The International journal of social psychiatry最新文献

{"title":"A longitudinal study on the effects of social support on self-stigma, psychiatric symptoms, and personal and social functioning in community patients with severe mental illnesses in China.","authors":"Ning Ma, Runzi Chen, Yu Bai, Wufang Zhang, Zecong Chen, Jun Zhou, Yajie Cao, Liping Wen, Xiaobing Chen, Xuhui Zhan, Yunge Fan","doi":"10.1177/00207640241245932","DOIUrl":"https://doi.org/10.1177/00207640241245932","url":null,"abstract":"BACKGROUND\u0000Few studies have examined whether social support contributes to better consequences among chronic patients with severe mental illnesses (SMI) in their community recovery stage and whether self-stigma would be a mechanism through which social support impacts psychiatric symptoms and personal and social functioning.\u0000\u0000\u0000AIMS\u0000This study aimed to examine prospective associations of social support with long-term self-stigma, psychiatric symptoms, and personal and social functioning, and to investigate whether self-stigma would mediate the associations of social support with psychiatric symptoms and personal and social functioning among patients with SMI.\u0000\u0000\u0000METHODS\u0000A total of 312 persons with SMI (schizophrenia and bipolar disorder) in their community recovery stage participated in the study. Social support, self-stigma, psychiatric symptoms, and personal and social functioning were evaluated at baseline. The follow-up assessment was conducted at 6 months with the baseline measures except for social support. Hierarchical linear regression and mediation analysis were performed.\u0000\u0000\u0000RESULTS\u0000The results showed that baseline social support predicted decreases in stigma (β = -.115, p = .029) and psychiatric symptoms (β = -.193, p < .001), and increases in personal and social functioning (β = .134, p = .008) over 6 months, after adjusting for relevant covariates. Stigma at 6 months partially mediated the association between baseline social support and 6-month psychiatric symptoms (indirect effect: β = -.043, CI [-0.074, -0.018]). Stigma and psychiatric symptoms at 6 months together mediated the association between baseline social support and 6-month personal and social functioning (indirect effect: β = .084, 95% CI [0.029, 0.143]).\u0000\u0000\u0000CONCLUSION\u0000It is necessary to provide comprehensive social support services and stigma reduction interventions at the community level to improve the prognosis of SMI.","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"18 3","pages":"207640241245932"},"PeriodicalIF":0.0,"publicationDate":"2024-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140706180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between social inequality perception patterns and depressive symptoms among Chinese adults: A national representative longitudinal study.","authors":"Shouchuang Zhang, Ting Wang, Lanyue Zhang, Yuehui Wei, Weiyan Jian, Jing Guo","doi":"10.1177/00207640241243280","DOIUrl":"https://doi.org/10.1177/00207640241243280","url":null,"abstract":"BACKGROUND\u0000The rising prevalence of depressive symptoms presents a pressing global public health concern, exacerbated by prevailing social inequality.\u0000\u0000\u0000AIM\u0000This study seeks to identify latent profiles of social inequality perception and explore their associations with depressive symptoms.\u0000\u0000\u0000METHODS\u0000Data were obtained from the China Family Panel Studies (CFPS) involving 10,529 residents aged 18 years and above. Latent profile analysis (LPA) was used to identify different patterns of social inequality perception. Multiple linear regression analysis examined the links between these patterns and depressive symptoms.\u0000\u0000\u0000RESULTS\u0000Three distinct patterns of social inequality perception were identified: the disappointed pattern (TDP), the neutral pattern (TNP), and the positive pattern (TPP). Perceived social inequality was significantly associated with short-term and long-term depressive symptoms (β = .51, 95% CI [0.29, 0.72] vs. β = .51, 95% CI [0.27, 0.74]). Increases in social inequality perception patterns were also related to more severe depressive symptoms (β = .55, 95% CI [0.36, 0.74]).\u0000\u0000\u0000CONCLUSIONS\u0000Increasing perceived social inequality is closely linked to elevated depressive symptoms in Chinese adults. This underscores the need for tailored strategies aimed at addressing heightened perceptions of social inequality to reduce the risk of depressive symptoms.","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":"180 2","pages":"207640241243280"},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140746786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The tip of the iceberg? Climate change, detention settings and mental health.","authors":"Alexander Smith,&nbsp;Adegboyega Ogunwale,&nbsp;Michael Liebrenz","doi":"10.1177/00207640221106690","DOIUrl":"https://doi.org/10.1177/00207640221106690","url":null,"abstract":"The climate emergency holds profound and immediate threats to our health and wellbeing. The World Health Organization (2021) has estimated the impact on the social and environmental determinants of health; direct damagecosts to healthcare may reach two to four billion per annum by 2030. A recent Lancet report highlighted inequities in the climate crisis, illustrating how socioeconomically disadvantaged and vulnerable communities will be overburdened (Romanello et al., 2021). Correspondingly, others depict climate change as a threat amplifier, which will exacerbate existing disparities (Kjellstrom & McMichael, 2013). Psychiatrists have identified similar paradigms, with marginalised groups disproportionately affected (Cianconi et al., 2020; Hayes et al., 2018). People living in detention constitute some of the most vulnerable individuals in society and climate change will worsen their already precarious circumstances. As general clinical interventions and preventive measures amidst the clinical emergency remain underdeveloped (Obradovich & Minor, 2022), we wish to emphasise social psychiatry’s importance in shaping sustainable solutions within detention settings.","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"1303-1306"},"PeriodicalIF":7.5,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction Notice: Humanitarian mental health: Establishing an integrated psychosocial care pathway in a Kyrgyzstan Cancer Screening Project.","authors":"","doi":"10.1177/00207640221120603","DOIUrl":"https://doi.org/10.1177/00207640221120603","url":null,"abstract":"The Journal Editor was contacted by Medecines Sans Frontieres (MSF) that the findings reported in this article were not authorised for dissemination by the organisation. The authors had been employed by MSF to conduct an assessment for establishment of mental health components within a cancer screening program that MSF were implementing in National Oncological institute, Kyrgyzstan. The data was collected solely to inform strategic direction and was not authorised by MSF for publication. As such, there was no ethical oversight for prospectively collected qualitative data from MSF.","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"1533"},"PeriodicalIF":7.5,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40631563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of burnout in medical students: A systematic review and meta-analysis.","authors":"Hessah Almutairi,&nbsp;Abeer Alsubaiei,&nbsp;Sara Abduljawad,&nbsp;Amna Alshatti,&nbsp;Feten Fekih-Romdhane,&nbsp;Mariwan Husni,&nbsp;Haitham Jahrami","doi":"10.1177/00207640221106691","DOIUrl":"https://doi.org/10.1177/00207640221106691","url":null,"abstract":"<p><strong>Background: </strong>Medical students are at a significant risk of experiencing psychological issues, such as burnout. Over the past few years, more studies have been conducted on this topic, producing different results.</p><p><strong>Aims: </strong>The purpose of this review was to determine the global pooled prevalence rate and risk factors associated with burnout and its components among undergraduate (pre-intern) medical students.</p><p><strong>Method: </strong>From inception until 30 November 2021, nine electronic databases were used for an electronic search. Using random-effects meta-analysis, we pooled the estimates using the DerSimonian-Laird method. The prevalence of burnout in medical students was the primary outcome of interest. Data were analyzed globally, by country, by research measure. Age and sex were examined as confounders using meta-regression analysis.</p><p><strong>Results: </strong>A random-effects meta-analysis of 42 studies involving 26,824 evaluating the prevalence of burnout in medical students showed an overall prevalence rate 37.23% [32.66%; 42.05%], <i>Q</i> = 2,267.15(41), <i>p</i> < .0001, τ² = .42, τ = .65, <i>I</i>² = 98.2%; <i>H</i> = 7.5. Prevalence of emotional exhaustion, depersonalization, and personal accomplishment were 38.08% [30.67%; 46.10%], 35.07% [26.74%; 44.41%], and 37.23% [32.66%; 42.05%], respectively. Variations were observed between countries and research measures. Age (older) and sex (female) were both significant predictors of burnout.</p><p><strong>Conclusion: </strong>The prevalence of burnout in medical students was estimated to be 37.23%. It is urgent that future studies serve as a basis for the development of prevention and treatment programs to prevent and treat burnout in students.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"1157-1170"},"PeriodicalIF":7.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40463023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health and wellbeing of Indonesian medical students: A regional comparison study.","authors":"Nabila Ananda Kloping,&nbsp;Theresia Citraningtyas,&nbsp;Rossalina Lili,&nbsp;Sarah Marie Farrell,&nbsp;Andrew Molodynski","doi":"10.1177/00207640211057732","DOIUrl":"https://doi.org/10.1177/00207640211057732","url":null,"abstract":"<p><strong>Background: </strong>Our previous research found very high levels of burnout and mental health problems among medical students across Indonesia, in line with rates in many other countries. This study further analyses the data by comparing six different regions of Indonesia to determine any differences between them on such measures and to look for possible explanations.</p><p><strong>Results: </strong>Our sample of 1,729 students reported high levels of burnout and 'mild' psychiatric illness across all six regions. There were however significant differences between some regions. Sumatran students reported the lowest scores for both the Oldenburg Burnout Inventory (OLBI) and General Health Questionnaire 12 (GHQ12) scales. Sources of stress also varied among regions, with relationships and study the most reported. Further exploration of possible cultural differences is needed as well as prompt mental health support for medical students.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"1295-1299"},"PeriodicalIF":7.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39635224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wellbeing and mental health among medical students in Indonesia: A descriptive study.","authors":"Rossalina Lili,&nbsp;Andrew Molodynski,&nbsp;Sarah Marie Farrell,&nbsp;Theresia Citraningtyas,&nbsp;Nabila Ananda Kloping","doi":"10.1177/00207640211057709","DOIUrl":"https://doi.org/10.1177/00207640211057709","url":null,"abstract":"<p><strong>Background: </strong>Medical students face high pressures to perform academically, which may lead to poor psychological well-being, burnout, and even mental illness.</p><p><strong>Aims: </strong>This study aims to evaluate the mental health, degree of burnout and substance misuse among medical students in Indonesia in order to to build a system that supports the prosperity of future doctors.</p><p><strong>Methods: </strong>In February to March 2020, we conducted an online survey of Indonesian medical students to assess burnout (using Oldenburg Burnout Inventory, OLBI), minor psychiatric illness (General Health Questionnaire 12, GHQ12), and alcohol abuse (CAGE questionnaire).</p><p><strong>Results/conclusion: </strong>A total of 1,729 students from 29 universities participated in the study; 93% felt disengaged, 95% felt exhausted, and 74% were identified to have mild psychiatric illness. We discuss potential factors that need to be explored in further research, including further concerns related to developments since the pandemic, and the need for potential interventions at both local and national levels to enhance the wellbeing of medical students.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"1277-1282"},"PeriodicalIF":7.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39658727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health of Turkish medical students during the COVID-19 pandemic.","authors":"İrem Damla Çimen,&nbsp;Tuncay Müge Alvur,&nbsp;Bülent Coşkun,&nbsp;Nur Ece Öztaş Şükür","doi":"10.1177/00207640211066734","DOIUrl":"https://doi.org/10.1177/00207640211066734","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease emerged in 2019, spread in Turkey as all over the world rapidly. In this process, young people began to experience some mental problems due to the fear of contagion, as well as some changes in their lifestyles.</p><p><strong>Aims: </strong>In this study it is aimed to investigate anxiety and depression levels of medical school students and the factors associated with these mental problems.</p><p><strong>Method: </strong>The forms were sent over the internet to the officials responsible for medical education at universities in various regions of Turkey. A total of 2,778 medical faculty students were included in the study. Students were asked to fill out the sociodemographic data form, the Patient Health Questionnaire - 9 (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7) Test.</p><p><strong>Results: </strong>Students' 67.3% were female and 31.7% were male. About 90.2% of the students in the PHQ-9 scale had depressive symptoms in the major depressive disorder (MDD) dimension, and 44.5% in the GAD-7 scale had moderate/severe anxiety symptoms. Gender, being a preclinical student, history of psychiatric treatment in the past, currently receiving psychiatric treatment, death of someone due to pandemic, economic and health situation, perception of mental health were found associated with MDD and Moderate/Severe Anxiety symptoms. Students with Anxiety and MDD reported significantly more anxiety about contamination and negative beliefs about precautions' sufficiency.</p><p><strong>Conclusions: </strong>It was determined that medical school students in our country showed anxiety and depression at a remarkable level during the pandemic. Examining the underlying causes of these high rates will be beneficial in terms of taking precautions during the long-term pandemic. In literature, there are a limited number of studies on this subject in our country, we believe that our study will be useful in future studies to determine the underlying causes of mental illnesses and what can be done to help students.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"1253-1262"},"PeriodicalIF":7.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39769858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes toward mental illness among medical students and impact of temperament.","authors":"Lina Brahmi,&nbsp;Badii Amamou,&nbsp;Amjed Ben Haouala,&nbsp;Ahmed Mhalla,&nbsp;Lotfi Gaha","doi":"10.1177/00207640221077551","DOIUrl":"https://doi.org/10.1177/00207640221077551","url":null,"abstract":"<p><strong>Background: </strong>Mental health-related stigma is a serious problem that has undesirable consequences for individuals with mental disorders including physical health disparities, increasing mortality, and social dysfunction. Besides, these individuals frequently report feeling 'devalued, dismissed, and dehumanized' when encountering health professionals who are also perpetrators of stigmatizing attitudes and discriminatory behaviors.</p><p><strong>Aims: </strong>The present study concentrates on attitudes, and behavioral responses of medical students and junior doctors toward individuals with a mental illness and explores factors associated with stigma including temperament.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among medical students and junior doctors from medical schools of universities in Tunisia. All participants were invited to complete a brief anonymous electronic survey administered on the google forms online platform. Data were collected using self-administered questionnaires, Stigma Measurement, Mental Illness: Clinicians' Attitudes (MICA), Assessment of Affective Temperament, TEMPS-A scale.</p><p><strong>Results: </strong>A total of 1,028 medical students and junior doctors were recruited. The completion of a psychiatry clerkship for medical students didn't improve significantly the level of stigma toward people with a mental illness. Students in the fourth year had significantly the lowest MICA scores comparing to other students. Psychiatrists had significantly lower scores of explicit stigma attitudes than the other groups (Mean score = 0.42). As for other specialties, surgical residents had more stigmatizing attitudes than those who had medical specialties. 70% of participants believed that people with a mental illness are more dangerous than the other patients. Hyperthymic temperament was significantly associated with decreased stigma attitudes toward patients with mental illness.</p><p><strong>Conclusion: </strong>A combination of medical school experiences of psychiatry's theoretical learning and clerkship and wider societal beliefs are important factors that shape students. Awareness of this will enable educators to develop locally relevant anti-stigma teaching resources throughout the psychiatry curriculum to improve students' attitudes toward mental illnesses.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"1192-1202"},"PeriodicalIF":7.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39605817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout prevalence and degree among undergraduate medical students in Indonesia during 1 month of the COVID-19 pandemic: A cross-sectional descriptive survey.","authors":"Darien Alfa Cipta,&nbsp;Felix Wijovi,&nbsp;Leslie Melisa,&nbsp;Rossalina Lili,&nbsp;Elizabeth Marcella,&nbsp;Angeline Tancherla,&nbsp;Febby Gunawan Siswanto,&nbsp;Dewa Ayu Kalista Liani Adiya,&nbsp;Sharon Chen,&nbsp;Gabriel Julio Caesar Ika Dermawan,&nbsp;Mellybeth Indriani Louis,&nbsp;Theresia Citraningtyas,&nbsp;Andrew Molodynski","doi":"10.1177/00207640221116812","DOIUrl":"https://doi.org/10.1177/00207640221116812","url":null,"abstract":"<p><strong>Background: </strong>Medical students are under high pressure to perform academically and also face the impact of the COVID-19 pandemic, putting them at risk of developing burnout.</p><p><strong>Aims: </strong>This study aims to evaluate the prevalence and degree of burnout among medical students in Indonesia during 1 month of the COVID-19 pandemic.</p><p><strong>Methods: </strong>From April to May 2021, we conducted an online survey of Indonesian medical students to assess burnout (using Maslach Burnout Inventory-Student Survey, MBI-SS).</p><p><strong>Results: </strong>A total of 1,947 students from 27 universities participated in the study. About 35.5% had burnout, 41.7% with a moderate to high level of emotional exhaustion, 45% had moderate to high level of depersonalization and 66.7% had a low level of personal accomplishment.</p><p><strong>Conclusion: </strong>A total of 35.5% of medical students in our sample experienced burnout. We suggest further research to explore and identify factors related to these findings and the need for potential interventions at global and national level to enhance the well-being of medical students.</p>","PeriodicalId":257862,"journal":{"name":"The International journal of social psychiatry","volume":" ","pages":"1232-1237"},"PeriodicalIF":7.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}