International Journal of Psychiatry in Medicine最新文献

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PTSD symptoms among patients with multiple sclerosis in Jordan during October 7th Gaza war outbreak. "10月7日加沙战争爆发期间约旦多发性硬化症患者的创伤后应激障碍症状"。
IF 1.1 4区 医学
International Journal of Psychiatry in Medicine Pub Date : 2025-01-01 Epub Date: 2024-08-06 DOI: 10.1177/00912174241272680
Omar Gammoh, Esam Qnais, Hanan Abu Alshaikh, Mohammad Mansour, Suha Al-Habahbeh, Feras Weshah, Wail Ennab, Badriyah S Alotaibi, Abdelrahim Alqudah
{"title":"PTSD symptoms among patients with multiple sclerosis in Jordan during October 7th Gaza war outbreak.","authors":"Omar Gammoh, Esam Qnais, Hanan Abu Alshaikh, Mohammad Mansour, Suha Al-Habahbeh, Feras Weshah, Wail Ennab, Badriyah S Alotaibi, Abdelrahim Alqudah","doi":"10.1177/00912174241272680","DOIUrl":"10.1177/00912174241272680","url":null,"abstract":"<p><strong>Objective: </strong>Clinicians have noted that the ongoing war on Gaza has had a psychological impact on people with multiple sclerosis (PwMS) whose mental health is particularly vulnerable during stressful times such as these. The present study sought to examine the prevalence and correlates of posttraumatic stress disorder (PTSD) symptoms among PwMS in Jordan during the Gaza war outbreak.</p><p><strong>Methods: </strong>This was a cross-sectional study involving 171 patients (PwMS) out of 372 patients approached (46% response rate) who were being seen in the MS unit at Al Bashir Hospital, Ammann, Jordan. Inclusion criteria required that participants had been following daily news updates of the October 7 war in Gaza during a period of 4 months.</p><p><strong>Results: </strong>Of participants, 125 (73.1%) were female, 98 (57.3%) were on therapy for less than five years, and 30 (17.5%) reported having a relapse during the past 6 months. Significant PTSD symptoms were identified in 58.5% (100 of 171 participants). Those at higher risk were the unemployed (OR = 2.14, 95% CI = 1.13-4.07, <i>P</i> = 0.02), whereas patients receiving dimethyl fumarate (19.9%) were at lower risk (OR = 0.43, 95% CI = 0.19-0.94, <i>P</i> = 0.02).</p><p><strong>Conclusion: </strong>The high rate of significant PTSD symptoms among people with MS in this study underscores the need for attention by primary care providers and the implementation of a comprehensive multidisciplinary approach to optimize the mental well-being of this fragile population.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"7-16"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898764","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}
引用次数: 0
Psychosexual dysfunction in male patients with cannabis dependence and synthetic cannabinoid dependence. 大麻依赖和合成大麻素依赖男性患者的性心理功能障碍。
IF 1.1 4区 医学
International Journal of Psychiatry in Medicine Pub Date : 2025-01-01 Epub Date: 2024-01-28 DOI: 10.1177/00912174241230886
Abdelrahman A Asal, Doaa R Ayoub, Mohamed E Mazen, Shirin M El Makawi
{"title":"Psychosexual dysfunction in male patients with cannabis dependence and synthetic cannabinoid dependence.","authors":"Abdelrahman A Asal, Doaa R Ayoub, Mohamed E Mazen, Shirin M El Makawi","doi":"10.1177/00912174241230886","DOIUrl":"10.1177/00912174241230886","url":null,"abstract":"<p><strong>Objective: </strong>There are inconsistent reports regarding the relationship between cannabis use and male sexual function with almost no data about synthetic cannabinoids (SC) and their effect on male sexual functions. This study investigated psychological concerns related to male sexual functions among cannabis and SC users. The research assessed different sexual functions and aspects of sexual psychopathology in cannabis and SCs dependent men compared to controls.</p><p><strong>Method: </strong>Thirty male patients with cannabis dependence, thirty male patients with SCs dependence, and thirty matched controls from the outpatient clinic at Kasr Al Ainy hospital, Egypt, were assessed using the Structured Clinical Interview for DSM-IV TR Axis I Disorders (SCID-I), International Index of Erectile Function (IIEF), and Sexuality scale.</p><p><strong>Results: </strong>The means of IIEF questionnaire in the cannabis and SC group were significant lower (worse) than the means of the control group (<i>P</i> < .001) except the orgasmic function in cannabis group (<i>P</i> = .052). In the SCs group, sexual depression was higher and preoccupation lower than in the cannabis group (<i>P</i> < .020; <i>P</i> < .003, respectively) and control groups (<i>P</i> < .001; <i>P</i> < .001, respectively). The duration and dose of cannabis and SCs correlated significantly with sexual esteem, sexual preoccupation and all domains of IIEF.</p><p><strong>Conclusion: </strong>Cannabis and SC dependence were associated with lower erectile function, sexual desire, intercourse satisfaction and overall satisfaction, and lower orgasmic functions in the SC group than controls. Both groups showed higher sexual depression, lower sexual esteem and sexual preoccupation than controls. SC has a higher negative impact on male sexual functions and psychopathology than does cannabis.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"44-56"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571017","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}
引用次数: 0
COVID-19 and mental health treatment in primary care: Impact of a global pandemic on a psychopharmacological collaborative care management program. COVID-19 与初级保健中的心理健康治疗:全球大流行对精神药物合作护理管理计划的影响。
IF 1.1 4区 医学
International Journal of Psychiatry in Medicine Pub Date : 2025-01-01 Epub Date: 2024-06-22 DOI: 10.1177/00912174241264592
Zachary D Zuschlag, Benjamin Lord, Teagan Smith, Alexander Lengerich, Kaitlin Leonard, Yvette Guereca, Ambuj Kumar, Vanessa A Milsom
{"title":"COVID-19 and mental health treatment in primary care: Impact of a global pandemic on a psychopharmacological collaborative care management program.","authors":"Zachary D Zuschlag, Benjamin Lord, Teagan Smith, Alexander Lengerich, Kaitlin Leonard, Yvette Guereca, Ambuj Kumar, Vanessa A Milsom","doi":"10.1177/00912174241264592","DOIUrl":"10.1177/00912174241264592","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic has had a profound impact on individuals with mental health (MH) disorders and on the delivery of MH services. Few studies have examined treatment models not requiring substantial changes to the delivery of services during pandemic restrictions, such as collaborative care management (CoCM) programs. Therefore, a longitudinal retrospective cohort analysis was conducted to examine the impact of the COVID-19 pandemic on a psychopharmacological CoCM program.</p><p><strong>Method: </strong>Data were collected on all U.S. Veterans enrolled in a CoCM program at a large VA during the first 10 months of the COVID-19 pandemic and compared to a matched control group one-year prior to that date. Treatment in the program pre-COVID vs. treatment during the pandemic was compared in relation to baseline symptomatology, improvements in MH symptoms, and program adherence.</p><p><strong>Results: </strong>A total of 462 Veterans were referred during the control period, compared to 351 during the same time period during the pandemic. Veterans enrolled during the first four months of each study arm, to allow for a minimum of 6 months of follow up data, had no differences in baseline symptoms of depression or anxiety between groups. Veterans receiving care during the pandemic had higher rates of program completion than pre-pandemic controls. COVID-era Veterans also had higher rates of depression response compared to controls, but no differences were observed between groups on depression remission, anxiety response, or anxiety remission.</p><p><strong>Conclusions: </strong>Psychopharmacological CoCM treatment models can successfully manage depression and anxiety with no observed decrease in the effectiveness of this intervention even during periods of unprecedented disruptions to MH services.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"33-43"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441056","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}
引用次数: 0
Spirituality and people with psychosis: A content analysis of influential primetime television programs. 精神与精神病患者:对有影响力的黄金时段电视节目的内容分析。
IF 1.1 4区 医学
International Journal of Psychiatry in Medicine Pub Date : 2025-01-01 Epub Date: 2024-03-27 DOI: 10.1177/00912174241240305
David R Hodge, Patricia R Turner
{"title":"Spirituality and people with psychosis: A content analysis of influential primetime television programs.","authors":"David R Hodge, Patricia R Turner","doi":"10.1177/00912174241240305","DOIUrl":"10.1177/00912174241240305","url":null,"abstract":"<p><strong>Objective: </strong>This mixed methods study examined depictions of spirituality among people with psychosis in influential television programming. Spirituality is a central strength for many people with psychosis. Yet, despite the important role media plays in shaping perceptions, little research has examined the intersection between spirituality and psychosis in the popular media.</p><p><strong>Methods: </strong>To address this gap, we conducted a content analysis of the 50 most viewed primetime fictional television shows over a 10-year period as determined by the Nielsen rating organization. Characters with psychosis were identified via keyword searches of online sources (Wikis, IMDb, etc.) and subsequently independently coded by two individuals. Characters were rated on 18 items in three domains related to demographics, life status, and character framing. Inter-rater reliability ranged from good to excellent across variables.</p><p><strong>Results: </strong>Of 120 identified characters with psychosis, just 16% (n = 19) had a spiritual identity. Analysis revealed few differences between spiritual and secular characters on demographic and life status variables. Conversely, an examination of framing variables revealed spiritual characters were comparatively less attractive, exhibited a greater negative impact on society, and were more likely to be referred to pejoratively (as a psychopath) and engage in criminal activity. Trend analysis indicated portrayals of spiritual characters decreased over time.</p><p><strong>Conclusions: </strong>The results suggest media depictions of spirituality contribute to the stigmatization of spirituality among people with psychosis, potentially preventing access to important coping resources and discouraging professional help-seeking. Primary care physicians should consider incorporating a spiritual assessment into care to determine spiritual coping assets and then support these.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"71-86"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295080","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}
引用次数: 0
Prevalence and risk factors for chronic kidney disease among older adult patients with schizophrenia in Taiwan. 台湾老年精神分裂症患者中慢性肾病的患病率和风险因素。
IF 1.1 4区 医学
International Journal of Psychiatry in Medicine Pub Date : 2025-01-01 Epub Date: 2024-05-19 DOI: 10.1177/00912174241256164
Shu-Ting Chang, Jiunn-Ying Liou, Bo-Jian Wu, Hsing-Kang Chen
{"title":"Prevalence and risk factors for chronic kidney disease among older adult patients with schizophrenia in Taiwan.","authors":"Shu-Ting Chang, Jiunn-Ying Liou, Bo-Jian Wu, Hsing-Kang Chen","doi":"10.1177/00912174241256164","DOIUrl":"10.1177/00912174241256164","url":null,"abstract":"<p><strong>Objectives: </strong>There is an increasing incidence and prevalence of patients with chronic kidney disease (CKD) worldwide. Little is known the prevalence of CKD among older patients with schizophrenia. The purpose of this study was to investigate the prevalence of CKD and its risk factors in older adults with schizophrenia.</p><p><strong>Methods: </strong>In this cross-sectional study, a convenience sample of 240 patients with schizophrenia age 50 or older was recruited. In addition to demographic and clinical data, participants' estimated glomerular filtration rate was calculated using the Modification of Diet in Renal Disease equation based on age, sex, ethnicity, and serum creatinine level determined from a blood sample taken from participants.</p><p><strong>Results: </strong>The overall prevalence of CKD was 11.3%. Those with CKD were older, had a longer duration of psychiatric illness, a higher body mass index (BMI), and diagnoses of hypertension compared to those in the non-CKD group. Independent of other risk factors, older age and BMI were significantly associated with CKD.</p><p><strong>Conclusions: </strong>This study found that the overall prevalence of CKD in older patients with schizophrenia was 11.3%. Independent risk factors for CKD in this population were older age and higher BMI. In addition to early identification and early treatment of CKD in older patients with schizophrenia, clinicians should actively manage the risk factors identified in this study.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"87-96"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065582","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}
引用次数: 0
Systematic review of long-acting injectable antipsychotic medications approved from 2008 to october 2024 and agents in phase 3. 2008年至2024年10月批准的长效注射抗精神病药物和iii期药物的系统回顾。
IF 1.1 4区 医学
International Journal of Psychiatry in Medicine Pub Date : 2024-12-19 DOI: 10.1177/00912174241310091
Ashley Meyer, Kyla Truman, Jayant Totlani, Catherine William, Haze Brown, Shaishav Shah, Drew Hirsch, Mohamed Salem, Tiffany Chang, Rasha Abdelsalam, Sabrina Renteria, Nathalie Murphy, Rebecca Hedrick, Itai Danovitch, Robert N Pechnick, Waguih William IsHak
{"title":"Systematic review of long-acting injectable antipsychotic medications approved from 2008 to october 2024 and agents in phase 3.","authors":"Ashley Meyer, Kyla Truman, Jayant Totlani, Catherine William, Haze Brown, Shaishav Shah, Drew Hirsch, Mohamed Salem, Tiffany Chang, Rasha Abdelsalam, Sabrina Renteria, Nathalie Murphy, Rebecca Hedrick, Itai Danovitch, Robert N Pechnick, Waguih William IsHak","doi":"10.1177/00912174241310091","DOIUrl":"https://doi.org/10.1177/00912174241310091","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this systematic review is to provide a detailed summary of the long-acting injectable antipsychotic medications approved by the Food and Drug Administration (FDA) between 2008 to October 2024. We aim to provide an overview of the mechanism of action, indications for both labeled and off-label uses, evidence for efficacy, dosing, and the adverse effects of each drug.</p><p><strong>Methods: </strong>Studies published from 2008 to October 1, 2024, were identified from the PubMed database, using the keywords: 'long-acting injectables' OR 'LAI*'AND 'psychopharm*\" OR 'schizophrenia' The authors conducted a focused analysis independently and reached a consensus on the recently approved long-acting injectable antipsychotic medications to be included in this systematic review. Key findings were derived from the full text in order to create the tables from selected studies.</p><p><strong>Results: </strong>A total of 13 long-acting injectable antipsychotic medications for the treatment of schizophrenia were FDA-approved between 2008 and October 1, 2024. One long-acting injectable antipsychotic is currently being investigated in a Phase 3 clinical trial. The indications, evidence, practical implementation issues, and adverse effects of each drug are discussed in this review.</p><p><strong>Conclusion: </strong>Improved understanding of newly approved long-acting injectables is critical in the management of patients with schizophrenia. The FDA approval of long-acting injectables in the past 15 years creates hopeful options for clinicians to improve clinical outcomes and quality of life for their patients.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174241310091"},"PeriodicalIF":1.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866038","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}
引用次数: 0
Heart rate during moderate exercise and attention among adolescents: An experimental study. 适度运动时的心率与青少年的注意力:一项实验研究。
IF 1.1 4区 医学
International Journal of Psychiatry in Medicine Pub Date : 2024-12-18 DOI: 10.1177/00912174241309712
Krzysztof Janota, Bertrand Janota
{"title":"Heart rate during moderate exercise and attention among adolescents: An experimental study.","authors":"Krzysztof Janota, Bertrand Janota","doi":"10.1177/00912174241309712","DOIUrl":"https://doi.org/10.1177/00912174241309712","url":null,"abstract":"<p><strong>Background: </strong>Existing studies on the effects of physical activity on cognitive function have predominantly focused on pre- or post-exercise effects, leaving a gap in understanding the immediate cognitive impacts during physical exertion. Understanding cognitive performance during activity could have significant implications for improving productivity and therapeutic strategies.</p><p><strong>Methods: </strong>This study examined the relationship between heart rate and cognitive performance, specifically attention, using the D2 attention test among 32 adolescents aged 12-18 years. Participants underwent attention assessments at rest and while moving at target heart rates of 100 bpm, 120 bpm, and 140 bpm. The influence of body mass index (BMI) and sleep quality on attention has been analysed too.</p><p><strong>Results: </strong>A significant positive correlation between heart rate and attention was observed (r = 0.39, <i>P</i> < .005), indicating enhanced cognitive performance with increased heart rate. Furthermore, a significant negative correlation was found between BMI and attention (r = -0.37, <i>P</i> = .039) and a significant positive correlation was found between sleep quality and attention (r = 0.66, <i>P</i> = .014).</p><p><strong>Conclusion: </strong>These findings suggest that moderate physical activity can enhance attention, which could inform the design of educational, therapeutic, and occupational strategies. Future research should explore the generalizability of these effects across different cognitive domains, age groups, and settings.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174241309712"},"PeriodicalIF":1.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848265","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}
引用次数: 0
Randomized controlled trial of bushen yinao pill combined with conventional therapy on intestinal flora imbalance and cognitive function improvement in older patients with Alzheimer's disease. 补肾脑丸联合常规治疗老年阿尔茨海默病患者肠道菌群失调及认知功能改善的随机对照研究。
IF 1.1 4区 医学
International Journal of Psychiatry in Medicine Pub Date : 2024-12-12 DOI: 10.1177/00912174241290962
Wei Wang, Ji Zhang, Cangda Li
{"title":"Randomized controlled trial of bushen yinao pill combined with conventional therapy on intestinal flora imbalance and cognitive function improvement in older patients with Alzheimer's disease.","authors":"Wei Wang, Ji Zhang, Cangda Li","doi":"10.1177/00912174241290962","DOIUrl":"https://doi.org/10.1177/00912174241290962","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effects of the Bushen Yinao Pill, combined with standard therapy, on gut flora imbalances, inflammatory markers, and cognitive function in older patients with Alzheimer's disease (AD).</p><p><strong>Methods: </strong>A total of 136 AD patients treated at the Department of Neurology from August 2022 to September 2023 were randomly assigned to two groups: 68 patients received standard treatment (control group, CTG), and 68 patients received the Bushen Yinao Pill plus standard treatment (intervention group, ITG). Outcomes included TCM syndrome scores, gut microbiota composition, inflammatory markers, cognitive function, overall efficacy, and safety.</p><p><strong>Results: </strong>ITG showed significant reductions in syndrome scores as compared to CTG after treatment (<i>P</i> < 0.05). The ITG also showed significant increases in beneficial bacteria and decreases in harmful bacteria compared to the CTG (<i>P</i> < 0.05). Inflammatory markers (Aβ, IL-6, TNF-α) were reduced, and cognitive function improved more significantly in the ITG (<i>P</i> < 0.05). The effective rate was higher in the ITG, with no significant difference in adverse reactions between the groups (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>The Bushen Yinao Pill, when combined with standard therapy, effectively regulates gut microbiota, reduces inflammatory markers, and enhances cognitive function in AD patients, showing a favorable safety profile. Further research is recommended to validate these findings in diverse populations.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174241290962"},"PeriodicalIF":1.1,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814843","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}
引用次数: 0
Depressive symptoms and its relation to all-cause and cardiovascular mortality among United States adults with different diabetic status. 患有不同糖尿病的美国成年人的抑郁症状及其与全因死亡率和心血管死亡率的关系。
IF 1.1 4区 医学
International Journal of Psychiatry in Medicine Pub Date : 2024-11-22 DOI: 10.1177/00912174241303099
Hua-Zhao Xu, Xiang-Da Meng, Qian Liu, Yu-Jun Xiong
{"title":"Depressive symptoms and its relation to all-cause and cardiovascular mortality among United States adults with different diabetic status.","authors":"Hua-Zhao Xu, Xiang-Da Meng, Qian Liu, Yu-Jun Xiong","doi":"10.1177/00912174241303099","DOIUrl":"https://doi.org/10.1177/00912174241303099","url":null,"abstract":"<p><strong>Objective: </strong>The relationship between diabetes, depressive symptoms, and mortality is well established. However, the effect of depressive symptoms on prediabetes and its relationship with mortality remains unclear. This study seeks to investigate the effects of depressive symptoms on mortality across different diabetic statuses.</p><p><strong>Methods: </strong>The study analyzed data from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2018, with a final sample size of 36,246 participants. Mortality status and cause of death were determined by cross-referencing records with the publicly accessible National Death Index through 2019. Kaplan-Meier survival curves and Cox regression analysis were utilized to assess the relationship between depressive symptoms and mortality across different diabetic statuses from nondiabetic to prediabetic to diabetic.</p><p><strong>Results: </strong>In the non-diabetic group, no effect of depression severity on all-cause mortality or cardiovascular mortality was found in the final models. In the prediabetic group, however, the hazard ratios were increased for both mild depressive symptoms (HR = 1.349, 95% CI = 1.138-1.600) and moderate-to-severe depressive symptoms (HR = 1.651, 95% CI = 1.309-2.082). In the diabetic group, surprisingly, the risk was somewhat lower than in the pre-diabetic group (HR = 1.279, 95% CI = 1.084-1.509 for mild and HR = 1.285, 95% CI = 1.056-1.563 for moderate-to-severe depressive symptoms). Similar risk patterns were noted for cardiovascular disease (CVD) mortality, where risk of moderate-severe symptoms was even greater in the prediabetic group (HR = 1.834, 95% CI = 1.180-2.851).</p><p><strong>Conclusion: </strong>In this prospective cohort study of a nationally representative sample of U.S. adults, a positive association was found between depressive symptoms and mortality across different diabetic statuses. These findings highlight the importance of evaluating depressive symptoms across the glycemic spectrum, especially among individuals with prediabetes.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174241303099"},"PeriodicalIF":1.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693516","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}
引用次数: 0
Effects of chamomile oil inhalation on sleep quality in young adults with insomnia: A randomized controlled trial. 吸入洋甘菊精油对失眠症青少年睡眠质量的影响:随机对照试验
IF 1.1 4区 医学
International Journal of Psychiatry in Medicine Pub Date : 2024-11-15 DOI: 10.1177/00912174241301279
Y Deepa, A Vijay, L Nivethitha, G Nandhakumar, S Sathiya, A Mooventhan
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