Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Socioeconomic status modifies the association between adherence to the Mediterranean diet and cognitive outcomes: results from the Collaborative PROMED-COG Pooled Cohorts Study.","authors":"Federica Prinelli, Marianna Noale, Silvia Conti, Adele Ravelli, Giuseppe Sergi, Stefania Maggi, Chiara Ceolin, Lorraine Brennan, Lisette Cpgm de Groot, Claire T McEvoy, Caterina Trevisan","doi":"10.1007/s00127-025-02993-2","DOIUrl":"https://doi.org/10.1007/s00127-025-02993-2","url":null,"abstract":"<p><strong>Background: </strong>This study examines whether adherence to the Mediterranean diet (MD), alone and combined with physical activity (MedEx), is associated with cognitive decline and dementia incidence, with socioeconomic status (SES) as a potential modifier.</p><p><strong>Methods: </strong>We included 8,568 subjects (mean age 72.3 ± 9.6 years, 52.4% female) from three pooled Italian population-based studies. MD adherence was assessed using the Panagiotakos algorithm. We analyzed the association of MD and MedEx adherence, both continuously and categorized in tertiles, with cognitive decline and incident dementia using Cox regression. SES modification was examined through interaction analysis and SES-stratified models.</p><p><strong>Results: </strong>Cognitive decline occurred in 38.1% of participants but was not associated with MD adherence. In SES-stratified analysis, among high SES individuals, each 2-point increase in MD adherence reduced cognitive decline risk by 14%, and high MD adherence was associated with a 48% reduction (HR 0.52, 95%CI 0.31-0.90). In this group, medium MedEx adherence reduced cognitive decline risk by 77% (HR 0.23, 95%CI 0.07-0.83). No significant association was found between MD/MedEx adherence and incident dementia (4.2%), regardless of SES.</p><p><strong>Discussion: </strong>SES may modify the relationship between MD and cognitive decline, with greater benefits observed in higher SES groups. Further studies, particularly in vulnerable populations, are needed to inform tailored preventive strategies for cognitive decline.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193737","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":"Adolescent social media use and psychiatric outcomes: a longitudinal mediation analysis via interpersonal distrust, sleep, and self-image.","authors":"Dimitris I Tsomokos","doi":"10.1007/s00127-025-02999-w","DOIUrl":"https://doi.org/10.1007/s00127-025-02999-w","url":null,"abstract":"<p><strong>Purpose: </strong>The present study investigated the longitudinal associations between social media use (SMU) in early adolescence (age 11) and psychiatric outcomes (age 17) via interpersonal distrust, later bedtime, and negative self-image (age 14) after controlling for prior mental health (age 7) and a range of confounders.</p><p><strong>Methods: </strong>A structural equation model linked SMU to psychological distress (Kessler-6) via distrust, time-to-sleep, and negative self-perception, using data from a birth cohort in the United Kingdom. From 12,732 eligible adolescents at age 11 (interviewed January 2012 to February 2013), 8,913 participants (52% female, 18% non-White) had complete data on exposure and outcome, thus included in the analytic sample. Sex-stratified analyses were performed, as well as secondary outcome analyses for internalizing/externalizing problems, and a latent variable of 'psychiatric problems' (depression/anxiety diagnosis, self-harm, suicidality).</p><p><strong>Results: </strong>There were significant indirect paths through distrust (standardized [Formula: see text]), later time-to-sleep ([Formula: see text]), and negative self-perception ([Formula: see text]) after adjustments. The path through distrust was significant for females but not for males, whereas the two other indirect paths were significant for both males and females (this also held true for internalizing, externalizing, and psychiatric problems). Use of self-report measures and a lack of detailed information on the nature of SMU limit these findings.</p><p><strong>Conclusion: </strong>Social media use is prospectively associated with psychiatric symptoms in adolescence to the extent that it fosters interpersonal distrust, delays bedtime, and degrades self-image, especially for females. Interventions aimed at promoting trust and belonging, good sleep hygiene, and positive self-image, should be considered from a public health perspective.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193774","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 relationships and risk of cardio-cerebrovascular diseases: a meta-analysis of longitudinal cohort studies.","authors":"Zhengkun Liu, Yue Li, Zihan Mei, Ji Li, Xiangyu Yan, Chunxia Cao","doi":"10.1007/s00127-025-03001-3","DOIUrl":"https://doi.org/10.1007/s00127-025-03001-3","url":null,"abstract":"<p><strong>Purpose: </strong>Increasing evidence supports the existence of an association between social relationships and cardio-cerebrovascular diseases (CCVDs). However, the magnitude of the association between various social relationship factors and CCVDs remains uncertain.</p><p><strong>Methods: </strong>Four databases were systematically searched to investigate the associations between social relationship factors and CCVDs in the general population. The retrieved longitudinal cohort studies were independently subjected to eligibility screening, data extraction, and quality assessment using the modified Newcastle-Ottawa scale by two reviewers. Relative risk (RR) with 95% confidence interval (CI) were pooled using random effects models. We conducted a synthesis across social relationship factors to estimate overall effects for the structural and functional aspects.</p><p><strong>Results: </strong>Thirty cohort studies were included. The meta-analysis revealed that social support (RR: 1.28, 95% CI: 1.11-1.47), social isolation (RR: 1.14, 95% CI: 1.07-1.22), loneliness (RR: 1.21, 95% CI: 1.07-1.37), social integration (RR: 1.16, 95% CI: 1.05-1.27) and social network (RR: 1.49, 95% CI: 1.02-2.18) were significantly associated with CCVDs. Compared with structural aspects of social relationships, functional aspects were associated with a slightly greater CCVD risk (RR: 1.23, 95% CI: 1.13-1.35 vs. RR: 1.14, 95% CI: 1.09-1.20).</p><p><strong>Conclusions: </strong>Our findings confirm that adequate social support, high social integration, and large social networks are associated with a lower CCVD risk, whereas high social isolation and loneliness are associated with a higher risk. Furthermore, functional aspects of social relationships are associated with a slightly greater CCVD risk than structural aspects. This analysis provides evidence that enhancing social relationships may help prevent CCVD.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182531","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":"Drinking patterns and antidepressant medication - a prospective register-linked study among 40 to 60-year-old employees.","authors":"Aino Salonsalmi, Jouni Lahti, Eero Lahelma, Ossi Rahkonen, Tea Lallukka","doi":"10.1007/s00127-025-02996-z","DOIUrl":"https://doi.org/10.1007/s00127-025-02996-z","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the association between drinking patterns and subsequent antidepressant medication using register-linked data.</p><p><strong>Methods: </strong>The Helsinki Health Study survey (2000-02) of 40- to 60-year-old employees was linked with antidepressant medication data from registers of the Social Insurance Institution of Finland. Drinking patterns included weekly amount of drinking, binge drinking and problem drinking. Cox regression analysis was used to calculate hazard ratios (HR) for the first antidepressant medication purchase during five-year follow-up. Gender, age, occupational position, marital status, relative weight, smoking and leisure-time physical activity were included as covariates. The study included 5727 employees with no antidepressant purchase during 3 years preceding the baseline.</p><p><strong>Results: </strong>Heavy drinking was associated with an increased risk of antidepressant medication compared to moderate drinking (HR 1.53, 95% CI 1.18-1.99). Non-drinkers (1.43, 1.03-1.97), occasional binge drinkers (1.27, 1.06-1.52) and frequent binge drinkers (1.35 (1.02-1.77) showed an association with antidepressant medication compared to non-bingeing drinkers. Problem drinking was associated with antidepressant medication (1.84, 1.54-2.19). The associations remained after adjusting for occupational position and for marital status. The associations concerning heavy drinking and problem drinking remained also after adjusting for relative weight and health behaviours. An additional analysis among participants with prior antidepressant medication before baseline, showed no associations between drinking patterns and subsequent antidepressant medication during the follow-up.</p><p><strong>Conclusion: </strong>Alcohol drinking is associated with antidepressant medication among employees. The association is not limited to problem drinking. Paying attention to heavy, binge and problem drinking might help prevent depression.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182524","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":"Four major psychiatric disorders in childhood and early adulthood and siblings' subsequent socioeconomic status: a nationwide register study.","authors":"Wen Yang, Kaisla Komulainen, Ripsa Niemi, Mai Gutvilig, Petri Böckerman, Marko Elovainio, Christian Hakulinen","doi":"10.1007/s00127-025-02997-y","DOIUrl":"https://doi.org/10.1007/s00127-025-02997-y","url":null,"abstract":"<p><strong>Purpose: </strong>Previous studies document the clustering of major psychiatric disorders (MPDs) - schizophrenia, bipolar disorder, depression, and anxiety - among siblings. Few studies have, however, examined whether MPDs during childhood and early adulthood are associated with siblings' future socioeconomic status (SES).</p><p><strong>Methods: </strong>This cohort study included 57,537 full siblings, 4653 paternal, and 5053 maternal half-siblings of individuals with MPDs (affected probands) born in Finland between 1970 and 1990. We defined the reference groups as identical types of siblings of individuals without an MPD diagnosis (unaffected probands) and followed both siblings of the affected and unaffected probands until December 31, 2020. MPDs diagnosed among the affected probands at ages 5-25 was obtained from the Finnish Care Register. Their siblings' SES was measured based on employment status, annual disposable income, and educational achievement. Logistic regression, median regression, and generalized estimating equations (GEE) were used to estimate the associations.</p><p><strong>Results: </strong>Compared to the siblings of the unaffected probands, the odds of unemployment at the end of follow-up were 35% higher (95% CI: 1.31-1.39) in full siblings of affected probands with an MPD. Full siblings of affected probands were also more likely not to achieve a higher education level (aOR: 1.28, 95% CI 1.24-1.31). The median annual disposable income was 1255.9 EUR lower (95% CI: -1385.6, -1126.3) in full siblings of affected probands. Similar but weaker associations were observed in maternal and paternal half-siblings. Results from GEE models using repeated measurements of income and unemployment were similar.</p><p><strong>Conclusion: </strong>Our findings suggest that the socioeconomic consequences associated with MPDs extend to siblings.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182529","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":"Unmet need for depression treatment before and after the affordable care act.","authors":"Daniel Hagen, Emily Goldmann, Rebecca M Schwartz, Jacqueline Moline","doi":"10.1007/s00127-025-03000-4","DOIUrl":"https://doi.org/10.1007/s00127-025-03000-4","url":null,"abstract":"<p><strong>Purpose: </strong>The 2010 Affordable Care Act (ACA) expanded access to depression screening and care. However, changes in unmet need for depression treatment and public mental health equity following ACA implementation remain understudied.</p><p><strong>Methods: </strong>Data from 3,522 respondents to the National Health and Nutrition Examination Survey (NHANES) from 2005 to 2020 were used to examine changes in clinically significant depression symptoms that received neither with pharmacologic nor behavioral health treatment. Modified Poisson regression models were used to estimate the association between time period (post-ACA, 2013-2020 vs. pre-ACA, 2005-2010) and unmet need for depression treatment, both overall and stratified by socio-demographic and health care-related variables.</p><p><strong>Results: </strong>Unmet need for depression treatment decreased from 56% in 2005-10 to 47% in 2013-20, with no significant differences by socio-demographic characteristics. After adjusting for covariates, this corresponded to a 14% reduction in unmet need post- vs. pre-ACA (prevalence ratio (PR) 0.86; CI 0.79,0.95). Only those reporting Medicare vs. another type of insurance coverage experienced a significant decrease in unmet need for depression treatment (PR 0.77; CI 0.60,0.99). A similar decrease in unmet need was observed regardless of having a regular point of care or not, but only detected among those who had used health care services in the prior year (PR 0.80; CI 0.70,0.92) vs. those who had not (PR 1.13; CI 0.92,1.37).</p><p><strong>Conclusion: </strong>Unmet need for depression treatment decreased after ACA implementation but remains common. Reductions in barriers to primary care visits and universal screening policies may further decrease unmet need for depression treatment.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139276","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":"How does family face relate to intention to seek therapist-guided and digital self-guided psychological interventions? mediating effects of interdependent stigma and help-seeking attitudes.","authors":"Ben C L Yu, Floria H N Chio, Rebecca Y M Cheung, Kriti Kakani, Winnie W S Mak","doi":"10.1007/s00127-025-02990-5","DOIUrl":"https://doi.org/10.1007/s00127-025-02990-5","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to investigate the association between family face concern and help-seeking intention for therapist-guided and digital self-guided psychological interventions in four cultures, with possible mediation of interdependent stigma of help-seeking and attitudes towards seeking help.</p><p><strong>Methods: </strong>Using online questionnaires, six-hundred and forty-five responses (Mean age = 21.25, SD = 4.65; 70% women) were collected from college students in four regions, including Canada (n = 172), United Kingdom (n = 158), India (n = 160), and Hong Kong (n = 155). Levels of family face concern (adapted from the Face Concern Scale), interdependent stigma of help-seeking (Interdependent Stigma of Seeking Help Scale), attitudes towards therapist-guided and digital self-guided psychological intervention (adapted Face-to-Face Counselling Attitude Scale), intention to seek these interventions (items adapted to measure intention to seek help), and depressive symptoms (Patient Health Questionnaire-9) were assessed.</p><p><strong>Results: </strong>Using R (version 4.4.1) to conduct the path analysis, results showed that after controlling for depressive symptoms, family face concern was negatively associated with the intention to seek therapist-guided psychological intervention through the perception of higher social stigma on family members and negative attitudes towards the intervention. However, such a mediating effect was not significant for the intention to seek digital self-guided psychological intervention.</p><p><strong>Conclusions: </strong>The present study highlighted the potential negative influence of family face concern on one's intention to seek psychological help. It also highlighted that digital self-guided psychological intervention may be less subject to the influence of family face concern and stigma.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126161","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":"What works for whom: a systematic review of inequalities in inclusion and effectiveness of social interventions for mental ill- health.","authors":"Anna Greenburgh, Helen Baldwin, Hannah Weir, Zara Asif, Dionne Laporte, Mark Bertram, Achille Crawford, Gabrielle Duberry, Shoshana Lauter, Brynmor Lloyd-Evans, Cassandra Lovelock, Jayati Das-Munshi, Craig Morgan","doi":"10.1007/s00127-025-02984-3","DOIUrl":"https://doi.org/10.1007/s00127-025-02984-3","url":null,"abstract":"<p><strong>Purpose: </strong>People living with mental ill-health experience social and economic disadvantages, which contribute to poor outcomes and limit effectiveness of treatments. Interventions to improve social and economic circumstances have been developed, however, little is known about whether these interventions are effective for the most marginalised and disadvantaged groups, and those most in need of support.</p><p><strong>Method: </strong>We conducted a systematic review in line with a pre-defined protocol to identify interventions to improve the social and economic circumstances of people experiencing mental ill-health. We included relevant records from two previous systematic reviews and updated their searches across four databases. We synthesised the intervention domains and locations of research, participant characteristics, and if effectiveness varied by participant gender, socioeconomic position, and race or ethnicity, and related indicators. We worked in partnership with an advisory board including those with relevant lived experience to conduct this work.</p><p><strong>Results: </strong>We identified 266 relevant studies across 34 countries. Certain intervention domains were better researched than others (e.g. housing and employment vs. debt and social security advice). Participant characteristics were poorly reported resulting in a limited understanding of inclusiveness and generalisability of research. Only 8% of papers reported any stratified results and statistical reporting standards were poor, limiting our ability to determine what works for whom. Results from 4 RCTs indicated that interventions are less effective for those in lower socioeconomic groups.</p><p><strong>Conclusion: </strong>Improved reporting and representation of marginalised groups, stratified analyses of intervention data, and replication of results is needed to confidently draw conclusions about what works for whom in this field.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126178","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":"Psychiatric outcomes and long-term school and work-related disability in offspring of parents with depression and treatment-resistant depression.","authors":"Philip Brenner, Heidi Taipale, Pontus Josefsson, Allitia DiBernardo, Antti Tanskanen, Ellenor Mittendorfer-Rutz, Johan Reutfors","doi":"10.1007/s00127-025-02988-z","DOIUrl":"https://doi.org/10.1007/s00127-025-02988-z","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the risk for adverse outcomes among offspring of parents with depression and with treatment-resistant depression (TRD), compared with matched offspring in the general population.</p><p><strong>Methods: </strong>Parents diagnosed with depression in specialized psychiatric care in 2006-2018 were identified in nation-wide Swedish registers. Those starting a third sequential antidepressant trial were defined as treatment-resistant. Parents and their 2,359 first-born offspring, aged 6-15 years when parents were defined with TRD, were closely matched 1:1 with parent-offspring pairs with other parental depression as well as with parent-offspring pairs from the general population. Offspring cohorts were followed prospectively for psychiatric outcomes and school- and work-related disability.</p><p><strong>Results: </strong>Offspring of parents with both TRD and other depression had substantially elevated risks for all outcomes compared to general population offspring. Adjusted hazard ratios for offspring of parents with TRD were: depression 4.6 (95%CI 3.2-6.5); contact with psychiatry 3.3 (2.8-4.0); psychiatric medication 3.6 (3.0-4.2); suicide attempt 3.2 (1.9-5.5); sick leave for mental health reasons 2.3 (1.1-4.6); and disability pension 4.2 (2.2-8.1). The adjusted odds ratio for non-completion of secondary school when expected was 2.1 (1.5-2.9). In direct comparisons between offspring of parents with TRD vs. other depression, relative risks for all outcomes were similar, with no statistically significant differences.</p><p><strong>Conclusion: </strong>Offspring of parents with TRD and other depression are at similarly elevated risks of adverse clinical, educational, and work-related outcomes. Parental TRD, as defined in administrative health care data, may not serve as a risk indicator for long-term offspring burden in parental depression.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126206","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":"Experiences relating to intimacy, romance, and sexuality in early psychosis.","authors":"Stephanie M Woolridge, Isabelle Hau, Emma Wilkinson, Chloe A Stewart, Savie Edirisinghe, Robert Aidelbaum, Michael W Best, Christopher R Bowie","doi":"10.1007/s00127-025-03002-2","DOIUrl":"https://doi.org/10.1007/s00127-025-03002-2","url":null,"abstract":"<p><strong>Purpose: </strong>Many individuals experiencing early psychosis identify intimacy, romance, and sexuality as components of their subjective recovery, yet can face illness-related barriers in forming and maintaining close relationships. As limited research has examined these barriers in depth, the present study explored specific differences across aspects of intimacy, romance, and sexuality between individuals with and without psychotic disorders.</p><p><strong>Methods: </strong>Participants with early psychosis (N = 35) and community controls (N = 38) completed questionnaires relating to clinical symptoms, social integration (e.g., loneliness, belongingness), and sexual and romantic functioning, dissatisfaction, and related difficulties.</p><p><strong>Results: </strong>Individuals with early psychosis reported significantly more loneliness, attachment anxiety and avoidance, sexual dissatisfaction, sexual anxiety, and hypersexuality than control participants, as well as significantly lower belongingness, romantic relationship functioning, sexual self-esteem, and sexual optimism. Among individuals currently in a romantic relationship, groups did not differ in relationship satisfaction or investment. Groups also did not differ in sexual distress among individuals who had had sex within the past month. Finally, there were no group differences in sexual self-efficacy, preoccupation, self-blame, motivation, or self-schemata.</p><p><strong>Conclusion: </strong>These findings contribute to a sparse literature base regarding intimate, romantic, and sexual aspects of social functioning in psychosis. Future research should continue to explore the relationships between aspects of intimate, romantic, and sexual functioning and other facets of illness and recovery in early psychosis.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126244","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}