% severe anxiety symptoms. Female sex, smoking, FC, parental conflict, lower household income, lower levels of physical activity, and longer weekly electronic device use time were identified as significant risk factors for depressive and anxiety symptoms (all <i>P</i> < 0.05), while age and body mass index were identified as additional significant risk factors for anxiety symptoms (all <i>P</i> < 0.05). In contrast, received support was identified as a significant protective factor against depressive and anxiety symptoms.</p><p><strong>Conclusion: </strong>Targeting modifiable risk factors (physical activity, smoking, excessive device use) and improving mental health support access are priorities to address the high prevalence of depression and anxiety symptoms.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"112996"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120198","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":"Videoconferencing-delivered psychotherapy for obsessive-compulsive disorder in low-resource settings: A pilot study from India.","authors":"Subho Chakrabarti, Sanjana Kathiravan, Sarah N","doi":"10.5498/wjp.v16.i2.111577","DOIUrl":"10.5498/wjp.v16.i2.111577","url":null,"abstract":"<p><strong>Background: </strong>Psychological treatments such as exposure and response prevention (ERP) or cognitive behavioral therapy are effective in obsessive-compulsive disorder (OCD), either on their own or in combination with medications. However, very few patients receive ERP or cognitive behavioral therapy. Digital-delivered psychotherapy can surmount many obstacles associated with conventional psychotherapy, but there are very few trials of videoconferencing (VC) delivered ERP for OCD, particularly from low-resource settings.</p><p><strong>Aim: </strong>To examine the VC-delivered ERP's feasibility, acceptability, efficacy, and long-term outcomes and compare its efficacy with inpatient ERP.</p><p><strong>Methods: </strong>This study compared VC ERP's pre- and post-intervention efficacy (<i>n</i> = 20) with a matched group of patients who had undergone inpatient ERP (<i>n</i> = 17). The Yale-Brown Obsessive-Compulsive Scale (YBOCS) scores rated the efficacy of ERP. The feasibility outcomes for VC-delivered ERP included the operational capacity, treatment utilization, treatment engagement, use of other services, and adverse events. Treatment satisfaction and preferences among users determined acceptability. Long-term follow-up determined whether patients were in remission based on the YBOCS scores and other criteria.</p><p><strong>Results: </strong>The sample had 97 patients with OCD. The patients had severe (YBOCS score 27) and chronic (6 years) OCD with psychiatric comorbidity (51%). The refusal rate for VC-ERP was 11%, and the dropout rate was 19%. VC-ERP failed in 29% with treatment-resistant OCD. The 20 patients who completed VC-ERP had 85% reductions in the YBOCS scores and recovered completely. The two groups did not differ in the change in YBOCS scores with the treatment. Gains from VC-ERP persisted for more than 2 years. The VC platform could deliver ERP despite the fluctuating network connectivity and variable patient motivation. The VC treatment improved access to ERP for many more patients. Users found VC-ERP acceptable and appreciated its advantages over inpatient ERP.</p><p><strong>Conclusion: </strong>Despite its methodological limitations, this study suggests that VC-delivered ERP is feasible, acceptable, and as efficacious as in-person ERP for OCD in the resource-constrained settings of low- and middle-income countries.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"111577"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120199","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":"Relationship between echocardiographic indicators, coronary artery lesions, and anxiety in patients with coronary heart disease.","authors":"Xiao-Yan Wang, Min Zhou, Hai-Lan Zhou, Dan Yao, Ju Zheng, Chong Pang","doi":"10.5498/wjp.v16.i2.112193","DOIUrl":"10.5498/wjp.v16.i2.112193","url":null,"abstract":"<p><strong>Background: </strong>Patients with coronary heart disease (CHD) frequently experience anxiety due to symptoms such as chest pain and tightness. However, it remains unclear whether changes in echocardiographic findings, a routine component of CHD evaluation, are associated with anxiety levels in these patients.</p><p><strong>Aim: </strong>To investigate the relationship between echocardiographic indicators, coronary artery lesions, and anxiety in patients with CHD.</p><p><strong>Methods: </strong>Data from 110 patients with stable CHD were retrospectively collected. Based on coronary angiography findings and Gensini scores used to assess the severity of coronary artery lesions, patients were classified into mild (38 cases), moderate (42 cases), and severe (30 cases) groups. Anxiety levels were assessed using the Self-Rating Anxiety Scale (SAS) at admission, and patients were categorized into no anxiety (16 cases), mild anxiety (31 cases), moderate anxiety (41 cases), and severe anxiety (22 cases) groups. The Cochran-Armitage trend test, Pearson correlation analysis, and multiple linear regression analysis were applied to examine the relationships among echocardiographic indicators, coronary artery disease severity, and anxiety in patients with CHD.</p><p><strong>Results: </strong>Trend analysis revealed significant linear relationships between the severity of coronary artery lesions, anxiety levels, and echocardiographic parameters in patients with CHD. As the severity of coronary artery lesions and anxiety increased, left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic volume (LVESV), and left ventricular end-diastolic volume (LVEDV) showed an upward trend (<i>P</i> < 0.05), whereas left ventricular ejection fraction (LVEF) exhibited a downward trend (<i>P</i> < 0.05). Pearson correlation analysis revealed that the Gensini score was positively correlated with LVEDD, LVESV, and LVEDV (<i>r</i> = 0.352, <i>r</i> = 0.386, and <i>r</i> = 0.376, respectively; <i>P</i> < 0.05) and negatively correlated with LVEF (<i>r</i> = -0.442; <i>P</i> < 0.05). Similarly, the SAS score was positively correlated with LVEDD, LVESV, and LVEDV (<i>r</i> = 0.279, <i>r</i> = 0.248, <i>r</i> = 0.216, respectively; <i>P</i> < 0.05) and negatively correlated with LVEF (<i>r</i> = -0.218; <i>P</i> < 0.05). Multiple regression analysis showed that, after adjusting for confounding factors, both higher Gensini and SAS scores remained independent risk factors for increased LVEDD, LVESV, and LVEDV and for decreased LVEF in patients with CHD (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Echocardiographic indicators are significantly correlated with both coronary artery lesions and anxiety in patients with CHD. In clinical practice, anxiety assessment and management should be integrated into comprehensive CHD treatment to more effectively improve cardiac function, alleviate symptoms, and improve overall prognosis.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"112193"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120207","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":"Inadequacy of interventions to eliminate or reduce violence against healthcare professionals by patients and/or their relatives.","authors":"Elif Yöyen, Tülay Güneri Barış","doi":"10.5498/wjp.v16.i2.113936","DOIUrl":"10.5498/wjp.v16.i2.113936","url":null,"abstract":"<p><p>Workplace violence (Type II), which is defined as verbal, physical and sexual assault behaviour directed at healthcare workers by patients and their relatives, is a complex concept arising from a variety of individual, social, economic, cultural and political factors. Despite differences in its definition, classification, and the destructive consequences it produces, workplace violence is a growing public health issue worldwide. It affects not only the healthcare worker who experiences it, but also the institution where the incident occurs, other patients and their families, and the perpetrator of the violent act. Every year, countless healthcare workers are harmed. The violence prevention strategies introduced by governments are aimed at managing violence and are still far from permanent and functional solutions. Permanent and effective solutions require a thorough and comprehensive approach to the issue. This study evaluates the effectiveness of workplace violence prevention programmes in line with the current literature. Primary, secondary and tertiary prevention interventions are addressed in depth. It is evident that intervention programmes alone, at any one level, are insufficient to eliminate workplace violence and that a comprehensive programme is required. Additionally, the necessity of eliminating the risk factors that cause workplace violence, rather than merely managing them, is discussed. The results of this study are expected to inform health policy.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"113936"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119663","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}