Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Associations between discriminatory experiences and dementia in the Health and Retirement Study.","authors":"Jean Tyan, Roland J Thorpe, Christine Ladd-Acosta, Aisha S Dickerson","doi":"10.1007/s00127-025-02822-6","DOIUrl":"https://doi.org/10.1007/s00127-025-02822-6","url":null,"abstract":"<p><p>Dramatic racial and ethnic disparities in dementia necessitate research into potential risk factors and points of intervention. Using data from a large sample (n = 13,733) of older US residents participating in the Health and Retirement Study between 2006 and 2016, we investigated relationships between everyday and major discrimination and development of dementia. Data on self-reported everyday and major discrimination were collected via questionnaires. Algorithmic classification of probable dementia status was determined via a battery of cognitive tests. We used logistic regression models, and analyses were stratified by race and ethnicity and sex. We found that overall, more frequent experiences of everyday discrimination were associated with higher odds of developing dementia (odds ratio (OR) = 1.18; 95% confidence interval (CI): 1.10, 1.27; p < 0.001). Estimates stratified by race similarly suggested the positive association between everyday discrimination and odds of dementia onset was highest in non-Hispanic Black participants (OR: 1.30; 95% CI: 1.13, 1.51; p < 0.001). Our results reveal a link between frequency of everyday experiences of discrimination and dementia onset and highlight the role of psychosocial exposures in health and disease. This study underlines the impact that psychosocial stressors can have on cognitive health. Interventions addressing psychosocial risk factors experienced disproportionately by historically marginalized groups may be crucial in the goal to mitigate dementia disparities and achieve dementia equity.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371330","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":"Poor family finances, family-based adverse childhood experiences, and depressive and behavioral symptoms in adolescence.","authors":"Sondre Aasen Nilsen, Rebecca Lynn Radlick, Kristin Gärtner Askeland","doi":"10.1007/s00127-025-02824-4","DOIUrl":"https://doi.org/10.1007/s00127-025-02824-4","url":null,"abstract":"<p><strong>Purpose: </strong>Adverse childhood experiences (ACEs) are a possible pathway through which poor family finances influences adolescents' behavioral and mental health problems. However, the interrelationship between family finances, ACEs, and behavioral and mental health outcomes in adolescence has received little attention. We aimed to (1) document exposure to family-based ACEs by perceived family finances (PFF), (2) examine how PFF relates to cumulative and pattern-based approaches to ACEs, and (3) assess the direct and interactive associations between PFF and ACEs in relation with behavioral and mental health problems.</p><p><strong>Methods: </strong>Data stem from the 2017-2019 nationwide Ungdata surveys of adolescents aged 13-15 (n = 12,560). Family-based ACEs were measured by 6 items covering parental alcohol use and intoxication, and intra-familial violence and fighting. The family-based ACEs were used both as a cumulative index score and examined through latent class analysis (LCA) to identify patterns of exposures. Cluster robust linear regression analyses were used to examine additive and interactive associations between PFF, family-based ACEs, and behavioral and depressive symptoms.</p><p><strong>Results: </strong>Poor (compared to not poor) PFF was significantly associated with more depressive symptoms and behavioral problems. Cumulative and pattern based approaches to family-based ACEs partially and similarly attenuated the association between PFF and mental health outcomes. Mainly, however, PFF and family-based ACEs were independently associated with mental health outcomes and did not interact.</p><p><strong>Conclusions: </strong>Poor family finances and family-based ACEs co-occur, and both have strong associations with depressive symptoms and behavioral problems in adolescence.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371333","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":"Multi-level socioeconomic modifiers of the comorbidity of post-traumatic stress and tobacco, alcohol, and cannabis use: the importance of income.","authors":"Henri M Garrison-Desany, Jacquelyn L Meyers, Sarah D Linnstaedt, Karestan C Koenen, Stacey L House, Francesca L Beaudoin, Xinming An, Thomas C Neylan, Gari D Clifford, Tanja Jovanovic, Laura T Germine, Kenneth A Bollen, Scott L Rauch, John P Haran, Alan B Storrow, Christopher Lewandowski, Paul I Musey, Phyllis L Hendry, Sophia Sheikh, Christopher W Jones, Brittany E Punches, Jose L Pascual, Mark J Seamon, Erica Harris, Claire Pearson, David A Peak, Robert M Domeier, Niels K Rathlev, Brian J O'Neil, Paulina Sergot, Steven E Bruce, Samuel A McLean, Christy A Denckla","doi":"10.1007/s00127-025-02821-7","DOIUrl":"https://doi.org/10.1007/s00127-025-02821-7","url":null,"abstract":"<p><strong>Purpose: </strong>Post-traumatic stress (PTS) symptoms are highly comorbid with substance use (i.e., alcohol, tobacco, and cannabis). Few studies have investigated potential individual-, household-, and neighborhood-level socioeconomic effect modifiers of this comorbidity in longitudinal analyses. We aim to examine interactions between this multi-level environment and PTS symptoms on future substance use behaviors.</p><p><strong>Methods: </strong>Data were drawn from the Advancing Understanding of RecOvery afteR traumA (AURORA) study, including 2943 individuals who presented to the emergency department (ED) within 72 h of a traumatic event. Frequency of tobacco, alcohol, cannabis use, and PTS symptoms were reported at 6 timepoints. Mixed effect Poisson models, clustered by state, were used to generate incidence rate ratios (IRRs) substance use, both cross-sectionally and prospectively. Moderation analysis of PTS and substance use, stratified by household income and area deprivation index (ADI), was conducted using mixed effect models and parallel process growth curves.</p><p><strong>Results: </strong>Significant associations were observed between PTS with tobacco, alcohol, and cannabis use frequency cross-sectionally, and for tobacco and alcohol and PTS exposure prospectively. Lower income (P < 0.001) and higher deprivation (P < 0.001) were associated with tobacco use, while higher income (P < 0.001) and less deprivation (P = 0.01) were associated with increased alcohol use. We found modest modification by household income for alcohol and tobacco, and little evidence of modification by neighborhood ADI.</p><p><strong>Conclusions: </strong>Household income had greater evidence of effect modification for substance use, compared to neighborhood-level ADI. Our findings demonstrate that household indicators of socioeconomic status likely modify the relationship between PTS and substance use.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366349","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":"Gender differences in the association between childhood trauma, clinical symptoms, and cognitive function in Chinese patients with chronic schizophrenia.","authors":"ZhaoXuan Shang, ChunQing Fang, GuoShuai Luo, XiaoE Lang, Xiangyang Zhang","doi":"10.1007/s00127-025-02826-2","DOIUrl":"https://doi.org/10.1007/s00127-025-02826-2","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigates the gender-specific associations between childhood trauma, clinical symptoms, and cognitive function in Chinese patients with chronic schizophrenia.</p><p><strong>Methods: </strong>A total of 601 patients with chronic schizophrenia were evaluated using the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Positive and Negative Syndrome Scale (PANSS), and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Correlation and regression analyses were performed to explore the relationships between childhood trauma and clinical symptoms and cognitive function, considering gender differences.</p><p><strong>Results: </strong>Childhood trauma prevalence showed no gender differences. In male patients, physical neglect predicted PANSS Positive symptoms (β = 0.123), and physical abuse was linked to lower Visuospatial Construction scores (β = -0.103). In female patients, emotional neglect predicted PANSS Positive (β = 0.225) and Excitement factors (β = 0.197), and emotional abuse predicted Depressive symptoms (β = 0.186). Sexual abuse was associated with lower language scores (β = -0.204), and physical neglect with deficits in Immediate (β = -0.261) and Delayed Memory (β = -0.157).</p><p><strong>Conclusion: </strong>The findings highlight distinct gender-specific patterns in the impact of childhood trauma on clinical symptoms among patients with chronic schizophrenia. This suggests the necessity for gender-specific therapeutic interventions to address these differences effectively.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190841","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":"Assessing personal recovery in individuals with severe mental illness: validation of the Dutch Brief INSPIRE-O.","authors":"Wilma E Swildens, Ellen Visser, Welmoed van Ens, Barbara Schaefer, Annet Nugter, Philippe Delespaul, Jaap van Weeghel, Mike Slade, Sarita A Sanches","doi":"10.1007/s00127-025-02815-5","DOIUrl":"https://doi.org/10.1007/s00127-025-02815-5","url":null,"abstract":"<p><strong>Purpose: </strong>Recovery is a key objective in mental health services for people with severe mental illness (SMI). In addition to clinical and functional recovery, personal recovery has gained increasing attention. The CHIME Framework identifies five personal recovery processes-Connectedness, Hope, Identity, Meaning, Empowerment-and is the theoretical foundation for the Brief INSPIRE, a validated Patient-Rated Experience Measure (PREM) to evaluate recovery support. Brief INSPIRE was modified to a five-item Patient-Rated Outcome Measure (PROM) assessing recovery, called Brief INSPIRE-Outcome (Brief INSPIRE-O). Subject of this study are the psychometric properties of the Brief INSPIRE-O.</p><p><strong>Methods: </strong>Data on validity and reliability gathered through annual routine outcome monitoring were collected for 861 individuals with SMI of Flexible Assertive Community Treatment teams and a follow-up measurement was available for 232 of these individuals. Test-retest reliability was evaluated in a separate subset of 30 individuals with SMI.</p><p><strong>Results: </strong>The Brief INSPIRE-O shows good internal consistency (Cronbach's alpha 0.77), test-retest reliability, construct validity, sensitivity to change and no floor or ceiling effects. Furthermore, change in Brief INSPIRE-O was positively related to changes in quality of life and negatively to problems in clinical functioning and unmet care need.</p><p><strong>Conclusion: </strong>Brief INSPIRE-O can be used for research and monitoring to better understand and improve processes of personal recovery in individuals with SMI.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069167","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":"Medication adherence, depression levels, and quality of life among young people with depression in Indonesia: a mixed method study.","authors":"Lafi Munira, Pranee Liamputtong, Bumi Herman, Pramon Viwattanakulvanid","doi":"10.1007/s00127-025-02819-1","DOIUrl":"https://doi.org/10.1007/s00127-025-02819-1","url":null,"abstract":"<p><strong>Background: </strong>Limited information is available on medication adherence, depression levels, and quality of life (QoL) among young individuals with depression in Indonesia.</p><p><strong>Objectives: </strong>This study examined factors associated with medication adherence, depression severity, and QoL in young Indonesians with depression. It also explored (1) reasons for good or poor adherence and (2) participants' perceived QoL.</p><p><strong>Methods: </strong>A mixed-methods sequential explanatory design was employed from January to June 2022. A national cross-sectional survey of 681 participants was conducted, followed by qualitative interviews with 40 participants.</p><p><strong>Results: </strong>Low medication adherence was observed in 76.2% of participants. Higher adherence was associated with a bachelor's degree. Lower depression levels were linked to older age, female gender, longer treatment duration, and a family history of psychiatric disorders (p < 0.05). QoL significantly declined among people with higher income, the presence of family psychiatric disorders, lower adherence, and more severe depression level. Qualitative findings highlighted inadequate mental health literacy, marital status, low income, lack of support, and side effects as barriers to adherence. Financial stability and positive social support were critical for better QoL.</p><p><strong>Conclusion: </strong>Key factors influencing medication adherence among young Indonesians with depression included income, national health insurance coverage, mental health literacy, and social support. Strengthening communication between patients and mental health providers, particularly psychiatrist, is essential to optimize treatment plans and improve outcomes.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069168","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 embrace of polysemy: producing 'the social' in mental health research.","authors":"Baptiste Brossard","doi":"10.1007/s00127-025-02820-8","DOIUrl":"https://doi.org/10.1007/s00127-025-02820-8","url":null,"abstract":"","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054048","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":"Exploring the tipping point: a qualitative study of labour marked experiences among young people with first episode of schizophrenia.","authors":"Lisbeth Ørtenblad, Birthe Bruun Olsen, Ditte Lammers Vernal, Pernille Pedersen","doi":"10.1007/s00127-025-02816-4","DOIUrl":"https://doi.org/10.1007/s00127-025-02816-4","url":null,"abstract":"<p><strong>Purpose: </strong>Work holds significant value in the lives of most individuals, impacting various aspects such as identity, health, and the economy. However, young individuals with schizophrenia often encounter challenges in accessing and maintaining employment. Despite this, knowledge regarding their experiences with labor market is sparse. The study aimed to explore perspectives on labor market affiliation and vocational intervention in relation to quality of life and health among young people with schizophrenia.</p><p><strong>Methods: </strong>A qualitative approach was employed, applying individual interviews as data collection method. Twelve patients with first episode of schizophrenia were recruited from two outpatient clinics. Thematic analysis was used, following an inductive process. A user panel was established to ensure quality and relevance of the study.</p><p><strong>Results: </strong>Three key themes were identified from the analysis: 1. \"Work is simultaneously rewarding and demanding\", highlighting the struggle to balance the benefits of employment with the difficulties of meeting labor market requirements; 2. \"Mental health, stigma and work: A complex interplay\", which concerned how work simultaneously contributes to stress and reduces psychiatric symptoms; 3. \"Supported employment: Facilitating work-life balance\", concerning how supported employment intervention facilitated a better work-life balance, enhancing overall quality of life, under specific conditions.</p><p><strong>Conclusion: </strong>Young individuals with schizophrenia are highly motivated to work, yet encounter significant barriers to labour market participation, related both to their mental health condition and societal stigma. Supported employment programmes emerge as crucial in empowering individuals with schizophrenia to navigate the complexities of the labour market while managing their mental health effectively.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034714","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":"Mental health and help-seeking behaviors among Mozambican youth: insights from a post-pandemic National Survey Amidst Internal Conflict.","authors":"Omid Dadras","doi":"10.1007/s00127-025-02817-3","DOIUrl":"https://doi.org/10.1007/s00127-025-02817-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the prevalence and sociodemographic determinants of major depressive disorder (MDD) and generalized anxiety disorder (GAD) among Mozambican youth aged 15-24 years, as well as their help-seeking behaviors.</p><p><strong>Methods: </strong>Data from 8,154 youth participants in the 2022-23 Mozambique Demographic Health Survey were analyzed. MDD and GAD were assessed using the PHQ-9 and GAD-7 scales, respectively. Univariate and multivariate logistic regression analyses were conducted to examine associations between sociodemographic factors and mental health outcomes and health-seeking behaviors.</p><p><strong>Results: </strong>The prevalence of MDD and GAD among Mozambican youth was 7.5% for each condition. However, only 9.3% of those with either MDD or GAD sought help for their symptoms, primarily from family and friends. Females had significantly higher odds of experiencing both MDD and GAD but lower help-seeking behavior as compared to males. Unemployment, lower household wealth, and being single were associated with higher odds of both disorders and lower odds of help-seeking behaviors. Higher education increased the odds of GAD and help-seeking behaviors. Significant regional variations were observed, with conflict-affected regions including Cabo Delgado, Nampula, and Zambezia showing the highest prevalence of MDD and GAD.</p><p><strong>Conclusion: </strong>This study reveals substantial mental health challenges among Mozambican youth, with notable disparities across sociodemographic groups and regions. The low rates of help-seeking behavior underscore the need for targeted interventions to improve mental health awareness and access to services for socio-demographically vulnerable youth.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029995","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":"Interventions supporting meaningful connections for people with serious mental illness: a concept-framed systematic narrative review.","authors":"Emi Patmisari, Yunong Huang, Mark Orr, Sumathi Govindasamy, Emily Hielscher, Helen McLaren","doi":"10.1007/s00127-025-02812-8","DOIUrl":"https://doi.org/10.1007/s00127-025-02812-8","url":null,"abstract":"<p><strong>Purpose: </strong>Meaningful connections, encompassing relationships providing emotional support, understanding, acceptance, and a sense of belonging, are vital for social inclusion and well-being of Individuals with serious mental illness (SMI). The mixed methods review critically explored multifaceted approaches supporting people with SMI to foster meaningful (non-intimate) social relationships or connections.</p><p><strong>Methods: </strong>Searches of eight electronic databases returned 4882 records. Duplicate removal, title abstract, then full-text, screening and hand searching resulted in 23 records for inclusion. Studies were integrated using the CIVIC Framework emphasising the importance of Closeness, Identity, Valued relationships, Involvement, feeling Cared for and accepted.</p><p><strong>Results: </strong>The review identified emotional and physical challenges, societal stigma, and other environmental factors to hinder making meaningful connections. Studies highlighted the necessity for interventions being adaptable, personalised, and encompassing of structured activities, peer and professional supports, and technology-assisted platforms.</p><p><strong>Conclusion: </strong>The complexity of social interactions for those with SMI call for comprehensive, holistic strategies to nurture social relationships within their communities.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014855","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}