Trends in Psychiatry and Psychotherapy最新文献_第2页

New insights into susceptibility to major depression in a Colombian population. 哥伦比亚人群对重度抑郁症易感性的新见解。

IF 2.2

Trends in Psychiatry and Psychotherapy Pub Date : 2026-03-15 DOI: 10.47626/2237-6089-2025-1095

Jesús Montoya, Laura I Rojas-Serrano, Daniel A Ruiz-Torres, Nicolas Caicedo, Isabella Van Londoño, Caroll Tamayo, Juan C Rojas-Lopez, Marcela Galvez, Nora Contreras, Rafael Tierradentro, Laura Castro, Natalia Fonseca, Dora J Fonseca-Mendoza

{"title":"New insights into susceptibility to major depression in a Colombian population.","authors":"Jesús Montoya, Laura I Rojas-Serrano, Daniel A Ruiz-Torres, Nicolas Caicedo, Isabella Van Londoño, Caroll Tamayo, Juan C Rojas-Lopez, Marcela Galvez, Nora Contreras, Rafael Tierradentro, Laura Castro, Natalia Fonseca, Dora J Fonseca-Mendoza","doi":"10.47626/2237-6089-2025-1095","DOIUrl":"https://doi.org/10.47626/2237-6089-2025-1095","url":null,"abstract":"Objective: Major Depressive Disorder (MDD) is a multifactorial psychiatric disease influenced by a combination of genetic and environmental factors. Among the genes linked to MDD, the Melanocortin 1 Receptor (MC1R), Catechol-O-Methyltransferase (COMT), Brain-Derived Neurotrophic Factor (BDNF), and the serotonin transporter (5-HTT) are of particular interest due to their critical roles in stress regulation and neural function. Despite their biological significance, the contribution of specific polymorphisms within these genes to MDD risk remains understudied.Methods: This retrospective observational case-control study included 87 Colombian patients diagnosed with MDD according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The control group comprised Latino/admixed individuals without, sourced from the gnomAD v2.1.1 database. The complete coding region of the MC1R gene and three polymorphisms: 5-HTTLPR Insertion/Deletion 44 bp, BDNF-c.196G>A, and COMT-c.472G>A were genotyped using PCR and Sanger sequencing.Results: The polymorphisms rs885479 and rs4680 were identified as protective factors against MDD, while the polymorphisms rs796296176, rs779504604, rs1805005 were associated with an increased risk of developing MDD (OR:22.87, OR:51.26, OR: 1.97, respectively).Conclusion: Several of the analyzed polymorphisms (rs796296176, rs779504604, rs1805005) increase the risk for MDD. Notably, we provide novel evidence of these polymorphisms in MC1R as a risk to MDD.","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463993","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}

引用次数: 0

Prevalence of autism in African countries: a systematic review and meta-analysis. 非洲国家自闭症患病率：系统回顾和荟萃分析。

IF 2.2

Trends in Psychiatry and Psychotherapy Pub Date : 2026-02-04 DOI: 10.47626/2237-6089-2025-1251

Inácio Luís Ferreira, João Viriato Mazalo, Daniel Prates-Baldez, Flávio Kapczinski, Lucas C Quarantini

{"title":"Prevalence of autism in African countries: a systematic review and meta-analysis.","authors":"Inácio Luís Ferreira, João Viriato Mazalo, Daniel Prates-Baldez, Flávio Kapczinski, Lucas C Quarantini","doi":"10.47626/2237-6089-2025-1251","DOIUrl":"https://doi.org/10.47626/2237-6089-2025-1251","url":null,"abstract":"Background: Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by difficulties in communication, deficits in social interaction, and repetitive behavioral patterns. Global prevalence estimates range from 1% to 2%, with variations attributed to cultural, social, and methodological factors. In Africa, research remains limited and highly heterogeneous, largely due to scarce diagnostic resources, persistent stigma, and the absence of consistent public policies.Methods: A systematic search was conducted across PubMed, Embase, Scopus, and PsycInfo for articles published up to May 2025. Cross-sectional studies conducted in school-based or community populations were included. The analysis followed PRISMA guidelines, and the protocol was registered with PROSPERO (CRD420251138668). A random-effects model using the Freeman-Tukey transformation for variance stabilization was employed for statistical synthesis.Results: Seven studies from Egypt, Kenya, Uganda, and Nigeria, comprising 71,341 participants, were included. Across included studies, reported ASD prevalence ranged from 0.54% to 23.8%. When pooled and stratified by methodological criteria, clinically confirmed ASD prevalence was 1% (95% CI, 0.0-1.0%), whereas high-risk screening prevalence was 4% (95% CI, 0.0-16.0%), with very high between-study heterogeneity (I² = 99.8%).Conclusion: Despite substantial methodological heterogeneity, ASD prevalence estimates in Africa appear comparable to those reported in high-income countries. The marked disparity between high-risk screening prevalence and confirmed diagnoses highlights the urgent need to expand diagnostic confirmation services and strengthen training for primary healthcare professionals to bridge the gap between risk identification and definitive diagnosis across the continent.","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120459","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}

引用次数: 0

Co-occurring mental health disorders in a Brazilian sample of adults with autism spectrum disorder: A focus on gender disparities. 在巴西患有自闭症谱系障碍的成人样本中共同发生的精神健康障碍：对性别差异的关注。

IF 2.2

Trends in Psychiatry and Psychotherapy Pub Date : 2026-01-21 DOI: 10.47626/2237-6089-2025-1229

João Victor Betti Paiva, Helena de Souza Beserra Silva, Rosane Lowenthal, Tatiana Pontrelli Mecca

{"title":"Co-occurring mental health disorders in a Brazilian sample of adults with autism spectrum disorder: A focus on gender disparities.","authors":"João Victor Betti Paiva, Helena de Souza Beserra Silva, Rosane Lowenthal, Tatiana Pontrelli Mecca","doi":"10.47626/2237-6089-2025-1229","DOIUrl":"https://doi.org/10.47626/2237-6089-2025-1229","url":null,"abstract":"Introduction: Adults with Autism Spectrum Disorder (ASD) often present with core symptoms and co-occurring conditions that require multidisciplinary support. The objective of this study is to describe the sociodemographic and clinical profile of a sample of Brazilian adults with ASD, with a focus on the prevalence of co-occurring mental health disorders and the investigation of gender-related disparities.Methods: A total of 117 adults with a previous diagnosis of ASD (60.7% female; mean age = 31.84, SD = 10.03; age range: 18-61 years) were recruited by convenience sampling. Participants completed a sociodemographic and clinical history questionnaire. We analyzed associations between co-occurring mental health disorders and biological sex.Results: Most participants had completed at least high school (95.7%). Co-occurring neurodevelopmental disorders were present in 35.9% of the sample. ADHD was the most common (30.8%). Co-occurring mental health disorders were reported by 75.2% of participants, with anxiety disorders being the most frequent (71.8%). A statistically significant gender disparity was observed, showing that women had a significantly higher prevalence of at least one mental health disorder (85.9% vs. 58.7%), anxiety (83.1% vs. 54.3%), and depression (62% vs. 37%) compared to men.Conclusion: While not generalizable due to the convenience sampling method, these results contribute to a growing body of evidence on the high rates of co-occurring mental health disorders in adults with ASD, especially in women. This study supports the call for an expanded research agenda in Brazil to better understand the clinical reality and guide future support strategies for this population.","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012715","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}

引用次数: 0

Effects of a single-session facial emotion recognition training using the MTS paradigm in cognitively unimpaired older adults. 使用MTS范式的单次面部情绪识别训练在认知功能未受损的老年人中的效果。

IF 2.2

Trends in Psychiatry and Psychotherapy Pub Date : 2026-01-06 DOI: 10.47626/2237-6089-2025-1082

Marcos Hortes N Chagas, Bianca Leticia C C Ferreira, Laura Lobrigatti Pelaes, Ana Julia L Bomfim

{"title":"Effects of a single-session facial emotion recognition training using the MTS paradigm in cognitively unimpaired older adults.","authors":"Marcos Hortes N Chagas, Bianca Leticia C C Ferreira, Laura Lobrigatti Pelaes, Ana Julia L Bomfim","doi":"10.47626/2237-6089-2025-1082","DOIUrl":"https://doi.org/10.47626/2237-6089-2025-1082","url":null,"abstract":"Introduction: Facial emotion recognition (FER) is the ability to interpret the feelings and emotions of others. Given the decline in FER ability observed in older adults, intervention studies to assess the effects of training this skill are essential. Therefore, this study aims to evaluate the effects of FER training in cognitively unimpaired older adults.Method: A randomized, crossover clinical trial was conducted. Twenty-two individuals aged 60 years or older, without indications of depression or cognitive decline, were selected. Participants completed one session of FER training and one control training session through a Matching-to-Sample (MTS) procedure on a portable touchscreen computer, with a seven-day interval between sessions. The primary outcomes were total accuracy and accuracy by emotion in two FER tasks, using dynamic and static stimuli.Results: In the dynamic stimuli task, repeated-measures ANOVA revealed significant differences in overall emotion accuracy (F2,40 = 4.592; p = 0.016; η²p = 0.187). Bonferroni post hoc analysis indicated improvement following FER training compared to baseline (p = 0.004). Additionally, ANOVA showed improved recognition of happiness (F2,40 = 7.732; p = 0.001; η²p = 0.279) following FER training compared to control training. Regarding the static stimuli task, ANOVA revealed significant differences in scores only for disgust (F2,40 = 5.748; p = 0.006; η²p = 0.223), with improvement following FER training compared to baseline (p = 0.005).Conclusion: FER training increased overall performance accuracy, particularly for happiness and disgust. Future studies involving multiple training sessions, larger sample sizes, and clinical populations are essential for the generalization of these findings.","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913317","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}

引用次数: 0

Nonsuicidal self-injury behavior and internet use profile in undergraduate students: a cross-sectional study. 大学生非自杀自伤行为与网络使用概况：一项横断面研究。

IF 2.2

Trends in Psychiatry and Psychotherapy Pub Date : 2026-01-05 DOI: 10.47626/2237-6089-2025-1122

Bárbara Evelline da Silva Bandeira, Amilton Dos Santos, Eloisa Helena Valler Rubello Celeri

{"title":"Nonsuicidal self-injury behavior and internet use profile in undergraduate students: a cross-sectional study.","authors":"Bárbara Evelline da Silva Bandeira, Amilton Dos Santos, Eloisa Helena Valler Rubello Celeri","doi":"10.47626/2237-6089-2025-1122","DOIUrl":"https://doi.org/10.47626/2237-6089-2025-1122","url":null,"abstract":"Objective: The objective of the present study was to describe and analyze the characteristics of internet use in undergraduate students that engaged in nonsuicidal self-injury (NSSI) compared with individuals not engaging in this behavior.Methods: An observational cross-sectional study was conducted. The questionnaire used to investigate NSSI was devised based on the DSM5 diagnostic criteria. Internet use was investigated using 2 questionnaires: a questionnaire developed by the researchers; and the Portuguese version of the Internet Addiction Test (IAT). Exploratory analysis of data was performed based on summary measures. Mann-Whitney and chi-square tests were employed, and multiple logistic regression models constructed with stepwise variable selection criteria. A 5% level of significance was adopted.Results: Data on 6,906 university students were analyzed, 1,188 (17%) of whom reported at least one NSSI episode in their lifetime. The group engaging in self-injurious behavior showed a stronger association with more intense internet use than they would like and felt they related more with individuals online than in person. The group engaging in self-injurious behavior reported using the internet more often to meet new people for friendships and for erotic relationships and preferred the excitement of the internet to intimacy with a partner.Conclusion: The feeling of loneliness linked to self-injurious behavior might contribute to self-injurers seeking relationships online. Also, the anonymous nature of online interactions may constitute an attractive environment for expressing psychological anguish and other emotional problems. As a study limitation, this is a cross-sectional design in which associations are identified, but risk factors cannot be established.","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906816","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}

引用次数: 0

PID-5-SRF online administration: psychometric indicators and measurement invariance between different formats of data collection. PID-5-SRF 在线管理：不同数据收集格式之间的心理测量指标和测量不变性。

IF 2.2

Trends in Psychiatry and Psychotherapy Pub Date : 2026-01-01 Epub Date: 2024-05-28 DOI: 10.47626/2237-6089-2023-0711

Ana Maria Barchi-Ferreira, Flavia L Osório

{"title":"PID-5-SRF online administration: psychometric indicators and measurement invariance between different formats of data collection.","authors":"Ana Maria Barchi-Ferreira, Flavia L Osório","doi":"10.47626/2237-6089-2023-0711","DOIUrl":"10.47626/2237-6089-2023-0711","url":null,"abstract":"Objective: The Personality Inventory for DSM-5 (PID-5) is a tool used to assess maladaptive personality traits according to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) alternative model. The objective is to seek evidence of the validity and reliability of the PID-5 - Self Reported Form (PID-5-SRF) administered online and assess its measurement invariance compared to the paper-and-pencil administration.Method: A sample of 274 individuals from the general population (73.4% of women; 34.76 years old ± 11.6) completed the instrument online after the study was disseminated on social media and among the authors' contacts.Results: Internal consistency (facets α ≥ 0.70; domains α ≥ 0.89) and test-retest reliability (15 to 30 days: facets intraclass correlation coefficient [ICC] ≥ 0.63; domains ICC ≥ 0.82) were satisfactory, but a floor effect was found in almost all the items. A large number of facets (n = 9) showed better fit to a bifactorial structure, and the exploratory factor analysis (EFA) suggested that a six-factor model better fits the data. Measurement invariance between the online and paper-and-pencil administrations was not attested at a configural level.Conclusion: The results revealed satisfactory psychometric indicators when the instrument was applied online, confirming its feasibility in collecting data. However, the instrument's structure is not invariant, and caution must be adopted when comparing and interpreting data collected through different formats.","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20230711"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162681","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}

引用次数: 0

Actions and joint efforts of a public school of medicine to promote health and well-being during a climate disaster: a journey toward community resilience. 一所公立医学院在气候灾难期间促进健康和福祉的行动与共同努力：社区抗灾之旅》。

IF 2.2

Trends in Psychiatry and Psychotherapy Pub Date : 2026-01-01 Epub Date: 2024-09-25 DOI: 10.47626/2237-6089-2024-0936

Andreia Biolo, Simone Hauck, Roberto Nunes Umpiere, Santiago Madeira Diefenthaeler, Marina Luiza Hartmann, Rafael Hermes Desimon, Gabriela Hackmann, Gisele Gus Manfro, Lúcia Kliemann

引用次数: 0

Diagnosis of mental disorders in caregivers of patients with bipolar disorder: a gap in the scientific literature. 双相情感障碍患者照顾者的精神障碍诊断：科学文献中的空白。

IF 2.2

Trends in Psychiatry and Psychotherapy Pub Date : 2026-01-01 Epub Date: 2024-11-03 DOI: 10.47626/2237-6089-2024-0882

Sarah Prates, Mariana Troesch, Rafaela Magalhães-Britto, Caroline Dallalana, Paula Studart-Bottó, Gabriela Léda-Rêgo, Juliana Socorro-Casqueiro, Stella Sarmento, Ângela Miranda-Scippa

{"title":"Diagnosis of mental disorders in caregivers of patients with bipolar disorder: a gap in the scientific literature.","authors":"Sarah Prates, Mariana Troesch, Rafaela Magalhães-Britto, Caroline Dallalana, Paula Studart-Bottó, Gabriela Léda-Rêgo, Juliana Socorro-Casqueiro, Stella Sarmento, Ângela Miranda-Scippa","doi":"10.47626/2237-6089-2024-0882","DOIUrl":"10.47626/2237-6089-2024-0882","url":null,"abstract":"Objective: Caregivers appear to experience mental health implications related to their role in supporting patients with bipolar disorder (BD). This study aimed to review the literature assessing the presence of not only psychiatric symptoms but also mental disorders and personality disorders in caregivers of patients with BD.Methods: This is a narrative review. Articles were searched in some online databases, including PubMed, Embase, Web of Science, PsychINFO, Lilacs, and SciELO up to June 2024. Inclusion criteria comprised articles in any language, focusing on primary caregivers of patients with BD, and quantitative studies evaluating the presence of mental disorder, personality disorder, or psychiatric symptoms in this caregiver group.Results: The review encompassed 15 articles. Only two studies utilized appropriate diagnostic instruments for assessing mental disorder, and no article evaluated personality disorder. Prevalence of caregiver's psychiatric symptoms and mental disorder was found to be higher compared to the general population.Conclusion: The lack of studies employing diagnostic assessment tools for mental disorder in these individuals may impede timely access to treatment, affecting both the caregiver's health and the clinical course of patients with BD. This study provides an updated overview of research on caregivers of patients with BD, despite the limitation of not being a systematic review. Further studies employing diagnostic assessments on caregivers are essential to gain deeper insights into this critical topic.","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20240882"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569795","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}

引用次数: 0

Sexual function in patients with bipolar disorder type I evaluated in symptomatic remission: a cross-sectional study. 症状缓解期双相情感障碍 I 型患者的性功能评估：一项横断面研究。

IF 2.2

Trends in Psychiatry and Psychotherapy Pub Date : 2026-01-01 Epub Date: 2024-07-31 DOI: 10.47626/2237-6089-2023-0778

Juliana Socorro-Casqueiro, Vitor Almeida, Gabriela Léda-Rêgo, Paula Studart-Bottó, Mariana Troesch, Sarah Prates, Stella Sarmento, Caroline Dallalana, Ângela Miranda-Scippa

{"title":"Sexual function in patients with bipolar disorder type I evaluated in symptomatic remission: a cross-sectional study.","authors":"Juliana Socorro-Casqueiro, Vitor Almeida, Gabriela Léda-Rêgo, Paula Studart-Bottó, Mariana Troesch, Sarah Prates, Stella Sarmento, Caroline Dallalana, Ângela Miranda-Scippa","doi":"10.47626/2237-6089-2023-0778","DOIUrl":"10.47626/2237-6089-2023-0778","url":null,"abstract":"Objective: Bipolar disorder (BD) is a chronic pathology that is associated with several impairments throughout a patient's life, including decreased sexual function. Despite the importance in quality of life (QoL), functionality and medication adherence, it is still little investigated in these patients. The objective of this study was to compare the sexual function of patients with Bipolar Disorder type I (BD-I), in remission, with healthy controls (HCs) and to investigate the clinical and socio-demographic characteristics associated with sexual function in these individuals. Also, to assess the QoL in patients with and without sexual dysfunction (SD).Methods: Cross-sectional study with 132 patients with BD-I in euthymic phase and 61 HCs from an outpatient clinic. All the participants were evaluated through the Arizona Sexual Scale (ASEX) and the brief version of the World Health Organization Quality of Life Assessment (WHOQoL-BREF). The patients with BD-I were compared with the HCs. The patients were divided into two groups: the ones diagnosed with SD and the ones without it.Results: The patients with BD-I had higher rates of SD (42.4%) compared to the HCs (16.4%) (OR 3.67, 95%CI 1.55-8.67; p = 0.003). SD in patients was associated with being women (p = 0.001), older age (p = 0.003) and having a longer duration of untreated illness (p = 0.010). Patients with SD had worse QoL scores compared to those without SD.Conclusion: Patients with BD-I have a high prevalence of SD and this was associated with worse QoL scores in all domains.","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20230778"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861205","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}

引用次数: 0

Prevalence of mental disorders according to DSM-5 in older adults living in the community: a cross-sectional study. 根据DSM-5，生活在社区中的老年人的精神障碍患病率：一项横断面研究。

IF 2.2

Trends in Psychiatry and Psychotherapy Pub Date : 2025-12-23 DOI: 10.47626/2237-6089-2025-1206

Marcos Hortes N Chagas, Livio Rodrigues Leal, Natalia Mota de Souza, Rebeca Mendes P Pessoa

{"title":"Prevalence of mental disorders according to DSM-5 in older adults living in the community: a cross-sectional study.","authors":"Marcos Hortes N Chagas, Livio Rodrigues Leal, Natalia Mota de Souza, Rebeca Mendes P Pessoa","doi":"10.47626/2237-6089-2025-1206","DOIUrl":"https://doi.org/10.47626/2237-6089-2025-1206","url":null,"abstract":"Introduction: Population aging in Brazil has important implications for public health, including an increased prevalence of mental disorders. Few Brazilian studies have assessed these conditions in community-dwelling older adults using DSM-5 criteria.Objective: To determine the prevalence of mental disorders in older adults according to DSM-5 diagnostic criteria.Methods: A cross-sectional study was conducted with 267 older adults living in the catchment area of a Primary Health Care Unit in São Paulo State. Structured clinical evaluations based on DSM-5 were conducted by trained psychiatrists. Frequencies were calculated, and logistic regression analyses examined associations with sex, age, and education.Results: The prevalence of any current mental disorder was 74.2%, with 46.8% presenting two or more diagnoses. The most frequent disorders were generalized anxiety disorder (17.6%), depressive disorders (13.5%), and neurocognitive disorders (34.0%). Female sex was associated with greater odds of generalized anxiety disorder (OR=2.3; 95% CI: 1.12-4.74; p=0.032) and marginally with major depression (OR=2.02; 95% CI: 0.93-4.42; p=0.077). Older age was associated with both mild (OR=1.06; 95% CI: 1.02-1.11; p=0.005) and major neurocognitive disorders (OR=1.06; 95% CI: 1.00-1.12; p=0.037), whereas lower education was associated with major neurocognitive disorder (OR=0.75; 95% CI: 0.59-0.95; p=0.019).Conclusions: The prevalence of mental disorders in community-dwelling older adults was high, particularly for anxiety, depression, and neurocognitive disorders. These findings highlight the need for screening and mental health strategies targeting this population, especially in primary care settings.","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821475","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}

引用次数: 0