Journal of Psychosomatic Research最新文献

{"title":"Psychological resilience to trauma and longitudinal sleep outcomes among current and former nurses","authors":"Laura Sampson ,&nbsp;Arielle A.J. Scoglio ,&nbsp;Kristen Nishimi ,&nbsp;Karmel W. Choi ,&nbsp;Ariel H. Kim ,&nbsp;Yiwen Zhu ,&nbsp;Qi Sun ,&nbsp;Jae Hee Kang ,&nbsp;Eric B. Rimm ,&nbsp;Karestan C. Koenen ,&nbsp;Laura D. Kubzansky","doi":"10.1016/j.jpsychores.2025.112090","DOIUrl":"10.1016/j.jpsychores.2025.112090","url":null,"abstract":"<div><h3>Objective</h3><div>A life-disrupting stressor (e.g. pandemic) may cause or exacerbate poor sleep health; resilience may offset impacts. We assessed relationships between pre-pandemic psychological resilience to trauma and sleep-related outcomes during the first year of the pandemic among current and former nurses.</div></div><div><h3>Methods</h3><div>Using data from 18,670 women in the Nurses' Health Study II, we characterized pre-pandemic resilience by cross-classifying experiences of higher versus lower lifetime trauma burden with unfavorable, adequate, and favorable psychological health (through January 2020). Sleep was measured before (2017) and during the pandemic, including: changes, quality, and duration. We modeled trajectories of sleep duration assessed at five time points (pre-pandemic in 2017, and then in four COVID-19-related surveys, 2020–2021) using latent class growth analysis.</div></div><div><h3>Results</h3><div>We observed four trajectories of sleep duration, all showing stable patterns, with averages ranging from 5.5 to 6 to 8.5–9 h of sleep per 24 h. Women with higher trauma/unfavorable psychological health had the highest risk for all poor sleep outcomes (e.g., RR for being in the shortest sleep trajectory versus healthy sleep duration: 2.53; 95 % CI: 2.21, 2.91). Relative to women categorized as most resilient, only women with lower trauma/favorable psychological health showed lower risk of getting less sleep after the pandemic started compared to no change (RR: 0.76; 95 % CI: 0.70, 0.83). This same pattern was observed for poor sleep quality.</div></div><div><h3>Conclusion</h3><div>Higher pre-pandemic resilience may have protected women against poor sleep outcomes during the pandemic. Findings could have long-term health implications, particularly if they generalize to other stressors.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"192 ","pages":"Article 112090"},"PeriodicalIF":3.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593326","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 impact of emotional freedom techniques on anxiety, depression, and anticipatory grief in people with cancer: A meta-analysis and systematic review","authors":"Dandan Zheng ,&nbsp;Xianghao Lin ,&nbsp;Xiaofen Gao ,&nbsp;Lifei Wang ,&nbsp;Mingyuan Zhu","doi":"10.1016/j.jpsychores.2025.112088","DOIUrl":"10.1016/j.jpsychores.2025.112088","url":null,"abstract":"<div><h3>Objective</h3><div>Emotional Freedom Techniques (EFT) is a self-healing method that combines Eastern meridian acupuncture and Western psychology. This meta-analysis evaluates the efficacy of EFT in reducing anxiety, depression, and anticipatory grief symptoms in people with cancer.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across nine databases, including Cochrane Library, Embase, PubMed, Web of Science, Google Scholar, CBM, WeiPu, CNKI, and WanFang, up to May 2024. We included randomized controlled trials (RCTs) focused on EFT's effects on psychological symptoms and well-being in people with cancer. Eligible RCTs were screened, quality-assessed, and analyzed using RevMan 5.3 software.</div></div><div><h3>Results</h3><div>From 1026 articles, ten RCTs met the inclusion criteria, involving 774 patients (388 in the EFT group and 386 in the control group). EFT reduced symptoms of depression (MD = −7.41, 95 % CI [−9.32, −5.51], <em>P</em> &lt; .001) and anxiety (MD = −7.92, 95 % CI [−11.01, −4.83], <em>P</em> &lt; .001). For anticipatory grief, EFT improved symptoms related to sadness, anger, death attitude, somatic symptoms, religious comfort, and perceived social support, but did not affect disease adjustment, self-awareness, or psychological distress. EFT also improved sleep quality (MD = −1.96, 95 % CI [−2.80, −1.13], P &lt; .001).</div></div><div><h3>Conclusion</h3><div>EFT significantly alleviates anxiety, depression, and certain aspects of anticipatory grief, as well as sleep issues in people with cancer, though it shows limited efficacy in psychological distress, disease adjustment, and self-awareness. Further research should standardize outcomes to verify EFT's comprehensive benefits.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"192 ","pages":"Article 112088"},"PeriodicalIF":3.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593188","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":"Latent profiles of psychosocial adaptation in hospitalized persons with stroke and their association with coping styles and illness uncertainty: A cross-sectional study","authors":"Qianying Deng ,&nbsp;Yingjie Fu ,&nbsp;Yuenv Wang ,&nbsp;Zheng Wang ,&nbsp;Siyi Su ,&nbsp;Luyi Xu ,&nbsp;Jing Fang ,&nbsp;Jufang Li","doi":"10.1016/j.jpsychores.2025.112089","DOIUrl":"10.1016/j.jpsychores.2025.112089","url":null,"abstract":"<div><h3>Objective</h3><div>Current studies on psychosocial adaptation of persons with stroke mainly focused on the overall level and ignored its heterogeneity. The aim of the current study was to identify the latent profiles of psychosocial adaptation of persons with stroke and further explore their association with coping styles and illness uncertainty.</div></div><div><h3>Methods</h3><div>A total of 361 hospitalized persons with stroke were recruited at two affiliated hospitals of a medical university in southeastern China from October 2023 to March 2024. Latent profile analysis was used to identify latent profiles of psychosocial adaptation of persons with stroke.</div></div><div><h3>Results</h3><div>Three different profiles of psychosocial adaptation of persons with stroke were identified: good adaptation group (with the lowest item mean scores of the dimensions, accounted for 32.4 %), moderate adaptation-poor social environment group (with moderate item mean scores of the dimensions and with a high score in the social environment dimension, accounted for 51.5 %) and poor adaptation group (with the highest item mean scores of the dimensions, accounted for 16.1 %). Living status (OR = 0.20, <em>p</em> = 0.018; OR = 7.72, <em>p</em> &lt; 0.001), per capita monthly household income (OR = 13.32, <em>p</em> = 0.015; OR = 13.08, <em>p</em> = 0.003; OR = 5.11, <em>p</em> = 0.038), medical payment methods (OR = 5.74, p = 0.015), mRS (OR = 0.37, p = 0.015), confrontation (OR = 0.77, <em>p</em> = 0.010), ambiguity (OR = 1.26, p &lt; 0.001; OR = 1.22, <em>p</em> = 0.014) and complexity (OR = 1.15, <em>p</em> = 0.045) were associated with different profiles of psychosocial adaptation.</div></div><div><h3>Conclusions</h3><div>Nearly two-thirds of the persons with stroke exhibited moderate psychosocial adaptation or poor psychosocial adaptation, which needs further improvement. Healthcare providers need to adopt individualized approaches to improve their level of psychosocial adaptation in practice.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"192 ","pages":"Article 112089"},"PeriodicalIF":3.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593327","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":"Within person predictors of physical activity and fatigue in long Covid: Findings from an ecological momentary assessment study","authors":"Christopher Burton ,&nbsp;Helen Dawes ,&nbsp;Caroline Dalton","doi":"10.1016/j.jpsychores.2025.112091","DOIUrl":"10.1016/j.jpsychores.2025.112091","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to examine the extent to which current perceived demand for energy and affect predict subsequent physical activity and fatigue in people with Long Covid using an intensive longitudinal method (ecological momentary assessment).</div></div><div><h3>Methods</h3><div>Analysis of data from a study of 69 adults with self-reported Long Covid combining 3-hourly self-report data perceived energy, and fatigue, on a smartphone app with continuous physical activity recording. We tested three hypotheses derived from cognitive behavioural and neuroscientific models of fatigue. These related to expectation, current affect and recalled emotional demand. Analysis used linear mixed effects models with fatigue and physical activity as outcomes.</div></div><div><h3>Results</h3><div>Expectation of energy need for the next 3 h was predictive of physical activity, fatigue and recalled demandingness of the period. (<em>p</em>-values 0.005 to &lt;0.0001). Currently feeling positive was predictive of slightly more subsequent physical activity and less fatigue 3 h later (<em>p</em> = 0.01). Feeling negative was not predictive of physical activity or subsequent fatigue but was predictive of subsequent recall of the period being emotionally demanding. Feeling more anxious was predictive of greater fatigue 3 h later (<em>p</em> = 0.001) but not of reduced physical activity. Absolute effects were small: a one-point increase in anticipated demand (on a scale of 1–7) was associated with an extra 2.2 min of moderate or vigorous physical activity and a one standard deviation increase in anxiety was associated with a one-point increase in fatigue (0–100 scale).</div></div><div><h3>Conclusion</h3><div>In the day-to-day experience of Long Covid expectation and affect have little detectable effect on subsequent physical activity or fatigue.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"192 ","pages":"Article 112091"},"PeriodicalIF":3.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628264","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":"Interrelationships between glucose metabolism and gonadal hormones in female first-episode patients with schizophrenia","authors":"Jing Yao ,&nbsp;Fengchun Wu ,&nbsp;Meihong Xiu","doi":"10.1016/j.jpsychores.2025.112087","DOIUrl":"10.1016/j.jpsychores.2025.112087","url":null,"abstract":"<div><h3>Background</h3><div>Schizophrenia (SCZ) is a complex mental disorder that typically emerges in late adolescence or early adulthood. The underlying molecular mechanisms of SCZ remain unclear. There is growing evidence supporting the involvement of abnormalities in metabolic and endocrine systems in the pathophysiology of SCZ. Our study was designed to explore the interrelationship between gonadal hormones and glucose metabolism in patients with SCZ.</div></div><div><h3>Methods</h3><div>One hundred and twenty-four female first-episode patients diagnosed with SCZ according to DSM-IV were recruited. The glucose metabolism parameters, including fasting glucose, insulin, and insulin resistance index were measured. In addition, gonadal hormones, including follicle-stimulating hormone, testosterone, estradiol, progesterone, and luteinizing hormone were also determined in the same group of patients.</div><div>Results: Abnormal glucose metabolism and sex hormones were observed in female DNFES patients, with a particularly high rate of insulin resistance (49.6 %). Correlation analysis revealed significant associations between glucose metabolic disturbance and sex hormones (all <em>p</em> &lt; 0.05). Moreover, regression analysis adjusted for age, waist circumference, and BMI revealed that estradiol was negatively correlated with fasting insulin in female patients (β = −0.37, <em>t</em> = −4.0, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>These results provide evidence supporting the presence of disturbance in glucose metabolism and gonadal hormones at the onset of SCZ in female patients, suggesting that these dysregulations interact with each other to be involved in the disease's pathophysiological process.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"192 ","pages":"Article 112087"},"PeriodicalIF":3.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593189","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":"Non-pharmacological treatment options for fatigue: A systematic review of RCTs in adults","authors":"Carlotta Steen ,&nbsp;Anna Zalpur ,&nbsp;Marissa Bentele ,&nbsp;Stephan Zipfel ,&nbsp;Andreas Stengel","doi":"10.1016/j.jpsychores.2025.112084","DOIUrl":"10.1016/j.jpsychores.2025.112084","url":null,"abstract":"<div><h3>Objective</h3><div>Fatigue is a significant contributor to the burden experienced by patients with chronic disorders. The development of standardized treatments is challenging due to the lack of consensus concerning the etiology of fatigue. The aim of this systematic review is to provide an overview of non-pharmacological interventions for fatigue. The efficacy and differences in fatigue treatment across conditions will be explored.</div></div><div><h3>Methods</h3><div>A systematic literature search was conducted using the databases PubMed, Web of Science, PsycInfo and CINAHL.</div><div>Trials were eligible when (1) adult patients (≥ 18 years old) with disorders causing fatigue were included, (2) non-pharmacological interventions performed, (3) treatment was compared to standard care, placebo or active control group, (4) fatigue was the only primary outcome assessed with a multidimensional tool, and (5) a randomized controlled trial (RCT) design was applied.</div></div><div><h3>Results</h3><div>7592 papers were screened. 91 RCTs were eligible, with data reported in 95 papers. Specific fatigue interventions were present for a broad range of conditions. Findings demonstrated promising evidence for physical activity, CBT, online programs and multidimensional modules. Additional types of interventions were effective, but evidence was limited due to risk of bias and small sample sizes. Due to high heterogeneity concerning methodology, a meta-analysis was not possible.</div></div><div><h3>Conclusion</h3><div>Several non-pharmacological treatment options for fatigue are promising. No clear evidence was found that fatigue should be treated differently depending on the underlying condition. However, further research is necessary with a focus on a transdiagnostic approach to fatigue, high study quality and long-term follow-ups.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"191 ","pages":"Article 112084"},"PeriodicalIF":3.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550156","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 relationship between religiosity and telomere length in older individuals","authors":"Juliane Piasseschi de Bernardin Gonçalves ,&nbsp;Thais Chile ,&nbsp;Vanessa J.R. de Paula ,&nbsp;Marcus Zulian Teixeira ,&nbsp;Salma Rose Ribeiz ,&nbsp;Martin Schalling ,&nbsp;Geraldo Busatto Filho ,&nbsp;Giancarlo Lucchetti ,&nbsp;Homero Vallada","doi":"10.1016/j.jpsychores.2025.112085","DOIUrl":"10.1016/j.jpsychores.2025.112085","url":null,"abstract":"<div><h3>Objectives</h3><div>Although telomere length is an established marker of biological aging, the impact of religious beliefs on telomere length remains uncertain.</div></div><div><h3>Methods</h3><div>This cross-sectional study investigated the relationship between religiosity and telomere length among senior Brazilians, aged 60 and older. The study examined the association between organizational, non-organizational, and intrinsic religiosity with telomere length, adjusting for sociodemographic, mental, physical health, and medication. Hierarchical linear regression models were used.</div></div><div><h3>Results</h3><div>821 participants (62.2 % female, mean age 68.9 years, SD = 6.48) were studied. Female gender and younger age were linked to longer telomeres, but no significant associations were found between religious beliefs and telomere length in adjusted or unadjusted models.</div></div><div><h3>Conclusions</h3><div>This study found no evidence of an association between religiosity and telomere length among older Brazilian adults. While prior research highlights religiosity's positive health effects, its direct influence on telomere length remains unclear, warranting further exploration.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"191 ","pages":"Article 112085"},"PeriodicalIF":3.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550154","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":"Welfare benefit utilization for people with functional somatic disorder. A population-based cohort study","authors":"Marie Weinreich Petersen ,&nbsp;Kaare Bro Wellnitz ,&nbsp;Tina Birgitte Wisbech Carstensen ,&nbsp;Thomas Meinertz Dantoft ,&nbsp;Eva Ørnbøl ,&nbsp;Anne Ahrendt Bjerregaard ,&nbsp;Torben Jørgensen ,&nbsp;Per Fink","doi":"10.1016/j.jpsychores.2025.112073","DOIUrl":"10.1016/j.jpsychores.2025.112073","url":null,"abstract":"<div><div>Clinical studies indicate that functional somatic disorder (FSD), a condition characterized by persistent physical symptoms not attributable to other physical or mental conditions, imposes a high socioeconomic burden, but high-quality studies on its impact on welfare benefit utilization in the general population are lacking. This study investigated the use of sickness benefit, unemployment benefit, and disability pension for individuals with FSD using nationwide Danish registers.</div><div>This study included 9656 adults from the DanFunD study. FSD were identified via self-reported questionnaires and diagnostic interviews. Data on welfare benefits were sourced from The Danish Register for Evaluation of Marginalization, counting the mean number of weeks per year over 10 years before and 4 years after the DanFunD study. Analyses used sex- and age-adjusted regression with non-parametric bootstrap resampling (10,000 repetitions).</div><div>Compared to those without FSD, individuals with FSD received an annual average of 3.9 (95 % CI: 3.3–4.4) more weeks of sickness benefit, 1.3 (95 % CI: 1.0–1.6) more weeks of unemployment benefit, and 3.8 (95 % CI: 3.2–4.5) more weeks of disability pension in the 10 years before DanFunD. This pattern persisted in the 4 years after DanFunD and for those diagnosed by interviews. Individuals with questionnaire-defined FSD had higher welfare benefit use than individuals with other severe physical diseases.</div><div>Individuals with FSD use welfare benefits significantly more than those without FSD and those with other severe physical diseases. This study highlights FSD as a disabling condition with a substantial individual and societal impact, emphasizing the need for timely diagnosis and treatment.</div><div><strong>Trial registration:</strong> <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> Identifier: <span><span>NCT05611606</span><svg><path></path></svg></span></div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"191 ","pages":"Article 112073"},"PeriodicalIF":3.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550157","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":"Attention in irritable bowel syndrome: A systematic review of affected domains and brain-gut axis interactions","authors":"Reyhaneh Akbari ,&nbsp;Yeganeh Salimi ,&nbsp;Fateme Dehghani-Aarani ,&nbsp;Ehsan Rezayat","doi":"10.1016/j.jpsychores.2025.112067","DOIUrl":"10.1016/j.jpsychores.2025.112067","url":null,"abstract":"<div><h3>Background</h3><div>Irritable bowel syndrome (IBS) is a disorder characterized by gut–brain interactions, leading to abdominal pain and altered stool patterns, which significantly affect patients' quality of life. Recent research suggests that attention may be impaired in individuals with IBS, potentially influencing symptom perception and emotional distress.</div></div><div><h3>Objective</h3><div>This systematic review aims to examine the relationship between attention and IBS, focusing on the affected domains of attention and the interactions within the brain-gut axis.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across MEDLINE/PubMed, PsychINFO, and Scopus from January 1990 to December 2024. Studies included were those that assessed attention in adult IBS patients using valid measurement tools. A total of 24 studies were analyzed, incorporating neuroimaging and behavioral methods.</div></div><div><h3>Results</h3><div>IBS individuals exhibit specific attentional impairments, including deficits in sustained attention, selective attentional biases toward gastrointestinal (GI)-related and symptom-specific stimuli, and heightened vigilance to threat and pain cues. Neurofunctional studies reveal altered brain activity in areas such as the insula, anterior cingulate cortex, and amygdala, indicating increased interoceptive awareness and cognitive load. Pre-attentive processing and sensory gating show exaggerated responses, while sustained attention and attentional control demand additional cognitive resources. These patterns reflect an interplay between heightened sensitivity to internal stimuli and cognitive processing challenges in IBS.</div></div><div><h3>Conclusion</h3><div>This review highlights specific attentional deficits and biases in IBS, suggesting they may contribute to symptom exacerbation and emotional distress. Further research is needed to explore the underlying mechanisms and potential therapeutic interventions.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"191 ","pages":"Article 112067"},"PeriodicalIF":3.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550155","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":"Incidence of depression in patients with chronic cardiovascular diseases: Case-control study with German health insurance claims data","authors":"Lieselotte Mond ,&nbsp;Martina de Zwaan ,&nbsp;Batoul Safieddine ,&nbsp;Kai G. Kahl ,&nbsp;Jona T. Stahmeyer ,&nbsp;Jelena Epping","doi":"10.1016/j.jpsychores.2025.112066","DOIUrl":"10.1016/j.jpsychores.2025.112066","url":null,"abstract":"<div><h3>Background</h3><div>Depression and cardiovascular diseases (CVD) are two common conditions that account for a high proportion of morbidity and mortality worldwide and in Germany. The objective of this study is to examine whether the risk of developing depression in persons with prevalent chronic CVD is elevated compared to persons without CVD and whether it varies by sex and age group.</div></div><div><h3>Methods</h3><div>This observational case-control study is based on German statutory health insurance claims data from 2015 to 2019 (<em>N</em> = 2,229,042). The study population comprises persons with a CVD diagnosis in 2016 and without depression or acute major CVD event in 2015–2016 (<em>N</em> = 173,774). A control group was built by 1:1 matching by sex, gender and age. Cox regression models estimated the risk of developing depression during the observation period (2017–2019) while adjusting for several comorbidities. Results are presented stratified by sex and age group.</div></div><div><h3>Results</h3><div>The presence of chronic CVD increased the risk of developing depression in men and women and in all examined age groups. This relationship between chronic CVD and depression appeared to be particularly pronounced in younger men aged under 55 years (HR = 1.33, 95 %-Confidence Interval (CI) = 1.14–1.54). However, risk of developing depression was much higher in women (with and without CVD) than in men (HR = 1.53, 95 %-CI = 1.46–1.61).</div></div><div><h3>Conclusions</h3><div>This study underlines the importance of mental health services for patients with cardiovascular diseases. Given the impact of depression on re-hospitalization, self-care and all-mortality in patients with chronic cardiovascular disorders, a screening for depressive symptoms in this patient group is highly recommended.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"191 ","pages":"Article 112066"},"PeriodicalIF":3.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487968","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}