Katherina Arteaga, Ty S Schepis, Ashley B Cole, Alessandro S De Nadai
{"title":"National treatment utilization among racially and ethnically diverse patients with PTSD.","authors":"Katherina Arteaga, Ty S Schepis, Ashley B Cole, Alessandro S De Nadai","doi":"10.1521/bumc.2025.89.1.1","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.1.1","url":null,"abstract":"<p><p>Research suggests that racial/ethnic minoritized individuals have elevated risk for experiencing trauma and developing posttraumatic stress disorder (PTSD) but are less likely to utilize mental health treatment compared to their non-Hispanic White counterparts. However, possessing health insurance may mitigate these disparities. We investigated this issue using a subsample of data obtained from the National Epidemiologic Survey on Alcohol and Related Conditions-III (N = 2,339), to estimate the likelihood of utilizing PTSD-specific and general mental health treatment among a racially/ethnically diverse sample of individuals diagnosed with PTSD. Insurance status was included as a moderating factor. Across racial/ethnic groups, insured individuals had more than twice the odds of utilizing PTSD-specific and general treatment than those without insurance. Black, Hispanic, and Asian/Native Hawaiian/Pacific Islander participants were significantly less likely to utilize PTSD-specific and general mental health treatment regardless of insurance status. These findings can inform targeted public health interventions to address mental health care disparities.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 1","pages":"1-26"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598382","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":"Heads I win, tails you lose: Interpersonal aspects of borderline personality disorder.","authors":"Mark L Ruffalo","doi":"10.1521/bumc.2025.89.1.52","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.1.52","url":null,"abstract":"<p><p>Since borderline personality disorder was identified as a distinct psychiatric syndrome in the 1970s, it has been recognized as a disorder marked by disturbance in interpersonal functioning. Understanding the borderline patient's characteristic modes of relating to self and others is therefore of significant theoretical and clinical importance. This article seeks to examine multiple facets of borderline personality disorder believed to contribute to interpersonal dysfunction, including: common communication patterns observed in borderline patients, such as double-bind communication; the primitive or paleologic thinking that results in misperception of benign interpersonal phenomena; and the destabilizing effect of a persistent pattern of stimulation and frustration (idealization and devaluation) on human relationships. This discussion of communication dilemmas and paradoxes is believed to represent a novel contribution to the literature on borderline psychopathology. It is argued that a broader recognition of these psychodynamic processes will yield improvement in psychotherapeutic models and treatment of this severe and disabling disorder.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 1","pages":"52-69"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598381","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}
Mustafa Kerim Şimşek, Amitai Abramovitch, Dean McKay, Samuel Armen, Jonathan S Abramowitz
{"title":"The Revised Obsessive-Compulsive Inventory-Child Version: Adaptation, psychometric properties, and norms in Turkish culture.","authors":"Mustafa Kerim Şimşek, Amitai Abramovitch, Dean McKay, Samuel Armen, Jonathan S Abramowitz","doi":"10.1521/bumc.2025.89.1.70","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.1.70","url":null,"abstract":"<p><p>The Obsessive-Compulsive Inventory-Child Version (OCI-CV), which was developed to assess OCD symptoms in children and adolescents, was recently revised (OCI-CV-R) after hoarding was removed as an OCD symptom dimension in the DSM-5. The study aimed to examine the validity of the OCI-CV-R for assessing OCD symptoms in Turkish culture. A total of 1,062 youths, aged 9 to 18 years, participated in this study to assess the OCI-CV-R's psychometric properties in the Turkish culture. Analysis included factor analyses and assessments of validity and reliability. Results demonstrated that the Turkish version of the OCI-CV-R had good model fit values for the five-factor structure of the scale. The revised scale also revealed measurement invariance between two age groups: children (ages 9-11) and adolescents (ages 12-18). The findings indicate that the OCI-CV-R is a valid and reliable instrument for assessing OCD symptoms among Turkish-speaking populations and thus can replace the previous version.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 1","pages":"70-90"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598384","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}
Gencay Koc, Gulser Senses Dinc, Atilla Halil Elhan
{"title":"A validity and reliability study of the Work and Social Adjustment Scale (WSAS) Youth and Parent Forms in the Turkish population.","authors":"Gencay Koc, Gulser Senses Dinc, Atilla Halil Elhan","doi":"10.1521/bumc.2025.89.1.27","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.1.27","url":null,"abstract":"<p><p>This study assessed the validity and reliability of the Youth and Parent Forms of the Work and Social Adjustment Scale (WSAS) in the Turkish population. The patient group comprised 298 young patients aged 8 to 18 with any anxiety disorder, while 107 healthy young people formed the control group. Participants completed assessments, including the Screen for Child Anxiety-Related Disorders and the Pediatric Quality of Life Inventory (PedsQL), alongside the WSAS, while parents also completed the PedsQL and the WSAS. After 2 weeks, 100 individuals from the patient group were reevaluated for test-retest reliability. Results showed satisfactory validity and reliability, supported by statistical analyses, including Rasch analysis and Cronbach's alpha coefficient. The WSAS demonstrated validity across all evaluations and reliable internal consistency (Cronbach's alpha: parent form = .755, youth form = .750), test-retest reliability (correlation coefficients: parent form = 0.934, youth form = 0.937). Overall, the WSAS proved valid and reliable in the Turkish language.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 1","pages":"27-51"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598368","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}
Samantha Coyle-Eastwick, Melissa Escobar, Jessica Wimmer, Michael Lindsey, Jarius Thompson, Carrie Masia Warner
{"title":"Social anxiety disorder in Black American adolescents: Cultural considerations in conceptualization, assessment, and treatment.","authors":"Samantha Coyle-Eastwick, Melissa Escobar, Jessica Wimmer, Michael Lindsey, Jarius Thompson, Carrie Masia Warner","doi":"10.1521/bumc.2024.88.2.171","DOIUrl":"10.1521/bumc.2024.88.2.171","url":null,"abstract":"<p><p>Social anxiety disorder (SAD) is characterized by significant distress and avoidance surrounding social and performance situations, with marked interpersonal and academic impairment. This review article highlights cultural considerations relevant to the conceptualization, identification, and treatment of SAD in Black youth. Research evaluating the utility of evidence-based measures to assess SAD suggests they are culturally relevant; however, gaps in knowledge regarding the psychometric properties of even the most widely used instruments are evident. In regard to intervention, cognitive behavioral therapy (CBT) approaches hold promise, yet there is a lack of research on the use of CBT with Black adolescents. Recommendations to incorporate cultural factors into CBT are provided, and future work investigating culturally adapted interventions is needed. Finally, given significant disparities in access and utilization of mental health services among Black youth, strategies to increase treatment engagement, such as school-based services, are important to consider.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"88 2","pages":"171-195"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248663","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}
Olivia J Morris, Andrew D Wiese, Caitlin M Pinciotti, Rosa Pacheco, Mayra C Martinez Mallen, Ethan J Schweissing, Keaton J Soileau, James J Crowley, Eric A Storch
{"title":"Obsessive-compulsive disorder among individuals of Hispanic and Latin American ancestry: Cultural considerations for assessment and psychotherapy.","authors":"Olivia J Morris, Andrew D Wiese, Caitlin M Pinciotti, Rosa Pacheco, Mayra C Martinez Mallen, Ethan J Schweissing, Keaton J Soileau, James J Crowley, Eric A Storch","doi":"10.1521/bumc.2024.88.2.148","DOIUrl":"10.1521/bumc.2024.88.2.148","url":null,"abstract":"<p><p>Research specific to obsessive-compulsive disorder (OCD) among individuals of Hispanic and Latin American (H/L) ancestry is limited, as are culturally relevant assessment and treatment recommendations. This article discusses the implications of underrepresentation of H/L populations in OCD research and emphasizes the need to consider issues related to assessment, treatment, and structural barriers that hinder delivery of culturally appropriate first-line psychotherapy. Recommendations for assessment and treatment are provided to aid clinicians in distinguishing culturally normative thoughts and behaviors from OCD, as well as to inform the implementation of psychotherapeutic interventions with cultural humility. This manuscript offers recommendations for future research to tackle health equity concerns with respect to assessment and treatment and structural factors limiting access to culturally appropriate psychotherapy. Wide-scale efforts are needed to comprehensively understand how H/L cultures intersect with various OCD presentations and to further disseminate treatments to populations that have historically lacked access to mental health care.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"88 2","pages":"148-170"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer C Ramirez, Valérie La Buissonnière-Ariza, Elizabeth McIngvale, Katrina A Rufino, Lucy J Puryear, Christina Annette Treece, Sophie C Schneider, Sandra L Cepeda, Wayne K Goodman, Eric A Storch
{"title":"Perceived worsening of obsessive-compulsive disorder symptoms after childbirth in women and men: An understudied phenomenon.","authors":"Jennifer C Ramirez, Valérie La Buissonnière-Ariza, Elizabeth McIngvale, Katrina A Rufino, Lucy J Puryear, Christina Annette Treece, Sophie C Schneider, Sandra L Cepeda, Wayne K Goodman, Eric A Storch","doi":"10.1521/bumc.2024.88.1.48","DOIUrl":"10.1521/bumc.2024.88.1.48","url":null,"abstract":"<p><p>The aim of this study was to examine worsening of OCD symptoms after childbirth in individuals seeking assessment or treatment of OCD. The postpartum period may make parents biologically and psychologically vulnerable to OCD symptoms. Participants included 222 parents with OCD who completed surveys through a self-help website. Most women and almost half of men with self-reported OCD reported an increase in OCD symptoms following childbirth. Retrospective report of perceived worsening of OCD symptoms after childbirth was associated with more aggressive obsessions for both men and women, in comparison to individuals whose OCD symptoms did not worsen around childbirth. Women whose OCD symptoms worsened after childbirth reported more impairment in social functioning than individuals whose symptoms did not worsen. These results highlight the need to develop a better understanding of aggressive obsessions in parents, and improve education about prevalence, content, assessment, and intervention for aggression-focused intrusive thoughts.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"88 1","pages":"48-60"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289598","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}
Vojkan Aleksic, Tatjana Gazibara, Biljana Jeremic, Sanja Gasic, Jelena Dotlic, Jasmina Stevanovic, Aleksandra Arsovic, Marija Milic
{"title":"Associations of night eating with depressive symptoms among health sciences students living in a postconflict region.","authors":"Vojkan Aleksic, Tatjana Gazibara, Biljana Jeremic, Sanja Gasic, Jelena Dotlic, Jasmina Stevanovic, Aleksandra Arsovic, Marija Milic","doi":"10.1521/bumc.2024.88.1.29","DOIUrl":"10.1521/bumc.2024.88.1.29","url":null,"abstract":"<p><p>Populations affected by war may experience food insecurity, which could predispose them to eating disorders. A cross-sectional study was conducted among health sciences students in Northern Kosovo from November 2018 to March 2019. Data were collected using the sociodemographic Night Eating Questionnaire (NEQ), the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI). The study sample comprised 534 students. The prevalence of students who had at least mild depression (BDI ≥ 10) was 20.6%. More frequent night eating was consistently associated with a higher EDI score in the total sample as well as in the subgroup of students whose EDI score was ≥ 10. In addition, having poorer sleep quality and having more anxiety symptoms were associated with having stronger depressive symptoms. In a population of health sciences students who live in a post-conflict region, night eating is associated with having stronger depressive symptoms.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"88 1","pages":"29-47"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289595","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":"Welcoming 2024.","authors":"Eric A Storch","doi":"10.1521/bumc.2024.88.1.1","DOIUrl":"10.1521/bumc.2024.88.1.1","url":null,"abstract":"","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"88 1","pages":"1-2"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289600","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":"Social support in obsessive-compulsive disorder: The relationships between social support and readiness to change.","authors":"Kyle King, Brian A Zaboski","doi":"10.1521/bumc.2024.88.4.320","DOIUrl":"https://doi.org/10.1521/bumc.2024.88.4.320","url":null,"abstract":"<p><p>Social support is widely beneficial for individuals suffering from mental health disorders. Preliminary work suggests that it is influential in the treatment of obsessive-compulsive disorder (OCD), but no studies have investigated the importance of social support as it relates to readiness to change (RTC, a relevant variable in treatment-seeking populations. The present study aimed to investigate this relationship as well as broadly characterize support-seeking experiences in those with OCD. Results indicated that, on average, participants with OCD have positive experiences of sharing their symptoms, that others tend to react well to such sharing, and sharing tends to positively affect one's relationship to their diagnosis. We further found that subjective experience of sharing symptoms and internalized stigma moderately predicts RTC. This study suggests nonprofessional social support may be a practical and impactful adjunct to OCD treatment by influencing motivation to change, though future work is needed to validate this pilot study.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"88 4","pages":"320-335"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886434","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}