Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Comparison of the prevalence of probably postpartum depression before and during the covid-19 pandemic in Turkey: a systematic review and meta-analysis.","authors":"Zekiye Karaçam, Pirozhan Ekin, Hilal Bal Şaraldı","doi":"10.1007/s00127-025-02905-4","DOIUrl":"10.1007/s00127-025-02905-4","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the prevalence of probably postpartum depression and the effect of COVID-19 pandemic on the prevalence of probably postpartum depression based on the results of the studies in Turkey.</p><p><strong>Methods: </strong>Systematic review and meta-analysis of cross-sectional studies. The key words postpartum depression or postnatal depression and Turkey were searched in the electronic databases of PubMed, EbscoHost, OVID Journals, Science Direct, Web of Science, ULAKBIM Databases, DergiPARK, TR Dizin, YÖK-Natural Thesis Centre. The systematic review was performed by following PRISMA and COSMOS-E. Data were collected by using a data extraction tool developed by the researchers. The quality of the studies was evaluated by utilizing The Joanna Briggs Institute's Critical Appraisal Checklist for Analytical Cross Sectional Studies. Obtained data were synthesized with meta-analysis, narrative synthesis, subgroup analysis and meta-regression.</p><p><strong>Results: </strong>The total sample size of 34 studies included in this meta-analysis was 10 236. The cut-off score for the EPDS was considered as ≥ 13 in 30 studies and ≥ 12 in four studies. The pooled probably postpartum depression prevalence was 17.8% (95% CI: 0.153-0.206; 95% Prediction Interval: 0.070-0.383). It was found to be 16.3% before the pandemic (95% CI: 0.065-0.358; 95% Prediction Interval: 0.065-0.358) and increased to 20.2% during the pandemic (95% CI: 0.068-0.468; 95% Prediction Interval: 0.068-0.468), though the difference was not significant (Q = 1.77; df: 1; p = 0.184). The meta-regression analysis showed that the prevalence of probably postpartum depression did not change depending on the geographical region where the studies were performed, the time of data collection and the cut-off point of the EPDS. However, the studies reported many factors related to women, their infants and families that affected the prevalence of probably postpartum depression.</p><p><strong>Outcomes: </strong>This meta-analysis revealed that the prevalence of probably postpartum depression was very high, increased during the pandemic and was affected by many risk factors. It may be recommended that healthcare professionals take protective and improving measures for the mental health of women at high risk during the perinatal period and provide early diagnosis, treatment, monitoring and care services.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2469-2485"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028196","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}

{"title":"Workplace and non-workplace loneliness: a cross-sectional comparative study on risk factors and impacts on absenteeism and mental health among employees in Spain.","authors":"Joan Domènech-Abella, Jordi Mundó, Josep Maria Haro, Carles Muntaner","doi":"10.1007/s00127-025-02899-z","DOIUrl":"10.1007/s00127-025-02899-z","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to (1) evaluate prevalences and concordance between workplace and non-workplace loneliness, (2) compare sociodemographic risk factors between workplace and non-workplace loneliness, (3) compare working conditions-related risk factors between the two contexts of loneliness, and (4) compare the impact of workplace and non-workplace loneliness on absenteeism, depression, anxiety and substance use disorder.</p><p><strong>Methods: </strong>A sample of the employee residing in Spain (n = 5400) was surveyed using computer-assisted web interviews (CAWI) during August and September 2024. Logistic regression models were constructed to compare the effects of risk factors for workplace and non-workplace loneliness (including sociodemographic factors, and factors related to working conditions), as well as the association of workplace and non-workplace loneliness on absenteeism, and symptoms of depression, anxiety, and substance use disorder.</p><p><strong>Results: </strong>Among active workers, 40.7% report experiencing workplace loneliness, while 42.0% report non-workplace loneliness. The level of concordance between both types of loneliness is low (Kappa = 0.36). Both types are more prevalent among younger and immigrant workers. Other sociodemographic risk factors (being female, non-married, and non-heterosexual) were significantly associated with non-workplace loneliness. Meanwhile, risk factors related to working conditions -particularly working under stress and labor precariousness- were associated with both types of loneliness, which showed an independent impact on absenteeism, depression, anxiety, and substance use disorder.</p><p><strong>Conclusion: </strong>Most of the social determinants of workplace loneliness are rooted in the work environment, indicating that effective interventions should focus on addressing labor conditions and precariousness to improve both workplace and non-workplace loneliness and their impacts on absenteeism and mental health.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2289-2299"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055968","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}

{"title":"Trends in psychotropic medication across occupation types before and during the Covid-19 pandemic: a linked administrative data study.","authors":"Finola Ferry, Lisa Kent, Michael Rosato, Emma Curran, Gerard Leavey","doi":"10.1007/s00127-025-02909-0","DOIUrl":"10.1007/s00127-025-02909-0","url":null,"abstract":"<p><strong>Purpose: </strong>Using linked administrative data, this study provides the first longitudinal analysis of mental health among workers across occupational groups prior to and during the Covid-19 pandemic. Eleven years of data were analysed to examine whether the pandemic period coincided with changes in psychotropic medication for workers across broad occupational groupings.</p><p><strong>Methods: </strong>Data from Northern Ireland (NI) Enhanced Prescribing Database (EPD) was linked with NI Longitudinal Study (NILS) to examine trends in anti-depressants, anxiolytics and hypnotics (2011-2021) among NI workers (N = 200,004) across nine major occupation groups. Quarterly prescriptions were examined prior to and during pandemic restrictions (Q1-2011 to Q4-2019; and Q1-2020 to Q4-2021, respectively). Auto-regressive integrated moving average (ARIMA) models were trained to compare 'forecasted' and 'observed' rates during the pandemic period, stratified by occupational group.</p><p><strong>Results: </strong>Q2-2020 coincided with lower-than-expected receipt of anxiolytics and anti-depressants for several broad occupation types. Receipt of anxiolytic prescriptions among managers, directors/senior officials dropped below expected levels for the three quarters from Q3-2020 to Q1-2021. Finally, a notable increase in anti-depressants for a prolonged period was found among staff in caring/leisure and related professions, as well as higher rates of hypnotics in Q2-2021.</p><p><strong>Conclusion: </strong>Our study provides the first longitudinal examination of variation in mental health across occupation types prior to and during the Covid-19 pandemic, using available linked administrative data. Findings suggest that occupation type was an important pandemic-related stressor and point to potential higher risk occupations that could be the focus of targeted interventions in future pandemics.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2311-2323"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121166","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}

{"title":"Regional and gender disparities in depression and late life expectancy in Chile.","authors":"Sarahí Rueda-Salazar, Claudia Miranda-Castillo, Alejandra-Ximena Araya","doi":"10.1007/s00127-025-02883-7","DOIUrl":"10.1007/s00127-025-02883-7","url":null,"abstract":"<p><strong>Background: </strong>Mental health disorders, including depression, are among the top 10 causes of the Global Burden of Disease in 2021. Chile is among the countries where mental health is a public concern due to a significant increase in depression rates in the older adult population in recent years. Considering the accelerated aging process, this study analyses the potential years of depressive symptom-free life expectancy in later life, including long-term conditions, from territorial and gender perspectives.</p><p><strong>Method: </strong>Panel data were used to track depressive symptomatology in 2,263 older individuals (aged 60 + years) between 2015 and 2020. Multistate Modelling was applied to estimate the free years of depressive symptoms at age 60 in the Chilean regions.</p><p><strong>Results: </strong>Differences were found in the number of years of depressive symptoms by geographic area, with older women expected to live twice as many years with depressive symptoms as their male counterparts across all regions. Older men living in the southern and northern macro-zones have more free years of depressive symptoms than those in the metropolitan region. Considering chronic health conditions across regions, we found an average decrease of approximately 4 years for men and 5.7 years for women in years of life free of depressive symptomatology due to multimorbidity.</p><p><strong>Conclusions: </strong>Public health policies in prevention and intervention for depression should integrate territorial differences in non-communicable diseases and gender-sensitive approaches to increase the number of years without depression in later life, with a particular focus on women and those populations living in lower socioeconomic settings.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2359-2376"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736267","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":"Under the covert norm: a qualitative study on the role of residency culture in burnout.","authors":"Mónica Armas-Neira, Ithandehui Jaimes-Jiménez, Bernardo Turnbull, Alma Vargas-Lara, Adara López-Covarrubias, Jatsiri Negrete-Meléndez, Manuel Mimiaga-Morales, Sandra Montes de Oca-Mayagoitia, Lilia Monroy-Ramírez de Arellano","doi":"10.1007/s00127-025-02856-w","DOIUrl":"10.1007/s00127-025-02856-w","url":null,"abstract":"<p><strong>Purpose: </strong>Burnout has become a major concern within healthcare. Medical residents comprise a notorious at-risk population in which approximately half of the population is affected. While previous work highlights the role of organizational risk factors as the main contributors to occupational burden, research on culture in medicine as a potential organizational risk factor is limited. The main objective of this qualitative study was to explore the expression of cultural norms from the medical resident perspective to establish the stage for future high-impact interventions.</p><p><strong>Methods: </strong>Data were gathered from 87 semistructured interviews with residents in Mexico City and analyzed through a grounded theory lens.</p><p><strong>Results: </strong>The analysis revealed harmful customary practices within medical residency culture. A distorted hierarchical system was responsible for promoting abusive power dynamics that fed into a 'covert norm' that continually infringed on formal regulations. This system is partly sustainable due to poor reporting mechanisms and self-perpetuating behaviors through normalization and violent enforcement.</p><p><strong>Conclusion: </strong>The findings suggest that burnout was independently associated with and occurred in the context of covert conventions that defy guidelines. However, further studies are needed to assess proper organizational interventions that reject covert sociocultural normative conformity to support a more humanistic side of medical culture.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2349-2358"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039332","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 widowhood status/duration, depression, and cognitive function among community-dwelling Indians age 60 years or older: Exploration of sex and residential factors.","authors":"T Muhammad, Christina X Mu, Shobhit Srivastava, Vinod Joseph Kannankeril Joseph, Drishti Drishti, Waad Ali, Preeti Pushpalata Zanwar","doi":"10.1007/s00127-025-02950-z","DOIUrl":"10.1007/s00127-025-02950-z","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The death of a spouse is considered one of the most life challenging stressors. Widowhood has a profound influence on health and may increase the risk of depression and poorer cognitive function. Discriminatory practices in India, such as taboos against remarrying, a lack of occupational opportunities, and social support, may lead to differential widowhood experiences, especially among women. This study examined the associations between widowhood status/duration, depression and cognitive function among community-dwelling men and women in India. Considering the unique cultural and societal context in India, this study also sought to examine differences by sex, rural/urban residence, and multigenerational living status.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We used baseline data from the Longitudinal Aging Study in India. Data were collected between 2017 and 2019. The study sample consisted of 14,691 men and 15,948 women age ≥ 60 years. Depression was measured using the Short Form Composite International Diagnostic Interview and global cognitive functioning was measured using an assessment adapted from the Mini-Mental State Examination and the cognitive module of the United States Health and Retirement Study, and its sister studies. We employed adjusted multivariable logistic and linear regression models to examine the association of widowhood status/duration with the risk of depression, and cognitive function.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Compared to currently married, those widowed within 0-9 years had a higher risk of depression (Men: aOR = 1.65, 95% CI: 1.20, 2.27; Women: aOR = 1.57, 95% CI = 1.25, 1.98) and worse cognitive functioning (Men: B = 0.80, 95% CI: 0.30, 1.30; Women: B = 0.55, 95% CI = 0.20, 0.91). Among those widowed within 0-9 years, men had a slightly greater risk of worse cognitive functioning than women. As widowhood duration increased, the association between widowhood and worse cognitive functioning was no longer significant among men but remained significant among women. Analyses stratified by rural/urban residence and multigenerational living status and their interactions with widowhood status/duration revealed similar trends. However, the associations between widowhood status/duration and worse cognitive function were more pronounced among women in non-multigenerational households (interaction p &lt;.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Older adults who were widowed within 0-9 years had a higher risk of depression and worse cognitive functioning. The adverse effects of widowhood on cognition were no longer significant among men but persisted for women with longer widowhood duration. Non-multigenerational households exacerbated the influence of widowhood on the higher risk of depression and worse cognitive functioning, but findings by urban/rural residence were mixed. Future research should explore what other factors moderate widowhood and health relations and examine changes in widowhood durati","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2401-2417"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512641","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}

{"title":"Heavy alcohol consumption, depression, their comorbidity and risk of all-cause and cause-specific mortality: a prospective cohort study.","authors":"Chao Yan, Yan Ding, Hairong He, Jun Lyu, Ying Zhao, Zhenguo Yang, Heng Meng","doi":"10.1007/s00127-025-02873-9","DOIUrl":"10.1007/s00127-025-02873-9","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Alcohol consumption and depression commonly co-occur, and most current research has focused on the associations between either alcohol consumption or depression alone with mortality risk. However, the association of the comorbidity of heavy alcohol consumption and depression on the risk of all-cause and cause-specific mortality remains unclear in the U.S.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Population: &lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;The objective of our study was to analyze the risks of all-cause and cause-specific mortality in participants who have heavy alcohol consumption alone, depression alone, or both, by conducting a prospective cohort study with a sample in the National Health and Nutrition Examination Survey (NHANES) database.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;For this cohort study, we included 11,590 U.S. adults aged ≥ 20 years from a nationally representative sample. Data on depression and alcohol consumption were extracted from the NHANES conducted between 2005 and 2018, and mortality information was obtained from the NHANES Linked Mortality File through December 31, 2019. Drinking and depression were classified into four groups: only heavy alcohol consumption, only depression, both present, and neither present. By adjusting for confounding factors, we applied the Cox proportional hazards model to investigate the risk of all-cause mortality associated with alcohol consumption and depressive states, including cardiovascular disease (CVD), cancer, and other causes. The log-rank test and Kaplan-Meier (K-M) survival analysis were applied to investigate differences in survival probabilities. Additionally, we examined the correlation between heavy alcohol consumption and depression by assessing additive interaction using the synergy index (SI), the attributable proportion due to interaction (AP), and the relative excess risk due to interaction (RERI).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The adjusted HR (aHR) for all-cause mortality, as well as mortality due to CVD, cancer, and other causes, were highest among individuals with comorbid heavy alcohol consumption and depression (HR 2.68[95%CI 1.84,3.91]; 2.64 [95%CI 1.27, 5.48]; 2.55 [95%CI 1.22,5.35]; and 2.78[95%CI 1.64, 4.71]). However, the results of additive and multiplicative interactions indicated that the synergistic effect of heavy alcohol consumption and depression on all-cause and cause-specific mortality did not reach statistical significance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Our findings confirmed that heavy alcohol consumption or depression was associated with an increased risk of all-cause and other-cause mortality. Although the synergistic effect of comorbid heavy alcohol consumption and depression on all-cause and cause-specific mortality did not reach statistical significance, the comorbidity of heavy alcohol consumption and depression was associated with the highest risk of all-cause and cause-specific mortality. This research could provide a foundation for furt","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2441-2454"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711903","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 systematic review on the impact of climate change on occupational mental health: a focus on vulnerable industries.","authors":"Wymann Shao Wen Tang, Cyrus Su Hui Ho","doi":"10.1007/s00127-025-02936-x","DOIUrl":"10.1007/s00127-025-02936-x","url":null,"abstract":"<p><strong>Aims: </strong>This systematic review aims to examine how climate change and its related stressors may affect the mental health of workers in industries vulnerable to climate change. The review also seeks to evaluate coping strategies used by affected workers, as well as potential interventions to mitigate and prevent these mental health effects.</p><p><strong>Method: </strong>A literature search was conducted in June 2024 in databases such as PUBMED, EMBASE, PsycINFO and Web of Science, using a combination of keywords about climate change, mental health or illness, and vulnerable industries.</p><p><strong>Results: </strong>A predominance of accessed literature was related to the agricultural industry, with a minority pertaining to the aquaculture, construction and aviation industries. They suggest an increased vulnerability of workers to mental health-related problems, including increased depression, anxiety, psychological distress and suicidality in response to stressors such as increased temperatures and prolonged drought conditions. Besides socioeconomic effects resulting from reduced productivity, climate-related stressors may contribute to increased uncertainty, isolation, a perceived lack of control, and challenges to their sense of identity. Coping methods varied and influenced outcomes of mental wellbeing, with community wellbeing and social connectedness in the agricultural setting being observed to have beneficial effects on levels of psychological distress. Interventions that promoted mental health literacy, the availability of mental health first aid, social cohesion, and adaptability to climate stressors were deemed helpful.</p><p><strong>Conclusion: </strong>Environmental stressors interact with mental health in an intricate manner, exerting influence on biological and socioeconomic aspects of a person's well-being. In an occupational setting, such stressors may also affect social cohesion and one's personal sense of identity or self-esteem. Building strong social networks and structures to enable self-efficacy and adaptability towards climate change may be key towards promoting mental health resilience amongst workers in vulnerable industries.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2275-2287"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235726","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":"Braving the dark: mental health challenges and academic performance of Ukrainian university students during the war.","authors":"Irina Pinchuk, Inna Feldman, Violetta Seleznova, Volodymyr Virchenko","doi":"10.1007/s00127-025-02867-7","DOIUrl":"10.1007/s00127-025-02867-7","url":null,"abstract":"<p><strong>Purpose: </strong>The paper aims to investigate the association of mental health problems with academic performance of university students using data from a cross-sectional survey of Ukrainian university students during the war. The prevalence of mental health problems among students with their subsequent division into different severity groups is investigated.</p><p><strong>Methods: </strong>The study combines a cross-sectional survey method to collect data and a regression analysis technique to identify mental health problems that negatively associated with students' academic performance during the war. The survey questionnaire includes a demographic section, mental health screening tools, as well as Work Productivity and Activity Impairment: Special Health Problems (WPAI: SHP) section, adapted for the purpose of the study. The data sample includes responses from 1398 university students from different regions of Ukraine.</p><p><strong>Results: </strong>According to survey data 85.8% of all respondents had depression symptoms, 66.1%- anxiety symptoms, 56.9%-sleep problems, and 48.1%- PTSD symptoms. Results of regression modeling confirms the devastating effect of mental health problems on academic performance of university students during the war, in particular, a severe depression symptoms, anxiety symptoms and sleep problems are associated with 17.4%, 12.2% and 11.0% decrease in academic performance of university students, respectively.</p><p><strong>Conclusion: </strong>The prevalence of mental health problems and related academic performance impairment among students during wartime become a challenge for the successful recovery of Ukrainian society and therefore require a quick response at both the institutional and public policy levels.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2505-2516"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544280","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}

{"title":"Cumulative trauma and other determinants of post-traumatic stress disorder, anxiety and depression in medical students following the Great Anatolian earthquake in Turkey.","authors":"Fatma Tuygar-Okutucu, Hacer Akgul Ceyhun","doi":"10.1007/s00127-025-02876-6","DOIUrl":"10.1007/s00127-025-02876-6","url":null,"abstract":"<p><strong>Background: </strong>Following the 2023 Turkey earthquake, university students in the earthquake district were transferred to other universities and our university was one of those. In addition, the families of many of our students were living in the earthquake district, and they were with their families during the earthquake due to the semester. We created a trauma psychiatry policlinic to serve medical students and others affected by the disaster. To identify students affected and to provide support, we conducted a cross-sectional study on medical students two months after the earthquake. We aimed to evaluate the prevalence rate and cumulative trauma and other determinants of post-traumatic stress disorder (PTSD), anxiety, and depression.</p><p><strong>Methods: </strong>A cluster sampling procedure was used. In addition to generating socio-demographic and earthquake related dataform, PTSD checklist-5, Cumulative Stress and Trauma Scale (CST-S), and Beck Anxiety Inventory, Beck Depression Inventory were administered. All results were evaluated statistically.</p><p><strong>Results: </strong>A total of 617 medical students participated in the study. PTSD, anxiety, and depression rates were 38.9%, 28.7%, and 21.1% respectively. Gender, previous psychiatric diagnosis, and high scores of earthquake-related features were significant for three. Negative scores of survival, personal identity, collective identity, and family-attachment trauma sub-types of CST-S were associated with all three diagnoses.</p><p><strong>Conclusions: </strong>Negative scores of the survival, personal identity, collective identity, and family attachment trauma subtypes of the CST-S are associated with all three diagnoses. However, these results require to be supported by longitudinal studies.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2517-2531"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711902","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}