Psychiatry-Interpersonal and Biological Processes最新文献

{"title":"Implementation of a Face-To-Face Vs Virtual Peer-Integrated Collaborative Care Intervention for Mental Health Treatment of Physical Trauma Survivors: A Qualitative Study of Lessons from the COVID-19 Pandemic.","authors":"Lawrence A Palinkas, Allison Engstrom, Tanya Knutsen, Mary Lou Walen, Lauren Whiteside, Deepika Nehra, Douglas Zatzick","doi":"10.1080/00332747.2025.2592725","DOIUrl":"https://doi.org/10.1080/00332747.2025.2592725","url":null,"abstract":"<p><strong>Objective: </strong>We assessed the impact of the COVID-19 pandemic on the implementation of a peer-integrated enhancement of integrated clinical care intervention to address the mental health needs of 450 patients undergoing treatment for a physical injury.</p><p><strong>Methods: </strong>Qualitative data were collected by 7 clinician investigators of a randomized controlled trial acting as participant observers in a trauma care setting of a major U.S. metropolitan hospital and analyzed in collaboration with an external mixed methods specialist.</p><p><strong>Results: </strong>The pandemic created or exacerbated several implementation barriers, including increased risk of infection, homelessness, hospitalizations and comorbid conditions such as fentanyl overdoses that increased demand on emergency department and Trauma Center services, imposition of safety measures to reduce risk of infection in clinical settings, transition from face-to-face to virtual interactions with study patients, shortages of specialty mental health providers, suspension of recruitment of patients into the study, scheduling calls with patients, and an increased workload for the study clinical interventionists. Peer specialists perceived the transition to virtual interactions with patients reduced their effectiveness; however, this was not reflected in assessments of patient satisfaction with services received and may have inadvertently increased adoption by Trauma Center staff. Reduction in reach of the intervention to target population was temporary.</p><p><strong>Conclusions: </strong>The COVID-19 pandemic exacerbated existing barriers and created new barriers to successfully implementing evidence-based practices in trauma care settings, resulting in an attenuation of their effectiveness. However, the shift from face-to-face to virtual services delivery may have actually led to improved implementation outcomes.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT03569878. Registered June 15, 2018.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"1-7"},"PeriodicalIF":2.4,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Children and Adolescents' Admissions to Pediatric Psychiatric Emergency Department.","authors":"Binay Kayan Ocakoğlu, Gökçe Elif Alkaş Karaca, Mehmet Can Erata, Fevzi Tuna Ocakoğlu, Elif Yerlikaya Oral, Gül Karaçetin","doi":"10.1080/00332747.2024.2405955","DOIUrl":"10.1080/00332747.2024.2405955","url":null,"abstract":"<p><strong>Objective: </strong>Emergencies in child and adolescent psychiatry are prevalent, and pediatric psychiatric emergency departments play a crucial role in acute intervention during mental health-related crises. This retrospective cross-sectional study aimed to analyze the characteristics of children and adolescents who were admitted to a pediatric psychiatric emergency department.</p><p><strong>Method: </strong>The data were collected from the records of 8803 patients (females 56.6%, Mage = 15.07 ± 2.6) admitted to our pediatric psychiatry emergency department between 2014 and 2021. Diagnoses were made using the International Statistical Classification of Diseases, 10th Revision. We used descriptive statistics to determine patient characteristics and conducted a regression analysis to compare the changes in the admissions numbers by the year.</p><p><strong>Results: </strong>It was found that depressive disorder was the highest psychiatric diagnosis, with a percentage of 21.4%. Depressive disorder, autism spectrum disorder, and obsessive-compulsive disorder have shown an increase over the years. In 2020, with the onset of the COVID-19 pandemic, psychiatric admissions reached their lowest level. The percentage of hospitalizations was 21.1% for the total of all years. No significant change was found in the total number of admissions, sex, and age.</p><p><strong>Conclusions: </strong>The number of admissions for female adolescents who were diagnosed with depressive disorder to our pediatric psychiatry emergency department is shown to be high. The fact that these patients seek help more frequently should be taken into consideration during the planning of mental health services for outpatient and inpatient clinics as well as pediatric psychiatry emergency services.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"41-54"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perinatal Depression, Labor Anxiety and Mental Well-Being of Polish Women During the Perinatal Period in a War and Economic Crisis.","authors":"Ewelina Barszcz, Maksymilian Plewka, Agata Gajewska, Aleksandra Margulska, Oliwia Gawlik-Kotelnicka","doi":"10.1080/00332747.2024.2447219","DOIUrl":"10.1080/00332747.2024.2447219","url":null,"abstract":"<p><p><i>Objective:</i> The armed conflict in Ukraine and its impact on Europe's economy have led to an war and economic crisis, potentially affecting the mental health of women during the perinatal period. This study aimed to assess the severity of depressive symptoms and labor anxiety among Polish women in perinatal period during this crisis. <i>Methods:</i> From June 2, 2022, to April 11, 2023, 152 women completed three sets of online surveys-two during pregnancy (before 33 weeks and/or between 33 and 37 weeks) and one postpartum (4 weeks after childbirth). The questionnaires used to evaluate the anxiety and depressive symptoms included Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory (BDI-2), Labor Anxiety Questionnaire (LAQ), and team-developed questionnaires evaluating war-related anxiety (WAQ) and global situation anxiety (GSAQ) Statistical analyses included U-Mann Whitney, Kruskal-Wallis, Wilcoxon signed-rank, Friedman tests and Spearman's correlations, with a significance level set at <i>p</i> < .05. <i>Results:</i> Among Polish pregnant women aged 23-43, 31.6% of participants experienced depressive symptoms, while 70.4% reported increased labor-related anxiety. Additionally, 24.3% experienced significant anxiety due to the war, and 25% suffered from severe anxiety related to the global situation. Positive correlations were noted between EPDS and GSAQ scores (<i>R</i> = 0.34, <i>p</i> < .001) and LAQ and WAQ scores (<i>R</i> = 0.21, <i>p</i> = .008). <i>Conclusions:</i> The prevalence of perinatal depression is high during war and economic crisis, underscoring the urgent need to improve screening for perinatal depression in Poland. Further, the manuscript did not discuss symptom patterns across the three time points.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"126-141"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral Health Impacts of Disasters and System Changes Designed to Mitigate and Prevent Them: Historical Highlights from the Past to Inform the Future.","authors":"Mary C Vance, Joshua C Morganstein","doi":"10.1080/00332747.2025.2504298","DOIUrl":"https://doi.org/10.1080/00332747.2025.2504298","url":null,"abstract":"","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"88 2","pages":"98-104"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to Children and War.","authors":"Stephen J Cozza, Christin M Ogle, Hanna G Nettles, Gregory A Leskin","doi":"10.1080/00332747.2025.2530345","DOIUrl":"https://doi.org/10.1080/00332747.2025.2530345","url":null,"abstract":"","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"88 3","pages":"170-176"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor's Note.","authors":"Robert J Ursano","doi":"10.1080/00332747.2025.2530344","DOIUrl":"https://doi.org/10.1080/00332747.2025.2530344","url":null,"abstract":"","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"88 3","pages":"169"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting to the Fentanyl Epidemic: Rapid Qualitative Observations and Derived Clinical and Research Implications from the Emergency Department Longitudinal Integrated Care (ED-LINC) Randomized Clinical Trial.","authors":"Kayla Lovett, Douglas Zatzick, Lawrence A Palinkas, Allison Engstrom, Emily Nye, Craig Field, Mark McGovern, Canada Parrish, Caleb J Banta-Green, Lauren K Whiteside","doi":"10.1080/00332747.2025.2472429","DOIUrl":"10.1080/00332747.2025.2472429","url":null,"abstract":"<p><strong>Objective: </strong>The Emergency Department Longitudinal Integrated Care (ED-LINC) randomized clinical trial (NCT05327166) tests a Collaborative Care-informed intervention for emergency department (ED) patients with opioid use disorder. The ED-LINC intervention was developed before the current fentanyl epidemic; less than 10% of ED-LINC pilot intervention patients reported fentanyl use. To understand fentanyl's impact on the ED-LINC protocol, we utilized a systematic rapid qualitative approach to document clinical observations related to ED-LINC patients' fentanyl use and subsequent protocol modifications.</p><p><strong>Method: </strong>This study utilized Rapid Assessment Procedure Informed Clinical Ethnography (RAPICE) methods to document fentanyl-related clinical observations. As participant observers, the team worked with a mixed methods consultant to analyze observations, informing adaptation to study protocol and intervention.</p><p><strong>Results: </strong>From 4/12/2022 to 2/10/2023, 86 patients enrolled in the ED-LINC trial. Forty received the ED-LINC intervention and are included in this study. Investigators identified the following themes informing adaptation to the ED-LINC intervention: 1) fentanyl-related suicide risk, 2) fentanyl-catalyzed approach to Medications for Opioid Use Disorder (MOUD), 3) fentanyl-related adaptations to measurement-based care embedded in the Collaborative Care approach, 4) fentanyl-associated survival needs, and 5) engagement challenges with fentanyl. Adaptations included incorporating overdose prevention into suicide risk assessment, nontraditional MOUD induction, and shifting to a component-driven model.</p><p><strong>Conclusions: </strong>The landscape of clinical practice can change quickly and may require both researchers and healthcare providers to quickly pivot. Rapid assessment procedures integrated into clinical trial investigation allow for modifications and adaptations to study protocols to ensure salient and generalizable results given the rapidly evolving opioid epidemic.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"333-350"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental, Physical, and Social Mediators of the Relationship Between Mild Traumatic Brain Injury and Functional Impairment in U.S. Military Veterans.","authors":"Sarah Meshberg-Cohen, Polly Ingram, Joan M Cook, Ian C Fischer, Robert H Pietrzak","doi":"10.1080/00332747.2025.2528524","DOIUrl":"10.1080/00332747.2025.2528524","url":null,"abstract":"<p><p>ObjectiveThis study examined mental, physical, and social variables that may mediate the relationship between mild traumatic brain injury (mTBI) and functional impairment in a nationally representative sample of U.S. military veterans. <i>Method:</i> Data were analyzed from 3,985 U.S. military veterans who participated in the National Health and Resilience in Veterans Study. <i>Results:</i> Study results revealed that 10.0% (95% confidence interval = 8.7-11.4%) of veterans screened positive for mTBI on the Veterans Affairs' Mild TBI Injury Screening and Evaluation tool. Veterans with a positive mTBI screen scored lower on measures of mental, physical, and cognitive functioning, and higher on a measure of psychosocial difficulties compared to those with a negative mTBI screen. Symptoms of major depression, generalized anxiety, and posttraumatic stress disorder, insomnia, somatic symptoms, and loneliness significantly mediated the relationship between mTBI screening status and various functional outcomes. Specifically, these mediators accounted for 87.1% of the association with physical functioning, 84.2% of the association with mental functioning, and 73.0% of the association with cognitive functioning, with mTBI screening status remaining significantly associated with each measure. For psychosocial functioning, these mediators accounted for 89.2% of the association, and mTBI screening status was no longer associated with this outcome. <i>Conclusions:</i> Collectively, these findings underscore the importance of early, targeted, and multi-modal interventions that address psychiatric symptoms, somatic symptoms, insomnia, and loneliness to enhance overall functioning and well-being among veterans with mTBI.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"395-408"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily Impact of Medical Cannabis on Anxiety and Sleep Quality in Older Adults.","authors":"Madison Maynard, Robert D Dvorak, Daniel Paulson, Emily K Burr, Quinn Allen, Nichole R Lighthall, Apollonia E Lysandrou","doi":"10.1080/00332747.2025.2484827","DOIUrl":"10.1080/00332747.2025.2484827","url":null,"abstract":"<p><strong>Objective: </strong>Older adults represent the fastest growing demographic of cannabis users, and they endorse cannabis use for a variety of reasons including modulation of chronic pain, mental health symptoms, and sleep concerns. However, current evidence leaves questions of efficacy unanswered among these groups. Goals of the present study were to examine the hypothesis that medical cannabis (MC) use will, at the daily level, predict lower pain, depression, anxiety, and improved sleep.</p><p><strong>Method: </strong>A final sample of 106 MC users were recruited nationwide (ages 55-74, 66.67% female, 82.86% white). A fully within-subject multilevel structural equation model was conducted with use patterns and symptomology broken into four temporal epochs. MC use, operationalized as subjective intoxication (Epoch 1), averaged across the day was used to predict subsequent pain, anxiety, and depression levels (Epoch 2), which were then used to predict sleep that night (Epoch 3), then subsequent pain, anxiety, and depression the following day (Epoch 4) prior to initiation of MC use.<i>Results</i>: Subjective intoxication predicted lower post-use pain, anxiety, and depression. Subjective intoxication is related to lower anxiety and better sleep the following night.</p><p><strong>Conclusions: </strong>These findings provide evidence of momentary improvements in pain, anxiety, depression, and indirect benefits for sleep quality. In combination with other findings, the results advance our understanding of the efficacy and limitations of MC among older adults. Findings are limited by MC measurement and sample homogeneity (primarily White, non-Hispanic female). Future research should seek to further measurement of use and corresponding effects and examine expectancy effects in aging clinical populations.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"380-394"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"If Only I Could Drink Like Everyone Else: Effects of Counterfactual Thinking and Personalized Normative Feedback on Perceived Behavioral Control Over Drinking.","authors":"Kianna M Arthur, Ardhys N De Leon, Robert D Dvorak, Sherecce A Fields, Percy Gresham, Rachel Smallman","doi":"10.1080/00332747.2025.2472428","DOIUrl":"10.1080/00332747.2025.2472428","url":null,"abstract":"<p><strong>Objective: </strong>Perceived behavioral control over drinking (PBCD) is an important factor in alcohol use, with lower scores linked to higher consumption. Counterfactual thinking (i.e. \"If only … then …\"), a cognitive strategy that strengthens causal links between antecedents and consequents, may increase PBCD by increasing engagement in Protective Behavioral Strategies (e.g. alternating water and alcohol to minimize negative drinking outcomes). This study examined a brief counterfactual-based intervention and a personalized normative feedback for protective behavioral strategies intervention (PBS-PNF) to increase PBCD among college students, relative to control, across five follow-up weeks.</p><p><strong>Method: </strong>Undergraduate students (<i>n</i> = 239; 76.6% female) were randomly assigned to one of four conditions: control (recall negative drinking event), sham (recall and elaborate on negative drinking event), counterfactual (recall negative drinking event and generate counterfactual strategies), or PBS-PNF (estimate peers' use of protective behavioral strategies). PBCD was measured at baseline and at five follow-up sessions.</p><p><strong>Results: </strong>A Bayesian-approach multi-level model was used to estimate PBCD across follow-up weeks. Those in the counterfactual and PBS-PNF conditions reported greater increases in PBCD across follow-ups compared to those in the sham condition who saw no change. Participants in the control condition saw decreases in PBCD over time. The counterfactual and PBS-PNF conditions did not differ on PBCD across time.</p><p><strong>Conclusion: </strong>This study highlights the effectiveness of a brief counterfactual-based intervention to increase PBCD among early drinking college students. Specifically, personalized interventions that increase use of protective behavioral strategies may be particularly effective for individuals who have not yet solidified their drinking habits.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"351-365"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}