Journal of Psychosomatic Research最新文献_第3页

Bridging cultures: Expanding the MCARE intervention to diverse global Populations 架设文化桥梁：将 MCARE 干预措施扩展至全球不同人群

IF 3.5 2区医学

Journal of Psychosomatic Research Pub Date : 2024-10-09 DOI: 10.1016/j.jpsychores.2024.111948

引用次数: 0

The association between anxiety and depression symptoms and pain and function in adolescents and young adults with chronic pain: A meta-analysis 患有慢性疼痛的青少年中焦虑和抑郁症状与疼痛和功能之间的关系：荟萃分析

IF 3.5 2区医学

Journal of Psychosomatic Research Pub Date : 2024-10-01 DOI: 10.1016/j.jpsychores.2024.111945

{"title":"The association between anxiety and depression symptoms and pain and function in adolescents and young adults with chronic pain: A meta-analysis","authors":"","doi":"10.1016/j.jpsychores.2024.111945","DOIUrl":"10.1016/j.jpsychores.2024.111945","url":null,"abstract":"<div><h3>Objective</h3><div>Chronic pain in adolescents and young adults (AYAs) is associated with adverse functional and psychological outcomes; however, inconsistent findings across studies necessitate a comprehensive synthesis. This meta-analysis aimed to quantify associations between anxiety, depression, and pain/functional outcomes, and explore study and sample moderators, such as age, sex, pain duration, recruitment setting, and measurement tools.</div></div><div><h3>Methods</h3><div>We searched MEDLINE, PsycINFO, CENTRAL, and Embase through May 2024. included 57 studies (<em>N</em> = 12,603) of AYAs aged 12–25 years with chronic pain. Risk of bias and GRADE assessments were conducted. Pearson r correlations were meta-analyzed using a random-effects model.</div></div><div><h3>Results</h3><div>Small associations were found between anxiety, depression, and heightened pain intensity (<em>r</em> = 0.20, 0.24). Moderate-to-large associations were observed between anxiety, depression, and disability (<em>r</em> = 0.32, 0.34), pain interference (<em>r</em> = 0.47, 0.51), pain catastrophizing (both <em>r</em> = 0.50), and poorer quality of life (<em>r</em> = −0.56, −0.61). Anxiety had stronger correlations with pain intensity and catastrophizing in samples with more males. Anxiety measure moderated the anxiety-pain intensity relationship. Depression had stronger correlations with pain intensity for shorter pain duration, and catastrophizing and pain interference for longer pain durations. The depression-catastrophizing association was stronger in older samples.</div></div><div><h3>Conclusion</h3><div>Anxiety and depression significantly impact the chronic pain experience in AYAs, with stronger effects on functional outcomes and quality of life than pain intensity. Tailored interventions that consider age, sex, and pain duration may enhance treatment outcomes in this population.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A cross-sectional study of non-suicidal self-injury in adults with depressive disorder: Associations with inflammation and cardiac structure and function 抑郁症成人非自杀性自伤横断面研究：与炎症及心脏结构和功能的关系

IF 3.5 2区医学

Journal of Psychosomatic Research Pub Date : 2024-09-28 DOI: 10.1016/j.jpsychores.2024.111944

{"title":"A cross-sectional study of non-suicidal self-injury in adults with depressive disorder: Associations with inflammation and cardiac structure and function","authors":"","doi":"10.1016/j.jpsychores.2024.111944","DOIUrl":"10.1016/j.jpsychores.2024.111944","url":null,"abstract":"<div><h3>Objective</h3><div>Non-suicidal self-injury (NSSI) is associated with cardiovascular disease (CVD), whereas inflammation is associated with both CVD and NSSI. However, few studies have investigated the correlation among NSSI, inflammation, and cardiac structure and function in CVD-free adult patients with depressive disorders.</div></div><div><h3>Methods</h3><div>We recruited 88 CVD-free adult patients with depressive disorders and 37 healthy individuals. Patients were divided into NSSI (<em>n</em> = 21) and non-NSSI (<em>n</em> = 67) groups based on the presence or absence of NSSI. Healthy individuals comprised the controls (<em>n</em> = 37). Echocardiography was applied to assess cardiac structure and function, and C-reactive protein (CRP) levels were measured to indicate inflammation.</div></div><div><h3>Results</h3><div>Compared with controls, the NSSI group exhibited a larger left ventricular end-systolic diameter (LVESD) and smaller left ventricular ejection fraction (LVEF). Left ventricular end-systolic volume (LVESV) was larger in the NSSI group than in the non-NSSI group. The CRP levels were higher in the NSSI group than in the non-NSSI group; however, this difference was not statistically significant. NSSI was positively associated with LVESD (β = 1.928, <em>p</em> = 0.006) and LVESV (β = 5.368, <em>p</em> = 0.003), negatively correlated with LVEF (β = −2.600, <em>p</em> = 0.029), and positively correlated with CRP levels (β = 0.116, <em>p</em> = 0.004). CRP levels did not mediate the association between NSSI and cardiac structure and function.</div></div><div><h3>Conclusions</h3><div>This study indicated that NSSI was associated with left ventricular structure, systolic function, and inflammation, but CRP did not mediate the relationship between NSSI and echocardiogram parameters.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations of preterm birth and neonatal stress exposure with chronic pain in adulthood – Results from the Gutenberg prematurity study 早产和新生儿压力暴露与成年后慢性疼痛的关系--古腾堡早产儿研究的结果

IF 3.5 2区医学

Journal of Psychosomatic Research Pub Date : 2024-09-24 DOI: 10.1016/j.jpsychores.2024.111943

{"title":"Associations of preterm birth and neonatal stress exposure with chronic pain in adulthood – Results from the Gutenberg prematurity study","authors":"","doi":"10.1016/j.jpsychores.2024.111943","DOIUrl":"10.1016/j.jpsychores.2024.111943","url":null,"abstract":"<div><div>Although the effect of early childhood stress on central nervous pain processing is well known, studies on the association of prematurity and chronic pain are scarce. This study used data from a single-centre retrospective cohort study followed by a prospective clinical examination and pain assessment. The study was based on data from the local birth registry. Newborns born between 1969 and 2002 who had reached adulthood were eligible .. Using a selection algorithm, a study cohort stratified by gestational age (GA) was recruited. Chronic pain conditions were assessed using questionnaire and standardized pain drawings. Data on the pre-, peri- and postnatal clinical course was assessed from medical records. Multivariable logistic regression analyses were conducted to investigate associations between prematurity and chronic pain with adjustment for age, gender, socioeconomic status, and perinatal stress factors. 427 participants born preterm and full-term were included (age 28.5 ± 8.7 years). Chronic pain conditions were similarly common between groups with different levels of prematurity (GA ≥ 37 weeks: 34.5 %, GA33-36 weeks: 37.6 %, GA32-29 weeks: 25.2 %, GA < 29 weeks: 30.4 %, <em>p</em> = 0.20). In multivariable analyses, no association between low GA and the presence of chronic pain was found (OR = 0.99 (CI95 %: 0.94–1.04, <em>p</em> = 0.63); this was also true for a subanalysis of widespread pain. While neither fetal nutritional status nor perinatal stressors were associated with pain, exposure to maternal but not paternal smoking during pregnancy was associated with increased risk to develop pain (OR = 2.77 (CI95 %: 1.31–5.88, <em>p</em> = 0.008) in adults born preterm and full-term. This study suggests that prematurity by itself does not increase the risk of chronic pain later in life, but provides preliminary evidence for maternal smoking during pregnancy as risk factor.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142327064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the relationship between depression, anxiety, and obesity in adolescent development 探索青少年成长过程中抑郁、焦虑和肥胖之间的关系

IF 3.5 2区医学

Journal of Psychosomatic Research Pub Date : 2024-09-24 DOI: 10.1016/j.jpsychores.2024.111939

引用次数: 0

Development of predictive model for post-stroke depression at discharge based on decision tree algorithm: A multi-center hospital-based cohort study 基于决策树算法的卒中后出院抑郁预测模型的开发：基于医院的多中心队列研究

IF 3.5 2区医学

Journal of Psychosomatic Research Pub Date : 2024-09-24 DOI: 10.1016/j.jpsychores.2024.111942

{"title":"Development of predictive model for post-stroke depression at discharge based on decision tree algorithm: A multi-center hospital-based cohort study","authors":"","doi":"10.1016/j.jpsychores.2024.111942","DOIUrl":"10.1016/j.jpsychores.2024.111942","url":null,"abstract":"<div><h3>Objective</h3><div>Post-stroke depression (PSD) is one of the most common and severe neuropsychological sequelae after stroke. Using a prediction model composed of multiple predictors may be more beneficial than verifying the predictive performance of any single predictor. The primary objective of this study was to construct practical prediction tools for PSD at discharge utilizing a decision tree (DT) algorithm.</div></div><div><h3>Methods</h3><div>A multi-center prospective cohort study was conducted from May 2018 to October 2019 and stroke patients within seven days of onset were consecutively recruited. The independent predictors of PSD at discharge were identified through multivariate logistic regression with backward elimination. Classification and regression tree (CART) algorithm was employed as the DT model's splitting method.</div></div><div><h3>Results</h3><div>A total of 876 stroke patients who were discharged from the neurology departments of three large general Class A tertiary hospitals in Wuhan were eligible for analysis. Firstly, we divided these 876 patients into PSD and non-PSD groups, history of coronary heart disease (OR = 1.835; 95 % CI, 1.106–3.046; <em>P</em> = 0.019), length of hospital stay (OR = 1.040; 95 % CI, 1.013–1.069; <em>P</em> = 0.001), NIHSS score (OR = 1.124; 95 % CI, 1.052–1.201; <em>P</em> = 0.001), and Mini mental state examination (MMSE) score (OR = 0.935; 95 % CI, 0.893–0.978; <em>P</em> = 0.004) were significant predictors. The subgroup analysis results have shown that hemorrhagic stroke, history of hypertension and higher modified Rankin Scale score (mRS) score were associated with PSD at discharge in the young adult stroke patients.</div></div><div><h3>Conclusions</h3><div>Several predictors of PSD at discharge were identified and convenient DT models were constructed to facilitate clinical decision-making.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142327021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comments on ‘Mechanisms of psycho-behavioural mindfulness intervention (MCARE) on depressive and anxiety symptoms in patients with acute coronary syndrome: A longitudinal mediation analysis’ 关于 "心理行为正念干预（MCARE）对急性冠状动脉综合征患者抑郁和焦虑症状的影响机制：纵向中介分析

IF 3.5 2区医学

Journal of Psychosomatic Research Pub Date : 2024-09-21 DOI: 10.1016/j.jpsychores.2024.111941

引用次数: 0

The association between overweight and varying degrees of obesity with subjective well-being and depressive symptoms: A two sample Mendelian randomization study 超重和不同程度的肥胖与主观幸福感和抑郁症状之间的关系：两项孟德尔随机抽样研究

IF 3.5 2区医学

Journal of Psychosomatic Research Pub Date : 2024-09-19 DOI: 10.1016/j.jpsychores.2024.111940

{"title":"The association between overweight and varying degrees of obesity with subjective well-being and depressive symptoms: A two sample Mendelian randomization study","authors":"","doi":"10.1016/j.jpsychores.2024.111940","DOIUrl":"10.1016/j.jpsychores.2024.111940","url":null,"abstract":"<div><h3>Objective</h3><div>This study utilized the Mendelian randomization (MR) method to elucidate the causal relationship between genetically predicted overweight and various degrees of obesity with depressive symptoms and subjective well-being (SWB).</div></div><div><h3>Methods</h3><div>Pooled genome-wide association studies (GWAS) data for overweight (BMI ≥ 25 kg/m<sup>2</sup>), class 1 obesity (BMI ≥ 30 kg/m<sup>2</sup>), and class 2 obesity (BMI ≥ 35 kg/m<sup>2</sup>) were used as exposures. Summary GWAS data for depressive symptoms and SWB were used as outcomes. Multiple MR methods, primarily inverse-variance weighted (IVW), were applied, and sensitivity analyses were conducted to assess heterogeneity and pleiotropy.</div></div><div><h3>Results</h3><div>The MR analysis provided evidence that genetically predicted overweight(IVW β = 0.033; 95 %CI 0.008–0.057; <em>P</em> = 0.010) and class 1 obesity(IVW β = −0.033; 95 %CI -0.047 – -0.020; <em>P</em> < 0.001) were causally associated with increased depressive symptoms. Genetically predicted class 2 obesity(IVW β = 1.428; 95 %CI 1.193–1.710; <em>P</em> < 0.001) were associated with reduced SWB. There was no strong evidence of a causal association between genetically predicted overweight and class 1 obesity with SWB. Similarly, genetically predicted class 2 and class 3 obesity did not show strong evidence of a causal association with depressive symptoms. Sensitivity analysis revealed relationships of a similar magnitude.</div></div><div><h3>Conclusion</h3><div>This genetically informed MR study suggests that Overweight and class 1 obesity may causally increased depressive symptoms but not decrease SWB. In contrast, class 2 obesity may causally decrease SWB but not increase depressive symptoms.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142312511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of psychological interventions on clinical outcomes in patients with cardiovascular diseases: A systematic review and meta-analysis 心理干预对心血管疾病患者临床疗效的影响：系统回顾与荟萃分析

IF 3.5 2区医学

Journal of Psychosomatic Research Pub Date : 2024-09-19 DOI: 10.1016/j.jpsychores.2024.111938

{"title":"Effects of psychological interventions on clinical outcomes in patients with cardiovascular diseases: A systematic review and meta-analysis","authors":"","doi":"10.1016/j.jpsychores.2024.111938","DOIUrl":"10.1016/j.jpsychores.2024.111938","url":null,"abstract":"<div><h3>Objective</h3><div>To perform a systematic review and meta-analysis to evaluate the effects of psychological interventions on the clinical outcomes of patients with cardiovascular diseases (CVDs).</div></div><div><h3>Methods</h3><div>We searched PubMed, Web of Science, Embase, the Cochrane Library, and CINAHL from the establishment of each database to August 1, 2023. Randomized controlled trials (RCTs) on psychological interventions in patients with CVDs were included. Statistical analyses were performed using Review Manager 5.3 and Stata 17.0, and pooled measures were presented as the relative risk (RR) and 95 % confidence interval (CI).</div></div><div><h3>Results</h3><div>A total of 32 studies were included, involving 15,814 patients. Our results showed that psychological interventions could reduce cardiac mortality (RR = 0.81, 95 % CI = 0.68 to 0.96) and the occurrence of myocardial infarction (MI) (RR = 0.79, 95 % CI = 0.69 to 0.89), arrhythmia (RR = 0.61, 95 % CI = 0.42 to 0.89) and angina (RR = 0.92, 95 % CI = 0.87 to 0.97). However, no statistically significant differences were detected in the risk of all-cause mortality, all-cause rehospitalization rates, cardiac rehospitalization rates, revascularization, heart failure (HF), or stroke between the psychological intervention and control groups.</div></div><div><h3>Conclusions</h3><div>Psychological interventions can reduce cardiac mortality and the occurrence of MI, arrhythmia, and angina in patients with CVDs. It is crucial to incorporate psychological interventions into the existing treatment and management of patients with CVDs. High-quality RCTs should be conducted to explore the optimal psychological intervention methods and the maximum beneficiaries.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142312510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Climate change anxiety and its association with somatic symptom distress and idiopathic environmental intolerances: A cross-sectional study 气候变化焦虑及其与躯体症状困扰和特发性环境不耐受的关联：横断面研究

IF 3.5 2区医学

Journal of Psychosomatic Research Pub Date : 2024-09-18 DOI: 10.1016/j.jpsychores.2024.111937

{"title":"Climate change anxiety and its association with somatic symptom distress and idiopathic environmental intolerances: A cross-sectional study","authors":"","doi":"10.1016/j.jpsychores.2024.111937","DOIUrl":"10.1016/j.jpsychores.2024.111937","url":null,"abstract":"<div><h3>Context</h3><p>Individuals need greater climate change awareness in order to mitigate and adapt to climate changes but this awareness can lead to negative health outcomes including climate change anxiety.</p></div><div><h3>Objective</h3><p>To explore the associations between climate change anxiety, idiopathic environmental intolerances and somatic symptom distress, after accounting for modern health worries, anxiety and depression.</p></div><div><h3>Methods</h3><p>A non-representative sample of healthy volunteers completed a cross-sectional online survey that included the Climate Change Anxiety scale (CCA-13), single questions about idiopathic intolerance to five environmental agents, the Somatic Symptoms scale (SSS-8), the Modern Health Worries scale (MHW-12), and the Patient Health Questionnaire for symptoms of anxiety and depression (PHQ-4). Participants also reported their sex, age and subjective socioeconomic status. Bivariate analyses investigated associations between variables and path analyses explored potential mediating factors.</p></div><div><h3>Results</h3><p>432 participants completed the questionnaire, 421 of whom were included in analyses (67 % women, mean age: 32.7 standard deviation: 12.4). Climate change anxiety, idiopathic environmental intolerances, somatic symptom distress, modern health worries, and symptoms of anxiety and depression were positively correlated in bivariate analyses (Pearson's ranging from 0.22 to 0.57, all <em>p</em> < 0.001). In path analyses, modern health worries (R<sup>2</sup> = 9.9 %) partially mediated the relation between climate change anxiety (R<sup>2</sup> = 20.3 %) and two correlated outcome variables, idiopathic environmental intolerances (R<sup>2</sup> = 36.8 %) and somatic symptom distress (R<sup>2</sup> = 32.4 %).</p></div><div><h3>Conclusions</h3><p>Climate change anxiety may negatively affect perceived physical health. Stakeholders should aim at promoting climate change awareness while addressing modern health worries to avoid negative health outcomes.</p></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0