Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Stigmatizing attitudes and causal beliefs for depression and social anxiety among adolescents in Bermuda.","authors":"Daniel Cavanagh, Laura M Hart, Shawnee Basden, Nicola Reavley","doi":"10.1007/s00127-025-02971-8","DOIUrl":"https://doi.org/10.1007/s00127-025-02971-8","url":null,"abstract":"","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795977","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":"Effects of sarcopenic obesity on depressive symptoms and their trajectories: findings from the CHARLS 2011-2020.","authors":"Shaohui Su, Kerui Wang, Ziyi Yang, Yinuo Zhou, Rui Ma, Siran Chen, Mengqi Zhou, Yanfang Yang","doi":"10.1007/s00127-025-02976-3","DOIUrl":"https://doi.org/10.1007/s00127-025-02976-3","url":null,"abstract":"<p><strong>Purpose: </strong>Sarcopenia and obesity are recognized factors associated with the onset of depression. Our study aims to clarify the specific impact of sarcopenic obesity on depression development and the longitudinal trajectories of depressive symptoms.</p><p><strong>Methods: </strong>Data from the 2011-2020 China Health and Retirement Longitudinal Study (CHARLS) were utilized, including 8532 participants aged ≥ 45 years. Cox proportional hazards regression assessed the effect of sarcopenic obesity on the incidence of depression. Restricted cubic spline (RCS) regression explored the relationship between components of sarcopenic obesity (waist circumference, BMI, handgrip strength, and appendicular skeletal muscle mass index (ASM/Ht²)) and depression risk. Group-based trajectory modeling (GBTM) identified depressive symptom trajectories among 7895 participants. Multivariate logistic regression analyzed the influence of sarcopenic obesity and other covariates on depressive symptom trajectories.</p><p><strong>Results: </strong>Sarcopenic non-obesity (HR = 1.15; 95% CI: 1.03-1.28) and sarcopenic obesity (HR = 1.28; 95% CI: 1.04-1.58) were associated with increased depression risk. RCS analysis revealed a significant dose-response relationship between components of sarcopenic obesity (waist circumference, BMI, handgrip strength, and ASM/Ht²) and depression risk (P for overall trend < 0.05). Three depressive symptom trajectories over the nine years were identified: relatively stable (48.1%), moderate growth (41.8%), and rapid growth (10.1%). Sarcopenic obesity (OR = 2.22, 95% CI: 1.40-3.51) was identified as a potential factor influencing variability in depressive symptom trajectories.</p><p><strong>Conclusions: </strong>Sarcopenic obesity is associated with an increased risk of depression and may affect the progression of depressive symptoms. Improving muscle mass and strength and maintaining moderate abdominal fat in middle-aged and older adults could help prevent depression.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795973","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":"A meta-analysis of the role of neighborhood deprivation in psychotic disorders.","authors":"Sydney H James, Thania Galvan, Ashley Zollicoffer, Gregory P Strauss","doi":"10.1007/s00127-025-02980-7","DOIUrl":"https://doi.org/10.1007/s00127-025-02980-7","url":null,"abstract":"<p><strong>Purpose: </strong>Although current interventions have proven effective for improving outcomes for individuals with psychotic disorders, this population continues to encounter challenges and health disparities. Recently, researchers have investigated how social determinants of health influence the incidence and outcomes of psychotic disorders. In particular, neighborhood deprivation (i.e., a composite index capturing the social, material, and environmental challenges of a particular area relative to the broader area [1]), has been investigated in numerous studies on psychotic disorders but research has yet to consolidate and quantify its significance. The current meta-analysis assesses neighborhood deprivation and its relationship to psychotic disorder incidence and symptoms.</p><p><strong>Methods: </strong>Articles published prior to April 1, 2024 were identified via two bibliographic databases: PubMed and PsycINFO. The literature search yielded 17 studies consisting of 59,719 cases for the meta-analysis investigating the relation between neighborhood deprivation and psychotic disorder incidence. Six studies of 2,790 cases were included in the meta-analysis assessing the relation between neighborhood deprivation and psychotic disorder symptoms.</p><p><strong>Results: </strong>There was a robust relation between psychotic disorder incidence and neighborhood deprivation, such that as neighborhood deprivation within an area increased so too did the incidence. There was no evidence of a substantial relationship between neighborhood deprivation and psychotic disorder symptoms.</p><p><strong>Conclusions: </strong>The results of this study identified a social determinant of health that has high relevance to the incidence of psychotic disorders. Findings underscore the need to develop multi-level interventions to address neighborhood deprivation and reduce resource inequalities across geographical locations.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795972","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":"Relationship between COVID-19 stigma and anxiety symptoms in university students during the COVID-19 pandemic.","authors":"Keyong Luo, Lei Ren, Jia Wang, Chang Liu, Xi Luo, Kuiliang Li","doi":"10.1007/s00127-025-02900-9","DOIUrl":"https://doi.org/10.1007/s00127-025-02900-9","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic after isolation removal increased stigmatizing attitudes and anxiety, but there is a lack of studies analyzing the relationship between stigmatizing attitudes and anxiety symptoms after isolation lifting. This study aimed to explore the complex relationship between the SARS-CoV-2 stigma and anxiety symptoms in patients with SARS-CoV-2 and healthy populations.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey in which 1,730 university students reported COVID-19 stigmatizing attitudes and anxiety symptoms. These included university students who were either infected or uninfected individuals. We estimated the complex relationship between stigmatizing attitudes and anxiety symptoms using network analysis methods.</p><p><strong>Results: </strong>During the COVID-19 pandemic, stigmatizing attitudes and anxiety observed in the infected group were 32.86% and 28.28%, respectively, and in the uninfected group were 34.64% and 22.79%, respectively. Network analysis showed that A2 (Uncontrollable worry) had the strongest expected influence centrality and S1 (Stereotype) had the strongest bridge expected influence centrality; network comparative analysis of the infected and uninfected groups revealed a significant difference in the expected influence centrality for S1; and directed acyclic graph analysis showed that node A2 had the highest priority.</p><p><strong>Conclusion: </strong>We recommend developing appropriate strategies for safeguards, such as the dissemination of relevant knowledge to at-risk populations, to cope with stigmatizing attitudes and anxiety symptoms among university students.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795976","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":"Identifying the vulnerable among the vulnerable: applying quantitative intersectionality methods to assess potential inequities in the HIV continuum of care for people living with schizophrenia in the united States.","authors":"Paul Wesson, Eric Vittinghoff, Marilyn D Thomas, Stephen Crystal, Richard Hermida, James Walkup, Francine Cournos, Mark Olfson, Christina Mangurian","doi":"10.1007/s00127-025-02972-7","DOIUrl":"https://doi.org/10.1007/s00127-025-02972-7","url":null,"abstract":"<p><strong>Background: </strong>People living with schizophrenia face disproportionate risk of HIV, yet HIV testing remains low. Differential testing rates and engagement in care may be impacted by compounding social marginalization, partly linked to structural barriers. Grounded in intersectionality, we set out to identify the riskiest intersectional positions for HIV testing and engagement in HIV care in the United States.</p><p><strong>Methods: </strong>We created a retrospective cohort of people living with schizophrenia and matched controls, using 2012 national Medicaid claims data. We coded intersectional positions based on schizophrenia diagnosis, race/ethnicity, sex, and age. We used Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) models to assess intersectional effects for two outcomes, HIV testing and retention in HIV care (RIC) defined as ≥2 CD4 or HIV viral load tests ≥90 days apart.</p><p><strong>Results: </strong>Of 777,887 patients in the testing cohort, 7.7% tested for HIV; 39% of the 17,913 patients in the RIC cohort were retained in care. In MAIHDA models without fixed effects, intersectional positions explained 12.7% of the variance in HIV testing and 7.4% of the variance in RIC. In final models including fixed and random effects, intersectional positions accounted for 1.4% of the variance in HIV testing and 0.8% of the variance in RIC. Older Black men with schizophrenia had lower-than-expected RIC prevalence in final models.</p><p><strong>Conclusion: </strong>Intersectional MAIHDA models can identify both vulnerable and resilient intersectional positions. The antagonistic intersectional effects for older Black men with schizophrenia highlight the need for targeted interventions to address structural barriers.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785795","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":"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":"1971-1981"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","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":"Clinical treatment interventions in personal recovery stories of patients with severe mental illness: a qualitative study.","authors":"Robin Michael Van Eck, Auke Jelsma, Jelle Blondeel, Kimriek de Wilde-Schutten, Jannick Vincent Rutger Zondervan, Thijs Jan Burger, Astrid Vellinga, Mariken Beatrijs de Koning, Frederike Schirmbeck, Sylvia Gerritsen, Martijn Kikkert, Lieuwe de Haan","doi":"10.1007/s00127-025-02872-w","DOIUrl":"10.1007/s00127-025-02872-w","url":null,"abstract":"<p><strong>Purpose: </strong>In quantitative research, small to medium associations were found between clinical and personal recovery in patients with severe mental illness (SMI). This finding may result from varying relationships between clinical and personal recovery depending on the individual patient. The aim of the current study was to explore the subjective experience of clinical treatment interventions in personal recovery stories of patients with severe mental illness.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 26 patients with SMI receiving treatment of a Flexible Assertive Community Treatment team in Amsterdam, the Netherlands. Thematic analysis was used.</p><p><strong>Results: </strong>We found that most clinical treatment interventions can have both positive and negative impact on personal recovery: (1) receiving a diagnosis can lead to relief, but also to stigma, (2) medication has positive effects, but side-effects impair personal recovery, (3) hospitalization and (4) coercive treatment can be helpful, but can also impact the process of recovery negatively, (5) psychological treatment is experienced as beneficial.</p><p><strong>Conclusion: </strong>Mental healthcare practitioners' awareness of patients' diverging experiences regarding the impact of clinical treatment interventions on personal recovery is important to carry out recovery-supportive practice. Communicating a diagnosis with a hopeful narrative, developing personalized medication strategies and post-hospital reflection on the use of restraints are a good basis.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1907-1917"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606967","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":"Exploring the association between adolescent psychotic-like experiences and components of social performance using a multi-level virtual reality paradigm.","authors":"Grace Kiernan, Pauline Kohl, Ekincan Tas, Frederic Berg, Mario Wolf, Phuong-Mi Nguyen, Lucia Valmaggia, Mar Rus-Calafell","doi":"10.1007/s00127-025-02871-x","DOIUrl":"10.1007/s00127-025-02871-x","url":null,"abstract":"<p><strong>Background: </strong>Despite evidence linking psychotic-like experiences (PLEs) and social functioning deficits in youth at the risk of transitioning to psychosis, this association remains poorly understood. To address this, we explored the association between components of social performance and PLEs in adolescents aged 13-18 using a novel virtual reality (VR) paradigm for real-time assessment.</p><p><strong>Methods: </strong>Adolescents (N = 146) aged 13-18 were recruited as part of a larger cohort study conducted by the same research group (YVORI_PRO) and invited to participate via the following criteria: those reporting highly indicative positive PLEs (HIP, N = 88) and those reporting no or less indicative PLEs (no-HIP, N = 58). Self-report, behavioural and physiological components of social performance were collected using a portable VR headset and a medical wristband. Participants entered a virtual recreational area with three levels of social ambiguity and were encouraged to interact with avatars. MANOVA was performed to check for overall group differences and repeated measures ANOVAs were conducted to examine the effects of group and level of ambiguity, as well as their interaction, on daily social performance.</p><p><strong>Results: </strong>During virtual social interactions, adolescents with HIP reported higher levels of anxiety, fear of negative evaluation (FNE) and avoidance than the no-HIP group. No significant difference between groups was found for self-confidence. With increasing social ambiguity in VR, anxiety, FNE and avoidance increased in both groups, while self-confidence decreased. No significant group differences were found in behavioural or physiological components of social performance. Interpersonal distance and pulse rate increased significantly with increasing level of ambiguity, but pulse rate variability and skin conductance did not.</p><p><strong>Conclusion: </strong>The results suggest that adolescents with HIP may present specific difficulties related to social performance, which may carry additional psychosis risk. The new VR social scenario appears to be an acceptable, safe and effective tool to measure social performance in adolescents experiencing PLEs.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2023-2034"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651821","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":"Experienced and anticipated discrimination among people living with schizophrenia in China: a cross-sectional study.","authors":"Yilu Li, Dan Qiu, Chengcheng Zhang, Qiuyan Wu, Anyan Ni, Zixuan Tang, Shuiyuan Xiao","doi":"10.1007/s00127-025-02839-x","DOIUrl":"10.1007/s00127-025-02839-x","url":null,"abstract":"<p><strong>Purpose: </strong>Understanding the experienced and anticipated discrimination of people living with schizophrenia (PLS) in China is the cornerstone of culturally informed intervention. This study aims to describe the pattern of experienced and anticipated discrimination against PLS in China and investigate which social and illness characteristics are associated with discrimination.</p><p><strong>Methods: </strong>PLS dwelling in community were randomly recruited from four cities across China and completed measures of experienced and anticipated discrimination by discrimination and stigma scale (version 12; DISC-12). Multivariable regression was used to analyses the correlates of experienced and anticipated discrimination.</p><p><strong>Results: </strong>A total of 787 participants (54.0% were female) were included in the analysis. 38% of participants reported experienced discrimination and 71.4% reported anticipated discrimination. The most common experienced discrimination for PLS in China were from neighborhood, making/keeping friends, finding/keeping a job, and family. 59.3% of participants had concealed their mental illness. Living in rural areas, household poverty, longer illness duration, severer symptoms and higher level of disability were associated with more experienced discrimination. Younger ages, unemployment, higher level of disability and experienced discrimination were associated with more anticipated discrimination.</p><p><strong>Conclusion: </strong>More than a third of PLS in China have experienced discrimination in their lives. Economically disadvantage PLS and PLS living in rural setting may experience more discrimination in China. New and culturally informed intervention approaches are needed to prevent and reduce discrimination of schizophrenia.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1895-1905"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426353","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":"Addressing the complex needs of homeless youth with early psychosis and comorbid substance use: a naturalistic longitudinal study of 10 years' experience with EQIIP SOL's specialized outreach service.","authors":"Beatrice Todesco, Paula Pires De Oliveira Padilha, Daniel Rabouin, Clairélaine Ouellet-Plamondon, Didier Jutras-Aswad, Amal Abdel-Baki","doi":"10.1007/s00127-025-02875-7","DOIUrl":"10.1007/s00127-025-02875-7","url":null,"abstract":"<p><strong>Purpose: </strong>Psychosis and substance use disorders (SUDs) are highly prevalent and often co-occurring among homeless youth. EQIIP SOL, a specialized intensive outreach program within an early intervention service, provides 3-year comprehensive care for first-episode psychosis (FEP) homeless youth, targeting psychosis, SUD, and homelessness. This study aims to examine clinical and functional outcomes, along with predictors of housing stability, among youth enrolled in the program since its inception in 2012.</p><p><strong>Methods: </strong>This longitudinal study examined the 3-year outcomes of all youth admitted to EQIIP SOL from 2012 to 2020. The inclusion criteria encompassed youth aged 18-30 years, diagnosed with primary psychosis and SUD and experiencing homelessness. Assessments were conducted at baseline and at 1, 3, 6, 9, 12, 15, 18, 24, and 36 months thereafter to describe housing stability, illness severity, and general functioning evolutions. Alcohol and substance use were evaluated at baseline and annually. A multivariate mixed-effects model investigated baseline predictors of housing stability.</p><p><strong>Results: </strong>Of the 177 enrolled youth, 81.4% achieved housing stability at least once, within a median of six months. Improvements in illness severity and general functioning were observed during the initial nine months, plateauing thereafter. SUDs reduced approximately by one-third; alcohol use disorder decreased by half. Older age (OR = 1.18 (1.07-1.31)), no history of chronic homelessness (OR = 2.16 (1.13-4.13)), stimulant addiction (OR = 0.51 (0.26-0.98)) and being roofless/emergency sheltered at admission (OR = 0.41 (0.19-0.88)) were associated with housing stability.</p><p><strong>Conclusion: </strong>EQIIP SOL's integrated approach yields promising results, warranting replication, robust evaluation of its efficacy, and adaptation in other settings.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1943-1955"},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028948","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}