World Journal of Psychiatry最新文献

{"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}

{"title":"Electroencephalogram-guided anesthesia and postoperative anxiety and depression in elderly gastric cancer patients with sleep disorders.","authors":"Xiao-Min Zhang, Li Yuan, Yan-Lin Chen, Shi-Chao Shuai, Xiao-Ming Ye, Ji-Bo Zhao","doi":"10.5498/wjp.v16.i2.112819","DOIUrl":"10.5498/wjp.v16.i2.112819","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Preoperative sleep disorders are common in elderly gastric cancer patients and may increase the risk of postoperative anxiety and depression. Traditional anesthesia depth monitoring relies on clinical signs, which may not accurately reflect the true anesthetic state in elderly patients. This study evaluates the effect of individualized anesthesia guided by electroencephalogram (EEG) monitoring on postoperative anxiety and depression symptoms in elderly gastric cancer patients with preoperative sleep disorders.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To determine whether EEG-guided anesthesia improves psychological recovery by stabilizing anesthesia depth in elderly gastric cancer patients with preoperative sleep disorders.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This retrospective study included 240 patients aged ≥ 65 years with preoperative sleep disorders (Pittsburgh Sleep Quality Index ≥ 5) who underwent elective radical gastrectomy between January 2022 and December 2023. Patients were divided into an EEG monitoring group (&lt;i&gt;n&lt;/i&gt; = 118) and a conventional monitoring group (control, &lt;i&gt;n&lt;/i&gt; = 122). The EEG group used Bispectral Index (BIS) monitoring to adjust anesthetic dosage, maintaining BIS values between 40 and 60, while the control group relied on conventional clinical indicators for anesthesia depth adjustment. The primary outcomes were Hospital Anxiety and Depression Scale (HADS) scores at 3 days and 1 month postoperatively; secondary outcomes included postoperative delirium incidence, length of stay, and quality of life scores.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 240 elderly gastric cancer patients with preoperative sleep disorders were included (118 EEG group, 122 control group) with well-matched baseline characteristics. EEG-guided anesthesia significantly reduced anesthetic drug consumption (propofol: 5.8 ± 1.2 mg/kg/hour &lt;i&gt;vs&lt;/i&gt; 7.3 ± 1.4 mg/kg/hour, &lt;i&gt;P&lt;/i&gt; &lt; 0.001; remifentanil: 0.18 ± 0.04 μg/kg/minute &lt;i&gt;vs&lt;/i&gt; 0.24 ± 0.05 μg/kg/minute, &lt;i&gt;P&lt;/i&gt; &lt; 0.001) and achieved 18.6% cost reduction. Primary outcomes showed the EEG group had significantly lower postoperative anxiety and depression scores at 3 days (HADS total: 11.8 ± 3.7 &lt;i&gt;vs&lt;/i&gt; 15.9 ± 4.9, &lt;i&gt;P&lt;/i&gt; &lt; 0.001) and 1 month (8.7 ± 3.2 &lt;i&gt;vs&lt;/i&gt; 13.2 ± 4.1, &lt;i&gt;P&lt;/i&gt; &lt; 0.001). The proportion of patients with clinically significant symptoms was reduced from 62.3% to 39.0% at 3 days and from 45.9% to 21.2% at 1 month (both &lt;i&gt;P&lt;/i&gt; &lt; 0.001). Multivariate analysis identified EEG-guided anesthesia as the strongest protective factor [odds ratio (OR) = 0.56, 95%CI: 0.41-0.78, &lt;i&gt;P&lt;/i&gt; = 0.003], while poor sleep efficiency (OR = 2.24, &lt;i&gt;P&lt;/i&gt; &lt; 0.001) and frequent sleep disturbances (OR = 1.95, &lt;i&gt;P&lt;/i&gt; = 0.001) were the most significant risk factors. Subgroup analysis revealed a dose-response relationship, with greatest benefits in patients with severe sleep disorders. BIS stability metrics strongly correlated with psychological outcomes (&lt;i&gt;r&lt;/i&gt; = -0.462 ","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"112819"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12869368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126663","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":"Time series analysis of anxiety and depression during pregnancy to postpartum depression based on cross-lagged model.","authors":"Yi-Ping Gao, Yu-Yan Lu","doi":"10.5498/wjp.v16.i2.113533","DOIUrl":"10.5498/wjp.v16.i2.113533","url":null,"abstract":"<p><strong>Background: </strong>Women are susceptible to anxiety and depression during pregnancy, but the temporal patterns of these emotions across gestation remain unclear. It is also uncertain whether anxiety and depression during pregnancy exert time-lagged effects on postpartum depression.</p><p><strong>Aim: </strong>To explore the dynamic trends of anxiety and depression at different stages of pregnancy and their time-lagged effects on postpartum depression, providing a reference for emotional management during and after pregnancy.</p><p><strong>Methods: </strong>Data were collected from 572 women who underwent prenatal care and delivered at the Obstetrics Department of Suzhou Ninth People's Hospital between January 2024 and June 2025. The <i>χ</i> ² test was used to assess psychologically changes from early to late pregnancy. Pearson partial correlation and cross-lagged modeling were used to examine temporal relationships between prenatal anxiety/depression and postpartum depression.</p><p><strong>Results: </strong>Anxiety detection rates were 6.99% (40/572) in early pregnancy, 24.13% (138/572) in midpregnancy, and 16.96% (97/572) in late pregnancy, showing a significant fluctuation trend (<i>χ</i> ² = 21.092, <i>P</i> < 0.001). Depression rates were 5.42% (31/572), 21.68% (124/572), 13.81% (79/572) and 16.08% (92/572) in early, mid, late pregnancy, and six weeks postpartum, respectively, also showing significant fluctuation trend (<i>χ</i> ² = 13.619, <i>P</i> < 0.001). Pearson correlation revealed shows that anxiety and depression during early, middle, and late pregnancy were positively correlated (<i>P</i> < 0.001). From pregnancy to six weeks postpartum, anxiety and depression during pregnancy (early, middle, and late) correlated negatively with depression at six weeks postpartum (<i>P</i> < 0.001). Cross-lag modeling indicated that anxiety and depressive symptoms during pregnancy exerted significant time-lagged predictive effects on postpartum depression (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Anxiety and depression during pregnancy demonstrate dynamic evolution and both have time-lagged predictive effects on postpartum depression.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"113533"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120182","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":"Protective role of perceived social support against adolescent self-injury addiction: Serial mediation of negative emotion and impulsivity.","authors":"Bing Pan, Mei-Yi Guo, Yun Gong, Zheng Lin, Bing-Ren Zhang","doi":"10.5498/wjp.v16.i2.113573","DOIUrl":"10.5498/wjp.v16.i2.113573","url":null,"abstract":"<p><strong>Background: </strong>Repeated non-suicidal self-injury (NSSI) behaviors are frequently associated with negative emotions, impulsivity and addictive-like characteristics.</p><p><strong>Aim: </strong>To explore the protective role of perceived social support against self-injury addiction among adolescents engaging in NSSI.</p><p><strong>Methods: </strong>This cross-sectional study enrolled 102 Chinese adolescents with NSSI from outpatient clinics at a local hospital between January 2024 and April 2024, and their perceived social support, depression and anxiety emotions, impulsivity, and self-injury addiction were assessed using the Multidimensional Scale of Perceived Social Support (MSPSS), Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS), Barratt Impulsiveness Scale (BIS-11), and addiction subscale of the Revised Chinese Version of Ottawa Self-injury Inventory (ROSI-addiction).</p><p><strong>Results: </strong>Among adolescents with NSSI, ROSI-addiction scores were negatively correlated with MSPSS factors and positively correlated with SAS scores, SDS scores, and all BIS-11 factors except Cognitive instability. Meanwhile, MSPSS factors were negatively correlated with SAS and SDS scores; SAS and SDS scores exhibited positively correlations with the BIS-11 dimensions of Attention, Perseverance, Self-control and Cognitive complexity. Moreover, perceived social support demonstrated both direct and indirect negative relations with self-injury addiction, mediated by anxiety, depression and impulsivity.</p><p><strong>Conclusion: </strong>Negative emotions and impulsivity mediated the inverse correlation between perceived social support and self-injury addiction in adolescents with NSSI. Enhancing available social support, and regulating anxiety, depression and impulsivity may be fundamental for intervention of in NSSI.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"113573"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120184","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 depression, anxiety, and insomnia in hypertensive disorders in pregnant women.","authors":"Jun Huang, Yan-Jun Yang, Yan Lv, Xian Xu, Chang-Fang Yao","doi":"10.5498/wjp.v16.i2.112174","DOIUrl":"10.5498/wjp.v16.i2.112174","url":null,"abstract":"<p><strong>Background: </strong>Insomnia in patients with hypertensive disorders in pregnancy (HDP) appears closely associated with depression and anxiety, though this relationship requires further validation.</p><p><strong>Aim: </strong>To examine the inter-relationships among depression, anxiety, and insomnia in women with HDP.</p><p><strong>Methods: </strong>A total of 122 HDP cases were enrolled from January 2021 to January 2025. The Patient Health Questionnaire-9 (PHQ-9) was used to evaluate depressive symptoms, while the Generalized Anxiety Disorder-7 (GAD-7) assessed anxiety. Sleep duration, sleep efficiency, and insomnia were measured using the Pittsburgh Sleep Quality Index (PSQI). Spearman's <i>r</i> determined inter-scale correlations. Determinants influencing depression and anxiety were identified <i>via</i> univariate and multivariate analyses.</p><p><strong>Results: </strong>Among the 122 women with HDP, 20.49% exhibited depression and 24.59% had anxiety. The mean PHQ-9 and GAD-7 scores were 4.00 (3.00, 4.00) and 4.00 (3.00, 4.25), respectively. As pregnancy progressed, participants showed reduced sleep duration and efficiency, higher PSQI total scores, and an increased proportion of poor sleepers. Across all gestational stages, PHQ-9 and GAD-7 scores were positively correlated with PSQI results. Depression and anxiety were independently associated with a prior HDP history, limited spousal support, PSQI > 5, and monthly income < 4000 yuan, as confirmed using both regression models.</p><p><strong>Conclusion: </strong>Depression and anxiety in HDP are positively and strongly to insomnia. Women with HDP face higher risk of depression and anxiety if they have a history of HDP, limited spousal support, PSQI > 5, or monthly income < 4000 yuan.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"112174"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120268","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":"Clinical investigation of postpartum depression risk factors and screening predictors.","authors":"Xiao-Wei Yang, Xue-Lian Jiang, Yan-Li Wu","doi":"10.5498/wjp.v16.i2.113101","DOIUrl":"10.5498/wjp.v16.i2.113101","url":null,"abstract":"<p><strong>Background: </strong>Postpartum depression (PPD) is a common mental illness that affects 10%-20% of women globally and has a major negative influence on the health of both the mother and the child. It is highly prevalent, although many cases go undetected. The etiology is multifactorial and involves biological, psychological, and social factors. This study aims to evaluate PPD incidence and identify related risk factors to provide evidence for clinical screening and prevention.</p><p><strong>Aim: </strong>To evaluate PPD prevalence and associated risk variables.</p><p><strong>Methods: </strong>This study included 376 women who delivered in University-Town Hospital of Chongqing Medical University and completed a 6-week post-partum follow-up. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess postpartum depressive symptoms, with a score ≥ 13 defined as post-partum depression.</p><p><strong>Results: </strong>The prevalence of PPD was 15.7% (59/376). Compared with the non-PPD group, the PPD group had significantly greater proportions of primiparas (71.2% <i>vs</i> 52.4%), unplanned pregnancies (33.9% <i>vs</i> 18.6%), and cesarean sections (54.2% <i>vs</i> 37.9%). The overall incidence of pregnancy complications, particularly gestational hypertension and diabetes, was significantly greater in the PPD group (47.5% <i>vs</i> 28.7%). Previous depression or anxiety history (27.1% <i>vs</i> 8.2%), lower marital satisfaction, and family dysfunction were more common in the PPD group. The Social Support Rating Scale total score was significantly lower in the PPD group than in the non-PD group (31.6 ± 7.2 <i>vs</i> 40.3 ± 8.1). The PPD group had significantly worse sleep quality (Pittsburgh Sleep Quality Index: 11.5 ± 3.3 <i>vs</i> 8.2 ± 2.7) and a higher incidence of postpartum stressful events (30.5% <i>vs</i> 13.9%). As independent risk factors for PPD, multivariate logistic regression analysis identified prior history of depression or anxiety [odds ratio (ORs)= 3.64], marital discord (OR = 2.53), lack of social support (OR = 2.37), pregnancy complications (OR = 2.18), poor postpartum sleep quality (OR = 1.98), economic pressure (OR = 1.75), primipara status (OR = 1.52), and cesarean delivery (OR = 1.46). With a sensitivity of 76.3% and specificity of 65.9%, an EPDS score of ≥ 9 in late pregnancy had a moderate predictive value for PPD (AUC = 0.763).</p><p><strong>Conclusion: </strong>PPD was 15.7% common, and its pathophysiology included social, psychological, and biological factors. The biggest predictors were marital strife, prior mental illness, and a lack of social support. It is advised that high-risk moms be screened for pregnancy and that a thorough intervention system be put in place, which should include boosting social support, bolstering marital bonds, and improving psychological support.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"113101"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120300","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":"Application research on the predictive model for violent behavior in hospitalized patients with severe mental disorders.","authors":"Ting Wang, Lin Wang, Ping Zhao, Jiao-Jiao Sun, Li-Ni Gao, Jia Li, Ya-Qin Zhao","doi":"10.5498/wjp.v16.i2.112575","DOIUrl":"10.5498/wjp.v16.i2.112575","url":null,"abstract":"<p><strong>Background: </strong>To understand the current situation of violent behavior among hospitalized patients with severe mental disorders (SMDs), analyze its influencing factors, establish a predictive model and draw a nomogram, providing screening tools for medical staff to accurately identify SMDs who have violent behavior and the direction of early intervention.</p><p><strong>Aim: </strong>To investigate the determinants of violent actions in hospitalized patients with SMDs.</p><p><strong>Methods: </strong>This research included 440 inpatients with SMDs who were admitted to the Wutaishan Hospital from January 2025 to June 2025. Data collection and analysis aimed to pinpoint independent contributors linked to aggression in this patient group. An advanced logistic regression analysis with multiple variables was performed using R, followed by the creation of a line chart to display the forecast outcomes of the model.</p><p><strong>Results: </strong>Of 120 patients exhibited violent behavior (incidence rate = 27.30%). Education level, cigarette smoking, length of hospitalization, age, psychotic symptoms based on the Brief Psychiatric Rating Scale, and C-reactive protein were independent risk factors for violent behavior. Education level and age served as protective elements among the factors analyzed. The receiver operating characteristic curve area for the training and test sets was calculated to be 0.94 and 0.93, respectively. The calibration graph demonstrated that the model was accurately adjusted. The clinical decision curve demonstrated that the model provided significant practical benefits.</p><p><strong>Conclusion: </strong>The predictive mode provided a valuable theoretical basis for ward staff to identify inpatients with SMDs at elevated risk of aggression in the early phase.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"112575"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120328","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":"Current status and influencing factors of anxiety in patients with malignant tumors after anesthesia recovery.","authors":"Da-Wei Luo, Hai-Liang Du","doi":"10.5498/wjp.v16.i2.111574","DOIUrl":"10.5498/wjp.v16.i2.111574","url":null,"abstract":"<p><strong>Background: </strong>General anesthesia is essential for maintaining adequate sedation, minimizing intraoperative stimuli, and ensuring smooth surgery completion. However, when faced with invasive procedures and anesthetic risks, patients often exhibit nonspecific physiological and psychological responses.</p><p><strong>Aim: </strong>To investigate the occurrence of agitation and the prevalence of anxiety during anesthesia recovery in patients with malignant tumors (MTs) and to analyze their influencing factors, providing a theoretical basis for clinical management.</p><p><strong>Methods: </strong>An analysis was performed on 168 patients who underwent surgery for MTs and recovered from anesthesia between April 2022 and October 2023. Based on the presence or absence of agitation during general anesthesia recovery, patients were divided into agitation and non-agitation groups. The Self-Rating Anxiety Scale was distributed to patients who recovered from anesthesia for a questionnaire survey, and based on the results, they were further categorized into anxiety and non-anxiety groups. Clinical data were compared to identify factors influencing agitation and anxiety.</p><p><strong>Results: </strong>Agitation occurred in 41 (24.4%) of the 168 patients during recovery from general anesthesia. Compared with the non-agitation group, patients with agitation were older, had higher rates of preoperative anxiety, alcohol consumption, diabetes, operations or anesthesia lasting > 3 hours, intraoperative hypothermia, and higher Visual Analog Scale (VAS) scores during recovery (<i>P</i> < 0.05). Logistic regression analysis identified age, operative duration of > 3 hours, preoperative anxiety score, and intraoperative hypothermia as independent risk factors for agitation. The mean anxiety score among all patients was 7.23 ± 2.67, with anxiety symptoms confirmed in 59 cases (35.1%). Univariate and multivariate analyses revealed significant associations between groups with age, preoperative anxiety score, education level, annual income, and VAS score during recovery (<i>P</i> < 0.05). Preoperative anxiety score, education level, annual income, and VAS score during recovery were key factors influencing anxiety in patients who underwent MT surgery during general anesthesia recovery.</p><p><strong>Conclusion: </strong>Anxiety is common among patients recovering from anesthesia after MT surgery. Preoperative anxiety score, education level, annual income, and VAS score during recovery are major influencing factors for anxiety, whereas preoperative anxiety represents a risk factor for agitation.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"111574"},"PeriodicalIF":3.4,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120350","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 a combined of positive emotion, engagement, relationships, meaning, and accomplishment-based mental health intervention and role model incentives.","authors":"Yan Hu, Tai-Shan Tong, Jing Zhang, Yan-Ni Zhu, Ling Xia, Jin-Jin Yu","doi":"10.5498/wjp.v16.i2.113242","DOIUrl":"10.5498/wjp.v16.i2.113242","url":null,"abstract":"<p><strong>Background: </strong>Patients with ovarian cancer often experience significant psychological stress during chemotherapy, including emotional disorders such as anxiety and depression.</p><p><strong>Aim: </strong>To analyze the application value of positive emotion, engagement, relationships, meaning, and accomplishment (PERMA) well-being care combined with role model motivation in patients with ovarian cancer undergoing chemotherapy for anxiety and depression, with a focus on psychological health and compliance behavior.</p><p><strong>Methods: </strong>Seventy patients with ovarian cancer undergoing chemotherapy were recruited from a hospital between August 2022 and August 2024. They were randomly divided into two groups using a lottery method: The reference group (<i>n</i> = 35, receiving routine care) and the experimental group (<i>n</i> = 35, receiving PERMA well-being care combined with role model motivation in addition to routine care). Both groups received their respective interventions before and after chemotherapy. Psychological state, mood state, compliance behavior, and cancer-related fatigue levels were assessed before and after the intervention. Data were analyzed using the SPSS software (version 26.0).</p><p><strong>Results: </strong>After the intervention, patients' psychological state improved, with the experimental group showing greater benefits than the control group. Specifically, the intervention group achieved an 8.8% reduction in anxiety, a 19.8% reduction in depressive symptoms, and a 7.8% increase in self-efficacy relative to controls (<i>P</i> < 0.05). Mood state also improved more markedly in the experimental group, with significant reductions across tension-anxiety, depression-dejection, anger-hostility, fatigue-inertia, and confusion-bewilderment, alongside an increase in vigor-activity (<i>P</i> < 0.05). The compliance rate was higher in the experimental group than in the control group (91.43% <i>vs</i> 71.43%, <i>P</i> < 0.05). Cancer-related fatigue decreased in both groups, with the experimental group exhibiting greater reductions across emotional, cognitive, behavioral, and physical dimensions (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>PERMA well-being care combined with role model motivation is effective in reducing anxiety and depression symptoms, improving mood states, enhancing compliance behavior, and alleviating cancer-related fatigue in patients with ovarian cancer undergoing chemotherapy for anxiety and depression. Therefore, this approach warrants broader clinical application.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 2","pages":"113242"},"PeriodicalIF":3.0,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126617","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 artificial intelligence literacy's role in healthy behaviors and mental health.","authors":"Jaewon Lee, Jennifer Allen, Gyuhyun Choi","doi":"10.5498/wjp.v16.i1.110249","DOIUrl":"10.5498/wjp.v16.i1.110249","url":null,"abstract":"<p><p>Healthy behavior has long been linked to mental health outcomes. However, the role of artificial intelligence (AI) literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored. This paper presents a scoping review offering a novel perspective on the intersection of healthy behaviors, mental health, and AI literacy. By examining how individuals' understanding of AI influences their choices regarding nutrition and their susceptibility to mental health issues, the current study explores emerging trends in health behavior decision-making. This emphasizes the need for integrating AI literacy into mental health and health behaviors education, as well as the development of AI-driven tools to support healthier behavior choices. It highlights that individuals with low AI literacy may misinterpret or overly depend on AI guidance, resulting in maladaptive health choices, while those with high AI literacy may be more likely to engage reflectively and sustain positive behaviors. The paper outlines the importance of inclusive education, user-centered design, and community-based support systems to enhance AI literacy for digitally marginalized groups. AI literacy may be positioned as a key determinant of health equity, better allowing for interdisciplinary strategies that empower individuals to make informed, autonomous decisions that promote both physical and mental health.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"16 1","pages":"110249"},"PeriodicalIF":3.4,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12809239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004105","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}