The Psychiatric quarterly最新文献

{"title":"Turkish Validation of the Oxford Depression Questionnaire: Psychometric and Clinical Evidence Across Healthy, Drug-Naïve, and Remitted Medicated Depression Groups.","authors":"Cansu Ünsal Mavi, Esra Yalım, Emre Han Alpay, İbrahim Gündoğmuş","doi":"10.1007/s11126-026-10304-4","DOIUrl":"https://doi.org/10.1007/s11126-026-10304-4","url":null,"abstract":"<p><p>Emotional blunting is a clinically significant yet often under-recognized alteration in emotional experience, characterized by reduced intensity of both positive and negative emotions, diminished emotional responsiveness, and impaired interpersonal engagement. First described through patients' reports of antidepressant treatment, it is now recognized as associated with both depressive illness and pharmacological treatment, underscoring the need for its direct assessment. However, no validated Turkish-language instrument specifically designed to assess emotional blunting is currently available. The present study aimed to evaluate the psychometric properties of the Turkish version of the Oxford Depression Questionnaire (ODQ) in 272 participants comprising healthy controls, drug-naïve patients with major depressive disorder (MDD), and medicated patients with MDD in remission. Confirmatory factor analysis using WLSMV estimation broadly supported the proposed four-factor structure, although fit indices were not uniform. The correlated four-factor model provided a better fit than alternative one-factor, two-factor, and second-order models, although the second-order model showed only a modest decrement in fit. The scale demonstrated acceptable to high internal consistency across dimensions, and measurement invariance analyses supported loading invariance across the three groups. ODQ scores differed significantly between groups and showed the expected associations with depressive symptom severity and with emotional reactivity and empathy, which were themselves largely independent. These findings provide evidence for the reliability and validity of the Turkish ODQ and support its use for assessing emotional blunting across healthy, untreated, and remitted medicated populations, while indicating that further evaluation of specific items is warranted in future validation studies.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric Disorders, Headache Comorbidity, and Quality of Life in a Psychiatric Outpatient Clinic.","authors":"Serafim Carvalho, Ivânia Alves, Filipa Caetano, Filipe Grilo, Ana Maria Moreira, Paulo Pimentel, Dulce Maia, Cátia Priscila, Mariana Silva, Marta Queirós","doi":"10.1007/s11126-026-10302-6","DOIUrl":"https://doi.org/10.1007/s11126-026-10302-6","url":null,"abstract":"<p><p>The relationship between headaches and psychiatric disorders among psychiatric outpatients remains insufficiently characterized. In this study, the prevalence of primary headaches was estimated, and the factors associated with headache occurrence and quality of life (QoL) in this population were examined. A total of 1,014 patients were evaluated. Psychiatric diagnoses were determined using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), and primary headaches were classified according to the International Classification of Headache Disorders (ICHD-3). Key variables included psychopathology severity and functioning, assessed with the Clinical Global Impression (CGI) scale and the modified Global Assessment of Functioning (mGAF) scale; headache impact, measured by the Headache Impact Test (HIT-6); and QoL, assessed using the EUROHIS-QOL-8. The prevalence of primary headache was 60.4%. Tension-type headache (TTH) was the most frequent subtype, followed by migraine and comorbid migraine with TTH. Headache prevalence was lower among patients with psychotic disorders, and no significant differences in headache subtype distribution were observed across psychiatric diagnostic groups. Independent factors associated with headache occurrence included anxiety disorders, mood disorders, higher psychopathology severity, female sex, younger age, lower education, unemployment, and married status. Independent factors associated with QoL included lower functioning, HIT-6 severe headache impact, HIT-6 substantial headache impact, mood disorders, anxiety disorders, younger age, unemployment, ill-health retirement, married status, widowed status, age at headache onset, education, and female sex. The results of this study demonstrate that primary headaches are common among psychiatric outpatients and are associated with significant reductions in QoL. These findings emphasize the need to routinely assess headaches in psychiatric settings, given their clinical impact. Limitations of the study include its cross-sectional design, absence of a control group, and potential medication-related confounding.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148612392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developmental Differences in the Emotional and Behavioural Profiles of Emotionally Based School Avoidance (EBSA) in Children and Adolescents.","authors":"Meliha Feyza Gök, Berrin Bilgiç, Celal Yeşilkaya, Serkan Turan, Caroline Bond","doi":"10.1007/s11126-026-10299-y","DOIUrl":"https://doi.org/10.1007/s11126-026-10299-y","url":null,"abstract":"<p><strong>Introduction: </strong>Emotionally based school avoidance (EBSA) arises from interaction between child level processes and the school environment, yet developmental differences remain unclear. This study examined whether the emotional and behavioural profiles of EBSA differ between children and adolescents.</p><p><strong>Methods: </strong>This cross-sectional study included a clinical sample of 102 youth with EBSA: children (< 12 years, n = 40) and adolescents (≥ 12 years, n = 62). Psychiatric diagnoses were established with the K-SADS-PL-DSM-5, and emotion regulation, anxiety, behavioural symptoms, and EBSA severity were assessed using validated measures. Predictors of EBSA severity were examined with multiple linear regression, modelled separately for each age group.</p><p><strong>Results: </strong>The two groups were largely similar across clinical measures, but separation anxiety was higher in children (p = 0.004). Among children, younger age and lower clinical severity were associated with greater EBSA severity (R² = 0.47). Among adolescents, lower hyperactivity/inattention was associated with greater EBSA severity (R² = 0.18), with age and impulsivity showing positive but non-significant trends.</p><p><strong>Conclusions: </strong>Children and adolescents with EBSA showed different emotional and behavioural profiles, with emotion- and attachment-related factors more salient in childhood and regulatory and cognitive factors more salient in adolescence.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathways Linking Racial Discrimination to Suicidal Thoughts and Behaviors Among Racial and Ethnic Minority Adolescents.","authors":"Philip Baiden, Yali Deng, Yao Wang, Hui Huang, Catherine A LaBrenz, Raymond M Glikpo","doi":"10.1007/s11126-026-10296-1","DOIUrl":"https://doi.org/10.1007/s11126-026-10296-1","url":null,"abstract":"<p><p>Adolescent suicide remains a major public health concern in the United States. Racial/ethnic minority adolescents often experience psychosocial stressors such as discrimination, which may contribute to suicidal thoughts and behaviors (STBs). This study examined the association between perceived racial discrimination (PRD) and STBs among U.S. racial/ethnic minority adolescents and assessed whether persistent sadness/hopelessness and vaping mediate this association after adjusting for demographic characteristics. Data were drawn from the 2023 Youth Risk Behavior Survey. The analytic sample included 8,054 racial/ethnic minority adolescents aged 14-18 years (50.8% male). Multivariable logistic regression models were used to examine associations between PRD and suicidal ideation, suicide planning, and suicide attempts. Mediation analyses assessed whether persistent sadness/hopelessness and vaping explained these associations while controlling for demographic characteristics. Approximately 43% of racial/ethnic minority adolescents reported experiencing PRD. Adolescents reporting PRD had higher odds of suicidal ideation (AOR = 1.44, 95% CI = 1.20-1.73), suicide planning (AOR = 1.26, 95% CI = 1.02-1.57), and suicide attempts (AOR = 1.49, 95% CI = 1.16-1.93). Persistent sadness/hopelessness significantly mediated these associations, accounting for 47.2% of the total effect for suicidal ideation, 44.0% for suicide planning, and 42.3% for suicide attempts. Vaping mediated a smaller proportion of the associations, explaining 18.1%, 17.1%, and 19.0% of the effects for suicidal ideation, suicide planning, and suicide attempts, respectively. Racial discrimination, rather than racial/ethnic identity itself, was associated with increased suicide risk among racial/ethnic minority adolescents. This association is largely explained by feelings of sadness or hopelessness. These findings underscore the importance of addressing racial discrimination and its psychological and behavioral consequences in efforts to reduce suicide risk among racial/ethnic minority adolescents.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148428470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the Validity of ChatGPT in the Assessment of Perceived Stress and Psychological Distress Among University Students: A Cross-Sectional Study.","authors":"MengJie Tong, JiaLi Liu, LiJuan Zeng, Juan Gu, YaKe Yue, YiQing Yu, YuFei Qiu, Fen Yang","doi":"10.1007/s11126-026-10298-z","DOIUrl":"https://doi.org/10.1007/s11126-026-10298-z","url":null,"abstract":"<p><p>This study assessed the validity of the ChatGPT in measuring perceived stress and psychological distress in college students by comparing the consistency of the ChatGPT's scale-based adaptation of the scenario-based interview question scores with the scores of a validated questionnaire. ChatGPT-4 was used to adapt the Perceived Stress Scale (PSS-4) and the 10-item Kessler Psychological Distress Scale (K10) into scenario-based interview questions with automated scoring. A total of 199 college students completed both the ChatGPT-4-generated scenario questions and the corresponding validated questionnaires. Internal consistency, Spearman correlations, intraclass correlation coefficients (ICCs), Bland-Altman analyses, item-level correlations, and K10 threshold-based agreement were evaluated. All participants completed both assessments, with no missing item or total-score data. ChatGPT-4-generated total scores showed moderate correlations with questionnaire scores for both K10 and PSS-4 (Spearman's ρ = 0.57 for both). The ICC indicated excellent agreement for K10 (ICC = 0.91, 95% CI: 0.89-0.93) and moderate agreement for PSS-4 (ICC = 0.70, 95% CI: 0.63-0.76). Bland-Altman analyses showed small positive mean differences, and item-level correlations were heterogeneous. K10 threshold-based analyses suggested more conservative classification at higher cutoffs. This study provides preliminary feasibility evidence for further validating ChatGPT-4-assisted contextualized scoring as an adjunctive assessment approach. Threshold-based screening performance, reproducibility, criterion validity, and generalizability require further investigation.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148428517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-Traumatic Stress Symptoms and Post-Traumatic Growth Among Physicians After the February 6, 2023 Earthquakes in Turkey.","authors":"Tuba Saygılı, Hatice Tuba Akbayram","doi":"10.1007/s11126-026-10297-0","DOIUrl":"https://doi.org/10.1007/s11126-026-10297-0","url":null,"abstract":"<p><p>The February 2023 earthquakes in Turkey exposed frontline resident physicians to personal trauma, occupational stress, and the psychological burden of caring for traumatized survivors. This study aimed to evaluate post-traumatic stress disorder (PTSD) symptoms, post-traumatic growth (PTG), and associated factors among resident physicians in Turkey after the earthquakes. A cross-sectional study was conducted using an online survey administered to resident physicians at the Faculty of Medicine of XXX University between October and November 2023. The survey consisted of sociodemographic characteristics, earthquake-related exposure variables, the PTSD Checklist for DSM-5 (PCL-5), and the PTG Inventory. A total of 157 physicians participated, with a mean age of 29.6 ± 4.25 years and 7.6% reported receiving psychological treatment after the disaster. The mean PCL-5 score was 33.8 ± 18.4, with 23.6% meeting criteria for probable PTSD. The mean PTG score was 46.2 ± 26.9. A moderate positive correlation was observed between PTSD and PTG (r = 0.439, p < 0.001). In bivariate analysis, only religiosity showed a statistically significant association with PTSD (χ²(2) = 6.547, p = 0.038), with the highest prevalence among moderately religious physicians (31.0%). In the multivariable model, no independent predictor was significantly associated with PTSD symptoms. Higher PTG scores were independently associated with male gender (B = 8.55, 95% CI: 0.27-16.82, p = 0.043), greater religiosity (B = 7.90, 95% CI: 1.70-14.10, p = 0.013), and previous trauma experience (B = 10.48, 95% CI: 1.43-19.53, p = 0.024). After the earthquakes, physicians demonstrated moderate levels of PTG, and approximately one-quarter exhibited PTSD symptoms, highlighting the need for ongoing mental health monitoring and accessible psychological support.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148379563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression and Anxiety Symptoms and Public Stigma of Receiving Psychological Help: The Mediating Role of Anticipated Stigma at Work among Healthcare Workers.","authors":"Abdallah Badahdah, Faryal Khamis, Nasser Aloud, Kawther Al Bahrani","doi":"10.1007/s11126-026-10294-3","DOIUrl":"https://doi.org/10.1007/s11126-026-10294-3","url":null,"abstract":"<p><p>Healthcare workers with mental health conditions are often reluctant to seek help due to mental health stigma. Concerns about career repercussions and discrimination largely contribute to help seeking reluctance. This study examined whether anticipated enacted mental health stigma in the workplace plays a role in mediating the relationship between depression and anxiety symptoms, and public stigma of receiving psychological help. A total of 231 healthcare workers participated in this study, including 45% physicians and 55% nurses. Structural equation modeling indicated a positive relationship between depression and anxiety symptoms and anticipated enacted stigma (β = 0.23, p < .05), which in turn influenced public stigma of receiving psychological help for mental health conditions (β = 0.59, p < .05). The relationship between depression and anxiety symptoms and public stigma of receiving psychological help was fully mediated by anticipated enacted stigma (β = 0.04, p= .52). Older healthcare workers reported less concern about anticipated enacted stigma compared to younger ones, and women were less concerned than men about public stigma of receiving psychological help. These findings extend the literature on public stigma associated with receiving help among healthcare workers. The results underscore the importance of developing and implementing stigma reduction programs in healthcare settings.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Negative Mood Regulation Expectancies, Affect and Suicidal Ideation: A Moderated Mediation Analysis.","authors":"Anabel Söhlemann, Karen Wetherall, Rory C O'Connor, Ambrose J Melson","doi":"10.1007/s11126-026-10295-2","DOIUrl":"10.1007/s11126-026-10295-2","url":null,"abstract":"<p><p>Better understanding of the aetiology of suicidal ideation, including modifiable and protective factors, can enhance preventive strategies. Negative mood regulation expectancies ('NMRE'; beliefs in one's ability to alleviate negative mood) are associated with suicidal ideation and negative affect but little is known about the underlying mechanisms of these associations. We conducted secondary analyses of cross-sectional data from 1546 adults (69.8% female; Mean age = 34 years; 92% White) recruited from the community in Scotland, 32% of whom reported a lifetime history of suicidal ideation and 8% a lifetime suicide attempt. Analysis aimed to understand whether NMRE are associated with current suicidal ideation and would buffer the association of stress on current suicidal ideation and depressive symptoms. Relevant measures included in this study were self-reported demographics, stress, NMRE, depressive symptoms and current suicidal ideation. A cross-sectional moderated mediation model indicated that depressive symptoms mediated the relationship between stress and suicidal ideation and that NMRE significantly moderated this relationship. Specifically, the indirect relationship between stress and suicidal ideation via depressive symptoms was significant at all levels of NMRE tested, although the strength of association declined as NMRE increased (low NMRE: B = 0.28, 95% CI [0.22, 0.35], moderate NMRE: B = 0.21, 95% CI [0.16, 0.25], high NMRE: B = 0.14, 95% CI [0.10, 0.18]). Stronger beliefs in one's expectations to regulate negative mood may therefore buffer against the effects of perceived stress on suicidal ideation directly, and indirectly by mitigating the effect of stress on depressive symptoms.</p>","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived and Unmet Mental Health Care Needs Among Individuals with Chronic Illness: A Latent Class and Bayesian Approach.","authors":"Firoj Al-Mamun, Mohammad Arif, Pronab Das, Md Emran Hasan, Moneerah Mohammad ALmerab, Mohammed A Mamun","doi":"10.1007/s11126-026-10272-9","DOIUrl":"10.1007/s11126-026-10272-9","url":null,"abstract":"","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"289-311"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diverse Short Video Exposure and Post-Traumatic Growth among 2021 Henan Floods Victims: A 3-month Follow-up Study via Network Approach.","authors":"Zepeng Gou, Zhihao Ma","doi":"10.1007/s11126-026-10254-x","DOIUrl":"10.1007/s11126-026-10254-x","url":null,"abstract":"","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"483-501"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}