Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Health morbidities in carers with experience of domestic violence and abuse.","authors":"Emilie K Wildman, Hannah Dickson, Deirdre MacManus, Sally McManus, Elizabeth Kuipers, Juliana Onwumere","doi":"10.1007/s00127-025-02959-4","DOIUrl":"https://doi.org/10.1007/s00127-025-02959-4","url":null,"abstract":"<p><strong>Background: </strong>The poor health of unpaid carers is well-documented. Evidence also highlights that carers can experience high levels of domestic violence and abuse (DVA). However, links between DVA victimisation and health outcomes in carers remains largely overlooked. We examined DVA prevalence in carers and non-carers, and the relationship between carers' DVA experience and health morbidities.</p><p><strong>Methods: </strong>We analysed data from a general population probability sample survey of 6,971 adults (aged ≥ 16 years) in England. Multivariable logistic regression models examined associations between caregiving, DVA experience, and mental and physical health morbidities (i.e., common mental disorders (CMD), probable post-traumatic stress disorder (PTSD), harmful alcohol use and chronic physical health conditions), adjusting for demographic and socioeconomic factors.</p><p><strong>Results: </strong>One person in five reported caring responsibilities. Caring was associated with higher odds of CMD and chronic physical health conditions. One in three carers reported experiencing DVA in adulthood, and carers were more likely to be victims of DVA than non-carers. In carers who experienced DVA, compared to carers reporting no DVA, adjusted odds of CMD (aOR 2.88, 95% CI 2.11-3.95); probable PTSD (aOR 5.67, 95% CI 3.12-10.30); hazardous alcohol use (aOR 1.53, 95% CI 1.09-2.15) and chronic physical health conditions (aOR 1.53, 95% CI 1.14-2.06), were significantly higher.</p><p><strong>Conclusions: </strong>The risk of DVA victimisation among carers and the associated vulnerability to poorer health outcomes were highlighted. The need for greater awareness and identification of carers' risk of DVA, and better provision of support for the negative health consequences are emphasised.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643997","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":"Tracing trauma: a longitudinal study on PTSD, traumatic incidents, and social support among Icelandic adults.","authors":"Erla Katrín Jónsdóttir, Auðun Valborgarsson, Bryndís Björk Ásgeirsdóttir, Rannveig Sigurvinsdottir","doi":"10.1007/s00127-025-02955-8","DOIUrl":"https://doi.org/10.1007/s00127-025-02955-8","url":null,"abstract":"","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651039","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":"Symptom-specific intervention targets for depression and anxiety among older adults by physical multimorbidity patterns: a simulation-based network analysis.","authors":"Xue Wang, Wendie Zhou, Qinqin Liu, Jiaqi Yu, Yanyan Li, Hejing Chen, Cuili Wang","doi":"10.1007/s00127-025-02967-4","DOIUrl":"https://doi.org/10.1007/s00127-025-02967-4","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the network structure of depressive anxiety symptoms among Chinese community-dwelling older adults with physical multimorbidity and to identify specific symptom targets for preventive and treatment interventions aimed at aggravating and alleviating symptoms by patterns of physical multimorbidity.</p><p><strong>Methods: </strong>Using data from the 2017/2018 wave of the Chinese Longitudinal Healthy Longevity Survey, latent class analysis (LCA) was conducted to identify physical multimorbidity patterns. Then, the NoeIdentifyR algorithm (NIRA) was employed to assess aggravating and alleviating specific symptoms by physical multimorbidity patterns.</p><p><strong>Results: </strong>The study encompassed 4859 older adults with physical multimorbidity, and identified 4 patterns of physical multimorbidity (multisystem disease, gastrointestinal-musculoskeletal-urogenital disease, minimal disease, and cardiometabolic disease). GAD4 (trouble relaxing) served as the common aggravating symptom for the multisystem disease, minimal disease, and cardiometabolic disease groups, but GAD2 (uncontrollable worry) for the gastrointestinal-musculoskeletal-urogenital disease group. CESD5 (hopeful about the future) served as the common alleviating symptom for gastrointestinal-musculoskeletal-urogenital disease, minimal disease, and cardiometabolic disease groups, but CESD4 (everything was an effort) as the unique alleviating symptom for the multisystem disease group.</p><p><strong>Conclusions: </strong>Aggravating and alleviating symptoms within the depressive-anxiety network differ by patterns of physical multimorbidity, which may imply that preventive and treatment targets should be tailored to patterns by physical multimorbidity for enhancing overall mental health among older adults.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651038","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":"Development and evaluation of a mental health recovery priority measure for cross-cultural research: global INSPIRE.","authors":"Yasuhiro Kotera, Akemi Hara, Christopher Newby, Yuki Miyamoto, Akihiko Ozaki, Yumna Ali, Pamela Clinton, Simon Felix, Catherine John, Natthapon Inta, Mike Slade","doi":"10.1007/s00127-025-02946-9","DOIUrl":"https://doi.org/10.1007/s00127-025-02946-9","url":null,"abstract":"","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social adversity and loneliness in first episode psychosis.","authors":"Renata Botello, Arti Gandhi, Gil Grunfeld, Nicholas J Wagner, Hans Oh, Kim T Mueser, Daniel Fulford","doi":"10.1007/s00127-025-02958-5","DOIUrl":"https://doi.org/10.1007/s00127-025-02958-5","url":null,"abstract":"<p><strong>Purpose: </strong>Social adversity-including poverty, trauma, and other adverse life experiences-is associated with higher risk of psychosis and poorer outcomes in schizophrenia spectrum disorders. Loneliness, the subjective experience of social disconnection, is also prevalent among people with psychosis; however, the extent to which social adversity contributes to loneliness in people with psychosis is relatively unknown.</p><p><strong>Methods: </strong>In the current study, we developed a measurement model of social adversity and assessed associations with loneliness in 404 participants with First Episode Psychosis (FEP) enrolled in the Recovery After an Initial Schizophrenia Episode-Early Treatment Program. Loneliness was measured using five self-report items (e.g., \"I often feel lonely because I have few close friends with whom to share my concerns.\"). We created a latent variable of social adversity that included trauma history (number of reported traumatic experiences), parental education, homelessness, contact with law enforcement, and deferral/food stamp receipt. We first evaluated our measurement model of social adversity, then estimated a path model of its relationship with loneliness, accounting for age, diagnosis, gender, and degree of recent social involvement. Models were fit at both baseline and six-month timepoints.</p><p><strong>Results: </strong>The measurement model of social adversity had acceptable fit, with adequate item loadings. At baseline, greater social adversity was associated with limited social involvement and higher self-reported loneliness, though the latter association was not statistically significant. At six months, greater social adversity was associated with significantly greater loneliness.</p><p><strong>Conclusion: </strong>Social adversity may be an important contributor to loneliness in FEP. Such adversity could contribute to feelings of social disconnection by way of either limited opportunities for meaningful social contact, or perceived discrimination/stigma. Psychosocial treatment of FEP should incorporate an understanding of the impact of social adversity on important outcomes in this population.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620946","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":"Different facets of religiosity and their longitudinal associations with psychotic-like experiences in the general population.","authors":"Błażej Misiak, Julian Maciaszek","doi":"10.1007/s00127-025-02961-w","DOIUrl":"https://doi.org/10.1007/s00127-025-02961-w","url":null,"abstract":"<p><strong>Purpose: </strong>Religiosity manifests in a variety of behaviors and activities that can be divided into intrinsic (IR), extrinsic organizational (EORG), and extrinsic non-organizational religiosity (ENORG). It has been shown that religiosity might be associated with the occurrence of psychotic-like experiences (PLEs). However, the understanding of this association might be limited due to a lack of longitudinal studies addressing the effects of various religiosity types on the occurrence of PLEs. The present study aimed to explore the longitudinal associations of religiosity dimensions with PLEs.</p><p><strong>Methods: </strong>A total of 5,099 general population individuals (aged 44.9 ± 15.4 years, 52.2% women) were assessed at baseline and reinvited for the follow-up assessment after 6- 7 months. Religiosity and PLEs were assessed using the Duke University Religion Index and Prodromal Questionnaire- Brief, respectively.</p><p><strong>Results: </strong>Individuals who completed assessments at both timepoints (n = 3,275) and non-completers (n = 1,824) did not differ significantly with respect to baseline characteristics. After adjustment for covariates (age, gender, the level of education, employment status, place of residence, social network size, substance use, psychiatric treatment history, depressive and anxiety symptoms), IR was bidirectionally associated with PLEs and related distress. Moreover, PLEs, together with associated distress, predicted higher levels of ENORG, but not its changes over time. However, observed associations showed small effect size estimates, especially in the case of ENORG. No significant associations were found for EORG.</p><p><strong>Conclusion: </strong>Findings from the study indicate complex and rather bidirectional associations of more intimate dimensions of religiosity with PLEs.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social inequality in mental disorder diagnoses and psychotropic medication use among 15-year-old adolescents in Denmark from 2002-2022.","authors":"C L B Sørensen, O Plana-Ripoll, U Bültmann, T N Winding, P B Steen, K Biering","doi":"10.1007/s00127-025-02943-y","DOIUrl":"https://doi.org/10.1007/s00127-025-02943-y","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to examine if the social inequality in adolescent mental health has changed in the past decades (2002-2022) by studying the associations between socioeconomic status (SES) and mental health measures in 15-year-old adolescents.</p><p><strong>Methods: </strong>This study is a register-based study consisting of seven cross-sectional analyses of associations between adolescents' SES, defined as family income and parents' educational level, and mental health, defined as mental disorder diagnosis and medication use. The population consists of all registered residents in Denmark who turned 15 years in the years 2002-2022. All data was obtained from Danish population-based registers. The prevalence of mental health measures was calculated, and the associations between SES and mental health were analysed with log-binomial regression.</p><p><strong>Results: </strong>The prevalence of mental disorder diagnoses and medication use of adolescents increased during the past two decades. Associations between SES and mental health were found between all measures during the period, however, a trend toward decreasing associations for low-SES groups and stable odds ratios for high-SES groups compared to the middle-SES were observed. Diagnosis-specific analyses-including eight diagnostic categories-revealed divergent trends, such as increasing associations for SES and substance use disorders and decreasing associations for SES and mood disorders.</p><p><strong>Conclusion: </strong>This study highlights persistent but evolving social inequalities in adolescent mental health in Denmark from 2002 to 2022. While the prevalence of mental health diagnoses increased, changes in inequality patterns were diagnosis-specific, suggesting that broader societal trends may influence types of mental disorders differently.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555540","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 association of witnessing violence with alcohol and cannabis expectancies among Black, Latinx, and White youth: considering neighborhood context.","authors":"Carolyn E Sartor, Nicole Kennelly, Margret Z Powell, Tammy Chung, Shawn J Latendresse, Vivia V McCutcheon","doi":"10.1007/s00127-025-02939-8","DOIUrl":"https://doi.org/10.1007/s00127-025-02939-8","url":null,"abstract":"<p><strong>Purpose: </strong>To identify associations of past-year witnessing violence with expectancies (anticipated effects) for alcohol and cannabis use in Black, Latinx, and White youth, including possible variations by level of neighborhood advantage and/or race/ethnicity.</p><p><strong>Methods: </strong>Data were drawn from Follow-up 3 of the Adolescent Brain Cognitive Development Study (n=7,332; weighted distributions: 45.53% girl, 52.33% boy, 2.14% other gender; 11.80% Black, 25.13% Latinx, 63.07% White; weighted mean age=12.94 [SE=0.01]). Positive and negative expectancies were measured using the AEQ-AB for alcohol and the MEEQ-B for cannabis. Neighborhood disadvantage was captured via the Area Deprivation Index (ADI) and analyzed as quartiles. General linear models were fitted to data for each of the four expectancies scores, adjusting for socioeconomic status indicators and testing for witnessing violence by race/ethnicity interactions. Quartile-specific regression coefficients were produced.</p><p><strong>Results: </strong>Witnessing violence was most prevalent in the highest (most disadvantaged) ADI quartile. Across quartiles, positive alcohol expectancies (βs:0.12-0.26) and positive cannabis expectancies (βs:0.20-0.38) were elevated in youth who witnessed violence; associations were weakest in the lowest quartile. Associations with negative expectancies were non-significant for alcohol and lower only in the second highest quartile for cannabis. All race/ethnicity interactions were non-significant.</p><p><strong>Conclusions: </strong>Risk conferred by witnessing violence manifests early in the development of alcohol and cannabis use, shaping anticipated positive effects even before many youth initiate use. In addition to lower exposure, residing in an advantaged neighborhood may modestly mitigate risk associated with witnessing violence for developing positive expectancies, underscoring the importance of intervening early with youth in disadvantaged neighborhoods.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555541","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 care seeking patterns of Middle Eastern and North African immigrant children in the United States.","authors":"Tiffany B Kindratt, Florence J Dallo, Kyrah K Brown","doi":"10.1007/s00127-024-02799-8","DOIUrl":"10.1007/s00127-024-02799-8","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the prevalence of childhood mental and emotional health concerns and care seeking patterns among foreign-born MENA children compared to US- and foreign-born White children before and after adjusting for covariates.</p><p><strong>Methods: </strong>Data from the 2000-2018 National Health Interview Survey (NHIS) were analyzed. Poor toddler mental health in the past two months (2-3 years) and childhood emotional difficulties (4-17 years) in the past six months were measured. Parents also reported whether (yes/no) their child saw a doctor for behavioral or emotional concerns in the past 12 months.</p><p><strong>Results: </strong>Parents of foreign-born MENA young children (ages 2-3 years) were less likely to report mental health concerns (44.8%) compared to US-born White counterparts (67.3%; p <.05). Parents of foreign-born MENA children were less likely to report emotional difficulties compared to US- and foreign-born White children (21.9% and 19.3%, respectively; p's < 0.05). Foreign-born MENA children with mental or emotional health concerns had lower odds of seeing a doctor in the last 12 months for emotional/behavioral problems (OR = 0.45; 95% CI = 0.24-0.86) or mental health concerns (OR = 0.47; 95% CI = 0.27-0.83) compared to their US-born White counterparts after adjusting for sociodemographic factors.</p><p><strong>Conclusion: </strong>Parents of foreign-born MENA children reported fewer mental and emotional health concerns compared to US-born Whites. Those with mental and emotional health concerns were less likely to seek mental health care compared to their US-born White counterparts. Further research is needed to confirm and expand on these findings once a unique racial/ethnic identifier for MENA children is made available for measuring national mental health statistics.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1573-1580"},"PeriodicalIF":3.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774167","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":"Frequency of self-reported persistent post-treatment genital hypoesthesia among past antidepressant users: a cross-sectional survey of sexual and gender minority youth in Canada and the US.","authors":"Yassie Pirani, J Andrés Delgado-Ron, Pedro Marinho, Amit Gupta, Emily Grey, Sarah Watt, Kinnon R MacKinnon, Travis Salway","doi":"10.1007/s00127-024-02769-0","DOIUrl":"10.1007/s00127-024-02769-0","url":null,"abstract":"<p><strong>Purpose: </strong>Persistent post-treatment genital hypoesthesia (PPTGH) is a primary symptom of post-SSRI sexual dysfunction (PSSD), an iatrogenic syndrome characterized by enduring sexual dysfunction following the discontinuation of some antidepressants. We aimed to estimate the frequency of PPTGH among past users of psychiatric treatments, particularly antidepressants.</p><p><strong>Methods: </strong>We used a subsample of UnACoRN, a US/Canada survey of sexual and gender minority youth aged 15 to 29. We included participants with a history of psychiatric drug use. We excluded individuals with genital surgeries or without sexual experience. The analysis involved chi-square tests for initial group comparisons, post hoc tests for multiple comparisons, and logistic regression among those who had stopped taking medication. We exponentiated the regression to estimate the odds of PPTGH by drug type, adjusting for age, sex-assigned-at-birth, hormone treatment, and depression severity in three nested models.</p><p><strong>Results: </strong>574 of 2179 survey participants reported genital hypoesthesia. They were older and more likely to report male sex assignment at birth, hormonal therapy history, and psychiatric drug history. The frequency of PPTGH among antidepressant users was 13.2% (93/707) compared to 0.9% (1/102) among users of other medications; adjusted odds ratio: 14.2 (95% CI: 2.92 to 257).</p><p><strong>Conclusion: </strong>Antidepressant discontinuation is strongly associated with PPTGH in the US and Canada where SSRI/SNRI medications account for 80% of antidepressant prescriptions. We call for standardized international warnings and transparent, informed consent. Future research should expand upon our efforts to estimate the risk of PSSD by including all the proposed diagnostic criteria, including documentation of temporal changes in PSSD-related symptoms before and after treatment (≥3 months).</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1771-1779"},"PeriodicalIF":3.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299508","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}