Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Social functioning, loneliness, and psychosis phenotype in the general population: a network analysis perspective.","authors":"Valentína Cviková, Sára Majsniarová, Jakub Januška, Alexandra Straková, Silvia Harvanová, Vladimír Ivančík, Natália Čavojská, Adam Kurilla, Anton Heretik, Michal Hajdúk","doi":"10.1007/s00127-026-03095-3","DOIUrl":"https://doi.org/10.1007/s00127-026-03095-3","url":null,"abstract":"<p><strong>Purpose: </strong>Psychotic experiences (PEs) occur across a continuum from subclinical phenomena in the general population to clinical disorders and are consistently associated with impaired social functioning. The present study aimed to investigate the network structure linking PEs, social functioning, and loneliness, and to identify central elements within this network.</p><p><strong>Methods: </strong>We analyzed data from a representative sample of Slovak adults (N = 1200) who completed validated measures of PEs, loneliness, social functioning, emotional distress, social motivation, and mentalizing. A regularized partial correlation network was estimated using EBICglasso, comprising 17 nodes. Centrality indices and edge weights were used to determine the most influential nodes and connections.</p><p><strong>Results: </strong>The network revealed 40 non-zero edges. Friendship approach, bizarre experiences, social withdrawal, paranoia, and avolition emerged as the most interconnected nodes. Paranoia was strongly associated with loneliness and social withdrawal, while avolition was linked to loneliness and reduced social participation. Negative affect showed associations with loneliness and diminished participation. Social withdrawal linked negative symptoms to diminished social engagement and interpersonal communication. In contrast, hallucinations and grandiosity showed no notable direct associations with social functioning or loneliness.</p><p><strong>Conclusion: </strong>These findings highlight paranoia, social withdrawal, and avolition as central mechanisms connecting PEs with social functioning and loneliness, while social approach motivation may serve as a protective factor. The results support a dimensional model of psychosis and point to early social and motivational targets for intervention.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The protective role of social support against dissociative symptoms: Longitudinal findings from two international survey projects.","authors":"Hong Wang Fung, Stanley Kam Ki Lam, Celinene M Lay, Cherry Tin Yan Cheung, Marc Eric S Reyes, Edo S Jaya, Firdaus Mukhtar, Amos En Zhe Lian, Görkem Derin, Peejay D Bengwasan, Georgekutty Kochuchakkalackal Kuriala, Kadir Uludag, Steffi Hartanto, Nimaz Indryastuti Dewantary, Riangga Novrianto, Yan Li, Ming Yu Claudia Wong, Shan-Yan Huang, Audrey Zatopek, Wai Tong Chien, Guangzhe Frank Yuan","doi":"10.1007/s00127-026-03105-4","DOIUrl":"https://doi.org/10.1007/s00127-026-03105-4","url":null,"abstract":"<p><strong>Background: </strong>Dissociative symptoms are prevalent and disabling, but little is known about what factors can longitudinally predict dissociative symptoms. This study examined the protective role of perceived social support against dissociative symptoms.</p><p><strong>Methods: </strong>We analyzed data from the International Dissociative Depression Survey Project (N = 152) and the International Female Mental Health Survey Project (N = 293). In both samples, participants completed validated measures of dissociative symptoms and perceived social support at baseline, and then reported their dissociative symptoms after approximately 6 to 12 months. We tested the hypothesis that perceived social support would predict subsequent dissociative symptoms in each sample and see whether the results could be replicated across different samples.</p><p><strong>Results: </strong>After controlling for demographic variables, childhood trauma, and baseline dissociative symptoms, baseline perceived social support was significantly associated with fewer dissociative symptoms at follow-up (β = - 0.129 to - 0.198, p = .001). The results were replicated across the two samples.</p><p><strong>Conclusion: </strong>This study contributes to the very limited literature on the longitudinal predictors of dissociative symptoms. Our results point to the critical role of social-interpersonal and family interventions in preventing and treating dissociative symptoms.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Illuminating the complex interplay of risk factors for depression symptoms within a large-scale US longitudinal cohort.","authors":"Katherine N Thompson, Baptiste Couvy-Duchesne, Sang Hong Lee, Rafael Geurgas, Yeongmi Jeong, Saranya Arirangan, Saul Newman, Felix C Tropf, Robbee Wedow","doi":"10.1007/s00127-026-03098-0","DOIUrl":"https://doi.org/10.1007/s00127-026-03098-0","url":null,"abstract":"","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal maternal depression and child mental health from pregnancy to child age 7: a study of three life course frameworks.","authors":"Allison Frost, Kaitlin Shartle, Michelle Escobar Carias, Sarah C Haight, John A Gallis, Aparna G Kachoria, Amina Bibi, Sugandh Gupta, Ashley Hagaman, Sonia Bhalotra, Victoria Baranov, Elizabeth L Turner, Nasim Chaudhry, Atif Rahman, Siham Sikander, Joanna Maselko","doi":"10.1007/s00127-026-03100-9","DOIUrl":"https://doi.org/10.1007/s00127-026-03100-9","url":null,"abstract":"<p><strong>Purpose: </strong>Maternal depression is associated with mental health difficulties in children, but it is unclear how the timing or duration of depressive symptoms impact child outcomes. This study tested three life course frameworks in the longitudinal association between maternal depression and child mental health: sensitive periods, accumulation, and chain of risk.</p><p><strong>Methods: </strong>841 mother-child dyads in Pakistan were followed from pregnancy through child age 7. Maternal depressive symptoms were assessed during the third trimester of pregnancy, infancy (3 and 6 months postpartum), early childhood (child age 2 and 3), and middle childhood (child age 4 and 6). Child mental health difficulties were measured at age 7. Path modeling was used to test each life course hypothesis.</p><p><strong>Results: </strong>Maternal depressive symptoms during early childhood and middle childhood, but not pregnancy or infancy, were associated with increased mental health difficulties at child age 7. Results supported the accumulation model, meaning there was a dose-response relationship between the number of periods of maternal depression and child mental health difficulties. Results also supported a chain of risk model, suggesting that early maternal depression can trigger a cascade of intervening maternal depressive episodes, the most recent of which are associated with child mental health.</p><p><strong>Conclusion: </strong>Results show that early exposure to maternal depression impacts children's later mental health through subsequent exposure to maternal depression. In addition, recent exposure to maternal depression is particularly impactful for child mental health. This suggests that interventions for maternal depression may benefit children at multiple points in the life course.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social isolation in mid-life: associations with psychological distress, life satisfaction and self-rated health in two successive British birth cohorts.","authors":"Rosie Mansfield, Marcus Richards, George B Ploubidis, Morag Henderson, Praveetha Patalay","doi":"10.1007/s00127-025-03041-9","DOIUrl":"10.1007/s00127-025-03041-9","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines how different forms of social isolation, such as living alone, lack of community engagement, and unemployment, are associated with mental health in mid-life (ages 42-46), a life stage often overlooked when examining the impacts of social isolation.</p><p><strong>Methods: </strong>Using longitudinal data (1999-2016) from two British birth cohort studies: 1970 British Cohort Study N = 16,585 and the 1958 National Child Development Study N = 15,806, this study investigated whether different forms of isolation have independent effects, contribute to cumulative risk, or interact additively or multiplicatively.</p><p><strong>Results: </strong>Effects varied by isolation type and mental health outcomes. Being out of employment was linked to higher psychological distress and lower life satisfaction and self-rated health, while living alone was only associated with lower life satisfaction. Limited contact with friends and relatives and a lack of community engagement were associated with lower life satisfaction and self-rated health. Greater social isolation corresponded to increased psychological distress, lower life satisfaction, and poorer self-rated health, demonstrating cumulative risk. Effects appeared additive rather than multiplicative. No consistent sex or cohort differences were observed.</p><p><strong>Conclusion: </strong>The study underscores the need to examine both separate and combined effects of social isolation across the complete mental health state. Isolation in its various forms was detrimental for mental health in mid-life and was most consistently linked to lower life satisfaction. Efforts to reduce isolation and its negative mental health impacts must recognise the complexity of these experiences.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"885-896"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between social determinants of health and loneliness trajectories among middle-aged and older adults: a network perspective.","authors":"Xue Wang, Liping Wei, Peng Zhao, Yaoyao Zhou, Wendie Zhou, Jiaqi Yu, Hejing Chen, Cuili Wang","doi":"10.1007/s00127-025-03021-z","DOIUrl":"10.1007/s00127-025-03021-z","url":null,"abstract":"<p><strong>Objectives: </strong>Social determinants of health (SDoH) are increasingly recognized as fundamental determinants of mental and social well-being. However, the extent to which cumulative, domainal, and individual SDoH shape loneliness trajectories in middle and later life remains unclear.</p><p><strong>Methods: </strong>This study employed longitudinal data from the China Family Panel Studies (2012-2022). Group-based trajectory modeling (GBTM) was used to classify distinct loneliness trajectories. Logistic regression analyses evaluated the associations between SDoH and trajectory groups. To further explore interrelationships, network analysis was applied to identify central nodes of SDoH.</p><p><strong>Results: </strong>A total of 11,877 participants were analyzed. GBTM revealed two patterns of loneliness: persistently low and persistently high. Participants with greater cumulative exposure to SDoH (OR = 1.26, 95% CI: 1.22-1.30) were significantly more likely to exhibit persistently high loneliness trajectories. Network analysis identified \"residence\" and \"education level\" as the most central nodes.</p><p><strong>Discussion: </strong>This study underscores the importance of addressing cumulative disadvantages across the life course. Efforts to promote healthy aging should prioritize narrowing urban-rural gaps in social infrastructure and ensuring equitable lifelong learning opportunities, which may mitigate the persistently high loneliness trajectory.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"841-851"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the effectiveness of the PAX-GOOD BEHAVIOUR GAME in improving the mental health and academic outcomes of FIRST NATIONS children in Canada: a clustered randomized controlled trial using administrative data.","authors":"Mariette J Chartier, Frank Turner, Depeng Jiang, Wendy Au, Scott McCulloch, Marni Brownell, Rob Santos, Nora Murdock, Amanda Martinson, Leanne Boyd, James Bolton, Jitender Sareen","doi":"10.1007/s00127-025-03028-6","DOIUrl":"10.1007/s00127-025-03028-6","url":null,"abstract":"<p><strong>Purpose: </strong>PAX Good Behaviour Game (PAX-GBG), a school-based mental health promotion approach, has been shown to improve children's mental health and academic outcomes. Given that these effects have yet to be shown in Indigenous populations, a partnership with First Nations communities was created to evaluate PAX-GBG's effectiveness among First Nations children living in Canada.</p><p><strong>Methods: </strong>In this clustered randomized controlled trial, we used population-based administrative data that allowed de-identified individual-level linkages. Our cohort from 20 First Nations schools was assigned to PAX-GBG (n = 468) or wait-list control (n = 255). We used multi-level regression modeling and propensity score weighting to estimate group differences in mental health and academic outcomes over time (2011-2020).</p><p><strong>Results: </strong>PAX-GBG group children had significantly greater decreases in conduct problems (β:-1.08, standard error(se):0.2505, p < .0001), hyperactivity-inattention (β:-1.13, se:0.3617, p = .0018), and peer problems (β:-1.10, se:0.3043, p = .0003) and a greater increase in prosocial scores (β:2.68, se:0.4139, p < .0001) than control group children. The percentage of PAX-GBG group children meeting academic expectations was higher than control group children. However, only third-grade numeracy (odds ratio (OR):4.30, confidence interval (CI):1.34 - 13.77) and eighth-grade reading and writing (OR:2.78, CI:1.01 - 7.67) were statistically significant. We found no evidence that PAX-GBG was associated with less emotional problems, diagnosed mental disorders, or greater student engagement or mathematics.</p><p><strong>Conclusion: </strong>These findings suggest that PAX-GBG is a promising intervention in improving First Nations children's mental health and academic outcomes. What remains unclear is whether these findings are generalizable to all First Nations and how adding supports for program implementation would influence these findings.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"829-839"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stigmatizing attitudes and causal beliefs for depression and social anxiety among adolescents in Bermuda.","authors":"Daniel Cavanagh, Laura M Hart, Shawnee Basden, Nicola Reavley","doi":"10.1007/s00127-025-02971-8","DOIUrl":"10.1007/s00127-025-02971-8","url":null,"abstract":"","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"777-790"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How does family face relate to intention to seek therapist-guided and digital self-guided psychological interventions? mediating effects of interdependent stigma and help-seeking attitudes.","authors":"Ben C L Yu, Floria H N Chio, Rebecca Y M Cheung, Kriti Kakani, Winnie W S Mak","doi":"10.1007/s00127-025-02990-5","DOIUrl":"10.1007/s00127-025-02990-5","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to investigate the association between family face concern and help-seeking intention for therapist-guided and digital self-guided psychological interventions in four cultures, with possible mediation of interdependent stigma of help-seeking and attitudes towards seeking help.</p><p><strong>Methods: </strong>Using online questionnaires, six-hundred and forty-five responses (Mean age = 21.25, SD = 4.65; 70% women) were collected from college students in four regions, including Canada (n = 172), United Kingdom (n = 158), India (n = 160), and Hong Kong (n = 155). Levels of family face concern (adapted from the Face Concern Scale), interdependent stigma of help-seeking (Interdependent Stigma of Seeking Help Scale), attitudes towards therapist-guided and digital self-guided psychological intervention (adapted Face-to-Face Counselling Attitude Scale), intention to seek these interventions (items adapted to measure intention to seek help), and depressive symptoms (Patient Health Questionnaire-9) were assessed.</p><p><strong>Results: </strong>Using R (version 4.4.1) to conduct the path analysis, results showed that after controlling for depressive symptoms, family face concern was negatively associated with the intention to seek therapist-guided psychological intervention through the perception of higher social stigma on family members and negative attitudes towards the intervention. However, such a mediating effect was not significant for the intention to seek digital self-guided psychological intervention.</p><p><strong>Conclusions: </strong>The present study highlighted the potential negative influence of family face concern on one's intention to seek psychological help. It also highlighted that digital self-guided psychological intervention may be less subject to the influence of family face concern and stigma.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"803-817"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social relationships and risk of cardio-cerebrovascular diseases: a meta-analysis of longitudinal cohort studies.","authors":"Zhengkun Liu, Yue Li, Zihan Mei, Ji Li, Xiangyu Yan, Chunxia Cao","doi":"10.1007/s00127-025-03001-3","DOIUrl":"10.1007/s00127-025-03001-3","url":null,"abstract":"<p><strong>Purpose: </strong>Increasing evidence supports the existence of an association between social relationships and cardio-cerebrovascular diseases (CCVDs). However, the magnitude of the association between various social relationship factors and CCVDs remains uncertain.</p><p><strong>Methods: </strong>Four databases were systematically searched to investigate the associations between social relationship factors and CCVDs in the general population. The retrieved longitudinal cohort studies were independently subjected to eligibility screening, data extraction, and quality assessment using the modified Newcastle-Ottawa scale by two reviewers. Relative risk (RR) with 95% confidence interval (CI) were pooled using random effects models. We conducted a synthesis across social relationship factors to estimate overall effects for the structural and functional aspects.</p><p><strong>Results: </strong>Thirty cohort studies were included. The meta-analysis revealed that social support (RR: 1.28, 95% CI: 1.11-1.47), social isolation (RR: 1.14, 95% CI: 1.07-1.22), loneliness (RR: 1.21, 95% CI: 1.07-1.37), social integration (RR: 1.16, 95% CI: 1.05-1.27) and social network (RR: 1.49, 95% CI: 1.02-2.18) were significantly associated with CCVDs. Compared with structural aspects of social relationships, functional aspects were associated with a slightly greater CCVD risk (RR: 1.23, 95% CI: 1.13-1.35 vs. RR: 1.14, 95% CI: 1.09-1.20).</p><p><strong>Conclusions: </strong>Our findings confirm that adequate social support, high social integration, and large social networks are associated with a lower CCVD risk, whereas high social isolation and loneliness are associated with a higher risk. Furthermore, functional aspects of social relationships are associated with a slightly greater CCVD risk than structural aspects. This analysis provides evidence that enhancing social relationships may help prevent CCVD.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"867-883"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}