Social Psychiatry and Psychiatric Epidemiology最新文献

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The impact of recreational cannabis legalization on cannabis-related acute care events among adults with schizophrenia. 娱乐性大麻合法化对成人精神分裂症患者中与大麻相关的急性护理事件的影响。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-10-10 DOI: 10.1007/s00127-024-02773-4
Chungah Kim, Yihong Bai, Peiya Cao, Kristine Ienciu, Antony Chum
{"title":"The impact of recreational cannabis legalization on cannabis-related acute care events among adults with schizophrenia.","authors":"Chungah Kim, Yihong Bai, Peiya Cao, Kristine Ienciu, Antony Chum","doi":"10.1007/s00127-024-02773-4","DOIUrl":"https://doi.org/10.1007/s00127-024-02773-4","url":null,"abstract":"<p><strong>Purpose: </strong>Patients with schizophrenia have a higher risk of cannabis use disorder and may be uniquely affected by the legalization of recreational cannabis. This study examined whether cannabis legalization led to changes in acute care utilization among patients with schizophrenia.</p><p><strong>Method: </strong>Using linked health administrative data, we included adult patients with schizophrenia in Ontario from October 2015 to May 2021 (n = 121,061). We examined the differences in cannabis, psychosis, and mental health-related emergency department (ED) visits over three periods: pre-legalization, legalization of flowers and herbs (phase 1), and legalization of edibles, extracts, and topicals (phase 2) using interrupted time-series methods.</p><p><strong>Results: </strong>Our study found that phase 1 was associated with decreases in cannabis-related, mental health-related, and cannabis + psychosis-related ED visits among the patients with schizophrenia. Notably, an immediate 25.8% (95% CI 13.8-37.6%) decrease in cannabis-related ED visits was observed in men, and an immediate 18.5% decrease in mental health-related ED visits (95% CI 6.0-31.2%) in women. These decreases were also shown in the comparative ITS models, demonstrating that the changes observed were distinct from trends in the general population. However, phase 2 was not associated with any significant changes.</p><p><strong>Conclusions: </strong>Despite higher baseline rates of acute care utilization among patients with schizophrenia, cannabis legalization was associated with significant reductions, particularly during phase 1. Our findings suggest that regulatory measures accompanying legalization could enhance the quality and safety of cannabis products, potentially leading to fewer adverse health outcomes in vulnerable patient populations. Further research is needed to optimize healthcare responses for this vulnerable population.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401756","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}
引用次数: 0
Person-centred crisis support services as alternatives to emergency departments: a systematic scoping review. 以人为本的危机支持服务作为急诊科的替代方案:系统性范围界定审查。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-10-10 DOI: 10.1007/s00127-024-02776-1
Danielle Postorivo, Stephen Parker, Harvey Whiteford, Zoe Papinczak, Zoe Rutherford
{"title":"Person-centred crisis support services as alternatives to emergency departments: a systematic scoping review.","authors":"Danielle Postorivo, Stephen Parker, Harvey Whiteford, Zoe Papinczak, Zoe Rutherford","doi":"10.1007/s00127-024-02776-1","DOIUrl":"https://doi.org/10.1007/s00127-024-02776-1","url":null,"abstract":"<p><strong>Purpose: </strong>To identify, critically appraise, and synthesise the published and grey literature on person-centred crisis support services as an alternative to support in emergency departments (EDs) for people experiencing mental health crises. This scoping review explores the characteristics and outcomes of these services.</p><p><strong>Methods: </strong>A systematic scoping review was undertaken to identify publications describing person-centred crisis support services and their outcomes. Search strings were applied to multiple databases, and publications were subjected to quality appraisal. The review process was informed by The Joanna Briggs Institute (JBI) Manual for Evidence Synthesis and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR).</p><p><strong>Results: </strong>Thirteen publications were included in the narrative synthesis, and these considered eight separate crisis support services. The methodological quality of the publications included was limited. Key findings were positive visitors' experiences, high rates of ED deflection, and overlaps between repeat visits, crises prevention, and hospital avoidance. Key recommendations included increasing opening hours and capacity and improving service awareness and accessibility.</p><p><strong>Conclusions: </strong>The available evidence suggests that person-centred crisis support services are perceived by stakeholders as safe and effective alternatives to EDs for people experiencing mental health crises, providing more timely and appropriate care while reducing ED mental health presentations. Due to the limited quality of the publications included, high-quality research is needed to better understand the model and confirm the findings reported in this review.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401755","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}
引用次数: 0
Change in care needs of people with severe mental illness with and without a non-Western migration background: are their needs equally served throughout treatment? 有非西方移民背景和没有非西方移民背景的重性精神病患者的护理需求变化:在整个治疗过程中,他们的需求是否得到同等满足?
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-10-09 DOI: 10.1007/s00127-024-02765-4
Duygu Gulgun, Welmoed van Ens, Wilma E Swildens
{"title":"Change in care needs of people with severe mental illness with and without a non-Western migration background: are their needs equally served throughout treatment?","authors":"Duygu Gulgun, Welmoed van Ens, Wilma E Swildens","doi":"10.1007/s00127-024-02765-4","DOIUrl":"https://doi.org/10.1007/s00127-024-02765-4","url":null,"abstract":"<p><strong>Background: </strong>People with a non-Western migration background living in Western countries are more likely to experience psychiatric problems and have more severe symptoms when they do. Patients of non-Western origin also have more unmet needs for care. This study focuses on differences between Western and non-Western patients in care needs being met during the course of mental health treatment.</p><p><strong>Methods: </strong>The care needs of 1099 patients, 39% with and 61% without a non-Western migration background, recorded between 2017 and 2020 in Flexible Assertive Community Treatment, were compared.</p><p><strong>Results: </strong>Non-Western migrants more often received psychotic disorder diagnoses, had more socio-economic problems, met, unmet and total needs for care and experienced less reduction in unmet needs during treatment. This was specifically the case for the rehabilitation areas: daily activities, treatment information, basic education, paid work and meaningful life and recovery. After controlling for socio-economic factors and diagnosis, group differences in change in number of unmet needs were no longer significant. However, the reduction in unmet needs in the areas of basic education, paid work and meaningful life and recovery remained significantly smaller for non-Western patients.</p><p><strong>Conclusions and implications for practice: </strong>Except for the rehabilitation domains of basic education, paid work and meaningful life, the disadvantages in resolving the care needs of patients with a non-Western migration background do not remain significant after taking into account socioeconomic factors and diagnosis. Collaboration of mental health care and the social domain is warranted to improve socio-economic factors for patients with a non-Western migration background, to better address their unmet needs for care.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394696","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}
引用次数: 0
Shared decision-making in the treatment of bipolar disorder: findings from a nationwide naturalistic cohort study in everyday clinical practice. 双相情感障碍治疗中的共同决策:全国范围内日常临床实践中的自然队列研究结果。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-10-08 DOI: 10.1007/s00127-024-02761-8
Joannes W Renes, Margot J Metz, Willem A Nolen, Adriaan W Hoogendoorn, Ralph W Kupka, Eline J Regeer
{"title":"Shared decision-making in the treatment of bipolar disorder: findings from a nationwide naturalistic cohort study in everyday clinical practice.","authors":"Joannes W Renes, Margot J Metz, Willem A Nolen, Adriaan W Hoogendoorn, Ralph W Kupka, Eline J Regeer","doi":"10.1007/s00127-024-02761-8","DOIUrl":"https://doi.org/10.1007/s00127-024-02761-8","url":null,"abstract":"<p><strong>Background: </strong>Shared decision-making (SDM) is of increasing importance in mental health care, however, large studies on the effects of SDM in bipolar disorder (BD) are scarce.</p><p><strong>Aim: </strong>To gain insight into the relationships between SDM, guideline concordance of treatments in everyday practice, satisfaction with care, and medication adherence in BD.</p><p><strong>Method: </strong>In a nationwide observational study on the treatment of BD, patients were asked questions about their involvement in treatment. These questions were clustered according to the three-talk model (TTM) for SDM, which involves team talk, option talk, and decision talk. A composite concordance score for multimodal treatments was made, and satisfaction with care (score 1 to 10) and medication adherence (DAI-10) were measured.</p><p><strong>Results: </strong>839 patients with BD from various outpatient treatment centers were included. Patients were highly involved in decision-making. In multiple regression, team talk was significantly positively associated with guideline concordance (b = 5.10, p = .045), and decision talk was positively associated with satisfaction with care (b = 0.82, p < .001) and medication adherence (b = 1.18, p = .003).</p><p><strong>Conclusion: </strong>Positive associations were found between SDM, guideline concordance, satisfaction with care, and medication adherence, suggesting that investing in these steps of the decision-making process together with patients and their significant others, will help to improve quality of care.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394712","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}
引用次数: 0
Using network analysis to provide evidence for brain health as a unified construct relevant to aging with HIV. 利用网络分析法提供证据,证明大脑健康是与艾滋病毒感染者的老龄化相关的统一概念。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-10-05 DOI: 10.1007/s00127-024-02778-z
Mohamad Matout, Marie-Josée Brouillette, Lesley K Fellows, Nancy E Mayo
{"title":"Using network analysis to provide evidence for brain health as a unified construct relevant to aging with HIV.","authors":"Mohamad Matout, Marie-Josée Brouillette, Lesley K Fellows, Nancy E Mayo","doi":"10.1007/s00127-024-02778-z","DOIUrl":"https://doi.org/10.1007/s00127-024-02778-z","url":null,"abstract":"<p><strong>Purpose: </strong>Brain health is a dynamic state involving cognitive, emotional, and motor domains. Measuring brain health is a challenge owing to the uncertainty as to whether it is one or many constructs. This study aimed to contribute evidence for brain health as a unified construct by estimating the strength of relationships between and among patient-reported items related to the brain health construct in a population with brain vulnerability owing to HIV.</p><p><strong>Methods: </strong>Data for this cross-sectional analysis came from a Canadian cohort of people aging with HIV. The sample included 710 men recruited between 2014 and 2016 from five Canadian cities. A network analysis was conducted with 30 items selected from the brain-related domains of fatigue, cognition, depression, sleep, anxiety, and motivation. Node centrality measures were used to determine the most critical items in the network.</p><p><strong>Results: </strong>The network showed small-world properties, that is, most nodes can be reached from other nodes with few hops,\" indicating strong connectivity. The most central symptoms were \"How much do you enjoy life?\" and \"How often do you have negative feelings?\".</p><p><strong>Conclusion: </strong>The small-world properties of the network structure indicate that brain health items are interconnected and may be influenced by shared underlying factors. The centrality indices suggest that items related to enjoyment of life and negative feelings may be particularly important for understanding brain health in this population. Future research should aim to replicate these findings in larger and more diverse samples to confirm their robustness and generalizability.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378476","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}
引用次数: 0
Trajectories of work disability and unemployment before and after a common mental disorder diagnosis among young private sector employees in Sweden-a register-based longitudinal study. 瑞典私营企业年轻雇员在被诊断为常见精神障碍前后的工作残疾和失业轨迹--一项基于登记的纵向研究。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-10-04 DOI: 10.1007/s00127-024-02777-0
Ridwanul Amin, Emma Björkenstam, Magnus Helgesson, Ellenor Mittendorfer-Rutz
{"title":"Trajectories of work disability and unemployment before and after a common mental disorder diagnosis among young private sector employees in Sweden-a register-based longitudinal study.","authors":"Ridwanul Amin, Emma Björkenstam, Magnus Helgesson, Ellenor Mittendorfer-Rutz","doi":"10.1007/s00127-024-02777-0","DOIUrl":"https://doi.org/10.1007/s00127-024-02777-0","url":null,"abstract":"<p><strong>Purpose: </strong>To identify trajectory groups of work disability (WD), including sick leave and disability pension, and unemployment three years before and six years (from Y-3 to Y + 6) after a common mental disorder (CMD) diagnosis and to investigate associations of socio-demographic, work-related and clinical factors with trajectory membership.</p><p><strong>Methods: </strong>A longitudinal nationwide register-based study was conducted including individuals aged 22-29 years, gainfully employed in the private sector, with a CMD diagnosis in specialised healthcare or prescribed antidepressant (N = 12,121) in 2014 (Year 0/Y0), with follow-up from Y-3 to Y + 6. Group-based trajectory analyses identified groups of individuals who followed similar trajectories of months of WD and unemployment, respectively. Multinomial logistic regression determined associations between socio-demographic, work-related and clinical factors and trajectory membership.</p><p><strong>Results: </strong>In the CMD group, we identified three trajectory groups, each for WD and unemployment. Only 7% individuals belonged to a 'Fluctuant high' trajectory group with four months of WD in Y0, which peaked at 7 months in Y + 3 and reduced to 5 months in Y + 6. For unemployment, 15% belonged to an 'Increasing medium' trajectory group that steadily increased from 1.3 months in Y0 to 2.6 months in Y + 6. Sex, educational level and musculoskeletal disorders for WD, and educational level, living area and occupational class for unemployment, influentially determined the variance across the CMD trajectory groups.</p><p><strong>Conclusions: </strong>Specific vulnerable groups regarding unfavourable WD (women, low education and musculoskeletal disorders) and unemployment (manual work, low education and rural residence) trajectories require special attention regarding their return-to-work process following a CMD diagnosis.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373351","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}
引用次数: 0
Temporal trends in inpatient care use for adult mental disorders in Czechia: a nationwide register-based study from 1994 to 2015. 捷克成人精神障碍住院治疗的时间趋势:1994 年至 2015 年基于全国登记的研究。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-10-01 Epub Date: 2024-05-31 DOI: 10.1007/s00127-024-02691-5
Libor Potočár, Petr Winkler, Pavel Mohr, Tomáš Formánek
{"title":"Temporal trends in inpatient care use for adult mental disorders in Czechia: a nationwide register-based study from 1994 to 2015.","authors":"Libor Potočár, Petr Winkler, Pavel Mohr, Tomáš Formánek","doi":"10.1007/s00127-024-02691-5","DOIUrl":"10.1007/s00127-024-02691-5","url":null,"abstract":"<p><strong>Purpose: </strong>To describe temporal trends in inpatient care use for adult mental disorders in Czechia from 1994 until 2015.</p><p><strong>Methods: </strong>Data from the nationwide register of inpatient care use and yearly census data were used to calculate (a) yearly admissions rates, (b) median length of stay, and (c) standardized inpatient-years for adult mental disorders (ICD-10 codes F0-F6] or G30). Segmented regressions were used to analyze age- and sex-specific temporal trends.</p><p><strong>Results: </strong>Admission rates were increasing in adults (average annual percent change = 0.51; 95% confidence interval = 0.16 to 0.86 for females and 1.01; 0.63 to 1.40 for males) and adolescents and emerging adults (3.27; 2.57 to 3.97 for females and 2.98; 2.08 to 3.88 for males), whereas in seniors, the trend was stable (1.22; -0.31 to 2.73 for females and 1.35; -0.30 to 2.98 for males). The median length of stay for studied mental disorders decreased across all age and sex strata except for a stable trend in male adolescents and emerging adults (-0.96; -2.02 to 0.10). Standardized inpatient-years were decreasing in adults of both sexes (-0.85; -1.42 to -0.28 for females and -0.87; -1.19 to -0.56 for males), increasing in female adolescents and emerging adults (0.95; 0.42 to 1.47), and stable in the remaining strata.</p><p><strong>Conclusion: </strong>Psychiatric hospital admissions were increasing or stable coupled with considerable reductions in median length of stay, suggesting that inpatient episodes for adult mental disorders have become more frequent and shorter over time. The overall psychiatric inpatient care use was decreasing or stable in adults and seniors, potentially implying a gradual shift away from hospital-based care.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perception of one's social environment and loneliness: results of the nationally representative "Old age in Germany (D80+)" study. 对个人社会环境和孤独感的看法:具有全国代表性的 "德国老年人(D80+)"研究结果。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-10-01 DOI: 10.1007/s00127-024-02774-3
André Hajek, Angelina Sutin, Martina Luchetti, Karl Peltzer, Nicola Veronese, Razak M Gyasi, Pinar Soysal, Yannick Stephan, Antonio Terracciano, Hans-Helmut König
{"title":"Perception of one's social environment and loneliness: results of the nationally representative \"Old age in Germany (D80+)\" study.","authors":"André Hajek, Angelina Sutin, Martina Luchetti, Karl Peltzer, Nicola Veronese, Razak M Gyasi, Pinar Soysal, Yannick Stephan, Antonio Terracciano, Hans-Helmut König","doi":"10.1007/s00127-024-02774-3","DOIUrl":"https://doi.org/10.1007/s00127-024-02774-3","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the association between perception of one's social environment (in terms of residential attachment and neighborhood trust) and loneliness among the oldest old and whether these associations differ by living arrangement.</p><p><strong>Methods: </strong>We used data from the nationally representative \"Old Age in Germany (D80+)\" study that included individuals residing in private households and institutionalized settings. The analytic sample was 9,621 individuals (average age: 85.5 years, SD: 4.1 years; 62% female). Data collection took place from November 2020 to April 2021. Multiple linear regressions were conducted with adjustment for relevant covariates.</p><p><strong>Results: </strong>Higher residential attachment (β=-0.02, p < .05) and higher neighborhood trust (β=-0.12, p < .001) were associated with less loneliness. The latter association was moderated by living arrangement (β=-0.09, p = .04) such that the association between neighborhood trust and loneliness was stronger among individuals living in institutionalized settings compared to individuals in private households.</p><p><strong>Conclusion: </strong>Greater residential attachment and neighborhood trust, particularly among individuals living in institutionalized settings, are associated with less loneliness among the oldest old. Finding ways to improve perceived attachment and trust may assist in avoiding loneliness among older individuals.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362413","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}
引用次数: 0
Employing Bayesian analysis to establish a cut-off point and assess stigma prevalence in substance use disorder: a comprehensive study of the Chinese version of the Substance Use Stigma Mechanism Scale. 运用贝叶斯分析法确定分界点并评估药物使用障碍的成见流行率:对中文版药物使用成见机制量表的综合研究。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-10-01 Epub Date: 2024-02-27 DOI: 10.1007/s00127-024-02621-5
Dongfang Wang, Yanan Zhou, Shubao Chen, Qiuxia Wu, Li He, Qianjin Wang, Yuzhu Hao, Yueheng Liu, Pu Peng, Manyun Li, Tieqiao Liu, Yuejiao Ma
{"title":"Employing Bayesian analysis to establish a cut-off point and assess stigma prevalence in substance use disorder: a comprehensive study of the Chinese version of the Substance Use Stigma Mechanism Scale.","authors":"Dongfang Wang, Yanan Zhou, Shubao Chen, Qiuxia Wu, Li He, Qianjin Wang, Yuzhu Hao, Yueheng Liu, Pu Peng, Manyun Li, Tieqiao Liu, Yuejiao Ma","doi":"10.1007/s00127-024-02621-5","DOIUrl":"10.1007/s00127-024-02621-5","url":null,"abstract":"<p><strong>Purpose: </strong>In China, individuals with substance use disorders (SUD) face severe stigma, but reliable stigma assessment tool is lacking. Therefore, this study aimed to validate the Chinese version of the Substance Use Stigma Mechanism Scale (SU-SMS-C) and set its cut-off point.</p><p><strong>Methods: </strong>We recruited 1005 individuals with SUDs from Chinese rehabilitation centers. These participants completed a battery of questionnaires that included the SU-SMS-C, The Multidimensional Scale of Perceived Social Support (MSPSS), Center for Epidemiologic Studies Depression Scale (CES-D), General Self-Efficacy Scale (GSES), and Perceived Devaluation and Discrimination (PDD). Confirmatory factor analysis was used to assess the construct validity of the scale. Additionally, the Naive Bayes classifier was used to establish the cut-off point for the SU-SMS-C. We additionally explored the correlation between patient demographic characteristics and stigma.</p><p><strong>Results: </strong>A confirmatory factor analysis was utilized, revealing a second-order five-factor model. Based on the Naive Bayes classifier, the area under the receiver operating characteristic (AUCROC) of 0.746, the cut-off point for the SU-SMS-C was established at 44.5. The prevalence of stigma observed in the study population was 49.05%. Significant disparities were observed in the distribution of stigma across genders, with males experiencing more pronounced stigma than females. Moreover, patients consuming different primary substances reported diverse levels of stigma. Notably, those primarily using heroin endured a higher degree of stigma than users of other substances.</p><p><strong>Conclusion: </strong>The study is the first to identify a cut-off point for the SU-SMS-C by Naive Bayes classifier, bridging a major gap in stigma measurement research. SU-SMS-C may help treat and manage SUDs by reducing stigma.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974208","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}
引用次数: 0
Perinatal depression and its associated risk factors during the COVID-19 pandemic in low- and middle-income countries: a systematic review and meta-analysis. 中低收入国家 COVID-19 大流行期间的围产期抑郁症及其相关风险因素:系统回顾和荟萃分析。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-10-01 Epub Date: 2024-02-20 DOI: 10.1007/s00127-024-02628-y
Deepanjali Behera, Shweta Bohora, Snehasish Tripathy, Poshan Thapa, Muthusamy Sivakami
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