International Journal of Psychiatry in Medicine最新文献

{"title":"Thriving among Pakistani physicians: A qualitative study.","authors":"Malik Muhammad Sohail, Kinza Nawaz, Benjamin Doolittle","doi":"10.1177/00912174241272545","DOIUrl":"10.1177/00912174241272545","url":null,"abstract":"<p><p>ObjectiveBurnout among physicians negatively impacts the quality of patient care and provider's mental health. While many studies have evaluated burnout, factors associated with physician thriving are not well-defined. This study involved a qualitative exploration of thriving and career satisfaction among physicians in Pakistan.MethodsA snowball sampling technique was used to recruit participants who completed a measure of job satisfaction, life satisfaction, and burnout between December 2022 and February 2023. Semi-structured qualitative interviews were conducted to explore factors associated with burnout and thriving. Participants were physicians working in public and private hospitals in North Punjab.ResultsTwenty-four physicians were interviewed. Six themes emerged that might help to explain factors involved in thriving: patients' affirmation, serving humanity, social support, spiritual connection, occupational prestige, and activities outside of work. Two themes were identified as challenges to thriving: excessive workload and lack of resources.ConclusionImproving the well-being of primary care practitioners requires a multimodal approach, which includes cultivating intrinsic virtues, such as resilience and spiritual resources, as well as improving social support and the workplace environment.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"313-329"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903452","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 efficacy of electroconvulsive therapy combined with antidepressant medication in patients with treatment-resistant depression: A meta-analysis.","authors":"Xiaoli Sun, Junyun Liu, Wanwen Li","doi":"10.1177/00912174251338962","DOIUrl":"https://doi.org/10.1177/00912174251338962","url":null,"abstract":"<p><p>ObjectiveTo systematically evaluate the efficacy of electroconvulsive therapy (ECT) combined with antidepressant medication in patients with treatment-resistant depression.MethodsA search of the CNKI, Wanfang, Vip, China Biomedical Literature Database, PubMed, Cochrane Library, Embase, and Web of Science databases was conducted from their inception to January 1, 2025. Randomized controlled trials evaluating the efficacy of ECT combined with antidepressant medication in patients with treatment-resistant depression were included. The experimental group received ECT combined with antidepressant drugs, while the control group received either ECT alone or ECT combined with a placebo. Data were analyzed using RevMan 5.2 software.ResultsA total of 11 randomized controlled trials involving 1254 patients were included in the analysis. Patients treated with ECT combined with antidepressants showed significantly greater improvement in depressive symptoms (<i>SMD</i> = -0.29, <i>95% CI</i> = -0.47 to -0.12, <i>P</i> = 0.001) and higher remission rates (<i>OR</i> = 1.73, <i>95% CI</i> = 1.24 to 2.40, <i>P</i> = 0. 001) compared to patients treated with ECT alone. There was no significant difference between the two groups in seizure duration (<i>SMD</i> = 0.17, <i>95% CI</i> = -0.14 to 0.49, <i>P</i> = 0.28) or the incidence of adverse effects (<i>OR</i> = 1.15, <i>95% CI</i> = 0.73 to 21.82, <i>P</i> = 0.54).ConclusionThe combination of ECT and antidepressant medication modestly improves depressive symptoms and increases remission rates in patients with treatment-resistant depression. Additionally, it shows no significant difference in seizure duration or the incidence of adverse reactions compared to ECT alone, suggesting its comparable safety profile.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251338962"},"PeriodicalIF":1.1,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030042","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":"Impact of Psychosocial Interventions on Depression in Chronic Kidney Disease: A Systematic Review and Meta-Analysis.","authors":"Jivitesh Singh Chahal, Sumit Saini, Priyanka Bansal, Jivesh Arora, Pir Dutt Bansal, Bhavneesh Saini","doi":"10.1177/00912174251326009","DOIUrl":"https://doi.org/10.1177/00912174251326009","url":null,"abstract":"<p><strong>Background: </strong>Depression is prevalent among individuals with chronic kidney disease (CKD) and those undergoing dialysis, with significant impacts on morbidity and mortality. This systematic review and meta-analysis was done to evaluate the efficacy of psychosocial interventions in managing depressive symptoms in patients with CKD.</p><p><strong>Methods: </strong>This systematic review and meta-analysis adhered to PRISMA guidelines. A literature search was conducted across PubMed, Embase, Google Scholar, and Cochrane Library databases from January 2007 to July 2024. Randomized controlled trials (RCTs) investigating psychosocial interventions in CKD patients (Stage 4 or 5 or on hemodialysis) were included. The primary outcome was the change in depressive symptoms, measured by standardized clinical tools. Quality of life was a secondary outcome. Data extraction and bias assessment were conducted using ROB-2 and GRADEpro GDT tools.</p><p><strong>Results: </strong>Twelve studies with a total of 792 participants (420 in the intervention group and 372 in the control group) were included. Cognitive-behavioral therapy (CBT) was the most common intervention. Psychosocial interventions significantly reduced depressive symptoms compared to routine care (mean difference [MD]: -4.22; 95% CI: -6.67, -1.76; <i>P</i> = 0.0008). High heterogeneity (I² = 89%) was noted. Sensitivity analysis confirmed the robustness of the results. The impact on quality of life was not statistically significant (MD: 0.94; 95% CI: -0.61, 2.49; <i>P</i> = 0.24).</p><p><strong>Conclusions: </strong>Moderate-quality evidence suggests that psychosocial interventions effectively reduce depressive symptoms in CKD patients. While no significant improvement in quality of life was observed, these interventions provide an alternative to pharmacological treatments, potentially minimizing drug-related side effects.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"912174251326009"},"PeriodicalIF":1.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558047","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":"Red kratom and red corvette: A case of mania induced by kratom withdrawal.","authors":"Mohammmad Abidali, Guitelle St Victor, Shady Mashaly, Pranab Dahal","doi":"10.1177/00912174241281980","DOIUrl":"10.1177/00912174241281980","url":null,"abstract":"<p><strong>Background: </strong>Kratom, derived from the <i>Mitragyna speciose</i>, a plant native to Southeast Asia, is a substance that is gaining popularity in the United States as a tool for self-medicating in opiate withdrawal and pain management. Its active compounds, mitragynine and 7-hydroxymitragynine, interact with various receptors in the body, resulting in a spectrum of clinical effects.</p><p><strong>Case: </strong>A 56-year-old male with a history of depression and cannabis use disorder arrived at the emergency department in a state of severe agitation with erratic behavior and aggression. Further evaluation revealed a recent abrupt discontinuation of Kratom use. A psychiatric consultation was requested and performed by the consultation liaison team, diagnosing Kratom withdrawal as the most likely cause of his acute mania.</p><p><strong>Conclusions: </strong>Neuropsychiatric symptoms arising from Kratom toxicity is a well-documented phenomenon. However, to our knowledge, this is the first documented case of acute mania induced by Kratom withdrawal.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"221-225"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141581","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":"Mood disorders and related syndromes in primary care and specialty care patients.","authors":"Harold G Koenig","doi":"10.1177/00912174241307266","DOIUrl":"10.1177/00912174241307266","url":null,"abstract":"","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"115-118"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787523","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":"Relationship between cyberbullying, anxiety, and depression among university students in Jeddah, Saudi Arabia: A cross-sectional study.","authors":"Waleed Alghamdi, Samara Almadani, Hanin Banjer, Dima Alsulami, Yara Alghamdi","doi":"10.1177/00912174241265560","DOIUrl":"10.1177/00912174241265560","url":null,"abstract":"<p><strong>Objective: </strong>Cyberbullying is defined as online aggressive behavior that involves insulting or threatening others, and has been shown to cause severe psychological distress, particularly in students. This is often attributed to the frequency and anonymity of the bullying behaviors. Given the lack of research on this issue in Saudi Arabia, the current study sought to evaluate the prevalence of cyberbullying and its relationship with anxiety, depression, and stress among university students in Jeddah.</p><p><strong>Methods: </strong>In this cross-sectional study, an online questionnaire was administered to 877 university students in Jeddah. Cyberbullying and cybervictimization were assessed using the Revised Cyberbullying Inventory scale (RCBI-II) and the Depression, Anxiety, and Stress Scale - 21 Items (DASS-21).</p><p><strong>Results: </strong>The majority of students had the experience of being a cyberbully (73%), while 54% reported being a victim of cyberbullying. No significant association was found between gender and cyberbullying, with both males and females reporting high rates of cyberbullying. The majority of participants (n = 498) also reported significant depressive symptoms. A significant positive association was found between cyberbullying/cybervictimization and depression, anxiety, and stress.</p><p><strong>Conclusion: </strong>Many university students in this study were found to be victims of cyberbullying, and there was a strong correlation between cyberbullying and anxiety, depression, and stress, indicating a potential impact on the psychological well-being of students. To address this issue, increased awareness of cyberbullying is needed, along with implementation of preventive measures such as educational campaigns and empathy-building activities among students.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"170-186"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749548","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 of the generalized anxiety disorder in Tunisia: A study of 707 primary care outpatients.","authors":"Jihene Ben Thabet, Mariem Turki, Molka Mezghani, Asma Guermazi, Mohamed Mâalej, Nada Charfi, Manel Maalej","doi":"10.1177/00912174241263235","DOIUrl":"10.1177/00912174241263235","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the prevalence and correlates of generalized anxiety disorder (GAD) among primary care outpatients.</p><p><strong>Method: </strong>A multicenter, cross-sectional study was conducted that included 707 primary care outpatients being seen at 20 primary healthcare centers in Tunis and Sfax, Tunisia. The Mini International Neuropsychiatric Interview was used to identify a diagnosis of GAD. The Beck Depression Inventory was used to assess depressive symptom severity, and the Sheehan Disability Scale (SDS) was used to measure functional impairment.</p><p><strong>Results: </strong>The prevalence of GAD was 11%. GAD was positively correlated with female gender (<i>P</i> = .005), family history of psychiatric disorder (<i>P</i> < .001), personal history of suicide attempt (<i>P</i> = .019), and depressive symptoms (<i>P</i> < .001). Based on the SDS, severe to very severe functional limitations were reported at work (56.4%), in social life (60.2%), and family life (73.1%) among GAD patients.</p><p><strong>Conclusion: </strong>This study indicated a relatively high prevalence of GAD among primary care patients in Tunisia. Risk factors were also determined that may help to identify these patients. This information may help primary care physicians recognize this diagnosis and provide timely referrals to mental health professionals to prevent complications and maximize quality of life.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"187-202"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428159","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":"Interrelationship between depression and low back pain-related disability among patients seen at orthopedic clinics in Al Qassim region, Saudi Arabia: Prevalence, severity, and determinants.","authors":"Naif Abdullah Alsughier","doi":"10.1177/00912174241287332","DOIUrl":"10.1177/00912174241287332","url":null,"abstract":"<p><strong>Objectives: </strong>Low back pain (LBP) is a widespread health problem that poses a severe economic burden on both affected patients and the societies in which they live. The purpose of this study was to examine the association between depression and low back pain among patients seen at an orthopedic clinic and determine the association with physical disability.</p><p><strong>Methods: </strong>A cross-sectional study was carried out in the orthopedic clinics of Al-Badaya General Hospital in the Qassim Region, Saudi Arabia. All patients with LBP seen in the clinic between April and June 2024 were included in the study. A questionnaire was administered that collected demographic information, asked about medical history and behaviors, and included the Arabic-validated version of the Roland-Morris Disability Questionnaire (RMDQ) and the Patient Health Questionnaire (PHQ-9; depression). Multivariate logistic regression analysis was performed to identify correlates of depression.</p><p><strong>Results: </strong>A total of 365 patients were included in the study. Age ranged between 18 and 85 years, with a mean of 47.9 years (55.6% female). The overall prevalence of depression was 56.2%; 40.3% was mild, 13.2% moderate, and 2.7% moderately severe or severe based on PHQ-9 cutoff scores. Patients with moderately severe/severe depression had the highest disability score, while those with no depression had the lowest disability score. Multivariate logistic regression analysis revealed that with each unit increase in disability score, there was a 20% increase in depression (adjusted odds ratio = 1.20, 95% CI = 1.14-1.26, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Depression, although mostly mild, was common in this clinic sample of orthopedic patients with chronic LBP and was frequently associated with disability. Disability can be a serious complication of chronic LBP and is often closely linked with depression. As a result, patients with chronic LBP seen at orthopedic clinics in Saudi Arabia (and likely other Middle Eastern countries) should be screened for depression and managed accordingly.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"155-169"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299970","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 and correlates of insomnia and fatigue in patients with type 2 diabetes in Jordan.","authors":"Salam Shannag, Sereene Al-Jabari, Lana Sbitan, Jafar Alsheyyab, Sa'ed Zeitoon, Suzan Hanandeh, Mervat Alsous, Omar Gammoh","doi":"10.1177/00912174241269543","DOIUrl":"10.1177/00912174241269543","url":null,"abstract":"<p><strong>Objective: </strong>The present study examined the prevalence and correlates of insomnia and fatigue in patients with type-2 diabetes in Jordan.</p><p><strong>Methods: </strong>This was a cross-sectional online study involving a convenience sample of 390 patients with type-2 diabetes. Insomnia was assessed by the Insomnia-Severity Index (ISI-A) and fatigue by the Brief Fatigue Inventory (BFI-A).</p><p><strong>Results: </strong>Severe insomnia was present in 132 patients (33.8%), and was correlated with length of diabetes (diagnosis >5 years) (OR = 2.13, 95% CI = 1.19-3.81, <i>P</i> = 0.01), presence of uncontrolled diabetes (OR = 1.97, 95% CI = 1.45-2.69, <i>P</i> < 0.001), taking gabapentin (OR = 2.07, 95% CI = 1.07-4.01, <i>P</i> = 0.003), and age (<40 years) (OR = 0.30, 95% CI = 0.13-0.69, <i>P</i> = 0.005). Significant fatigue was also prevalent and correlated with gender (female) (B = 9.25, t = 4.48, <i>P</i> < 0.001), age (<40 years) (B = 7.56, t = 2.56, <i>P</i> = 0.01), a diagnosis of hypertension (B = 4.74, t = 2.03, <i>P</i> = 0.04), uncontrolled diabetes (B = 7.21, t = 4.82, <i>P</i> < 0.001), and taking a sulfonylurea (B = 8.03, t = 3.37, <i>P</i> < 0.001), carbamazepine (B = 10.93, t = 2.65, <i>P</i> = 0.008), or gabapentin (B = 12.60, t = 3.83, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Given the high prevalence of insomnia and fatigue in this population, increased attention by primary healthcare providers to these symptoms in diabetic patients is warranted, particularly in developing countries such as Jordan.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"143-154"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767992","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":"Insomnia and fibromyalgia-like symptoms among women diagnosed with relapsing remitting multiple sclerosis in Jordan: Prevalence and correlates.","authors":"Omar Gammoh, Mohammad Mansour, Suha Al Hababbeh, Wail Ennab, Alaa A A Aljabali, Murtaza M Tambuwala, Ammena Y Binsaleh, Sireen Abdul Rahim Shilbayeh","doi":"10.1177/00912174241255420","DOIUrl":"10.1177/00912174241255420","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the prevalence and correlates of fibromyalgia and insomnia in a convenience sample of Women with Multiple Sclerosis (WMS).</p><p><strong>Methods: </strong>The study was cross-sectional in design and recruited a sample of 163 women with Relapsing-Remitting Multiple Sclerosis (RRMS). Fibromyalgia was assessed using the Patient Self-Report Survey (PSRS), which follows criteria outlined by the American College of Rheumatology. Insomnia was measured using the Arabic version of the Insomnia Severity Index (ISI-A).</p><p><strong>Results: </strong>The prevalence of fibromyalgia and insomnia was 28.2% (n = 46) and 46.3% (n = 76), respectively. Multivariate analyses were used to determine significant independent correlates. Fibromyalgia was associated with age above 40 years (OR = 2.29, 95% CI = 1.01-5.18, <i>P</i> = .04), high school education (OR = 3.69, 95% CI = 1.62-8.37, <i>P</i> = .002), and non-use of analgesics (OR = .02, 95% CI = .004-.21, <i>P</i> = .001). Insomnia symptoms were significantly associated only with age above 40 years (OR = 2.16, 95% CI = 1.16-4.04, <i>P</i> = .01).</p><p><strong>Conclusion: </strong>These findings highlight the need for increased attention by primary care physicians towards diagnosing and treating fibromyalgia and insomnia among women with RRMS in Jordan, particularly for older women.</p>","PeriodicalId":50294,"journal":{"name":"International Journal of Psychiatry in Medicine","volume":" ","pages":"131-142"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077097","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}