International Journal of Methods in Psychiatric Research最新文献

{"title":"Evolution of a Client-Level Dataset: 20 Years of National Child Traumatic Stress Network Data Collection","authors":"C. A. Purbeck,&nbsp;A. N. Cooke,&nbsp;L. J. Liang,&nbsp;C. Smith,&nbsp;J. Staten,&nbsp;J. Epstein,&nbsp;H. B. Hodgdon,&nbsp;J. Eslinger,&nbsp;A. Wells,&nbsp;J. Goodrich,&nbsp;T. H. Bethel,&nbsp;K. Willett,&nbsp;Y. C. Fu,&nbsp;J. A. Fairbank,&nbsp;E. C. Briggs","doi":"10.1002/mpr.70070","DOIUrl":"10.1002/mpr.70070","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>For 20 years, the National Child Traumatic Stress Network's (NCTSN) data collection efforts have been a central mechanism for Clinical Quality Improvement (ClQI). The NCTSN is a federally funded initiative in the United States composed of programs dedicated to raising the standard of care and increasing access to services for children and families who have experienced traumatic events.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>These efforts span three initiatives: the Core Data Set (CDS), the Clinical Improvement through Measurement Initiative (CIMI) Measurement Based Care (MBC), and CIMI Data Sharing (CIMI-DS) that collected and analyzed client-level data to improve care for children and families served at participating sites. Across the initiatives, information (e.g., behavioral assessments, trauma exposure, standardized clinical measures) was collected from nearly 26,500 participants at 91 sites.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Using the Consolidated Framework for Implementation Research (CFIR), we discuss the impact of external forces such as funding, policies, and societal changes and emphasize the importance of collaboration, technology, and flexible data collection methods in advancing ClQI initiatives as well as the field of child traumatic stress across decades.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We offer lessons learned and recommendations for future work to create large, query-able datasets across a network and insights to support use in clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"35 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13066500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Z-Scores and Percentages to Assess Structural Brain MRI Findings in Patients With Schizophrenia","authors":"Calypso A. Mitkani,&nbsp;Panagiotis Prassopoulos,&nbsp;Anthony H. Aletras,&nbsp;Konstantinos N. Fountoulakis","doi":"10.1002/mpr.70071","DOIUrl":"10.1002/mpr.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Schizophrenia is associated with structural brain abnormalities, although findings have been inconsistent. This study aimed to investigate global and regional volumetric measures in patients with schizophrenia using an automated volumetric analysis tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eighty-one patients with schizophrenia or schizoaffective disorder (aged 18–65 years) underwent brain MRI on a 3T Siemens scanner using a high-resolution 3D T1-weighted MPRAGE sequence. Volumetric analysis was performed with vol2Brain, providing intracranial volume-adjusted percentages and normative z-scores. Group mean values were compared with normative data. One sample <i>t</i>-test was used as well as exploratory <i>t</i>-tests to examine sex differences, while Pearson correlations assessed associations with age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients showed decreased brain tissue volumes relative to normative values. Mean white matter (<i>z</i> = −1.12) and gray matter (<i>z</i> = −0.55) were reduced, while cerebrospinal fluid was increased (<i>z</i> = +1.75). Cortical gray matter was moderately decreased (<i>z</i> = −0.77), whereas cerebellar gray matter was relatively preserved (<i>z</i> = +0.19) but displayed high variability. No significant sex differences were observed. Age correlated significantly with volumetric percentages but not with z-scores, suggesting parallel age-related changes in patients and controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patients with schizophrenia demonstrated widespread reductions in brain tissue volumes and enlarged CSF spaces, consistent with previous literature. Preservation and variability of cerebellar gray matter highlight the heterogeneity of structural alterations. Automated volumetry offers a reproducible approach for characterizing brain morphology in schizophrenia and may support future efforts to define patient subgroups.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"35 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Machine Learning to Analyze the Predictors of Life Satisfaction: Focus on Lifestyle Attitudes and Psychological Factors","authors":"Furkan Bahadir Alptekin,&nbsp;Ebrar Torlak,&nbsp;Özge Asik,&nbsp;Betul Karaaslan,&nbsp;Ebru Turgal,&nbsp;Huseyin Sehit Burhan,&nbsp;Hasan Mervan Aytac,&nbsp;Oya Guclu","doi":"10.1002/mpr.70051","DOIUrl":"10.1002/mpr.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Life satisfaction is an essential indicator of quality of life, and enhancing it can contribute to individual well-being strategies. Because it is a complex concept, a comprehensive approach is needed to address it effectively. Machine learning offers a unique statistical opportunity to address this challenge effectively. In this study, we examined how lifestyle parameters, psychological issues, and psychological processes predict life satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study included 1366 participants, representing the general population. Lifestyle factors were self-reported, and included exercise frequency, alcohol consumption, smoking, body mass index, and regularity of social rhythms. The participants also completed several assessment scales, such as the Life Satisfaction Scale, the Hospital Anxiety and Depression Scale, the Acceptance and Action Questionnaire–II, the Tuckman Procrastination Scale, the Big Three Perfectionism Scale–Short Form, and the Brief Social Rhythm Scale. Machine-learning methods were used to evaluate the statistical parameters, with root mean square error values of 3.9, 3.6, and 3.7 for gradient boosting, extreme gradient boosting, and light gradient-boosting machine, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The top five factors influencing life satisfaction were identified as depression scores, psychological inflexibility, marital status, social rhythm, and procrastination. Psychological inflexibility influences the impact of depression on life satisfaction. Factors that are difficult or impossible to change, such as age, gender, education, and chronic disease, ranked lower on the list. By contrast, psychological and environmental factors that can be improved had strong predictive power.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings offer opportunities for enhancing life satisfaction and underscore the responsibility to address these factors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"35 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Youth Aware of Mental Health for Danish School Adolescents: Study Protocol for a Cluster-Randomized Feasibility Pilot Trial","authors":"Lasse K. Harris,&nbsp;Michella Heinrichsen,&nbsp;Marie Petri,&nbsp;Hanne Elberling,&nbsp;Julie L. Forman,&nbsp;Merete Nordentoft,&nbsp;Annette Erlangsen,&nbsp;Britt R. Morthorst","doi":"10.1002/mpr.70064","DOIUrl":"10.1002/mpr.70064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>(1) To investigate the feasibility, acceptability, and fidelity of delivering the Youth Aware of Mental Health (YAM) program in Danish public schools to 8-9th-grade students, and (2) to explore the preliminary effects of the program on self-reported outcomes at 3- and 6-month follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This two-armed, cluster-randomized feasibility pilot trial involves 8–10 public schools across Denmark. School 8-9th-grade students are allocated to receive either the YAM program in addition to curriculum as usual or curriculum as usual plus YAM posters. Primary outcomes are participation rates, program adherence, and questionnaire completion. Secondary outcomes are assessed through questionnaires measuring suicidal behavior, psychological distress, well-being, help-seeking intentions, and suicide-related stigma. Data are collected at baseline, 3-month, and 6-month follow-up and analyzed using descriptive statistics and multi-level models to estimate preliminary effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Recruitment began in August 2024, and the 6-month follow-up assessment will conclude in July 2025.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This trial provides insight into the practical delivery of YAM in Danish public schools. Findings will inform potential adaptations and guide future implementation designs for school-based mental health strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"35 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12969494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Evaluation of the FFOCI–SF and Other Clinical Outcome Measures in a Group Therapy for Overcontrol (Group Radical Openness)","authors":"Conal Twomey,&nbsp;Amelia Nelson-Sisinni","doi":"10.1002/mpr.70069","DOIUrl":"10.1002/mpr.70069","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Group Radical Openness (GRO) is a group therapy program targeting costly and harmful overcontrol. This service review psychometrically evaluated GRO's outcome measures as part of the clinical team's ongoing deliberation about their suitability. Particular attention was given to the Five Factor Obsessive–Compulsive Inventory–Short Form (FFOCI–SF), the program's primary measure of overcontrol.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Routine pre-intervention clinical outcome data from 241 GRO participants were analysed. Internal consistency was examined for all outcome measures. Associations between the FFOCI-SF and theoretically-related secondary measures were calculated to assess convergent validity. An exploratory factor analysis (EFA) was conducted on the 48 FFOCI-SF items. Associations of emergent factors with secondary measures were also computed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The FFOCI-SF showed excellent internal consistency (<i>α</i> = 0.92) and small-to-moderate associations with secondary measures of rigidity, relationship distance, and emotional suppression, supporting convergent validity. Reliability of secondary measures was more variable, with some subscales below accepted thresholds. EFA of the FFOCI-SF revealed a four-factor solution—Excessively High Standards, Need for Structure, Overthinking, and Disconnection from Self/Others—each factor yielding good-to-excellent internal consistency and theoretically consistent associations with the secondary measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings support the current outcome-measurement framework used in GRO while highlighting areas where refinement of secondary measures may be warranted. They also extend understanding of overcontrol by identifying a four-factor structure within the FFOCI-SF that aligns with GRO's therapeutic model and provides a foundation for future measure development and evaluation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"35 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study on the Validity and Reliability of the Turkish Translation of the Self-Report Wender-Reimherr Adult Attention Deficit Disorder Scale","authors":"Selin Karakaya,&nbsp;İrem Akyol Ertekin,&nbsp;Burçin Çolak,&nbsp;Bedriye Öncü","doi":"10.1002/mpr.70052","DOIUrl":"10.1002/mpr.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Attention-Deficit/Hyperactivity Disorder (ADHD) in adults extends beyond inattention and impulsivity, encompassing challenges in emotion regulation and organization. This study aimed to evaluate the validity and reliability of the Turkish version of the Wender-Reimherr Self-Report Scale (SR-WRAADDS), developed based on the Utah Criteria for adult ADHD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study included 172 adults diagnosed with ADHD and 92 healthy controls. Participants completed the SR-WRAADDS, Wender Utah Rating Scale (WURS), Adult ADHD Self-Report Scale (ASRS), and the Hospital Anxiety and Depression Scale (HADS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The SR-WRAADDS total score was significantly higher in the ADHD group (<i>p</i> &lt; 0.001). Factor analysis demonstrated a four-factor structure: attention deficit, emotional dysregulation, impulsivity/hyperactivity, and temperament, explaining 61.8% of the variance. Internal consistency was acceptable for all subscales (Cronbach's <i>α</i> = 0.67–0.86). SR-WRAADDS scores correlated positively with WURS and ASRS, but not with HADS subscales. Test–retest reliability ranged from moderate to strong.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Turkish SR-WRAADDS is a valid and reliable self-report instrument that captures the multidimensional nature of adult ADHD, including emotional dysregulation. Its robust psychometric properties and diagnostic utility make it a powerful tool for both clinical practice and future research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"35 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12928057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Protocol for the International Translation and Validation of the Postpartum Specific Anxiety Scale for Preterm Birth [PSAS-PTB] and Neonatal Intensive Care Unit [PSAS-NICU] Contexts","authors":"Semra Worrall,&nbsp;Victoria Fallon,&nbsp;Paul Christiansen,&nbsp;Asma Khalil,&nbsp;Rosario Spencer,&nbsp;Andres Fresno,&nbsp;Francisca Wormald,&nbsp;Sandra Nakić Radoš,&nbsp;Ana Katušić,&nbsp;Mirna Kostović,&nbsp;Kateřina Azim Aburas,&nbsp;Suaad Moussa,&nbsp;Jaqueline Wendland,&nbsp;Giovanna M. Crivano,&nbsp;Ania Yahiaoui,&nbsp;Nikola Stenzel,&nbsp;Elana Payne,&nbsp;Anja Wittkowski,&nbsp;Mojgan Mirghafourvand,&nbsp;Sepideh Mashayekh-Amiri,&nbsp;Tal Yatziv,&nbsp;Noa Gueron-Sela,&nbsp;Alessandra Bramante,&nbsp;Chiara Ionio,&nbsp;Giulia Ciuffo,&nbsp;Gabija Jarašiūnaitė-Fedosejeva,&nbsp;Erika Gibė,&nbsp;Viktorija Stankevičienė,&nbsp;Sana SaadAdeen,&nbsp;Helena Moreira,&nbsp;Brígida Caiado,&nbsp;Oana Luiza Rebega,&nbsp;Marta E. Aparicio-García,&nbsp;Natalia Costas-Ramón,&nbsp;Rosa M. Cárdaba-García,&nbsp;Akindra Kariyawasam,&nbsp;Maheshika Maduwanthi,&nbsp;Ridma Thilakarathne,&nbsp;Sergio A. Silverio,&nbsp;Global Consortium for Perinatal Psychometrics","doi":"10.1002/mpr.70065","DOIUrl":"10.1002/mpr.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To describe the process for the translation and validation of the Postpartum Specific Anxiety Scale—Preterm Birth [PSAS-PTB] and the Postpartum Specific Anxiety Scale—Neonatal Intensive Care Unit [PSAS-NICU].</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We outline a four-stage process for translation and validation of the 10-item PSAS-PTB and the 16-item PSAS-NICU.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The protocol outlines a multi-stage translation and validation process, including (1) independent forward translation, (2) independent back translation, (3) final approval following review, and (4) validity and reliability study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Culturally and contextually relevant assessment of postpartum anxiety is vital, particularly in vulnerable populations. Following standardised procedures will support broader applicability across diverse populations, providing a reliable self-report tool for both research and clinical use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"35 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Functioning and Mental Health Parameters: Examining Interplay and Improvements in Inpatient Psychiatry","authors":"Alexander Finner,&nbsp;Melanie Lenger,&nbsp;Nina Dalkner,&nbsp;Frederike T. Fellendorf,&nbsp;Linda Kratzer,&nbsp;Eva Fleischmann,&nbsp;Linda Wels,&nbsp;Johanna Georgi,&nbsp;Georg Resch,&nbsp;Florian Zötsch,&nbsp;Martina Feldhammer-Kahr,&nbsp;Martin Arendasy,&nbsp;Eva Z. Reininghaus","doi":"10.1002/mpr.70062","DOIUrl":"10.1002/mpr.70062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Global functioning is a common clinician-rated measure of treatment changes in inpatient psychiatric care, but its broad scope may limit its sensitivity to specific mental health changes. This study aimed to research interplay and improvements of global functioning and several mental health parameters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>At admission and discharge 561 inpatients at a psychiatric clinic received assessments for global functioning, depression severity (clinician- and self-rated), sleep quality, quality of life, life satisfaction, and mood level. ANCOVAs assessed mean changes, while multiple linear regressions explored predictors of global functioning at both time points and over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Global functioning and most mental health parameters significantly improved (<i>p</i> &lt; 0.001–0.019, partial <i>η</i>² = 0.02–0.14), except for sleep quality. Clinician-rated depression severity was consistently the strongest predictor of global functioning at admission, discharge, and over time (<i>β</i> = −0.56 to −0.47, <i>p</i> &lt; 0.001). At admission, life satisfaction predicted global functioning improvement (<i>β</i> = 0.27, <i>p</i> = 0.038), while lower sleep quality indicated higher global functioning (<i>β</i> = 0.16, <i>p</i> = 0.041).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The strong association between clinician-rated measures suggests a halo effect. A diagnostic and visualized integration of clinician- and self-rated measures is proposed for more reliability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"35 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12892299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating a Tool for Assessment of Adjustment Disorder in the U.S. Military: The Adjustment Disorder–New Module 20 for Military (ADNM-20-MIL)","authors":"Jouhayna Bajjani-Gebara,&nbsp;Joan Wasserman,&nbsp;David King,&nbsp;Jessica Kegel,&nbsp;Ryan R. Landoll,&nbsp;Madison F. Clark,&nbsp;Margaux F. Keller","doi":"10.1002/mpr.70063","DOIUrl":"10.1002/mpr.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Adjustment disorder (AjD) is a highly prevalent diagnosis in the U.S. military. Psychometric evaluation of the AjD assessment tool, the Adjustment Disorder New Module-Military (ADNM-20-MIL), improves the accuracy of AjD assessment for military service members.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study investigated the internal reliability, convergent, and divergent validity of the ADNM-20-MIL as well as its factor structure. U.S. active duty service members (<i>N</i> = 149) with and without a recent AjD diagnosis completed the ADNM-20-MIL, Depression Anxiety Stress Scales 21 (DASS-21), Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), and General Well-Being Schedule (GWB).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>ADNM-20-MIL scores were significantly worse in the AjD-positive group; there were no AjD severity differences by sex, military rank, or past recent deployment status. The ADNM-20-MIL demonstrated robust internal reliability (Cronbach's α = 0.96, 95% CI [0.95–0.97]). It had strong positive associations with with the PCL-5 (rs (145) = 0.81, <i>p</i> &lt; 0.001) and the DASS-21 (rs (146) = 0.83, <i>p</i> &lt; 0.001), indicating convergent validity; and moderately negative associations with the GWB subdomains that reflect positive health (rs ranging from −0.5 to −0.63), <i>p</i> &lt; 0.001, indicating divergent validity. Confirmatory Factor Analysis indicated a unidimensional structure for AjD symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Longitudinal studies are needed to evaluate the effectiveness of the ADNM-20-MIL in assessing the trajectory of AjD in the military.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"35 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Digital Insight and Agency Scale’ (DIAS): A Novel Tool to Illuminate Young People's Agency in Mitigating the Negative Impact of Digital Activities on Their Mental Health","authors":"P. Tang,&nbsp;K. Kostyrka-Allchorne,&nbsp;J. Bourgaize,&nbsp;A. Murray,&nbsp;M. Stoilova,&nbsp;M. E. Etherson,&nbsp;E. Azeri,&nbsp;I. Abbas,&nbsp;A. Bridgwood,&nbsp;C. Hollis,&nbsp;E. Townsend,&nbsp;S. Livingstone,&nbsp;E. J. S. Sonuga-Barke,&nbsp;Digital Youth Research Programme","doi":"10.1002/mpr.70053","DOIUrl":"10.1002/mpr.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Excessive time spent online is believed to negatively impact youth mental health; however, simplified screen-time measures fail to consider young people's agency and digital activity management skills. We developed and validated a novel tool, the <i>Digital Insight and Agency Scale</i> (DIAS), to better understand different aspects of young people's online agency and explore their links to youth mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants (<i>n</i> = 383; age 16–25 years, mean = 19.0, SD = 1.7; 48.8% White, 30.2% South/East Asian, 8.6% Black) completed the DIAS questionnaire and standardised measures of anxiety, depression and wellbeing. The factor structure, reliability of the DIAS and associations with mental health were examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants reported specific negative impacts of digital engagement on their daily functioning in the previous 2 weeks, especially less sleep. Seventy-eight per cent were worried about the negative impact of digital activity, and 82% engaged in one or more risk management actions, including <i>Enhancing Positive Engagement</i>, <i>Coping Actions</i>, and/or <i>Reducing Engagement</i>. Higher levels of mental health problems were associated with more worries and increased efforts to manage digital activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Most young people displayed agency in managing their digital activity, suggesting that this could be leveraged in interventions, rather than focusing solely on reducing access and time spent online.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50310,"journal":{"name":"International Journal of Methods in Psychiatric Research","volume":"35 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12884440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}