Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Duration of untreated psychosis and diagnostic delay in homeless patients with schizophrenia- a Copenhagen based clinical study.","authors":"Rasmus Handest, Ida-Marie Mølstrøm, Mads Gram Henriksen, Julie Nordgaard","doi":"10.1007/s00127-025-02957-6","DOIUrl":"https://doi.org/10.1007/s00127-025-02957-6","url":null,"abstract":"<p><strong>Purpose: </strong>Psychiatric disorder is a well-established risk factor for homelessness, and homelessness amplifies social, physical, and mental health risks. Yet, little is known about the extent and nature of diagnostic delays, including the duration of untreated psychosis (DUP), among homeless individuals with schizophrenia. This study aimed to address that gap by examining DUP, diagnostic delays, illness trajectories, psychopathology, and substance use in this population.</p><p><strong>Methods: </strong>We conducted an exploratory cross-sectional study of 35 homeless individuals with schizophrenia, using in-depth psychosocial interviews, standardized psychopathological assessments, and social functioning scales, incl. the Positive and Negative Syndrome Scale (PANSS) and the Examination of Anomalous Self-Experience (EASE).</p><p><strong>Results: </strong>The sample (mean age 32.6 years; 82.9% male) included 17 patients with paranoid schizophrenia and 10 with disorganized (hebephrenic) schizophrenia; 54% had a comorbid substance use disorder (SUD). The mean DUP was 15.5 years, with an average 6.7-year delay between first psychiatric contact and formal non-substance induced psychosis diagnosis. Patients with SUD showed shorter DUP compared to those without. Psychopathological measurements - including a mean PANSS score of 71.7 and a mean EASE score of 21.3 - were comparable to other schizophrenia samples, with no major differences between patients with or without SUD.</p><p><strong>Conclusion: </strong>Our findings indicate that the extraordinarily long DUP and diagnostic delays in this homeless sample are not explained by substance use, symptom profile, or schizophrenia subtype but point to systemic barriers in recognizing and managing severe mental illness. There is an urgent need to improve psychiatric services for homeless individuals with schizophrenia.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762105","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":"A short form of the Spanish version of the Netherlands empowerment list: development and validation.","authors":"Hernán María Sampietro, Georgina Guilera, Ángela I Berrío, Maite Barrios, J Emilio Rojo, Juana Gómez-Benito","doi":"10.1007/s00127-025-02970-9","DOIUrl":"https://doi.org/10.1007/s00127-025-02970-9","url":null,"abstract":"<p><strong>Purpose: </strong>The Netherlands Empowerment List (NEL) is the only psychometric instrument for evaluating empowerment that has been adapted and validated for use in the Spanish-speaking population. Although the Spanish NEL has demonstrated good psychometric properties, it is relatively lengthy. This study aimed to develop and validate a short form of the Spanish NEL.</p><p><strong>Method: </strong>The sample comprised 406 users of community mental health services, split into two groups. With the development subsample (n = 200), we developed a short form of the Spanish NEL based on the factor loadings obtained through exploratory factor analysis. The validation subsample (n = 206) was then used to evaluate its psychometric properties (internal structure, differential item and test functioning by gender, internal consistency, temporal stability, and validity based on relationships with other variables). Additionally, percentile ranks for each raw score were calculated using the total sample (n = 406).</p><p><strong>Results: </strong>We developed a 12-item short form of the Spanish NEL, confirmed its unidimensionality, and demonstrated that the scale scores had excellent internal consistency and temporal stability. Scores on the Spanish NEL-12 also correlated strongly with measures of empowerment, recovery, hope, and perceived social support.</p><p><strong>Conclusion: </strong>The results suggest that scores on the Spanish NEL-12 provide a valid and reliable measure of empowerment in Spanish-speaking users of mental health services. Furthermore, the study provides preliminary percentile scores to support its use in clinical settings for evaluating empowerment.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755001","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":"Preconception parental personality disorder and psychosocial outcomes during the perinatal period: a prospective population-based study.","authors":"Claire A Wilson, Hanafi Mohamad Husin, S Ghazaleh Dashti, Raquel Catalao, Rohan Borschmann, Stephanie Brown, Louise M Howard, Jessica A Kerr, Jonathan Monk-Cunliffe, Paul Moran, George C Patton, Craig A Olsson, Elizabeth Spry","doi":"10.1007/s00127-025-02968-3","DOIUrl":"https://doi.org/10.1007/s00127-025-02968-3","url":null,"abstract":"<p><strong>Purpose: </strong>Birthing individuals with personality disorder in young adulthood before pregnancy may be at increased risk of potentially modifiable adverse outcomes in the perinatal period that impact parental and child health. We aimed to investigate the perinatal psychosocial outcomes of preconception (prior to pregnancy) personality disorder.</p><p><strong>Methods: </strong>Prospective analysis of 398 birthing individuals with 609 infants from Victorian Intergenerational Health Cohort Study (VIHCS). Preconception personality disorder was measured using the Standardised Assessment of Personality (SAP) at age 24. A range of parental outcomes were assessed during pregnancy and at one year postpartum (age 28 to 37). Log-binomial generalised estimating equations were used to estimate univariable associations between preconception personality disorder and each perinatal outcome.</p><p><strong>Results: </strong>Individuals with preconception personality disorder (compared to those without) were approximately two times more likely to have antenatal anxiety symptoms (risk ratio (RR) 2.08, 95% confidence interval (CI) 1.19-3.65) and reduced social support (antenatal RR 2.01, 95% CI 0.98-4.13; postnatal RR 1.38, 95% CI 0.91-2.10). Weaker associations were also observed for experiencing stressful life events (RR 1.37, 95% CI 0.98-1.90) and, albeit with less certainty, for poorer partner relationship quality (RR 1.44, 95% CI 0.78-2.64) and depressive symptoms (antenatal RR 1.56, 95% CI 0.84-2.91; postnatal RR 1.44, 95% CI 0.73-2.83). Close to null associations were observed for parents' self-efficacy or perceived parent-infant bond.</p><p><strong>Conclusion: </strong>The findings highlight a group who may be vulnerable to multiple adverse perinatal outcomes; those with personality disorder and their families may benefit from additional support both with pregnancy planning and into parenthood.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745811","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 silent struggle of ageing with SMI: a narrative review of physical health disparities in older adults with serious mental illness.","authors":"Jo Howe, Laura Lindsey","doi":"10.1007/s00127-025-02963-8","DOIUrl":"https://doi.org/10.1007/s00127-025-02963-8","url":null,"abstract":"<p><strong>Purpose: </strong>Individuals with serious mental illness (SMI) experience a significantly reduced life expectancy compared to peoplewithout SMI, affecting millions worldwide. While cardiovascular disease, diabetes, and metabolic syndrome are well-recognisedphysical health conditions in this population, this article addresses the unique challenges in managing dementia, cancer,menopause, osteoporosis, and oral health in the context of SMI and ageing.</p><p><strong>Methods: </strong>This article presents a conceptually informed narrative review of ageing-related physical health disparities experiencedby people living with SMI. A narrative review approach was adopted to allow for a targeted and iterative synthesis of evidenceacross five underexplored domains: dementia, cancer, menopause, osteoporosis, and oral health. These domains were selecteddue to their public health significance, under-representation in the literature, and relevance to the lived experiences of older adultswith SMI.</p><p><strong>Results: </strong>Despite their substantial impact on the well-being of individuals with SMI, these areas often receive less attention.Diagnostic overshadowing, limited specialised knowledge among mental health staff about physical health, and the siloed nature ofhealthcare delivery contribute to delays in diagnosis and treatment.</p><p><strong>Conclusion: </strong>To improve health outcomes and life expectancy for people with SMI, there is an urgent need for integratedhealthcare approaches. Collaborative models that bridge the gap between mental and physical healthcare are essential to ensuretimely access to holistic care and address the unique needs of this vulnerable population as they age.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718974","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 gender disparities in the relationship between food insecurity and depression among older adults in India.","authors":"Y Selvamani, Arokiasamy Perianayagam, Joelle H Fong, Gayatri Khanal","doi":"10.1007/s00127-025-02966-5","DOIUrl":"https://doi.org/10.1007/s00127-025-02966-5","url":null,"abstract":"<p><strong>Purpose: </strong>Food insecurity is a significant global issue impacting public health and human rights, affecting millions worldwide. Older population in India are vulnerable to food insecurity due to age-related changes in socioeconomic status and insecurity. This study explores gender differences in the association between food insecurity and depression among older adults in India aged 50 and above.</p><p><strong>Methods: </strong>A cross-sectional analysis was performed using data from the first wave of the WHO's Study on Global AGEing and Adult Health (SAGE). Multivariable logistic regression was employed to assess the influence of gender on the relationship between food insecurity and depression. Additionally, the study explored how gender, marital status, and food insecurity interact in relation to depression.</p><p><strong>Results: </strong>The study found an overall depression prevalence of 19% in the population. Among men, the prevalence was 22.6% and 21.2% while among women, it was 26.4% and 38.9% among individuals reporting moderate and severe food insecurity, respectively. Regression analysis revealed a significant association between food insecurity and depression in women, with older women experiencing moderate (OR = 1.60, p < 0.001) and severe food insecurity (OR = 2.23, p < 0.001) being more likely to be diagnosed with depression. Additionally, older widowed adults facing severe food insecurity had an increased likelihood of depression (OR = 2.18, p < 0.001) and the association is statistically significant among women (OR = 1.79, p < 0.010).</p><p><strong>Conclusion: </strong>The study highlights pronounced gender disparities in the relationship between food insecurity and depression. Therefore, it is crucial for public policy initiatives to prioritize the needs of women.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692193","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 central role of negative emotional states, rejection sensitivity and negative self-beliefs in a complex non-clinical paranoia network model.","authors":"Paulina Bagrowska, Barnaby Nelson, Łukasz Gawęda","doi":"10.1007/s00127-025-02964-7","DOIUrl":"https://doi.org/10.1007/s00127-025-02964-7","url":null,"abstract":"<p><strong>Purpose: </strong>Existing theoretical models suggest that paranoid thoughts develop against the background of increased interpersonal sensitivity, thus heightening feelings of vulnerability, social evaluative concerns, and fears of social rejection. However, the complex interrelatedness among the risk factors contributing to the development of paranoid thoughts remains poorly understood.</p><p><strong>Methods: </strong>A total of 1019 adults from the non-clinical population participated in a study that employed anetwork approach to explore the complex interactions between paranoid thoughts and severalrisk factors, including traumatic childhood experiences, sleep quality, rejection sensitivity, negative self-views, negative emotional states, and aberrant salience.</p><p><strong>Results: </strong>The results revealed that negative emotional states, mainly stress and anxiety, low self-esteem, negative body image, increased rejection sensitivity, and emotional neglect in childhood werethe most central nodes in the network. Furthermore, aside from the experience of emotionalneglect, these variables were also identified as the strongest bridge factors within the network.</p><p><strong>Conclusion: </strong>The findings offer new insights into the risk factors associated with the development ofparanoid thoughts, suggesting potential triggers that could propagate other symptoms withinthe paranoia network. The results indicate that interventions targeting self-esteem, negativebody image, anxiety, and rejection sensitivity may prevent the progression of paranoidthoughts into more severe forms.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692195","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":"Trends in depressive symptoms in Germany's adult population 2008-2023.","authors":"Lena Walther, Stephan Junker, Petra Rattay, Ronny Kuhnert, Heike Hölling, Elvira Mauz","doi":"10.1007/s00127-025-02965-6","DOIUrl":"https://doi.org/10.1007/s00127-025-02965-6","url":null,"abstract":"<p><strong>Purpose: </strong>The present study examines trends in the prevalence of depressive symptoms among adults in Germany between 2008 and 2023 within the framework of mental health surveillance.</p><p><strong>Methods: </strong>We used survey data from seven observation periods from a total of N = 74,096 randomly sampled participants aged 18-79 living in Germany. Symptoms of depression were measured using the Patient Health Questionnaire-8. Time series consisting of prevalence estimates were calculated, also for subgroups by sex, age and education. Developments in the more severe symptom range and in individual symptoms were also examined. Joinpoint regression and logistic regressions including linear splines were used to assess trends.</p><p><strong>Results: </strong>Depressive symptom prevalence rose 2008-2023, with stagnation 2008-2020 followed by an increasing trend 2020-2023. While 7.5% of adults were at or above screening cutoff in 2020, 14.8% were affected in 2023. This development was found across subgroups. Both moderate and more severe symptoms increased, with a particular rise in severe symptoms among males. A clearly increasing trajectory was found across symptoms, although developments in low self-worth/guilt were less clear. Depressive symptoms were generally more prevalent among females than males, the youngest than the eldest adults and those with lower educational attainment. Young females and males with low educational attainment were particularly affected in the final observation period.</p><p><strong>Conclusions: </strong>The observed increases in depressive symptoms among adults in Germany in times of multiple collective crises call for efforts to promote and protect mental health as well as for continued observation.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692197","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 peer-led Honest, Open, Proud program to decrease the impact of mental illness stigma among German military personnel: randomized controlled trial.","authors":"Nicolas Rüsch, Christian Helms, Jana Hörger, Burkhard Höhle, Hendryk Bernert, Patric Muschner, Carolyn Rose, Patrick W Corrigan, Nadine Mulfinger, Peter Zimmermann, Gerd-Dieter Willmund","doi":"10.1007/s00127-025-02960-x","DOIUrl":"https://doi.org/10.1007/s00127-025-02960-x","url":null,"abstract":"<p><strong>Purpose: </strong>Due to widespread stigma in the military, many military servicemembers with mental illness struggle with discrimination, self-stigma and decisions whether to disclose their condition. This study had the aim to evaluate the efficacy of Honest, Open, Proud (HOP), a four-session peer-led group program adapted to support military personnel with disclosure decisions and to reduce stigma's impact, in the German military.</p><p><strong>Methods: </strong>Ninety-nine active servicemembers with mental illness were randomized to HOP and treatment as usual (TAU) or to TAU alone. The two primary endpoints were stigma stress three weeks after baseline (T1/after HOP for HOP participants) and psychological quality of life six weeks after baseline (T2/after the HOP booster session). This randomized-controlled trial was registered before recruitment onset at ClinicalTrials.gov (NCT03218748).</p><p><strong>Results: </strong>Compared to the control group, stigma stress decreased significantly among HOP participants at T1 (d = 0.64), while there was no significant effect of HOP on psychological quality of life at T2. HOP had significant positive effects on secondary outcomes at T2: overall quality of life, self-stigma, depressive symptoms, empowerment, well-being, attitudes to disclosure and to help-seeking, and secrecy. Reductions in stigma stress, secrecy, and marginally in overall quality of life (p = 0.055), remained significant twelve weeks after baseline (T3).</p><p><strong>Conclusion: </strong>This trial provides initial evidence that HOP for active military servicemembers is feasible and effective in terms of stigma stress, disclosure decisions, depressive symptoms, quality of life and well-being. HOP may be a valuable addition to mental health services and peer support in the military.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692196","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":"Impact of the COVID-19 pandemic on antidepressant use in eleven European regions: a comparative time series analysis 2018-2022.","authors":"Iva Selke Krulichová, Adam Hallberg, Gisbert W Selke, Katri Aaltonen, Manuela Casula, Jurij Fürst, Katarina Gvozdanović, Mohammadhossein Hajiebrahimi, Amanj Kurdi, Fredrik Nyberg, Elena Olmastroni, Hanna Rättö, Juraj Slabý, Björn Wettermark, Tanja Mueller","doi":"10.1007/s00127-025-02962-9","DOIUrl":"https://doi.org/10.1007/s00127-025-02962-9","url":null,"abstract":"<p><strong>Purpose: </strong>The COVID-19 pandemic had detrimental effects on the mental health of populations, with differing influences on different demographic groups. Varying national countermeasures to the pandemic may have further impacted these effects. This study aimed to explore the effects of the pandemic on dispensed volumes of antidepressants in outpatient settings in different regions of Europe and to assess potential age- and sex-related differences of its impact on incidence of antidepressant dispensing.</p><p><strong>Methods: </strong>We used descriptive and interrupted time series analyses of pharmacy dispensing data on volumes. For six regions, we analysed volume and incident use stratified by age and sex.</p><p><strong>Results: </strong>During the pandemic, the preexisting long-term trend in unstratified dispensed volumes significantly increased only in Slovenia and Germany and weakened in Scotland and Wales (estimated changes in slope + 0.16, + 0.10, - 0.23, and - 0.68 defined daily doses per thousand inhabitants per day, respectively, for each month). The stratified quarterly analysis revealed the greatest relative increase in females aged 0-17 (+ 64% in Sweden to + 167% in Croatia in the last quarter of 2022 compared with the last quarter of 2019). Both rate of change and difference between sexes were lower in higher age groups. Incidence increased most steeply in females aged 0-17, where the estimated pandemic-related increase explained 11% (Sweden) to 55% (Lombardy) of new patients receiving antidepressants.</p><p><strong>Conclusion: </strong>Our findings indicate the need to develop targeted mental health supporting measures to increase resilience, especially in young people, and mitigate the impact of potential future public health crises.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692194","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 problems in children and young people in Dutch general practice: trends in incidence and consultation rates from 2016 to 2022.","authors":"Vincent R 't Hart, Lukas B M Koet, Boris W V Schouten, Premysl Velek, Patrick J E Bindels, Heike Gerger","doi":"10.1007/s00127-025-02956-7","DOIUrl":"https://doi.org/10.1007/s00127-025-02956-7","url":null,"abstract":"<p><strong>Purpose: </strong>In recent decades, the prevalence of mental health problems among children and young people (CYP) has increased. It is unclear whether this increase in prevalence has also led to changes in health care utilization for these problems in general practice (GP). We therefore investigated time trends in incidence and consultation rates for eight mental health problems in CYP in Dutch general practice.</p><p><strong>Methods: </strong>We conducted a longitudinal population-based study using a GP-database (Rijnmond Primary Care Database) between 2016 and 2022. We extracted monthly data on mental health problems in CYP (0-24 years) in general practice. Using negative binomial models, we calculated trends for GP-registered incidence and consultation rates for different age and sex categories for the complete study period and for the period before the COVID-19 pandemic.</p><p><strong>Results: </strong>Consultation rates of all eight mental health problems increased significantly over time. Additionally, incidence rates for attention deficit hyperactivity disorder and depressive problems in both sexes, and anxiety problems in females increased significantly. Although we observed a decrease in incidence and consultations in the first months of the COVID-19 pandemic, overall trends did not differ from pre-pandemic trends.</p><p><strong>Conclusion: </strong>Our findings suggest an increasing workload for GPs for mental health problems in CYP. These observations imply the need for policymakers and GP-councils to develop new strategies which deal with these trends to ensure appropriate support and resources in the future.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668850","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}