Social Psychiatry and Psychiatric Epidemiology最新文献

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Beyond shelter: a scoping review of evidence on housing in resettlement countries and refugee mental health and wellbeing. 住房之外:对重新安置国住房和难民心理健康和福祉证据的范围审查。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-05 DOI: 10.1007/s00127-025-02851-1
Sheenagh McShane, Karen Block, Emma Baker, Yuxi Li, Rebecca Bentley
{"title":"Beyond shelter: a scoping review of evidence on housing in resettlement countries and refugee mental health and wellbeing.","authors":"Sheenagh McShane, Karen Block, Emma Baker, Yuxi Li, Rebecca Bentley","doi":"10.1007/s00127-025-02851-1","DOIUrl":"https://doi.org/10.1007/s00127-025-02851-1","url":null,"abstract":"<p><strong>Purpose: </strong>The number of displaced people globally has rapidly increased in the past decade. Housing is an important social determinant of health and a key contributor to poor health outcomes in refugee and asylum seeker populations. It is important to examine evidence for how housing impacts the mental health of refugees and asylum seekers. This review seeks to analyse the research describing how housing conditions and policies are associated with refugee mental health and wellbeing in high-income resettlement countries (such as the United States, Canada, and Australia).</p><p><strong>Methods: </strong>A scoping review identified forty-four relevant studies. These studies examined various aspects of housing and/or accommodation and their association with mental health and wellbeing in resettled refugee populations.</p><p><strong>Results: </strong>We found evidence of a relationship between four domains of housing-policy, suitability, environment and time-and mental health. Furthermore, we found evidence that refugees settling in high income countries experienced significant housing issues. Overall, problems with housing quality, location, accessibility (i.e., the nature of systems that govern access to housing) and suitability were associated with poorer mental health outcomes.</p><p><strong>Conclusions: </strong>In high-income countries, the lack of choice and agency regarding housing contributed to poor mental health outcomes among refugees and asylum seekers. Policies and practices should prioritise the quality, suitability, and accessibility of refugee housing, look at ways to increase choice and agency in resettlement.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558540","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}
引用次数: 0
Met and unmet needs of service users with substance use disorders: a latent class analysis. 药物使用障碍服务使用者已满足和未满足的需求:潜类分析。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-03 DOI: 10.1007/s00127-025-02861-z
Mégane Chantry, Kim Fernandez, Jürgen Magerman, Ilse Goethals, Clara De Ruysscher, Deborah L Sinclair, Philippe Delespaul, Jérôme Antoine, Wouter Vanderplasschen, Vincent Lorant, Pablo Nicaise
{"title":"Met and unmet needs of service users with substance use disorders: a latent class analysis.","authors":"Mégane Chantry, Kim Fernandez, Jürgen Magerman, Ilse Goethals, Clara De Ruysscher, Deborah L Sinclair, Philippe Delespaul, Jérôme Antoine, Wouter Vanderplasschen, Vincent Lorant, Pablo Nicaise","doi":"10.1007/s00127-025-02861-z","DOIUrl":"https://doi.org/10.1007/s00127-025-02861-z","url":null,"abstract":"<p><strong>Purpose: </strong>People with substance use disorders (SUD) have multiple associated health and social conditions that may lead to unmet needs, even among those receiving professional support. Furthermore, the fragmented nature of care provision may also contribute to unmet needs. Therefore, we assessed the needs of service users with SUD and identified their need profiles and their determinants. We aimed to identify possible gaps in care that were likely to hamper recovery pathways and to examine whether the care supply was tailored to users' needs.</p><p><strong>Methods: </strong>A convenience sample of 562 service users with SUD drawn from diverse mental health services in Belgium, including specialised services for SUD, were assessed using the Camberwell Assessment of Needs- Short Appraisal Schedule (Patient version). Additional indicators, including social integration, substance use behaviours, service utilisation, and well-being, were also collected. A Latent Class Analysis was performed to identify need profiles.</p><p><strong>Results: </strong>Three classes of need profiles were identified. The largest class comprised 40% of the sample and included individuals with few needs. The second class encompassed 35% of the sample and represented those whose needs were mainly met by professionals. The third class, accounting for 25% of the sample, included individuals with many unmet needs. Across classes, company, intimate relationships, and sexual expression were the most reported unmet needs. Poor social integration and subjective well-being were associated with more needs, either met or unmet. Females (OR = 2.76, p = 0.025), and those using social services (OR = 2.54, p = 0.022), homecare and outreach services (OR = 3.683, p = 0.003) were more likely to report met needs. In contrast, using multiple substances was associated with unmet needs (OR = 3.87, p = 0.008). There was no significant association between need profiles and the use of specialised services for SUD.</p><p><strong>Conclusion: </strong>Needs of people with SUD go beyond substance use and encompass social relationships. Although no major differences in need profiles were observed based on service utilisation, social integration and interpersonal relationships deserve greater attention from the perspective of the personal recovery of people with SUD.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544288","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}
引用次数: 0
Effect of residential versus ambulatory treatment for substance use disorders on readmission risk in a register-based national retrospective cohort. 在一项以登记为基础的国家回顾性队列研究中,住院治疗与门诊治疗对物质使用障碍再入院风险的影响。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-03 DOI: 10.1007/s00127-025-02865-9
Andrés González-Santa Cruz, Pia M Mauro, Jaime C Sapag, Silvia S Martins, José Ruiz-Tagle, Jorge Gaete, Magdalena Cerdá, Alvaro Castillo-Carniglia
{"title":"Effect of residential versus ambulatory treatment for substance use disorders on readmission risk in a register-based national retrospective cohort.","authors":"Andrés González-Santa Cruz, Pia M Mauro, Jaime C Sapag, Silvia S Martins, José Ruiz-Tagle, Jorge Gaete, Magdalena Cerdá, Alvaro Castillo-Carniglia","doi":"10.1007/s00127-025-02865-9","DOIUrl":"https://doi.org/10.1007/s00127-025-02865-9","url":null,"abstract":"<p><strong>Purpose: </strong>In this article, we studied whether pathways in substance use disorder (SUD) treatment differ among people admitted to residential versus ambulatory settings.</p><p><strong>Methods: </strong>We analyzed a retrospective cohort of 84,755 adults (ages ≥ 18) in Chilean SUD treatment during 2010-2019, creating a comparable sample of 11,226 pairs in ambulatory and residential treatment through cardinality matching. We used a nine-state multistate model, stratifying readmissions by baseline treatment outcome (i.e., completion vs. noncompletion) from admission to the third readmission. We estimated transition probabilities and lengths of stay in states at three-month, one-year, three-year, and five-year follow-ups. Sensitivity analyses tested different model specifications and estimated E-values.</p><p><strong>Results: </strong>Patients in residential settings (vs. ambulatory) had greater treatment completion probabilities (difference at three months; 3.4% [95% CI: 2.9%, 3.9%]), and longer treatment retention (e.g., 1.6 days longer at three months, 95% CI: 0.8, 2.3). Patients in residential vs. ambulatory settings had higher first readmission probabilities regardless of baseline treatment outcome (e.g., three-month difference: 5.7% if completed baseline [95% CI: 4.4%, 7.0%] and 8.0% if did not complete baseline [95% CI: 6.7, 9.3%]). Third readmission probabilities were higher only among patients in residential settings with an incomplete baseline treatment (at least 3.7%; 95% CI: 0.2%, 7.3% at 1-year).</p><p><strong>Conclusion: </strong>Patients in residential settings at baseline were more likely to experience a second treatment and a third readmission among patients with incomplete treatments. Findings underscore the importance of completing initial SUD treatments to reduce readmissions. Residential treatments might require additional strategies to prevent readmissions.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544281","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}
引用次数: 0
Global burden of diseases attributable to childhood sexual abuse and bullying: findings from 1990 to 2019 and predictions to 2035. 儿童性虐待和欺凌导致的全球疾病负担:1990年至2019年的调查结果和2035年的预测。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-03 DOI: 10.1007/s00127-025-02863-x
Peng Xiong, Yuhan Chen, Min Liu, Zhigang Han, Yaozhong Liu
{"title":"Global burden of diseases attributable to childhood sexual abuse and bullying: findings from 1990 to 2019 and predictions to 2035.","authors":"Peng Xiong, Yuhan Chen, Min Liu, Zhigang Han, Yaozhong Liu","doi":"10.1007/s00127-025-02863-x","DOIUrl":"https://doi.org/10.1007/s00127-025-02863-x","url":null,"abstract":"<p><strong>Purpose: </strong>Childhood sexual abuse (CSA) and bullying are serious public health concerns that influence child, adolescent, and adult health. This study aims to provide updated estimate of age- and sex- specific deaths and disability-adjusted life years (DALYs) associated with CSA and bullying from 1990 to 2019 at the global, regional, and national levels, and to forecast the global burden of disease attributed to it from 2020 to 2035.</p><p><strong>Methods: </strong>We used the data for the number of deaths, DALYs, age-standardized rate (per 100,000 population), percentage change, and population attributable fraction (PAF) from the Global Burden of Disease Study 2019 (GBD 2019) to assess the disease burden attributable to CSA and bullying. We further applied an autoregressive integrated moving average (ARIMA) model to predict the disease burden for the period 2020 to 2035.</p><p><strong>Results: </strong>In 2019, CSA and bullying accounted for 0.02% and 0.28% of global all-cause deaths and DALYs, respectively. The highest deaths rates were observed in men aged 45-49, and women aged 50-54. The highest DALYs rates were observed in men aged 20-24 and women aged 15-19. The highest age-standardized deaths and DALYs rates were observed in the Eastern Europe region (1.222 [95% UI 0.161, 3.013]) and in High-Income North America region (176.613 [95% UI 79.02, 312.064]) per 100,000 people respectively. El Salvador (1.523 [95% UI 0.209, 3.589]) and Greenland (298.014 [95% UI 138.745, 518.086]) per 100,000 people had the highest age-standardized- deaths and DALYs rates, respectively. The highest age-standardized rates of CSA and bullying related deaths and DALYs were observed in high-socio-demographic Index (SDI) quintile. The age-standardized deaths rate attributable to CSA and bullying is projected to decrease in both sexes between 2019 and 2035, whereas the age-standardized DALYs rate is projected to decrease in male and increase in female between 2019 and 2035.</p><p><strong>Conclusions: </strong>CSA and bullying contributed to the global disease burden. Action is needed to develop effective policies. Our study provides policymakers with up-to-date and comprehensive information.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544283","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}
引用次数: 0
Long term outcomes after COVID-19 in patients with schizophrenia: a historical cohort study in a health maintenance organization. 精神分裂症患者COVID-19后的长期预后:一项健康维护组织的历史队列研究
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-03 DOI: 10.1007/s00127-025-02860-0
Gashaw Getaneh Dagnaw, Ora Paltiel, Asher Shafrir
{"title":"Long term outcomes after COVID-19 in patients with schizophrenia: a historical cohort study in a health maintenance organization.","authors":"Gashaw Getaneh Dagnaw, Ora Paltiel, Asher Shafrir","doi":"10.1007/s00127-025-02860-0","DOIUrl":"https://doi.org/10.1007/s00127-025-02860-0","url":null,"abstract":"<p><strong>Background: </strong>Severe mental illness may affect health behaviors and outcomes during pandemics. Few studies have assessed whether people living with schizophrenia spectrum disorders (SSD) experienced adverse COVID-19 outcomes.</p><p><strong>Methods: </strong>In a population-based historical cohort study comprising members of a health maintenance organization, we included 1273 patients with SSD and 12,730 age- and sex-matched controls tested for SARS-CoV-2 between March 2020 and May 2022. We assessed the association between schizophrenia and hospitalization, hospital length-of-stay, 30-day, and one-year mortality, constructing multiple linear regression and logistic regression models adjusting for sociodemographic factors, BMI, smoking, number of comorbidities, and vaccinations. We also assessed whether vaccination modified the association between schizophrenia and mortality.</p><p><strong>Results: </strong>Among patients with SSD, 477 (37.5%) had a positive test, compared to 6203 (48.7%) in the comparison group. patients with SSD were at increased risk of hospitalization (adjusted odds ratio (OR<sub>adj</sub>) 3.44, 95% confidence interval (CI): 2.88-4.11, p < 0.001); longer length-of-stay (β = 1.20, p < 0.001); increased 30-day (OR<sub>adj</sub> 9.07, 95%CI 3.11-26.44); and one-year mortality (OR<sub>adj</sub> 6.27, 95%CI: 2.73-14.39). Further adjustment for vaccination altered the OR for 30-day mortality (OR<sub>adj</sub> 4.54, 95%CI: 1.54-13.38). Additionally, the association between schizophrenia and 30-day mortality was attenuated in strata of vaccinated (OR 4.79, 95%CI: 0.82-28.13, p = 0.082), vs. unvaccinated individuals (OR 7.53, 95%CI 2.19-25.92, p = 0.001), respectively.</p><p><strong>Conclusions: </strong>In our cohort, patients with SSD experienced a significantly higher rate of hospitalization, length of stay, and mortality following a positive SARS-CoV-2 test, even after adjusting for important prognostic factors. COVID-19 vaccination modified these risks.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544285","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}
引用次数: 0
Braving the dark: mental health challenges and academic performance of Ukrainian university students during the war. 勇敢面对黑暗:战争期间乌克兰大学生的心理健康挑战和学业表现。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-03 DOI: 10.1007/s00127-025-02867-7
Irina Pinchuk, Inna Feldman, Violetta Seleznova, Volodymyr Virchenko
{"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":"https://doi.org/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":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of the COVID-19 pandemic on antidepressant consumption in the Central region of Portugal: interrupted time series. COVID-19 大流行对葡萄牙中部地区抗抑郁药消费的影响:间断时间序列。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-01 Epub Date: 2024-07-13 DOI: 10.1007/s00127-024-02731-0
Luciana G Negrão, Catarina Coelho, M Margarida Castel-Branco, Isabel V Figueiredo, Fernando Fernandez-Llimos
{"title":"Impact of the COVID-19 pandemic on antidepressant consumption in the Central region of Portugal: interrupted time series.","authors":"Luciana G Negrão, Catarina Coelho, M Margarida Castel-Branco, Isabel V Figueiredo, Fernando Fernandez-Llimos","doi":"10.1007/s00127-024-02731-0","DOIUrl":"10.1007/s00127-024-02731-0","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the impact of the pandemic on the consumption of antidepressive agents in Central Portugal.</p><p><strong>Methods: </strong>To estimate the causal effect of the pandemic an interrupted time series analysis was conducted. Data of antidepressant drugs monthly dispensed in community pharmacies between Jan-2010 and Dec-2021 were provided by the regional Health Administration. Anti-Parkinson dopaminergic agents and statins, theoretically not influenced by COVID-19 pandemics, were used as comparator series. The number of packages was converted into defined daily doses and presented as defined daily doses/1000 inhabitants/day. A Bayesian structural time-series model with CausalImpact on R/RStudio was used to predict the counterfactual. Analyses with different geographical granularity (9 sub-regions and 78 municipalities) were performed.</p><p><strong>Results: </strong>When compared to counterfactual, regional consumption non-significantly increased after the pandemic declaration, with a relative effect of + 1.30% [95%CI -1.6%:4.2%]. When increasing the granularity, differences appeared between sub-region with significant increases in Baixo Mondego + 6.5% [1.4%:11.0%], Guarda + 4.4% [1.1%:7.7%] or Cova da Beira + 4.1% [0.17%:8.3%], but non-significant variation in the remaining 6 sub-regions. Differences are more obvious at municipality level, ranging from increases of + 37.00% [32.00%:42.00%] to decreases of -11.00% [-17.00%:-4.20%]. Relative impact positively correlated with percentage of elderly in the municipality (r = 0.301; p = 0.007), and negatively with population density (r=-0.243; p = 0.032). No other predicting variables were found.</p><p><strong>Conclusion: </strong>Antidepressant consumption suffered very slight variations at regional level after the COVID-19 pandemic declaration. Analysis with higher granularity allowed identifying municipalities with higher impact (increase or decrease). The absence of clear association patterns suggests other causal hypotheses of the differences.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"621-629"},"PeriodicalIF":3.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604399","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}
引用次数: 0
Post-COVID social engagement and depression among Chinese older adults: exploring rural/urban and gender differences. COVID后中国老年人的社会参与和抑郁:探索城乡和性别差异。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-01 Epub Date: 2024-08-27 DOI: 10.1007/s00127-024-02752-9
Keqing Zhang, Wei Zhang
{"title":"Post-COVID social engagement and depression among Chinese older adults: exploring rural/urban and gender differences.","authors":"Keqing Zhang, Wei Zhang","doi":"10.1007/s00127-024-02752-9","DOIUrl":"10.1007/s00127-024-02752-9","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigates the impact of post-COVID social engagement on depression levels among Chinese older adults, with a focus on rural/urban and gender differences.</p><p><strong>Methods: </strong>Using the year 2018 and year 2020 data from the China Health and Retirement Longitudinal Study (CHARLS), this study analyzed pre- and post-COVID depression levels and social engagement indicators, including going-out, activities and networking among Chinese older adults (N = 8,793).</p><p><strong>Results: </strong>Results showed a significant increase in depression levels across all demographic groups post-COVID, with rural females exhibiting the highest levels of depression. Reduced social engagement was associated with increased depression, particularly among rural males and females. Subgroup analyses highlighted nuanced patterns: rural males suffered from decreased intense activities and online contacts, while urban males experienced heightened depression with reduced visiting and light activities. Rural females reported increased depression with decreased moderate activities and dancing outdoors but decreased levels with reduced online contacts. Conversely, urban females experience decreased depression with reduced social engagements, suggesting areevaluation of priorities amidst pandemic challenges.</p><p><strong>Conclusion: </strong>This study has underscored the importance of considering individual, cultural, and contextual factors in understanding mental health outcomes among Chinese older adults. Findings inform targeted interventions aimed at promoting psychological well-being and resilience among Chinese older adults in the post-COVID era, including community-based programs and mental health screenings, to foster social connection and emotional support.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"645-656"},"PeriodicalIF":3.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082417","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}
引用次数: 0
Clinical course and demographic insights into suicide by self-poisoning: patterns of substance use and socio-economic factors. 自毒自杀的临床过程和人口学见解:药物使用模式和社会经济因素。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-01 Epub Date: 2024-09-24 DOI: 10.1007/s00127-024-02750-x
Stefanie Geith, Maja Lumpe, Johannes Schurr, Sabrina Schmoll, Christian Rabe, Armin Ott, Raphael Stich, Michael Rentrop, Florian Eyer, Tobias Zellner
{"title":"Clinical course and demographic insights into suicide by self-poisoning: patterns of substance use and socio-economic factors.","authors":"Stefanie Geith, Maja Lumpe, Johannes Schurr, Sabrina Schmoll, Christian Rabe, Armin Ott, Raphael Stich, Michael Rentrop, Florian Eyer, Tobias Zellner","doi":"10.1007/s00127-024-02750-x","DOIUrl":"10.1007/s00127-024-02750-x","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze whether sociodemographic characteristics influence the substance choice and preclinical and clinical course of suicidal poisoning.</p><p><strong>Methods: </strong>This was a retrospective single-center study in patients hospitalized due to suicidal poisoning and who received at least one psychiatric exploration during their inpatient stay. Patients' sociodemographic, anamnestic, preclinical, and clinical parameters were analyzed with respect to sex and age.</p><p><strong>Results: </strong>1090 patients were included, 727 (67%) were females, median age was 39 years (min-max: 13-91) with 603 (55%) aged 18-44 years. 595 patients (54.8%) ingested a single substance for self-poisoning, 609 (59.5%) used their own long-term medication. Comparing to males, females preferred antidepressants (n = 223, 30.7%, vs n = 85, 23.4%; p = 0.013) and benzodiazepines (n = 202, 27.8%, vs n = 65, 17.9%; p < 0.001); males more often used cardiovascular drugs (n = 33, 9.1%, vs n = 34, 4.7%; p = 0.005) and carbon monoxide (n = 18, 5.0%, vs n = 2, 0.3%; p < 0.001). Use of Z-drugs (n = 1, 1.7%, to n = 37, 33.3%; p < 0.001) and benzodiazepines (n = 4, 6.9%, to n = 33, 29.7%; p = 0.003) increased with age (< 18 to > 64 years), while use of non-opioid analgesics (n = 23, 39.7%, to n = 20, 18.0%; p < 0.001) decreased. Average dose of substance in patients > 64 years was 12.9 ± 18.4 times higher than recommended maximum daily dose (compared to 8.7 ± 15.2 higher in those aged < 18 years; p < 0.001). Males more often required intensive care (n = 150, 41.3%, vs n = 205 females, 28.2%; p < 0.001).</p><p><strong>Conclusion: </strong>These results underline the complexity of (para-)suicidal poisonings and identify potential measures for their prevention, such as restricting access and better oversight over the use of certain substances.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"705-718"},"PeriodicalIF":3.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331046","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}
引用次数: 0
Depression and anxiety in the context of the COVID-19 pandemic: A 6-waves longitudinal study in the Argentine population. COVID-19 大流行背景下的抑郁和焦虑:对阿根廷人口进行的六波纵向研究。
IF 3.6 2区 医学
Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-01 Epub Date: 2024-08-07 DOI: 10.1007/s00127-024-02746-7
Hernán López-Morales, Rosario Gelpi Trudo, Matías Jonás García, Macarena Verónica Del-Valle, Matías Yerro, Fernando Martín Poó, Ornella Bruna, Lorena Canet-Juric, Sebastián Urquijo
{"title":"Depression and anxiety in the context of the COVID-19 pandemic: A 6-waves longitudinal study in the Argentine population.","authors":"Hernán López-Morales, Rosario Gelpi Trudo, Matías Jonás García, Macarena Verónica Del-Valle, Matías Yerro, Fernando Martín Poó, Ornella Bruna, Lorena Canet-Juric, Sebastián Urquijo","doi":"10.1007/s00127-024-02746-7","DOIUrl":"10.1007/s00127-024-02746-7","url":null,"abstract":"<p><strong>Purpose: </strong>The pandemic has caused stress due to isolation, loss of loved ones, work and learning changes, financial instability, fear of infection, and uncertainty. It has negatively impacted mental health, particularly increasing anxiety, and depression symptoms. This study analyzed anxiety and depression symptoms over the first 25 months of the COVID-19 pandemic, considering age group, socioeconomic status, and gender.</p><p><strong>Methods: </strong>A longitudinal study with 6 repeated measures was conducted, involving 988 adult participants from Argentina. Adapted versions of the BDI-II and STAI were administered through online questionnaires at 2, 14, 50, 130, 390, and 750 days since the start of the lockdown.</p><p><strong>Results: </strong>The results showed a sustained increase in anxiety and depression symptoms up to 390 days, followed by a decrease in anxiety below initial levels at 750 days. Depressive symptoms significantly decreased after 750 days but remained higher than initial levels.</p><p><strong>Conclusion: </strong>Women consistently scored higher than men, lower socioeconomic status individuals reported more symptoms, and younger individuals had higher anxiety and depression, which decreased with age. Surprisingly, older individuals displayed better mental health indicators compared to the rest of the population.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"631-644"},"PeriodicalIF":3.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898749","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}
引用次数: 0
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