Journal of Psychosomatic Research最新文献

{"title":"Psychological distress after COVID-19 recovery and subsequent prolonged post-acute COVID-19 syndrome: A longitudinal study with one-year follow-up in Japan","authors":"Megumi Hazumi ,&nbsp;Mayumi Kataoka ,&nbsp;Zui Narita ,&nbsp;Kentaro Usuda ,&nbsp;Emi Okazaki ,&nbsp;Daisuke Nishi","doi":"10.1016/j.jpsychores.2025.112323","DOIUrl":"10.1016/j.jpsychores.2025.112323","url":null,"abstract":"<div><h3>Objective</h3><div>This study investigated the longitudinal association between psychological distress in the post-acute phase and the subsequent prolonged post-acute COVID-19 syndrome (PACS) symptoms among individuals with PACS symptoms.</div></div><div><h3>Methods</h3><div>An online longitudinal survey was conducted from July to September 2021 (Time 1, T1) and from July to September 2022 (Time 2, T2). Individuals who were 20 years or older had a positive polymerase chain reaction test, were one-month post-infection, and did not select “Nothing” to a question about PACS symptoms were included. The primary outcome was any PACS symptoms at T2. General and respiratory symptoms at T2 were also examined among participants with those symptoms at T1. Exposure was psychological distress, defined as Kessler Distress Scale ≥13 at T1. Logistic regression analyses were conducted to examine associations between psychological distress and PACS symptoms, general and respiratory symptoms among participants with relevant symptoms at T1.</div></div><div><h3>Results</h3><div>Of 1674 participants, 671 completed T2, and 109 of them reported psychological distress. Psychological distress was associated with higher odds of any PACS (odds ratio [OR] = 1.79, 95 % confidence interval [CI] = 1.07–2.98, <em>p</em> = 0.03), general symptoms (OR = 1.92, 95 % CI = 1.01–3.67, <em>p</em> = 0.046), and respiratory symptoms (OR = 2.73, 95 % CI = 1.02–6.44, <em>p</em> = 0.02) at T2.</div></div><div><h3>Conclusion</h3><div>Psychological distress in the post-acute phase may contribute to the persistence of PACS symptoms, mainly general and respiratory symptoms, at the one-year follow-up in individuals with PACS symptoms.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"196 ","pages":"Article 112323"},"PeriodicalIF":3.5,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605775","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":"Autonomic arousal and heart rate variability in functional somatic disorder - a cross-sectional population-based study","authors":"Lise Gormsen ,&nbsp;Henning Mølgaard ,&nbsp;Thomas Meinertz Dantoft ,&nbsp;Anne Arendt Bjerregaard ,&nbsp;Per Fink ,&nbsp;Marie Weinreich Petersen","doi":"10.1016/j.jpsychores.2025.112193","DOIUrl":"10.1016/j.jpsychores.2025.112193","url":null,"abstract":"<div><h3>Objective</h3><div>The bodily distress syndrome (BDS) checklist has proven to be useful diagnostic aid and as screening tool for functional somatic disorder (FSD). It has been hypotheses that the symptoms clusters of the checklist represent autonomic activity. This study aims to investigate associations between autonomic activity (Heart rate variability, HRV) and somatic symptoms profiles measured by the BDS checklist and diagnoses of FSD based on interviews.</div></div><div><h3>Methods</h3><div>This cross-sectional population-based study included 6891 men and women aged 18–72 years. Somatic symptom profiles were measured by the 25-item BDS checklist, and five short-term HRV measures (MeanRR, RMSSD, LF, HF, and LF/HF) were obtained. In a stratified subsample (<em>n</em> = 1590), diagnoses of FSD was established by diagnostic interviews, performed by trained family physicians. Associations were tested with regression models. Measures of associations were mean difference with 95 % confidence intervals (CIs) for Mean RR and median ratio and 95 % CI for RMSS, LF, HF, and LF/HF.</div></div><div><h3>Results</h3><div>Overall, higher BDS checklist scores were associated with lower HRV, particularly reduced mean RR intervals (−0.86, 95 % CI: −0,24;-0,49 for the total sum score). The strongest associations were seen for the cardiopulmonary symptom cluster (−3.58, 95 % CI: −0,05;-2.10). Clinically diagnosed FSD cases also showed lower mean RR compared to non-cases (−23.12, 95 % CI: −41.17;-5.07), especially the multi-organ type (−39.44, 95 % CI: −75.49;-3.39).</div></div><div><h3>Conclusions</h3><div>The study indicate that the symptom clusters of the BDS checklist are associated with autonomic arousal as measured by HRV. Further that individuals with FSD, especially the multi-organ type, had an increased sympathetic neural and neurohormonal activity, suggesting this may be an important physiological mechanism in FSD.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"196 ","pages":"Article 112193"},"PeriodicalIF":3.5,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605777","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":"The latent class and influencing factors of kinesiophobia in patients after cardiac surgery with cardiopulmonary bypass: A prospective longitudinal study","authors":"Yaqin Chen ,&nbsp;Huan Guo ,&nbsp;Yanchun Peng ,&nbsp;Qi Niu ,&nbsp;Yan Jiang ,&nbsp;Baolin Luo ,&nbsp;Liangwan Chen ,&nbsp;Yanjuan Lin","doi":"10.1016/j.jpsychores.2025.112310","DOIUrl":"10.1016/j.jpsychores.2025.112310","url":null,"abstract":"<div><h3>Background</h3><div>Kinesiophobia is common in patients after cardiac surgery with cardiopulmonary bypass (CPB), affecting their recovery and well-being. This study aimed to explore kinesiophobia trajectories and their influencing factors to inform personalized interventions.</div></div><div><h3>Methods</h3><div>A prospective longitudinal study was conducted in a tertiary hospital in southern China, enrolling 301 patients who underwent cardiac surgery with CPB between January and July 2023 via continuous sampling method. Assessments were conducted at ICU transfer, discharge, and 1 and 3 months after discharge, using the Tampa Scale for Kinesiophobia, Hospital Anxiety and Depression Scale (HADS), Social Support for Exercise Scale (SSES), and Fatigue Severity Scale (FSS), among others. Latent class growth modeling (LCGM) identified kinesiophobia trajectories, and multiple logistic regression analyzed influencing factors. The study adhered to STROBE guidelines.</div></div><div><h3>Results</h3><div>Three distinct kinesiophobia trajectories were identified: high-level rapid decline (Class 1, 25 %), persistent low-level (Class 2, 64 %), and high-level slow decline (Class 3, 10 %). Pain, fatigue, abnormal BMI, employment status, and low-to-moderate perfusion were significant risk factors for membership in the higher kinesiophobia classes (Class 1 and Class 3).</div></div><div><h3>Conclusions</h3><div>Patients undergoing cardiac surgery with CPB can be classified into three types of kinesiophobia within 3 months post-discharge. In clinical practice, early identification and tailored interventions based on the distinct characteristics of different kinesiophobia categories can help improve patients' recovery and postoperative quality of life.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"196 ","pages":"Article 112310"},"PeriodicalIF":3.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596085","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":"Mindfulness-based interventions for cancer patients in standard treatment: A meta-analysis of effects on depression, anxiety, and quality of life","authors":"Ema Štánerová ,&nbsp;Veronika Zelenayová ,&nbsp;Jakub Rajčáni","doi":"10.1016/j.jpsychores.2025.112312","DOIUrl":"10.1016/j.jpsychores.2025.112312","url":null,"abstract":"<div><div>Mindfulness interventions are indicated to be effective in reducing psychological symptoms faced by patients with cancer. However, there is a lack of revised evidence on their effectiveness during the active treatment phase. To address this research gap, we conducted a meta-analysis of controlled clinical trials with adult patients written in English, published in PubMed, Web of Science, PsycINFO and Scopus databases up to July 25, 2023. Studies with participants who completed oncological treatment more than 6 months before inclusion in the study were excluded. We calculated moderate effects on quality of life (12 studies with 1124 participants; SMD = 0.50; 95 % CI [0.33, 0.67]), depression (19 studies with 1586 participants; SMD = −0.60; 95 % CI [−0.79; −0.41]) and anxiety (20 studies with 1542 participants; SMD = −0.64; 95 % CI [−0.83, −0.46]), but with considerable heterogeneity. Subgroup analyses revealed that effectiveness differed for distinct types of intervention, but not for different cancer diagnoses. The overall quality of evidence (GRADE) was low mainly due to unexplained heterogeneity and risk of bias in most studies. Our findings highlight the importance of thoroughly examining sources of heterogeneity and enhancing methodological transparency in primary studies within oncology populations.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"196 ","pages":"Article 112312"},"PeriodicalIF":3.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581276","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":"Cumulative Exposure to Adverse Childhood Experiences and its Impact on Impulsivity among Mexican Adults","authors":"Jorge Luis Hernández-Vicencio ,&nbsp;Thelma Beatriz González-Castro ,&nbsp;Carlos Alfonso Tovilla-Zárate ,&nbsp;Yazmín Hernández-Díaz ,&nbsp;Isela Esther Juárez-Rojop ,&nbsp;María Lilia López-Narváez ,&nbsp;José Antonio Ovando-Ricárdez ,&nbsp;José Jaime Mártinez-Magaña","doi":"10.1016/j.jpsychores.2025.112308","DOIUrl":"10.1016/j.jpsychores.2025.112308","url":null,"abstract":"<div><h3>Objective</h3><div>The effect of childhood adversity on impulsivity remains unclear in the Mexican population. We examined the association between cumulative number of Adverse Childhood Experiences (ACEs) and impulsivity in this population.</div></div><div><h3>Methods</h3><div>The sample consisted of 2100 adults. ACEs were measured using the 10-item ACE questionnaire. The Plutchik Impulsivity Scale was used as screening tool for impulsivity. A cumulative score of ACEs was also computed. All data were analyzed in SPSS v. 23.</div></div><div><h3>Results</h3><div>The prevalence of ACEs ≥1 was 65.8 %. The mean scores reported on the impulsivity scale were 17.96 ± 6.21 in participants who experienced ACEs and 14.75 ± 5.74 in participants who had not experienced any ACEs. The odds of impulsivity in adulthood increased 1.89 times (<em>p</em> &lt; 0.001) among those with 1–2 ACEs, 3.91 times (<em>p</em> &lt; 0.001) among those with 3–4 ACEs, and 7.63 times (<em>p</em> &lt; 0.001) among those with five or more ACEs when compared with those who had not experienced any ACEs.</div></div><div><h3>Conclusions</h3><div>The findings of the present study have shown that an accumulation of ACEs significantly increased the risk for impulsivity in the adulthood.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"196 ","pages":"Article 112308"},"PeriodicalIF":3.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581275","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":"The role of resilience in mitigating depression and anxiety in patients with inflammatory bowel diseases","authors":"Daniele Ferrarese ,&nbsp;Michele Vecchione ,&nbsp;Giorgia Spagnolo ,&nbsp;Antonio Mirijello ,&nbsp;Federica Di Vincenzo ,&nbsp;Daniela Belella ,&nbsp;Giovanni Camardese ,&nbsp;Antonio Maria D'Onofrio ,&nbsp;Vincenzina Mora ,&nbsp;Daniele Napolitano ,&nbsp;Giovanni Cammarota ,&nbsp;Franco Scaldaferri ,&nbsp;Daniela Pia Rosaria Chieffo ,&nbsp;Antonio Gasbarrini ,&nbsp;Tommaso Dionisi ,&nbsp;Giovanni Addolorato","doi":"10.1016/j.jpsychores.2025.112309","DOIUrl":"10.1016/j.jpsychores.2025.112309","url":null,"abstract":"<div><h3>Background</h3><div>Inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), often triggers psychological distress. Resilience, the ability to adapt to stress and trauma, may mitigate the psychological effects of chronic illnesses.</div></div><div><h3>Aims</h3><div>To determine whether higher psychological resilience is independently associated with reduced anxiety and depressive symptoms and whether it moderates the relationship between disease activity and these symptoms in IBD patients.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, the Connor-Davidson Resilience Scale and the Hospital Anxiety and Depression Scale were administered to IBD outpatients. The disease activity was assessed using the Harvey-Bradshaw Index for CD and the Clinical Mayo Score for UC.</div></div><div><h3>Results</h3><div>A total of 458 patients were included. High resilience was associated with fewer symptoms of depression (β = −0.726,<em>p</em> &lt; .01) and anxiety (β = −0.668,p &lt; .01) in CD patients. Similar results were found among UC patients (depression: β = −0.602,p &lt; .01; anxiety: β = −0.490,p &lt; .01).</div><div>In CD, higher disease activity was associated with more depressive symptoms (β =0.098,<em>p</em> = .030). Resilience moderated the association between CD activity and anxiety (β = −0.125, <em>p</em> = .011), whereas its moderating effect on depression did not reach statistical significance (<em>β</em> = −0.086, <em>p</em> = .059). Overall, disease severity was more strongly associated with higher levels of depression and anxiety symptoms among low resilience patients than among those with high resilience.</div></div><div><h3>Conclusions</h3><div>Resilience may play a protective role against depression and anxiety symptoms potentially temper disease activity, making it a worthwhile focus in comprehensive IBD management, particularly in Crohn's disease. As a dynamic factor, these findings support integrating resilience-building interventions into personalized IBD care pathways.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"196 ","pages":"Article 112309"},"PeriodicalIF":3.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596702","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":"Beyond total depressive symptoms: Differential associations between depressive domains, HIV status and disease characteristics","authors":"Maximo Prescott ,&nbsp;Crystal Wang ,&nbsp;Miya Gentry ,&nbsp;Donald Franklin ,&nbsp;Murray B. Stein ,&nbsp;Joseph Hampton Atkinson ,&nbsp;Ronald Ellis ,&nbsp;Robert K. Heaton ,&nbsp;Jessica Montoya ,&nbsp;David Moore ,&nbsp;Jennifer Iudicello","doi":"10.1016/j.jpsychores.2025.112311","DOIUrl":"10.1016/j.jpsychores.2025.112311","url":null,"abstract":"<div><h3>Background</h3><div>People with HIV (PWH) are at two times greater risk for major depressive disorder (MDD) than people without HIV (PWoH), which manifests in symptoms across cognitive, somatic, affective, apathy, and anhedonia domains that may differentially impact clinical outcomes. However, few studies have examined whether HIV and its characteristics relate to depressive symptom domains.</div></div><div><h3>Methods</h3><div>This secondary, cross-sectional analysis included 3456 participants enrolled in studies at the UCSD HIV Neurobehavioral Research Program and CHARTER sites between 2000 and 2023 (79 % PWH, 78 % male, Age: <em>M</em> = 47.8). Depressive symptom domains were assessed with the Beck Depression Inventory (BDI-II). Multivariable linear regression models evaluated associations between HIV, HIV disease characteristics, and depressive symptom domains while controlling for covariates.</div></div><div><h3>Results</h3><div>HIV diagnosis was significantly associated with higher severity across depressive symptom domains (affective: <em>B</em> = 0.51, cognitive: <em>B</em> = 0.44, somatic: <em>B</em> = 1.55, anhedonia: <em>B</em> = 0.52, apathy: <em>B</em> = 0.58, all <em>ps</em> &lt; 0.05) and overall depressive symptoms (BDI-II total: <em>B</em> = 2.51, <em>p</em> &lt; 0.01) while adjusting for covariates. Among PWH, HIV viral suppression was associated with fewer overall depressive symptoms, driven by fewer cognitive and somatic symptoms (<em>ps</em> &lt; 0.01), while higher current CD4⁺ T-cell count was associated with fewer affective and apathy symptoms (<em>ps</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>HIV diagnosis was associated with higher depressive symptoms across all domains. Current HIV disease indicators and duration of HIV disease were associated with select depressive domains to varying degrees, except for the anhedonia domain. These findings highlight the potential importance of examining individual symptom domains as they differentially associate with varying aspects of HIV disease, which may provide insight into specific treatment targets.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"196 ","pages":"Article 112311"},"PeriodicalIF":3.5,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572531","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":"Association between depressive symptoms trajectories and herpes zoster in middle-aged and older adults: A longitudinal national cohort study","authors":"Zirui Huang,&nbsp;Xiaoting Li,&nbsp;Jiahua Lin,&nbsp;Qike Ding,&nbsp;Tao Lu","doi":"10.1016/j.jpsychores.2025.112307","DOIUrl":"10.1016/j.jpsychores.2025.112307","url":null,"abstract":"<div><h3>Background</h3><div>Although depressive symptoms have been linked to an increased risk of herpes zoster (HZ), research specifically exploring the relationship between the trajectories of depressive symptoms and HZ is limited. We aim to investigate this association using data from the Health and Retirement Study (HRS).</div></div><div><h3>Methods</h3><div>We employed group-based trajectory modeling (GBTM) to categorize depressive symptom trajectories based on the 8-item CES-D scale in the HRS. The outcome, HZ incidence, was determined from Waves 10–15 of the HRS. Cox proportional-hazards regression was used to examine the association between the trajectories of depressive symptoms and HZ risk. Sensitivity and subgroup analyses assessed result robustness and effect modification.</div></div><div><h3>Results</h3><div>Depressive symptom trajectories were classified into three groups: persistently low (<em>n</em> = 5104), persistently moderate (<em>n</em> = 5357), and persistently high (<em>n</em> = 4405). Both persistently moderate and high depressive symptom trajectories were significantly associated with an increased risk of HZ, even after adjustment for covariates (moderate: HR = 1.24, 95 % CI: 1.02–1.51, <em>P</em> = 0.029; high: HR = 1.31, 95 % CI: 1.06–1.61, <em>P</em> = 0.011). Somatic symptoms were strongly associated with an increased HZ risk (HR = 1.31, 95 % CI: 1.08–1.59, <em>P</em> = 0.006). Subgroup analyses revealed stronger associations among men, non-smokers, ever drinkers, and individuals with higher education.</div></div><div><h3>Conclusion</h3><div>Persistently high depressive symptoms trajectories, including somatic domain, significantly increase HZ risk. These findings highlight the need to consider mental health as a modifiable risk factor for HZ, particularly in vulnerable populations.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"196 ","pages":"Article 112307"},"PeriodicalIF":3.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144569929","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":"Biopsychosocial complexity and compulsory admission to the psychiatric ward: A retrospective observational study","authors":"Mattia Marchi ,&nbsp;Gianluca Fiore ,&nbsp;Gloria Bizzarri ,&nbsp;Ilaria Corbellini ,&nbsp;Alessia Mancini ,&nbsp;Isabella Riguzzi ,&nbsp;Erjon Radheshi ,&nbsp;Roberto Salati ,&nbsp;Giulia Ferrazzi ,&nbsp;Luca Pingani ,&nbsp;Gian Maria Galeazzi ,&nbsp;Silvia Ferrari","doi":"10.1016/j.jpsychores.2025.112204","DOIUrl":"10.1016/j.jpsychores.2025.112204","url":null,"abstract":"<div><h3>Background</h3><div>The INTERMED scale is a tool used to assess the biopsychosocial (BPS) complexity through a semi-structured interview that explores the psychological, biological, social and health-system domains. The objective of this study was to investigate the use of the INTERMED scale as a predictor of Compulsory Admission (CA) in patients with psychiatric disorders.</div></div><div><h3>Method</h3><div>Sociodemographic and clinical information, including INTERMED and HoNOS scores, was collected retrospectively on patients admitted to the hospital psychiatric ward under both CA and Voluntary Admission (VA). The correlations between these variables and admission type were analysed using descriptive statistics and Chi² and <em>t</em>-test. Then, univariate logistic regression was used to estimate Odds Ratios (ORs) with 95% confidence intervals (95% CIs) for CA based on different predictors, including the INTERMED score, as a measure of BPS complexity.</div></div><div><h3>Results</h3><div>The entire sample of 332 CA and VA patients exhibited considerable BPS complexity (mean INTERMED total score 25.8 ± 8.4), but this was higher among CA patients (all INTERMED scores but the biological domain one); further significant differences were observed between CA and VA patients, e.g. diagnosis at discharge or dosage of antipsychotic medications. Moreover, high scores on the INTERMED scale were identified as predictors of CA, particularly the total score (OR:1.05[95% CI:1.02;1.08]), the psychological domain score (OR:1.30[95% CI:1.18;1.44]) and the health-system domain score (OR:1.15[95% CI:1.05;1.25]).</div></div><div><h3>Conclusions</h3><div>This study found significant associations between some INTERMED dimensions and CA. INTERMED may be a useful screening instrument to identify specific areas of vulnerability in patients with psychiatric disorders, that could support clinical strategies to reduce hospitalization and CA.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"196 ","pages":"Article 112204"},"PeriodicalIF":3.5,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570018","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 systematic review and meta-analysis of the relationship between emotion regulation, pain, depressive symptoms and quality of life in women with endometriosis","authors":"Sérgio A. Carvalho,&nbsp;Inês Eulálio,&nbsp;Raquel Guiomar","doi":"10.1016/j.jpsychores.2025.112205","DOIUrl":"10.1016/j.jpsychores.2025.112205","url":null,"abstract":"<div><h3>Background</h3><div>Endometriosis is a chronic gynecological condition with a broad spectrum of symptomatology resulting from a complex pathophysiology and biopsychosocial etiology, to which emotion regulation (ER) seems to contribute. This systematic review aims to summarize and meta-analyse the empirical evidence for the relationship between (mal)adaptive ER strategies, pain (intensity and impact), depressive symptoms, and quality of life of women with endometriosis.</div></div><div><h3>Design and methods</h3><div>After registering to PROSPERO (ID: CRD42023427936; redacted), four databases were searched (PubMed, PsycINFO, Web of Knowledge, Scopus) from inception until 30th May 2025. All screening steps were performed by two researchers independently. The quality of the studies was examined using the National Heart, Lung and Blood Institute tool, and statistical analyses were performed on R.</div></div><div><h3>Results</h3><div>Sixteen studies (<em>N</em> = 3687) were included. Pooled correlations found ER to be significantly correlated with all outcomes, with adaptive (e.g., acceptance, mindfulness, self-compassion) and maladaptive (e.g., rumination, catastrophizing) ER strategies being associated with the outcomes in the expected direction. Age moderated the association between ER and quality of life, showing that ER especially moderates quality of life in younger women with endometriosis.</div></div><div><h3>Conclusions</h3><div>This meta-analysis provides evidence that adaptive ER skills might positively influence symptomatology in younger women with endometriosis. To foster mental health and pain coping, psychological management with a focus on emotion regulation may help the field further.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"195 ","pages":"Article 112205"},"PeriodicalIF":3.5,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522728","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}