Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"The mental health age gradient by gender identity.","authors":"Samuel Mann, Megan S Schuler, Annaliese Paulson, Michael S Dunbar","doi":"10.1007/s00127-025-02895-3","DOIUrl":"https://doi.org/10.1007/s00127-025-02895-3","url":null,"abstract":"<p><p>Using data from the Behavioral Risk Factor Surveillance System (BRFSS) 2017-2022 we estimated adjusted and unadjusted differences in self-reported number of poor mental health days (past month) between gender minority (GM) and cisgender adults. We document that the disparity is largest among younger individuals. Among 18- to 23-year-olds, GM adults report on average 14.5 days of poor mental health, compared to 6.3 days for cisgender individuals, yielding an unadjusted disparity of 8.2 days [95% CI: 7.15, 9.24]. This disparity decreases with age - among people over the age of 73, the observed difference was 1.7 days [95% CI: 0.13, 3.27].</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789311","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":"Mediators of functioning and quality of life among people living with schizophrenia participating in the culturally adapted family psychoeducation (KUPAA) trial in Tanzania.","authors":"Joseph R Egger, Sylvia Kaaya, Paul Lawala, Praxeda Swai, Beatrice Thadei, Anna Minja, Kayla Hendrickson, Madeline Jin Van Husen, Ellen Lukens, Ezra Susser, Lisa Dixon, Joy Noel Baumgartner","doi":"10.1007/s00127-025-02896-2","DOIUrl":"https://doi.org/10.1007/s00127-025-02896-2","url":null,"abstract":"<p><strong>Purpose: </strong>KUPAA is a culturally adapted version of Family Psychoeducation (FPE) that has shown to be beneficial to people living with schizophrenia-spectrum disorders (PLWS), who may experience limitations across multiple functional domains. Family Psychoeducation can lead to improvement in functional outcomes that align with recovery goals; however, the mechanisms of action are unclear. The current study objective is to identify mechanisms by which the KUPAA intervention reduces disability and improves quality of life among care-seeking PLWS in Tanzania.</p><p><strong>Methods: </strong>This clinical trial was conducted at Muhimbili National Hospital and Mbeya Zonal Referral Hospital and included a total of 66 dyads composed of PLWS ages 18-50 years and their caregivers. A causal mediation framework employing the g-formula was used to estimate the indirect effects of the KUPAA intervention on disability and quality of life, through the mediated pathways of hopefulness, self-stigma and generalized self-efficacy.</p><p><strong>Result: </strong>A greater decrease in mean disability score and increase in quality of life score was observed among KUPAA participants, compared to controls. We found that generalized self-efficacy mediates 33% of the effect of KUPAA on quality of life and generalized self-efficacy and hope each mediate 36% of the effect of KUPAA on disability.</p><p><strong>Conclusion: </strong>Results provide preliminary support for the hypothesis that KUPAA can reduce disability and improve quality life by reducing stigma, increasing hope and strengthening self-efficacy. Future psychosocial programs for PLWS should consider tailoring their interventions to focus on reducing stigma, increasing hope and fostering self-efficacy.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781654","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":"Initiation of antipsychotic medication among refugees, non-refugee migrants, second-generation migrants, and Swedish-born adults with incident non-affective psychotic disorders.","authors":"Daniela Mellin, Ellenor Mittendorfer-Rutz, Christopher J de Montgomery, Alexis E Cullen, Heidi Taipale","doi":"10.1007/s00127-025-02887-3","DOIUrl":"https://doi.org/10.1007/s00127-025-02887-3","url":null,"abstract":"<p><strong>Background: </strong>It is not known if there are differences in antipsychotic initiation between migrants and native-born individuals diagnosed with non-affective psychotic disorder. This study aimed to determine (1) potential differences in initiation rate and type of first antipsychotic medication between refugees, non-refugee migrants, second-generation migrants, and Swedish-born young adults with incident non-affective psychosis and (2) which sociodemographic and clinical factors are associated with initiation.</p><p><strong>Methods: </strong>This register-based cohort included 12,960 adults aged 18-35 years, residing in Sweden during 2007-2018, with an incident diagnosis of a non-affective psychotic disorder in inpatient or specialised outpatient care. Sociodemographic and clinical factors associated with antipsychotic initiation were determined using modified Poisson regression models yielding Relative Risk, RRs, and 95% Confidence Intervals, CI.</p><p><strong>Results: </strong>Initiation of antipsychotic use was slightly less common among refugees (65.6%) compared to non-refugee migrants (70.2%), second-generation migrants (71.0%), and Swedish-born individuals (71.1%). However, after adjustment for sociodemographic and clinical factors, there was no difference in initiation rates between refugees and Swedish-born individuals (adjusted RR 0.96; 95% CI 0.92-1.00). Olanzapine was most common initial antipsychotic in all groups. However, compared to the Swedish-born, refugees (1.47; 1.10-1.97), non-refugee migrants (1.70; 1.26-2.27) and second-generation migrants (1.43; 1.05-1.97) were more likely to initiate the use with long-acting injectable antipsychotics, and also with first-generation antipsychotics, particularly haloperidol. Sociodemographic factors associated with initiation were similar among refugees and Swedish-born individuals, including younger age, higher education and inpatient care.</p><p><strong>Conclusion: </strong>Our finding that migrants were more likely to initiate long-acting antipsychotics suggests that clinical teams anticipate medication non-adherence among migrants.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781559","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":"Characterisation of treatment resistant mood disorder patients in the United Arab Emirates.","authors":"Danilo Arnone, Emmanuel Stip","doi":"10.1007/s00127-025-02878-4","DOIUrl":"https://doi.org/10.1007/s00127-025-02878-4","url":null,"abstract":"<p><p>There is paucity of mental health epidemiological data from the Middle East. Therein we present detailed clinical characterization of mood disorders patients from a university tertiary clinic established in the United Arab Emirates. The majority of patient experienced depressive and anxiety symptoms largely in the moderate range according to both self-rated and clinician rated scales, accompanied by significant co-morbidities, functional impairment, mild reduction in cognitive function, and a significant ruminative thinking style. These preliminary findings support the need for larger-scale research in the Middle East to address the burden of poor mental health affecting communities.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774619","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":"Inequalities in somatic comorbidities among immigrants and Norwegians with and without common mental disorders: a national register study.","authors":"Dawit Shawel Abebe, Kamila Angelika Hynek, Lars Lien, Anca Maria Yttri, Melanie Lindsay Straiton","doi":"10.1007/s00127-025-02892-6","DOIUrl":"https://doi.org/10.1007/s00127-025-02892-6","url":null,"abstract":"<p><strong>Purpose: </strong>Comorbidity between mental disorders and somatic diseases exacerbates health outcomes and contributes to premature mortality. However, differences in this comorbidity among immigrant groups compared to the majority population are unclear. This study aims to examine disparities in the risk relationship between common mental disorders (CMDs) and somatic diseases among the majority population (Norwegians) and various immigrant groups.</p><p><strong>Methods: </strong>This national register study uses information from 3 142 925 residents aged 18+on diagnosed CMDs and selected somatic diseases for years 2008-2016. Poisson regression models were used to study the association between CMD and somatic diseases (i.e., cardiovascular diseases (CVDs), endocrine and metabolic diseases, cancer, and infectious diseases). Differences in risk between Norwegians and immigrant groups were investigated by introducing interaction terms between CMD and immigrant background.</p><p><strong>Results: </strong>Individuals with CMDs had a higher risk for all somatic diseases compared to those without, regardless of immigrant status. Immigrant groups varied in comorbidity, with those without CMDs showing similar or lower risk compared to Norwegians. However, immigrants with CMDs from non-Western countries (i.e., Eastern Europe, sub-Saharan Africa, South Asia) had a significantly higher probability of developing CVD, hypertension, and diabetes mellitus than Norwegians with CMDs. Additionally, SSA immigrants with CMDs also had a higher risk for viral hepatitis.</p><p><strong>Conclusion: </strong>Findings suggest that immigrant groups experience varying degrees of comorbidity, which underscores the need for tailored healthcare interventions to address these disparities effectively.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781395","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":"\"Loneliness is killing me?!\": the subjective emotional experience of loneliness during the COVID-19 pandemic: results of a cross-sectional study in patients with a psychiatric disorder.","authors":"Mona Schenk, Sabrina Baldofski, Fabian Hall, Tony Urbansky, Maria Strauß, Elisabeth Kohls, Christine Rummel-Kluge","doi":"10.1007/s00127-024-02808-w","DOIUrl":"10.1007/s00127-024-02808-w","url":null,"abstract":"<p><strong>Purpose: </strong>During the COVID-19 pandemic, an increase in loneliness as well as mental health issues was detected. However, research on the association between loneliness and mental disorders is sparse. The aim of this study was to examine loneliness and associated social and emotional factors in patients with a psychiatric disorder and to investigate potential predictors of loneliness.</p><p><strong>Methods: </strong>Participants were N = 230 patients currently receiving psychiatric treatment at the Department of Psychiatry and Psychotherapy, University Hospital Leipzig, Germany. A cross-sectional survey included questionnaires on loneliness, life satisfaction, need to belong, interpersonal trust, stress, and resilience.</p><p><strong>Results: </strong>Most participants (n = 91, 39.6%) suffered from depression, followed by anxiety disorder (n = 43, 18.7%). Significantly higher loneliness levels compared to norm samples were detected in all three loneliness questionnaires (all p <.05), and overall n = 128 (57.7%) reported to feel lonely. In addition, participants reported lower life satisfaction, lower interpersonal trust, and lower resilience than the general population (all p <.05). No significant differences in loneliness levels between different psychiatric diagnoses were revealed. It was found that lower satisfaction with life, lower interpersonal trust and lower resilience were significantly associated with higher loneliness (all p <.05).</p><p><strong>Conclusion: </strong>This study underlines the importance to continue research on loneliness in people with mental disorders after the COVID-19 pandemic since the majority of patients reported to feel lonely. Further, tailored therapy-accompanying interventions to prevent loneliness in patients with a psychiatric disorder should be designed and evaluated to meet patients' diverse needs e.g., through online programs.</p><p><strong>Trial registration: </strong>German Clinical Trial Registration: DRKS00023741 (registered on April 6, 2021).</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"953-965"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12031801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878430","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":"The place of the social in psychiatry: from structural determinants to the ecology of mind.","authors":"Laurence J Kirmayer","doi":"10.1007/s00127-024-02772-5","DOIUrl":"10.1007/s00127-024-02772-5","url":null,"abstract":"<p><strong>Purpose: </strong>Social psychiatry considers the ways in which mental disorders are shaped by particular social environments. This paper outlines a cultural-ecosocial approach that emphasizes the ways in which cultural meaning and practices mediate the effects of the social determinants of mental health on the mechanisms of illness, disorder, and disease.</p><p><strong>Methods: </strong>Selective review of literature and conceptual synthesis.</p><p><strong>Results: </strong>\"The social\" in psychiatry stands for the structures and dynamics of groups of people interacting on multiple scales from the intimate sphere of couple and family to neighbourhoods, communities, societies, nations, and transnational or global networks. These interactions create social contexts, niches, forms of belonging, identities, institutions, and larger systems that influence the causes, expression, course, and outcome of mental disorders. Characterizing these systems requires theory that considers the ways in which social systems constitute dynamical systems that configure material, energetic, and informational flows that give rise to human experience. Unpacking the health consequences of these local and extended systems requires an interdisciplinary approach that considers: (1) the social psychological, psychophysiological, and sociophysiological processes that mediate the impact of the environment on body, mind, and person; (2) the interactional dynamics of social systems that give rise to structural adversity and inequity as well as resilience; and (3) the recursive effects of self-understanding, agency and subjectivity.</p><p><strong>Conclusions: </strong>In the cultural-ecosocial view, \"the social\" is shorthand for interactional processes that constitute material and symbolic structures that provide cultural affordances, constraints, and challenges as well as resources for healing, recovery, and adaptation.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"771-783"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331050","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":"Low perceived social support in mothers during pregnancy and early childhood; associations with anxiety and ADHD symptoms in children at 3 and 8 years.","authors":"Christine Baalsrud Ingeborgrud, Beate Oerbeck, Svein Friis, Are Hugo Pripp, Heidi Aase, Guido Biele, Søren Dalsgaard, Kristin Romvig Overgaard","doi":"10.1007/s00127-024-02792-1","DOIUrl":"10.1007/s00127-024-02792-1","url":null,"abstract":"<p><strong>Purpose: </strong>Low perceived social support is associated with adverse effects on maternal mental health, and often coexists with other risk factors for offspring anxiety and attention-deficit/hyperactivity disorder (ADHD). We aimed to investigate whether low maternal social support during pregnancy and early childhood predicted anxiety and ADHD symptoms in children at ages 3.5 and 8 years.</p><p><strong>Methods: </strong>This study is part of the longitudinal, population-based Norwegian Mother, Father, and Child Cohort Study. Mothers were queried about perceived social support twice during pregnancy, and again at child ages 18 months and 3 years. They were interviewed about their children's symptoms of anxiety and ADHD at 3.5 years. At 8 years (n = 781), the Child Symptom Inventory-4 was used to identify children who fulfilled the criteria for anxiety disorders and ADHD. Logistic regression models estimated the risk of child anxiety and ADHD, depending on maternal social support.</p><p><strong>Results: </strong>Low maternal social support predicted child anxiety symptoms at both ages 3.5 and 8 years as well as ADHD symptoms at 8 years. When including other maternal stressors and child risk factors, low maternal social support remained a significant predictor for child anxiety symptoms at 3.5 years, and there was a trend towards also predicting child anxiety and ADHD symptoms at 8 years.</p><p><strong>Conclusion: </strong>The associations between low maternal social support and child symptoms of anxiety and ADHD found in the present study, suggest that focusing on mothers with low social support may hold significance for child symptoms years later.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"895-903"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12031961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584673","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":"Identifying and comparing types of social comparisons on social networking sites among mothers with infants: Differences in maternal loneliness by types.","authors":"Ryuta Onishi, Hanami Tone, Funa Maruyama, Minori Kubota, Nana Chino","doi":"10.1007/s00127-024-02677-3","DOIUrl":"10.1007/s00127-024-02677-3","url":null,"abstract":"<p><strong>Purpose: </strong>Loneliness among mothers of infants is a serious problem that leads to increased stress and depression. Social networking sites (SNS) are platforms commonly used by mothers to gain information and socialize; however, the sites can also lead to social comparison. This study aimed to identify and compare the types of parental social comparisons on SNS among mothers with infants and examine their differences regarding maternal loneliness.</p><p><strong>Methods: </strong>A random sampling cross-sectional survey of 233 Japanese mothers with infants aged 6-11 months old was conducted. The questionnaire considered the frequency of parental social comparisons on SNS and the associated positive/negative emotions, loneliness, perceived social support, SNS use, and participant characteristics. Hierarchical cluster analysis and analysis of covariance were used to examine differences in loneliness by social comparison type.</p><p><strong>Results: </strong>Identified types of parental social comparisons on SNS included: \"Negative-leaning comparisons (n = 40),\" \"Ambivalent comparisons (n = 53),\" \"Heavy comparisons (n = 39),\" and \"Positive-leaning comparisons (n = 67).\" The \"non-comparative group (n = 34)\" made no comparisons. The loneliness scores of the \"Negative-leaning comparisons\" group were significantly higher than those of the \"Ambivalent comparisons,\" \"Positive-leaning comparisons,\" and \"Non-comparative\" groups (p = 0.019, p = 0.017, and p < 0.001, respectively). Additionally, the loneliness scores of the \"Heavy comparisons\" group were higher than those of the \"Non-comparative\" group (p = 0.005).</p><p><strong>Conclusion: </strong>Interventions aimed at enhancing digital literacy among mothers and providing tailored support based on their social comparison types are crucial for mitigating the negative effects of parental social comparisons on SNS.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"905-915"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140898571","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":"Correlates of disability among primary care patients with common mental disorders and chronic medical conditions- a cross-sectional study from rural South India.","authors":"Luke Joshua Salazar, Divya Hegde, Krishnamachari Srinivasan, Elsa Heylen, Maria L Ekstrand","doi":"10.1007/s00127-024-02727-w","DOIUrl":"10.1007/s00127-024-02727-w","url":null,"abstract":"<p><strong>Purpose: </strong>We examined the correlates of disability among people with non-communicable diseases (NCDs) and comorbid common mental disorders (CMDs) from rural India.</p><p><strong>Methods: </strong>The sample comprised 2,486 participants enrolled in a cluster randomized trial (cRCT), Healthier OPtions through Empowerment (HOPE). Participants were 30 years or older, with a diagnosis of major depressive disorder, dysthymia, generalized anxiety disorder, and/or panic disorder on the MINI-International Neuropsychiatric Interview, with hypertension, diabetes, dsylipidemia and/ or ischemic heart disease. Disability was measured with the 12-item version of WHODAS 2.0. The severity of depression and anxiety was measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively. Multiple linear regression analyses were used to examine associations.</p><p><strong>Results: </strong>The mean age was 59 ± 10.0 years, three quarters (1864) of the participants were female, and 64.0% were married. More than half of the participants had no formal education (57.9%). Most of the participants had two or more chronic medical conditions (73.0%). The mean disability score was 24.3. The mean depression score was 8.5, and the mean anxiety score was 6.7. Higher levels of disability were reported by participants ≥ 60 years of age, those with moderate and severe depression, and moderate anxiety. Among female participants, being unmarried was associated with greater disability. Male participants without formal education reported greater levels of disability.</p><p><strong>Conclusion: </strong>Higher severity of CMDs is significantly associated with higher levels of disability. For women, being unmarried and for men having no formal education was associated with higher levels of disability.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT02310932 [URL: https://clinicaltrials.gov/ct2/show/record/NCT02310932 ] registered on December 8, 2014, and Clinical Trials Registry India CTRI/2018/04/013001, registered on April 4, 2018. Retrospectively registered.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"859-868"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753212","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}