{"title":"Suicide and Neuromodulation Strategies for Prevention in High Risk Psychiatric Disorders.","authors":"","doi":"10.1177/00912174261500274","DOIUrl":"https://doi.org/10.1177/00912174261500274","url":null,"abstract":"","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174261500274"},"PeriodicalIF":1.9,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Jue Tone Music Therapy for Post-stroke Depression in China: A Randomized Controlled Trial.","authors":"Yan Jin, Yan-Na Qian, Bing-Jun Zhu","doi":"10.1177/00912174261495717","DOIUrl":"https://doi.org/10.1177/00912174261495717","url":null,"abstract":"<p><p>ObjectiveTo evaluate the effects of Jue tone music therapy on depressive symptoms, sleep quality, activities of daily living, and selected serum biomarkers in patients with post-stroke depression (PSD).MethodsIn this randomized controlled trial, patients with PSD were randomly assigned to a control group or an intervention group. The control group received usual care, including sertraline hydrochloride and comprehensive rehabilitation training. The intervention group received additional Jue tone music therapy based on Five Element Music Therapy for 6 weeks. Depressive symptoms were assessed using the 24-item Hamilton Depression Scale (HAMD-24) and the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D). Sleep quality and activities of daily living were evaluated using the Pittsburgh Sleep Quality Index (PSQI) and the Barthel Index (BI). Serum interleukin-6 (IL-6), brain-derived neurotrophic factor (BDNF), and 5-hydroxytryptamine (5-HT) levels were measured before and after the intervention.ResultsA total of 91 patients completed the study (control group, <i>n</i> = 46; intervention group, <i>n</i> = 45). After 6 weeks, the intervention group showed significantly lower HAMD-24, HADS-D, and PSQI scores and higher BI scores compared with the control group (all <i>P</i> < 0.01). Serum IL-6 levels were significantly reduced, while BDNF and 5-HT levels were significantly increased in the intervention group (all <i>P</i> < 0.05). No significant differences in adverse events were observed between groups.ConclusionJue tone music therapy is a safe and effective adjunct to usual care, improving depressive symptoms, sleep quality, and functional outcomes in patients with PSD.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174261495717"},"PeriodicalIF":1.9,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jun Cai, Yufeng Feng, Jinming Cao, Bin Zhang, Juan Ji
{"title":"Claustrophobia Symptoms in Individuals Undergoing FDG-PET Imaging: Evidence-Based Implications for Nursing Management.","authors":"Jun Cai, Yufeng Feng, Jinming Cao, Bin Zhang, Juan Ji","doi":"10.1177/00912174261493320","DOIUrl":"https://doi.org/10.1177/00912174261493320","url":null,"abstract":"<p><p>BackgroundFluorodeoxyglucose positron emission tomography (FDG-PET) is an indispensable imaging modality within precision medical practice. Nevertheless, the enclosed scanner space often triggers claustrophobic distress in scanned patients. This cross-sectional research aimed to quantify the prevalence of claustrophobia among individuals receiving FDG-PET scans and clarify relevant predictive factors linked to this adverse emotional response.MethodsA single-center cross-sectional investigation enrolled a total of 542 participants who completed FDG-PET imaging from March 2025 to November 2025. Study data were gathered via a self-designed questionnaire named <i>Survey of Claustrophobic Severity and Nursing Demands for Patients Undergoing FDG-PET Scans</i>.ResultsModerate to severe claustrophobic symptoms occurred in 37.27% of all subjects (202 out of 542). Multivariate Logistic regression revealed 5 statistically significant independent predictors of moderate-to-severe claustrophobia (all <i>P</i> < 0.05): aged 75 years or older (OR = 2.27, 95%CI: 1.15-4.51), female gender (OR = 1.92, 95%CI: 1.25-2.96), education attainment at junior high school level or below (OR = 2.53, 95%CI: 1.61-3.98), first FDG-PET scan experience (OR = 2.86, 95%CI: 1.89-4.32), and insufficient pre-scan relevant knowledge (OR = 3.46, 95%CI: 2.16-5.54). A risk scoring system built upon these 5 predictors allocated 1 point to each risk indicator, the model demonstrated satisfactory discriminative capacity.ConclusionA considerable proportion of FDG-PET scan patients suffer from moderate or severe claustrophobia, which is simultaneously influenced by personal demographic attributes and procedure-associated variables. The newly developed risk scoring tool enables efficient identification of patients at high risk of severe claustrophobic reactions.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174261493320"},"PeriodicalIF":1.9,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fatih Ekici, Gizem Karaoğlan, Muhammed Tuğrul Ergün, Muhammet Cahit Atılgan, Özkan Güler, Lütfi Saltuk Demir
{"title":"Panic Disorder Among Adults Attending Family Health Centers in Türkiye: A District-Wide Cluster Survey of Prevalence, Comorbidity Burden, and Treatment Coverage.","authors":"Fatih Ekici, Gizem Karaoğlan, Muhammed Tuğrul Ergün, Muhammet Cahit Atılgan, Özkan Güler, Lütfi Saltuk Demir","doi":"10.1177/00912174261494407","DOIUrl":"https://doi.org/10.1177/00912174261494407","url":null,"abstract":"<p><p>ObjectiveTo estimate lifetime and current panic disorder (PD) prevalence and examine medical and current psychiatric burden and treatment coverage among adults attending family medicine health centers in central Türkiye.MethodA district-wide cross-sectional survey recruited adult attendees systematically from 28 randomly selected family health centers. Two psychiatrists assessed 1807 participants using the Structured Clinical Interview for DSM-5 Disorders, Clinician Version. Medical conditions were recorded using a checklist and available records. Prevalence estimates and hierarchical logistic regression were used to examine center-level clustering.ResultsLifetime PD was identified in 102 participants (5.6%; 95% CI = 4.4%-6.9%) and current PD in 52 (2.9%; 95% CI = 2.0%-3.8%). In the fully adjusted model, lifetime PD was associated with female sex (adjusted odds ratio [aOR] = 1.87; 95% CI = 1.20-2.93), family psychiatric history (aOR = 2.05; 95% CI = 1.31-3.21), one (aOR = 1.94; 95% CI = 1.11-3.38) or at least two medical conditions (aOR = 2.50; 95% CI = 1.25-5.02), and one (aOR = 1.68; 95% CI = 1.16-2.45) or at least two current non-PD psychiatric disorders (aOR = 3.79; 95% CI = 1.72-8.35). Only 14 of 52 participants with current PD (26.9%) were receiving psychiatric treatment.ConclusionsPD was identified in a clinically important proportion of family health center attendees and accompanied by substantial medical and current psychiatric burden. Better recognition, comprehensive assessment, and referral in primary health care may improve treatment coverage in Türkiye.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174261494407"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Regulating AI Companion Chatbots for Adolescent Safety: An Imperative for India.","authors":"Lalasa Mukku, Vikas Burri","doi":"10.1177/00912174261456434","DOIUrl":"https://doi.org/10.1177/00912174261456434","url":null,"abstract":"","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174261456434"},"PeriodicalIF":1.9,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corrigendum to \"Trends in the Prevalence of Osteoarthritis, Rheumatoid Arthritis, and Psoriatic Arthritis in U.S. Adults With Depression, 2005 to 2018\".","authors":"","doi":"10.1177/00912174261488893","DOIUrl":"https://doi.org/10.1177/00912174261488893","url":null,"abstract":"","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174261488893"},"PeriodicalIF":1.9,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Use of Aripiprazole Monohydrate Long-Acting Injectable in Adolescents: A Case Series and Review of the Literature.","authors":"Fethiye Kılıçaslan, Harun Yardımcı, Berna Polat Tüysüz","doi":"10.1177/00912174261487294","DOIUrl":"10.1177/00912174261487294","url":null,"abstract":"<p><p>ObjectiveLong-acting injectable (LAI) antipsychotics may improve treatment adherence by maintaining stable plasma drug concentrations and reducing relapse risk associated with inconsistent oral medication use. Although LAIs are widely used in adults with severe psychiatric disorders, their use in pediatric populations remains off-label, and evidence is limited. Aripiprazole, a partial dopamine D<sub>2</sub> receptor agonist, has a favorable tolerability profile in adolescents, particularly regarding metabolic adverse effects and prolactin elevation.MethodsThis retrospective case series describes the clinical use of aripiprazole monohydrate LAI (AM LAI) in six adolescents aged 13-17 years with severe psychiatric conditions and poor adherence to oral treatment.ResultsTreatment with AM LAI was associated with improved adherence and clinical stabilization in most cases. Reductions in symptom severity and improvements in functional outcomes were observed during follow-up. No serious adverse effects were reported.ConclusionAM LAI appears to be a safe and effective off-label treatment option in high-risk adolescents with poor adherence to oral antipsychotics. This case series contributes clinically relevant real-world data to the limited literature on LAI use in pediatric psychiatry.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174261487294"},"PeriodicalIF":1.9,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence Rates of Depression, Anxiety, and Suicidal Ideation in Patients with Ovarian cancer: A Systematic Review from 1977 to 2024.","authors":"Tong Qiu, Tian Zhang, YiHan Zhang, XingKe Qiu","doi":"10.1177/00912174251350465","DOIUrl":"10.1177/00912174251350465","url":null,"abstract":"<p><p>ObjectiveOvarian cancer patients are more likely to have mental disorders than other patients. However, to our knowledge, there has been no systematic analysis of its global epidemiology. Therefore, a systematic review was conducted to identify the prevalence of depression, anxiety, and suicidal ideation in ovarian cancer patients in different countries.MethodWe searched PubMed, Embase, Elsevier ScienceDirect, China National Knowledge Infrastructure, WanFang Data Knowledge Service Platform, and Duxiu Academic Search Platform to identify observational studies on depression, anxiety, and suicidal ideation in patients with ovarian cancer published up to 30 June 2024. We estimated the prevalence of depression, anxiety, and suicidal ideation in ovarian cancer patients worldwide and by region, country, research period, and assessment scales.ResultsA total of 31 studies were identified involving 8315 ovarian cancer patients. The prevalence rates of depression and anxiety were 35% and 37%, respectively. In China, the prevalence of suicidal ideation of ovarian cancer patients was 32%. Ovarian cancer patients in Asia had the highest prevalence of depression, while those in Oceania (Australia, New Zealand, etc.) had the lowest. Additionally, the prevalence rates of depression and anxiety increased considerably worldwide after 2000 and have gradually stabilized since then.ConclusionThis study found that the prevalence of depression and anxiety was high (more than one-third) among ovarian cancer patients. These findings underscore the need for a comprehensive study to address mental health problems in these patients, including the determination of incidence rates, regional differences, comorbidities and optimal treatment strategies.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"539-557"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of Chronic Pain Trajectories with Incident Depressive Symptoms Among Older Adults: Evidence from National Cohorts in the UK and the US.","authors":"Meng-Qin Tu, Tao-Ping Yi, Jiang-Yu Tu","doi":"10.1177/00912174261440653","DOIUrl":"10.1177/00912174261440653","url":null,"abstract":"<p><p>ObjectiveChronic pain and depression are common in older adults, yet pain is dynamic and may follow a distinct longitudinal courses. This study examined whether chronic pain trajectories are associated with incident depressive symptoms among adults aged 50 years and older.MethodsAnalyzed were two prospective cohorts of community-dwelling adults: the English Longitudinal Study of Ageing (ELSA) and the US Health and Retirement Study (HRS). Biennial self-reported pain (yes/no) across four waves was used to classify five mutually exclusive pain trajectories: no pain, decreasing pain, fluctuating pain, increasing pain, and consistent pain. Participants with depressive symptoms at baseline were excluded. Incident depressive symptoms were defined as a Center for Epidemiologic Studies Depression scale (CESD-8) score ≥3. Cox proportional hazards models estimated hazard ratios (HRs) and adjusted for sociodemographic characteristics, health behaviors, and chronic conditions.ResultsThe analytic samples included 2476 participants in ELSA and 6238 in HRS, with a mean follow-up of 6.3 years and 6.1 years, respectively. Incident depressive symptoms occurred in 19.7% and 18.3%, respectively. Compared with the no-pain trajectory, fluctuating, increasing, and consistent pain were associated with higher risk of depressive symptoms in ELSA (HRs, 1.70 [95% CI, 1.37-2.10], 1.76 [95% CI, 1.27-2.45], and 2.60 [95% CI, 1.98-3.43], respectively) and HRS (HRs, 1.48 [95% CI, 1.29-1.71], 1.84 [95% CI, 1.47-2.29], and 2.15 [95% CI, 1.78-2.59], respectively). Decreasing pain was not significantly associated with risk in either cohort.ConclusionsPersistent or worsening pain trajectories consistently predicted subsequent depressive symptoms in older adults, whereas improving pain was not. Longitudinal pain monitoring may help identify high-risk individuals through early depression screening, and if found to be significant, implementation of integrated-mental health care for pain.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"650-672"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Afnan A Alwabili, Ahmad Alomrani, Abdulraouf Jijeh, Nawaf Alamer, Rawan Bin Saab, Fatimah Kashkash, Mohannad A Alghamdi, Joud Alqathlan, Hind Alyousef
{"title":"Prevalence and Correlates of Depression and Anxiety in Adult Congenital Heart Disease Patients in Riyadh, Saudi Arabia.","authors":"Afnan A Alwabili, Ahmad Alomrani, Abdulraouf Jijeh, Nawaf Alamer, Rawan Bin Saab, Fatimah Kashkash, Mohannad A Alghamdi, Joud Alqathlan, Hind Alyousef","doi":"10.1177/00912174251395848","DOIUrl":"10.1177/00912174251395848","url":null,"abstract":"<p><p>ObjectiveAdvances in cardiac surgery and medicine have resulted in congenital heart disease (CHD) not being limited to children. CHD has been linked to emotional disorders, and untreated psychiatric disorders can worsen adult CHD patients' morbidity and mortality. This study sought to assess rates and predictors of depression and anxiety in this population.MethodA cross-sectional study involving 378 adult outpatients with CHD aged 18 years or older was conducted. Cluster sampling was performed at cardiac center clinics in Riyadh, Saudi Arabia, and data were collected through questionnaires that included demographic information, the Generalized Anxiety Disorder Scale (GAD-7), and the Patient Health Questionnaire (PHQ-9), both of the latter validated in Arabic. Clinical characteristics were assessed using physician-rated New York Heart Association (NYHA) functional class for CHD.ResultsDemographic findings revealed a diverse population with the majority aged 18-24 (56.9%), 52.6% women, and 97.1% Saudi nationals. The clinical characteristics of CHD patients indicated that 63.2% were classified as NYHA Class I and 54.0% had simple CHD. A total of 14.6% of participants reported moderate or severe anxiety and 18.3% indicated moderate or severe depression. Significant associations were found between demographic factors and PHQ-9 and GAD-7 scores. Higher PHQ-9 scores were associated with age ≥35, female gender, and NYHA Class II-IV. Similar associations were observed for GAD-7 scores.ConclusionsDepression and anxiety symptoms are relatively common in this population, underscoring the need for comprehensive mental health support for adult patients with CHD. The association between negative emotions and certain demographic and clinical factors emphasizes the importance of providing personalized care to these patients.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"603-614"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}