Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Mapping the evolution of stigmatization in mental disorders: A bibliometric analysis from 1974 to 2024.","authors":"Polat Goktas, Gul Dikec","doi":"10.1007/s00127-025-03003-1","DOIUrl":"10.1007/s00127-025-03003-1","url":null,"abstract":"<p><strong>Background: </strong>This bibliometric study scrutinizes the thematic evolution of research on stigma and discrimination in mental disorders, covering a span of five decades. It reflects on the shifting paradigms within the stigma-focused mental health research community from 1974 to 2024.</p><p><strong>Methods: </strong>A comprehensive bibliometric analysis was employed using the Bibliometrix R package and VOSviewer software, analyzing 1,892 articles from databases like Scopus, Web of Science, PubMed Central, and APA PsycInfo. Adherence to PRIBA guidelines ensured a holistic representation of the evolving research narrative.</p><p><strong>Results: </strong>The analysis outlined three distinct periods: the Genesis Period (1974 - 2007), focusing on foundational concepts of mental disorders and stigma; the Growth Period (2008 - 2015), which experienced a broadening into themes of discrimination and diagnostic refinement; and the Rapid Growth Period (2016 - 2024), characterized by a surge in research on child mental disorders and the impacts of posttraumatic stress disorder. Network analyses highlighted significant journals, key authors, and international collaborations that have shaped this field.</p><p><strong>Conclusions: </strong>The study maps a significant transformation in stigma-focused mental health research themes over fifty years, highlighting the growing complexity and the need for ongoing research into stigma and discrimination. It calls for interdisciplinary approaches to tackle these enduring challenges effectively.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"747-763"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285910","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":"Expectations regarding transitioning into long-term care, social connectedness, and mental health of older adults.","authors":"Annalise Lane, Linh Dang, Weidi Qin, Sarah Burgard, Briana Mezuk","doi":"10.1007/s00127-025-02975-4","DOIUrl":"10.1007/s00127-025-02975-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the association between perceived likelihood of moving into a nursing home and depressive and suicidal outcomes among adults aged 65+, and explored variation in those associations by two aspects of social connectedness: individual social networks and neighborhood social cohesion.</p><p><strong>Methods: </strong>Data comes from the 2018 Health & Retirement Study (N = 7,897). Perceived likelihood of moving into a nursing home in the next five years was assessed using a probability scale (0-100%). Past-year elevated depressive symptoms, major depressive episodes (MDE), and passive suicidal ideation (PSI) were indexed by the Composite International Diagnostic Interview. Social networks (e.g., diversity and frequency of contact with social network, number of close relationships) and neighborhood social cohesion (e.g., living close to good friends, neighborhood social cohesion index) were self-reported. Multivariable logistic regression models were used to examine the association between nursing home expectations and depression outcomes; moderation by social connectedness was examined using interaction terms.</p><p><strong>Results: </strong>The majority of respondents reported low perceived likelihood of moving into a nursing home (median: 5%, IQR: 0-20%). Higher perceived likelihood was positively associated with depressive symptoms (Odds Ratio [OR]: 1.06, 95% CI: 1.01, 1.11), MDE (OR: 1.08, 95% CI: 1.02, 1.15), and PSI (OR: 1.10, 95% CI: 1.04, 1.17). Having a close friend in the neighborhood heightened the association between expectations and mental health; other measures of social connectedness did not moderate this association.</p><p><strong>Conclusion: </strong>Older adults anticipating transitioning to long-term care may have unmet emotional support needs, particularly if they are socially-integrated in their neighborhood.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"853-866"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876451","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":"Loneliness, depression, and generalized anxiety across eight countries.","authors":"Salma M Abdalla, Bernard Banda, Madison Pickerel, Sam B Rosenberg, Swati Sharma, Sandro Galea","doi":"10.1007/s00127-025-03029-5","DOIUrl":"10.1007/s00127-025-03029-5","url":null,"abstract":"<p><strong>Background: </strong>Loneliness is increasingly recognized as a global public health concern linked to adverse mental health outcomes. However, cross-national evidence on its distribution and association with depression and generalized anxiety is limited.</p><p><strong>Methods: </strong>We analyzed data from the 2023-2024 Global Social Determinants of Health Survey, a cross-sectional, nationally representative survey of 7,997 adults across Brazil, France, India, Indonesia, Nigeria, the Philippines, Türkiye, and the United States. Depression and generalized anxiety were measured using PHQ-9 and GAD-7 screening tools, respectively, while loneliness was self-reported. Weighted bivariate and multivariate (logistic and Poisson regression) models were used to estimate associations between loneliness and mental health outcomes, adjusting for demographic factors.</p><p><strong>Findings: </strong>Overall, 38.9% of respondents reported loneliness, 9.2% met criteria for depression, and 5.5% for generalized anxiety. Loneliness was more common among younger adults, women, individuals with lower income or education, unmarried individuals, and urban residents. In fully adjusted models, loneliness was associated with depression (OR 2.82 [95% CI: 2.25-3.54]) and generalized anxiety (OR 3.89 [95% CI 2.86-5.28]).</p><p><strong>Interpretation: </strong>Loneliness is common and strongly associated with depression and generalized anxiety across diverse settings. These findings underscore the importance of integrating strategies that promote social connection into mental health policy and interventions. Future research should explore causal pathways.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"909-924"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127095","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":"Persistence of loneliness and low self-esteem from adolescence through age 60 in the United States: results from the Monitoring the Future Panel Study.","authors":"Katherine M Keyes, Victoria Joseph, Justin Jager, Mark Olfson, Megan E Patrick","doi":"10.1007/s00127-026-03051-1","DOIUrl":"10.1007/s00127-026-03051-1","url":null,"abstract":"<p><strong>Background: </strong>Depression, loneliness and other psychological distress symptoms are common in the US; lifetime cumulative estimates and life course prospective persistence is under-studied. We use national data with repeated assessment to provide lifetime cumulative risk estimates for the US.</p><p><strong>Methods: </strong>Longitudinal data from Monitoring the Future panel study on individuals (N = 421) followed from age 18 (in 1976-1978) to age 60 (in 2018-2020), with mean = 12.4 assessments (range 5-13). Psychological distress included three subscales: loneliness (2 items), low self-esteem (4 items), depressive symptoms (4 items).</p><p><strong>Results: </strong>By age 60, 73.91% had [Formula: see text]1 period of high loneliness; 24.84% had 3+ periods of high loneliness. A total of 65.72% had [Formula: see text]1 period of low self-esteem. Most risk accumulated during early adulthood; 56.40% had high loneliness and 46.38% had low self-esteem by age 25/26. Those with high loneliness at age 18 had 3.72 (95% C.I. 2.09, 6.63) times the odds of high loneliness, 4.28 (95% C.I. 2.10, 8.71) times the odds of high depressive symptoms, and 2.61 (95% C.I. 1.47, 4.65) times the odds of low self-esteem at age 60. Associations were of similar magnitude for age 18 low self-esteem predicting age 60 distress.</p><p><strong>Conclusion: </strong>By age 60, most US adults will have experienced at least 1 period of high loneliness or low self-esteem, and the majority of risk accumulates early in adulthood. Adolescent distress prospectively predicts later life distress, thus intervention and prevention efforts in adolescence are potentially critical for addressing late life mental health problems.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"897-908"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12993765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087166","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":"Reducing social disparities in child emotional and behavioral problems by hypothetical physical activity and screen time interventions.","authors":"María Rodriguez-Ayllon, Pauline W Jansen, Jeremy A Labrecque, Clair A Enthoven","doi":"10.1007/s00127-025-03036-6","DOIUrl":"10.1007/s00127-025-03036-6","url":null,"abstract":"<p><strong>Purpose: </strong>To estimate how social disparities in child psychiatric symptoms might change following hypothetical interventions targeting sports, outdoor play, and screen time at age 10.</p><p><strong>Methods: </strong>We used data from 9,778 children of the Generation R Study, a prospective population-based cohort in Rotterdam, the Netherlands. Social inequality variables included sex, maternal education, and migration background. Primary caregivers filled out the validated Child Behavior Checklist to report on children's internalizing and externalizing symptoms at the age of 13. The hypothetical interventions (i.e., outdoor play, sports participation, and screen time) were parent-reported at age 10. We used sequential G-estimation to estimate the inequality with and without the hypothetical intervention.</p><p><strong>Results: </strong>Children with migration backgrounds (46.3%) and low maternal education (53.3%) were associated with relatively more internalizing and externalizing symptoms than peers, with disparities of 0.125 and 0.177 standard deviations, respectively. Girls had more internalizing symptoms (0.106 SD), while boys had more externalizing symptoms (0.154 SD). Increasing sports participation reduced disparities in internalizing symptoms linked to maternal education (β = -0.014; 95% CI: -0.024, -0.003), while outdoor play and screen time interventions showed limited effects. None of the hypothetical interventions led to a statistically significant reduction in social disparities in externalizing symptoms.</p><p><strong>Conclusions: </strong>This study underscores the persistence of sex, cultural, and socioeconomic disparities in youth mental health. While sports participation showed a potential effect in reducing disparities in internalizing symptoms, its impact on externalizing symptoms and other interventions was negligible. Future efforts should focus on identifying more effective strategies for addressing these disparities.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"819-828"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004791","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":"Have public attitudes towards people with mental health conditions shifted in Singapore? Results from the mental health literacy study.","authors":"Savita Gunasekaran, Eng Hong Tay, Shazana Shahwan, Yoke Boon Tan, Wei Jie Ong, Bernard Chin Wee Tan, Saleha Shafie, Porsche Poh, Edimansyah Abdin, Siow Ann Chong, Mythily Subramaniam","doi":"10.1007/s00127-026-03067-7","DOIUrl":"10.1007/s00127-026-03067-7","url":null,"abstract":"","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"765-775"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285817","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":"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":"791-801"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","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":"Typologies of hurricane trauma exposure: a person centered approach.","authors":"Maria Duque, Maria Fernanda Garcia, Cara Antonaccio, Spencer Sandberg, Oh Sehun, Melissa M Bates, Jose Rodriguez, Mildred M Maldonado-Molina, Seth J Schwartz, Christopher P Salas-Wright","doi":"10.1007/s00127-025-02994-1","DOIUrl":"10.1007/s00127-025-02994-1","url":null,"abstract":"<p><strong>Purpose: </strong>Hurricane María (2017) and the subsequent large-scale migration of Puerto Ricans serve as a stark example of how extreme weather events, population displacement, and equity concerns impact the health of vulnerable populations. The aim of the present study is to examine the classes of hurricane-related experiences among Puerto Rican \"María migrants\" and to assess the relationship between different types of hurricane exposure and posttraumatic stress.</p><p><strong>Methods: </strong>The present study was conducted with 319 Puerto Rican Hurricane María migrants on the U.S. mainland. Using a person-centered approach, we aimed to identify (1) typologies of hurricane trauma exposure and (2) mapped these latent classes onto positive PTSD screens, sociodemographic characteristics, and geographic location in Puerto Rico at the time of the storm using descriptive spatial analysis tools.</p><p><strong>Results: </strong>Notwithstanding the widespread devastation caused by Hurricane María across Puerto Rico, the disaster did not affect María migrants equally. We extracted four latent classes of hurricane trauma exposure: (a) Universal Loss (59.2%), (b) Job Loss + No Food/Water (28.7%), (c) Multidimensional Exposure (5.6%), and (d) Universal loss + Injury (6.5%). By far, the highest rates of positive PTSD screens were reported among members of the Multidimensional Exposure (5.6%) class, as 59% of individuals in this class screened positive for PTSD.</p><p><strong>Conclusions: </strong>Positive PTSD screens are better explained by hurricane trauma typology than by geographic proximity to the hurricane's landfall or remoteness from urban centers. Implications for practice and policy are discussed.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"937-949"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082293","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 disconnection and subsequent mental disorders: a population-based cohort study.","authors":"Katrine Brandt Alsner, Lisbeth Mølgaard Laustsen, Mathias Lasgaard, Marie Stjerne Grønkjær, Oleguer Plana-Ripoll","doi":"10.1007/s00127-026-03046-y","DOIUrl":"10.1007/s00127-026-03046-y","url":null,"abstract":"<p><strong>Purpose: </strong>Social disconnection has been linked to adverse health outcomes, including higher risks of mental disorders. However, previous studies have primarily focused on depression, with limited exploration of other mental disorders and demographic variations. This study investigates the association between social disconnection and a range of subsequent mental disorders in a large, population-based cohort.</p><p><strong>Methods: </strong>A cohort study was conducted using data from 162,483 participants of the Danish National Health Survey, linked to national health registers. Social disconnection was assessed through survey measures of loneliness, social isolation, and low social support. Incident cases of mental disorders were identified using hospital-based diagnoses and included in seven categories. Poisson regression was applied to estimate incidence rate ratios (IRRs) adjusted for demographics, country of birth, and socio-economic resources.</p><p><strong>Results: </strong>Individuals who were socially disconnected had a higher incidence rate of mental disorders in all seven categories: substance use disorders, schizophrenia spectrum disorders, bipolar disorder, major depressive disorder, neurotic and anxiety-related disorders, personality disorders, and a combined category of any aforementioned disorder. Loneliness overall showed the strongest associations (range of IRRs, 2.94 to 4.94) compared to social isolation (range of IRRs, 1.47 to 4.80) and low social support (range of IRRs, 1.32 to 2.82). While associations were generally similar across sexes, contrasting age trends were indicated for loneliness and social isolation.</p><p><strong>Conclusion: </strong>Strong associations were consistently found between social disconnection and subsequent mental disorders, highlighting the potential for targeted public health interventions. Future research should investigate causal mechanisms and directional relations to refine prevention strategies.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"925-936"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133371","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":"Food insecurity in adults living with severe mental illness in Australia: an exploration of causes and experiences using a co-design approach.","authors":"Oliver Ardill-Young, Catherine O'Donnell, Alyssa Milton, Philip B Ward, Jackie Curtis, Scott B Teasdale","doi":"10.1007/s00127-026-03082-8","DOIUrl":"https://doi.org/10.1007/s00127-026-03082-8","url":null,"abstract":"","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787401","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}