Journal of Psychosomatic Research最新文献

{"title":"The impact of photovoice on the report of emotions in individuals with persistent physical symptoms: Results of an experimental trial","authors":"Selina Studer ,&nbsp;Christina Nuhn ,&nbsp;Cornelia Weise ,&nbsp;Maria Kleinstäuber","doi":"10.1016/j.jpsychores.2025.112069","DOIUrl":"10.1016/j.jpsychores.2025.112069","url":null,"abstract":"<div><h3>Objective</h3><div>Identifying and reporting emotions can be challenging for individuals with persistent physical symptoms (PPS), like tinnitus or tension-type headaches. Photovoice (PV) helps people identify and report their emotions by photographing relevant objects or situations. The aim of our study was to examine whether PV facilitates the report of emotions in individuals with PPS.</div></div><div><h3>Methods</h3><div>We randomly assigned 169 participants with PPS to one of three groups: a PV group, a writing group, or a passive control group. The PV group took daily photographs related to their symptoms and coping, the writing group wrote keywords, and the passive control group had no task. After a week, all participants completed an online writing task about their symptoms and coping, which was analyzed for the number of emotion words used. We also assessed self-reported affect, ability to identify and report emotions, and self-disclosure.</div></div><div><h3>Results</h3><div>Participants in the PV group used more emotion words in the writing task than the control groups. Specifically, the PV group used significantly more positive emotion words (<em>F</em>(2,166) = 26.86, <em>p</em> &lt; .001) and fewer negative emotion words (<em>F</em>(2,166) = 8.28, <em>p</em> &lt; .001) compared to the writing and control groups. No significant group differences were found for self-reported affect and self-disclosure.</div></div><div><h3>Conclusions</h3><div>PV promises to facilitate more positive, nuanced, and detailed reporting of emotions and may be therapeutically useful in gathering richer insights from the participant's perspective. Future research should target individuals who respond best to PV and develop tailored treatment to increase treatment effects.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"191 ","pages":"Article 112069"},"PeriodicalIF":3.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550159","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":"Prevalence of substance use disorders among patients with psoriasis and anxiety disorders","authors":"Nina Modanlo ,&nbsp;Xiaofeng Yan ,&nbsp;James A. Bourgeois","doi":"10.1016/j.jpsychores.2025.112068","DOIUrl":"10.1016/j.jpsychores.2025.112068","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"191 ","pages":"Article 112068"},"PeriodicalIF":3.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of non-pharmacological interventions on anxiety in patients undergoing colonoscopy: A network meta-analysis of randomized controlled trials","authors":"Yun-shan Chen ,&nbsp;Ge-hui Feng ,&nbsp;Qian-qian Yue ,&nbsp;Yi-Fei Wang ,&nbsp;Min Liu ,&nbsp;Ke-hao Zhao ,&nbsp;Tian Tang ,&nbsp;Mao-ting Huang ,&nbsp;Wen-ting Yi ,&nbsp;Hui-ling Yan ,&nbsp;Jia-hui Yan ,&nbsp;Ying Zeng","doi":"10.1016/j.jpsychores.2025.112065","DOIUrl":"10.1016/j.jpsychores.2025.112065","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety is a common and significant problem in patients who need to undergo colonoscopy. However, the question of which non-pharmacological intervention is the best strategy to reduce anxiety in patients undergoing colonoscopy remains unanswered.</div></div><div><h3>Objectives</h3><div>To evaluate and rank the effectiveness of various non-pharmacological interventions for reducing anxiety in patients undergoing colonoscopy in order to identify the most effective strategies.</div></div><div><h3>Methods</h3><div>We searched PubMed, Cochrane Library, Embase, Web of Science, and Medline for randomized controlled trials published from the database construction to March 2024. The primary outcome was the difference between pre- and post-intervention anxiety means. A network meta-analysis was conducted utilizing the “gemtc” package based on R4.3.0.</div></div><div><h3>Results</h3><div>The analysis encompassed 24 randomized controlled trials, incorporating 2525 participants and evaluating 9 non-pharmacological interventions. All non-pharmacological interventions reduced anxiety in patients undergoing colonoscopy compared to standard care, with music intervention (SMD = -0.52, 95 %CI (−0.84,-0.20)), audiovisual distraction (SMD = -0.54, 95 %CI(−0.96,-0.12)), video information (SMD = -1.47, 95 %CI(−2.03,-0.90)), individual education (SMD = -1.72, 95 %CI(−2.76,-0.70)), and electroacupuncture (SMD = -1.12, 95 %CI(−2.10,-0.13)) having statistically significant effects. SUCRA ranking identified the priority of individual education (SUCRA: 92.5 %) and video information (SUCRA: 87.7 %). Meta-regression and sensitivity analysis further demonstrated the stability of the evidence. The certainty of the evidence was mostly rated as medium to low.</div></div><div><h3>Conclusion</h3><div>This review highlights the superior effects of individual education and video information in reducing anxiety in patients undergoing colonoscopy. The findings of our review could provide clinical decision-makers and healthcare practitioners, such as doctors and nurses, with evidence-based practices for selecting interventions to reduce anxiety in patients undergoing colonoscopy.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"191 ","pages":"Article 112065"},"PeriodicalIF":3.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550158","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 weekend catch-up sleep and the systemic immune-inflammation index in adults: Evidence from the NHANES 2017–2020","authors":"Zhaojun Yang ,&nbsp;Yehao Luo ,&nbsp;Jiali He ,&nbsp;Yahui Yuan ,&nbsp;Qiaoyun Liu ,&nbsp;Jingyi Guo ,&nbsp;Yuping Lin ,&nbsp;Lu Sun ,&nbsp;Guanjie Fan","doi":"10.1016/j.jpsychores.2025.112070","DOIUrl":"10.1016/j.jpsychores.2025.112070","url":null,"abstract":"<div><h3>Background</h3><div>Chronic sleep deprivation is widespread and associated with detrimental health outcomes, including inflammation. A common strategy to address weekday sleep deficits is weekend catch-up sleep (WCS). However, the relevance of the WCS on systemic inflammation, as quantified by the systemic immune-inflammation index (SII), remains inadequately understood.</div></div><div><h3>Methods</h3><div>This cross-sectional analysis examined data from the National Health and Nutrition Examination Survey (NHANES) 2017–2020 cohort. To explore the relationship between the WCS and the SII, we employed univariate analysis, weighted linear regression, restricted cubic spline (RCS) techniques, and subgroup analyses.</div></div><div><h3>Results</h3><div>The final sample included 4849 adults. Weighted linear regression confirmed a negative association between the WCS and the SII after adjusting for potential confounders (β = −16.72, 95 % CI: −34.29 to 0.85, <em>P</em> = 0.04). Subgroup analyses revealed that this association varied by obesity, gender, and age. Additionally, the association between the WCS duration and the SII was non-linear (<em>P</em> = 0.006) in adults with a weekday sleep duration of 7–8 h.</div></div><div><h3>Conclusion</h3><div>WCS can help mitigate the inflammatory burden associated with chronic sleep deprivation. WCS durations of 3 h and longer are particularly beneficial for adults who experience sleep deprivation on weekdays. The association between WCS and SII appears to be moderated by factors such as obesity, gender, and smoking status.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"191 ","pages":"Article 112070"},"PeriodicalIF":3.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463419","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":"Sex and age-related differences of the mental health risk in obstructive sleep apnea: A nationwide population-based cohort study","authors":"Yoo Hyun Um ,&nbsp;Jihye Oh ,&nbsp;Young-Chan Kim ,&nbsp;Suhyung Kim ,&nbsp;Tae-Won Kim ,&nbsp;Ho-Jun Seo ,&nbsp;Jong-Hyun Jeong ,&nbsp;Seung-Chul Hong","doi":"10.1016/j.jpsychores.2025.112064","DOIUrl":"10.1016/j.jpsychores.2025.112064","url":null,"abstract":"<div><h3>Background</h3><div>Obstructive sleep apnea (OSA) and psychiatric disorders often coexist, affecting patient outcomes and treatment responses. This relationship, particularly the risk of psychiatric conditions in OSA patients, merits further investigation considering age and sex differences.</div></div><div><h3>Methods</h3><div>Utilizing the South Korean National Health Insurance claims database (2010–2019), this nationwide-population-based, retrospective study identified OSA patients and matched them with controls based on age and sex. Psychiatric disorders were defined using ICD-10 codes for depression and anxiety. Multivariable logistic regression models, adjusted for demographics and comorbidities, evaluated the association between OSA and psychiatric disorders, with detailed subgroup analyses by age and sex.</div></div><div><h3>Results</h3><div>Among the 103,785 matched pairs, OSA patients had significantly higher odds of depressive disorders [adjusted OR = 1.62 (95 % CI: 1.60–1.63)] and anxiety disorders [adjusted OR = 1.56 (95 % CI: 1.54–1.58)] compared to controls. Females with OSA were particularly susceptible to these psychiatric conditions. The risk of psychiatric disorders in OSA patients increased with age, peaking for depression between 60 and 79 years and for anxiety between 40 and 59 years, before slightly declining in the oldest cohort.</div></div><div><h3>Conclusion</h3><div>OSA is significantly associated with an increased risk of depressive and anxiety disorders, with pronounced vulnerabilities observed among females and specific age groups. These findings underscore the need for age- and sex-specific considerations in managing OSA and its psychiatric comorbidities, emphasizing a more individualized approach to treatment to enhance patient outcomes.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"190 ","pages":"Article 112064"},"PeriodicalIF":3.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429637","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":"Bodily pain severity and emotional pain experience in old age: Analyses of potential mediators from representative Ghanaian aging survey","authors":"Razak M. Gyasi ,&nbsp;André Hajek ,&nbsp;Barnabas Addai Amanfo ,&nbsp;Richard Serbeh ,&nbsp;Emmanuel Konadu ,&nbsp;Desmond Agyei ,&nbsp;Priscilla Appiah ,&nbsp;Emmanuel Nyaaba ,&nbsp;Kabila Abass ,&nbsp;David R. Phillips","doi":"10.1016/j.jpsychores.2025.112062","DOIUrl":"10.1016/j.jpsychores.2025.112062","url":null,"abstract":"<div><h3>Objectives</h3><div>Data on the association between pain and emotional health outcomes in old age primarily come from high-income samples. This study examines the cross-sectional association of bodily pain with emotional pain in a representative sample from Ghana, a lower-middle-income sub-Saharan African country. The study also investigates the potential mediators in the association.</div></div><div><h3>Methods</h3><div>Participants (<em>N</em> = 1201) from the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study reported their experiences of bodily pain and emotional pain. Pain severity was assessed over the last 30 days using a cross-culturally validated item from the Medical Outcomes Study Short Form-36, while emotional pain was assessed with seven emotional distress items on a 4-level scale over the last 30 days. Multivariable logistic regressions and bootstrapping models assessed the hypothesized association.</div></div><div><h3>Results</h3><div>Mean (SD) age was 66.1 (11.9) years, and 63.3 % were women. Compared to no pain, mild (odds ratio (OR) = 2.05, 95 %CI = 1.31–3.22), moderate (OR = 2.83, 95 %CI = 1.80–4.45), and severe bodily pains (OR = 3.55, 95 %CI = 1.93–6.55) had higher odds for emotional pain. The associations were stronger among women (than men) and the≥65 age group (than the 50–64 age group). Functional limitations (47.1 %), physical activity (26.4 %), and sleep problems (22.2 %) significantly mediated the association.</div></div><div><h3>Conclusions</h3><div>The positive cross-sectional association between bodily pain and emotional pain generalizes to a sub-Saharan African country. Psychosomatic factors largely accounted for this association. Efforts to improve emotional health may consider pain and the mediators. More studies are needed in low- and middle-income countries to gauge generalizability fully.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"190 ","pages":"Article 112062"},"PeriodicalIF":3.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437817","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":"Quadratic associations between sleep and multimorbidity among the older population in China: Evidence from CLHLS 2011 to 2018","authors":"Change Zhu ,&nbsp;Baoxiang Song ,&nbsp;Xuebin Qiao ,&nbsp;Aijun Xu","doi":"10.1016/j.jpsychores.2025.112059","DOIUrl":"10.1016/j.jpsychores.2025.112059","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the relationship between sleep and multimorbidity, including the associations between sleep duration and multimorbidity, as well as between sleep quality and multimorbidity.</div></div><div><h3>Methods</h3><div>Using data from the three latest waves of the Chinese Longitudinal Health Longevity Study (2011, 2014, and 2018), a binary panel regression was conducted to investigate the quadratic relationship between sleep duration and multimorbidity. Subsequently, quadratic fitting and robustness analysis were further utilized to strengthen the verification of this relationship.</div></div><div><h3>Results</h3><div>From 2011 to 2018, the prevalence of multimorbidity increased, with average rates of 0.309, 0.345, and 0.367, respectively. Meanwhile, sleep duration was 7.45, 7.34, and 7.39, but sleep quality showed a declining trend with scores of 3.70, 3.63, and 3.47, respectively. Furthermore, the regression analysis revealed that the odds ratios (OR) for the relationship between sleep duration and multimorbidity, and between the square of sleep duration and multimorbidity were 0.734, with 95 % CI = [0.6272, 0.8582] and 1.016, with 95 % CI = [1.0058, 1.0262], respectively. From the quadratic relationship, it is evident that the multimorbidity among older Chinese adults initially decreases and then increases with long sleep durations.</div></div><div><h3>Conclusions</h3><div>The multimorbidity was significantly different among individuals with different sleep duration. A U-shaped relationship was observed between sleep duration and multimorbidity, whereby both short and excessive sleep durations were associated with higher rates of multimorbidity. Additionally, a negative association was found between sleep quality and multimorbidity, indicating that higher sleep quality was linked to lower rates of multimorbidity.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"190 ","pages":"Article 112059"},"PeriodicalIF":3.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437816","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":"Lithium and the risk of severe COVID-19 infection: A retrospective population-based register study","authors":"Niklas Harry Nilsson ,&nbsp;Marie Bendix ,&nbsp;Louise Öhlund ,&nbsp;Anna Gibbs ,&nbsp;Micael Widerström ,&nbsp;Ursula Werneke ,&nbsp;Martin Maripuu","doi":"10.1016/j.jpsychores.2025.112053","DOIUrl":"10.1016/j.jpsychores.2025.112053","url":null,"abstract":"<div><h3>Objectives</h3><div>Previous research has suggested antiviral properties for lithium, including potential effectiveness against COVID-19 in vitro. This study aimed to investigate the impact of lithium and other psychotropic drugs on the risks of mortality, hospitalization, and ICU admission due to COVID-19 among individuals with bipolar disorder. The primary objective was to assess whether lithium was beneficial in COVID-19-infection in a real-world population.</div></div><div><h3>Methods</h3><div>Retrospective register study using data from multiple Swedish patient registers, including 39,063 individuals in Sweden with bipolar disorder and prescribed mood stabilizers. Outcomes included COVID-19-associated death, hospitalization, and ICU admission between 11 March 2020 and 10 March 2021. Multivariate logistic regression adjusted for age, sex, and somatic comorbidities was conducted.</div></div><div><h3>Results</h3><div>Lithium were prescribed to 44.2 % of patients, either as mono- or combination therapy; other mood stabilizers were prescribed to 55.8 %. There were no significant associations between lithium and COVID-19-associated death, hospitalization, or ICU admission. Atypical antipsychotics were associated with increased odds ratios for COVID-19-associated death (OR 1.58 [95 % CI 1.01–2.47]), hospitalization (OR 1.80 [95 % CI 1.49–2.18]), and ICU admission (OR 2.25 [95 % CI 1.33–3.80]). Benzodiazepines were associated with a significant increase in COVID-19-associated death (OR 1.54 [95 % CI 1.01–2.35]) and hospitalization OR 1.26 [95 % CI 1.03–1.53]). In an ad hoc analysis, lithium monotherapy was, however, associated with reduced hospitalizations and ICU admissions.</div></div><div><h3>Conclusions</h3><div>Our findings weaken the hypothesis that lithium reduces the risk of severe events associated with COVID-19 infection in bipolar disorder.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"190 ","pages":"Article 112053"},"PeriodicalIF":3.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429712","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":"Prevalence and risk factors of post-traumatic stress disorder and psychological distress symptoms in populations affected by Ebola in DR Congo before and during the COVID-19 pandemic","authors":"Rose Darly Dalexis ,&nbsp;Seyed Mohammad Mahdi Moshirian Farahi ,&nbsp;Jacqueline Bukaka ,&nbsp;Farid Mansoub Bekarkhanechi ,&nbsp;Olea Balayulu-Makila ,&nbsp;Noble Luyeye ,&nbsp;Jude Mary Cénat","doi":"10.1016/j.jpsychores.2025.112063","DOIUrl":"10.1016/j.jpsychores.2025.112063","url":null,"abstract":"<div><h3>Background</h3><div>Ebola virus disease (May 19–September 16, 2020) and COVID-19 simultaneously affected the province of Equateur in DR Congo (DRC). To date, no longitudinal studies have explored symptoms of post-traumatic stress disorder (PTSD) and psychological distress (PD) related to COVID-19 or Ebola in DRC.</div></div><div><h3>Methods</h3><div>A representative sample of 1669 participants aged ≥18 was recruited in March–April 2019 (Time 1) and August–September 2020 (Time 2). Questionnaires assessed PTSD (PCL-5) and PD (<em>K</em>−10) symptoms, social support, Ebola and COVID-19 exposure and related stigmatization.</div></div><div><h3>Results</h3><div>Prevalence of PTSD (58.24 % in T1 to 43.74% at T2, <em>x</em>^<em>2</em>(1) = 5.83, <em>p</em> &lt; .001) and PD symptoms (49.44 % in T1 to 28.94 % at T2, <em>x</em>^<em>2</em> (1) = 5.83, <em>p</em> &lt; .001) decreased from the Ebola outbreak to the COVID-19 pandemic. Populations living in rural areas consistently reported higher prevalence of PTSD and PD symptoms. Generalized estimating equation (GEE) models showed that stigmatization related to Ebola is the most important predictor of both PTSD (<em>B</em> = 0.90, <em>p</em> &lt; .0001) and PD (<em>B</em> = 1.22, <em>p</em> &lt; .001) symptoms, followed by exposure to Ebola (<em>B</em> = 0.41, <em>p</em> &lt; .001 and <em>B</em> = 0.56, <em>p</em> &lt; .001). COVID-19 related stigmatization only predicted PTSD symptoms (<em>B</em> = 0.21, <em>p</em> = .009). GEE models also confirmed that PTSD (<em>B</em> = −0.78, <em>p</em> &lt; .001) and PD (<em>B</em> = −1.25, <em>p</em> &lt; .001) decreased from Ebola outbreak to the COVID-19 pandemic. A significant interaction was found between Ebola stigmatization and time (<em>B</em> = -0.40, <em>p</em> = .021) for PTSD, and between exposure to Ebola and time (<em>B</em> = -0.36, <em>p</em> = .026) for PD.</div></div><div><h3>Conclusions</h3><div>This study confirms that Ebola related stigmatization is the most important predictor of mental health problems. Community-based strategies can address, reduce, and eliminate this issue.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"190 ","pages":"Article 112063"},"PeriodicalIF":3.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429848","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":"Machine learning for the early prediction of long-term cognitive outcome in autoimmune encephalitis","authors":"Yingchi Zhang ,&nbsp;Xiaodan Shi ,&nbsp;Zhirong Fan ,&nbsp;Ewen Tu ,&nbsp;Dianwei Wu ,&nbsp;Xiuxiu Leng ,&nbsp;Ting Wan ,&nbsp;Xiaomu Wang ,&nbsp;Xuan Wang ,&nbsp;Wei Lu ,&nbsp;Fang Du ,&nbsp;Wen Jiang","doi":"10.1016/j.jpsychores.2025.112051","DOIUrl":"10.1016/j.jpsychores.2025.112051","url":null,"abstract":"<div><h3>Background and objective</h3><div>Autoimmune encephalitis (AE) is an immune-mediated disease. Some patients experience persistent cognitive deficits despite receiving immunotherapy. We aimed to develop a prediction model for long-term cognitive outcomes in patients with AE.</div></div><div><h3>Method</h3><div>In this multicenter cohort study, a total of 341 patients with AE were enrolled from February 2014 to July 2023. Cognitive impairment was identified using the telephone Mini-Mental State Examination (t-MMSE). Six machine learning (ML) algorithms were used to assess the risk of developing cognitive impairment.</div></div><div><h3>Results</h3><div>The median age of the patients with AE was 30.0 years (23.0–48.25), and 48.90 % (129/264) were female in the training cohort.77 (29.2 %) patients were identified with cognitive impairment after a median follow-up of 49 months. Among 16 features, the following six features were finally selected to develop the model: Cognitive Reserve Questionnaire (CRQ), Clinical Assessment Scale for Autoimmune Encephalitis (CASE), status epilepticus (SE), age, MRI abnormalities, and delayed immunotherapy. Compared to other ML models, the random forest (RF) model demonstrated superior performance with an AUC of 0.90. The accuracy, sensitivity, and specificity in the testing cohort were 0.87, 0.79, and 0.90, respectively.</div></div><div><h3>Conclusion</h3><div>The RF model based on CRQ, CASE scores, SE, age, MRI abnormalities and delayed immunotherapy demonstrates superior predictive performance and shows promise in predicting the risk of long-term cognitive outcomes in patients with AE in clinical settings.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"190 ","pages":"Article 112051"},"PeriodicalIF":3.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437815","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}