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Criticality is Associated with Future Psychotherapy Response in Patients with Post-Traumatic Stress Disorder-A Pilot Study. 临界状态与创伤后应激障碍患者未来心理治疗反应相关的初步研究。
Chronic Stress Pub Date : 2025-01-12 eCollection Date: 2025-01-01 DOI: 10.1177/24705470241311285
Remko van Lutterveld, Myrthe Sterk, Cristian Spitoni, Mitzy Kennis, Sanne J H van Rooij, Elbert Geuze
{"title":"Criticality is Associated with Future Psychotherapy Response in Patients with Post-Traumatic Stress Disorder-A Pilot Study.","authors":"Remko van Lutterveld, Myrthe Sterk, Cristian Spitoni, Mitzy Kennis, Sanne J H van Rooij, Elbert Geuze","doi":"10.1177/24705470241311285","DOIUrl":"10.1177/24705470241311285","url":null,"abstract":"<p><strong>Background: </strong>Trauma-focused psychotherapy is treatment of choice for post-traumatic stress disorder (PTSD). However, about half of patients do not respond. Recently, there is increased interest in brain criticality, which assesses the phase transition between order and disorder in brain activity. Operating close to this borderline is theorized to facilitate optimal information processing. We studied if brain criticality is related to future response to treatment, hypothesizing that treatment responders' brains function closer to criticality.</p><p><strong>Methods: </strong>Functional magnetic resonance imaging resting-state scans were acquired from 46 male veterans with PTSD around the start of treatment. Psychotherapy consisted of trauma-focused cognitive behavioral therapy, eye movement desensitization and reprocessing, or a combination thereof. Treatment response was assessed using the Clinician-Administered PTSD Scale, and criticality was assessed using an Ising temperature approach for seven canonical brain networks (ie, the visual, somatomotor, dorsal attention, ventral attention, limbic, frontoparietal and default mode networks) to measure distance to criticality.</p><p><strong>Results: </strong>The brains of prospective treatment responders were closer to criticality than nonresponders (P = 0.017), while no significant interaction effect between group and brain network was observed (P = 0.486). In addition, average criticality across networks correlated with future treatment response (P = 0.028).</p><p><strong>Conclusion: </strong>These results show that the brains of prospective PTSD psychotherapy treatment responders operate closer to criticality than nonresponders, and this occurs across the entire brain instead of in separate canonical brain networks. These results suggest that effective psychotherapy is mediated by brains operating closer to criticality.</p>","PeriodicalId":52315,"journal":{"name":"Chronic Stress","volume":"9 ","pages":"24705470241311285"},"PeriodicalIF":0.0,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cognitive Behavioral Therapy Reduces Unhelpful Thinking Among People with Musculoskeletal Symptoms: A Meta-Analysis. 认知行为疗法减少肌肉骨骼症状患者的无用思考:一项荟萃分析。
Chronic Stress Pub Date : 2024-12-19 eCollection Date: 2024-01-01 DOI: 10.1177/24705470241304252
Deven Niraj Patel, Rajeev Pathapati, Catherine Hand, Ashwin Varma, Sina Ramtin, David Ring
{"title":"Cognitive Behavioral Therapy Reduces Unhelpful Thinking Among People with Musculoskeletal Symptoms: A Meta-Analysis.","authors":"Deven Niraj Patel, Rajeev Pathapati, Catherine Hand, Ashwin Varma, Sina Ramtin, David Ring","doi":"10.1177/24705470241304252","DOIUrl":"10.1177/24705470241304252","url":null,"abstract":"<p><strong>Background: </strong>Greater unhelpful thinking is associated with greater musculoskeletal discomfort and incapability. Cognitive-behavioral therapy (CBT) fosters healthy thinking to help alleviate symptoms.</p><p><strong>Questions: </strong>In a meta-analysis of randomized control trials (RCT) of CBT for unhelpful thinking among people with musculoskeletal symptoms, we asked: 1) Does CBT reduce unhelpful thinking and feelings of distress, and improve capability, in individuals with musculoskeletal symptoms? 2) Are outcomes affected by CBT delivery methods?</p><p><strong>Methods: </strong>Following QUOROM guidelines, we searched databases using keywords of pain catastrophizing, kinesiophobia, cognitive-behavioral therapy, musculoskeletal and variations. Inclusion criteria were RCT's testing CBT among people with musculoskeletal symptoms. Study quality was assessed with Cochrane Review of Bias 2. Meta-analysis of means and standard deviations was performed.</p><p><strong>Results: </strong>CBT led to modest reductions in catastrophic thinking (-0.44 CI: -0.76 to -0.12; <i>P</i> = .01, kinesiophobia (-0.60 CI: -1.07 to -0.14; <i>P</i> = .01) and anxiety symptoms (-0.23 CI: -0.36 to -0.09; <i>P</i> < .01) over six months compared to usual care. There were no improvements in levels capability (-0.28 CI: -0.56 to 0.01; <i>P</i> = .05). CBT led by mental health professionals reduced catastrophic thinking more than CBT led by other clinicians (QB Test = 4.73 <i>P</i> = .03). There were no differences between online and in-person sessions, group versus individual therapy, or surgical versus non-surgical interventions.</p><p><strong>Conclusion: </strong>The evidence that CBT delivered by various clinicians in various settings fosters healthier thinking in people presenting for care of musculoskeletal symptoms, supports comprehensive care of musculoskeletal illness. More research is needed to develop indications and interventions that also improve levels of capability. Level-I, meta-analysis of RCT's.</p>","PeriodicalId":52315,"journal":{"name":"Chronic Stress","volume":"8 ","pages":"24705470241304252"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Loss Cycle of Burnout Symptoms and Reduced Coping Self-Efficacy: A Latent Change Score Modelling Approach. 职业倦怠症状和应对自我效能下降的损失循环:潜在变化得分建模法
Chronic Stress Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1177/24705470241286948
Liselotte M J Koning-Eikenhout, Roos Delahaij, Wim Kamphuis, Inge L Hulshof, Joris Van Ruysseveldt
{"title":"A Loss Cycle of Burnout Symptoms and Reduced Coping Self-Efficacy: A Latent Change Score Modelling Approach.","authors":"Liselotte M J Koning-Eikenhout, Roos Delahaij, Wim Kamphuis, Inge L Hulshof, Joris Van Ruysseveldt","doi":"10.1177/24705470241286948","DOIUrl":"10.1177/24705470241286948","url":null,"abstract":"<p><p>Police officers are frequently faced with chronic and acute stressors, such as excessive workload, organizational stressors and emotionally charged reports. This study aims to examine the relationship between a form of chronic strain (ie, burnout symptoms) and a resource (ie, coping self-efficacy) in a sample of Dutch police officers. Specifically, we aim to investigate the existence of a loss cycle of resources. We use Latent Change Score modeling to investigate the potential depletion or loss cycle of coping self-efficacy as a result of burnout symptoms in a sample of 95 police officers who completed a survey on three consecutive timepoints. The lag between the measurements was approximately one year. We found that, during both one-year intervals, within-person increases in burnout symptoms were related to within-person decreases in coping self-efficacy. Also, the results emphasize the buffering role of coping self-efficacy for burnout symptoms, as within-person decreases in coping self-efficacy during the first year were associated with within-person increases in burnout symptoms during the following year. Together, the results imply that a loss cycle of coping self-efficacy and burnout symptoms may occur. For this we used Latent Change Score modeling, which is a relatively new approach which provides researchers with the opportunity to analyse multi-wave longitudinal data while focusing on within-person changes over time. Practically, police organizations are advised to monitor personnel wellbeing and resources, to maintain and promote sustainable employability of police officers and to be able to timely provide individuals with interventions. Limitations discussed are the use of self-report measures and large intervals between the measurements. Finally, future directions of research are discussed that would circumvent the reported limitations, such as multiple wave with shorter lags and incorporating confounding factors that could affect coping self-efficacy.</p>","PeriodicalId":52315,"journal":{"name":"Chronic Stress","volume":"8 ","pages":"24705470241286948"},"PeriodicalIF":0.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Genetic Variations in the FAAH rs324420 Polymorphism and its Interaction with CRHR1 rs110402 and CNR1 rs2180619 in Anxiety and- Trauma Related Symptoms After Military Deployment. FAAH rs324420 多态性的遗传变异及其与 CRHR1 rs110402 和 CNR1 rs2180619 在军事部署后焦虑和创伤相关症状中的相互作用。
Chronic Stress Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1177/24705470241285828
Nadia Leen, Antoin de Weijer, Marco Boks, Johanna Baas, Eric Vermetten, Elbert Geuze
{"title":"The Role of Genetic Variations in the FAAH rs324420 Polymorphism and its Interaction with CRHR1 rs110402 and CNR1 rs2180619 in Anxiety and- Trauma Related Symptoms After Military Deployment.","authors":"Nadia Leen, Antoin de Weijer, Marco Boks, Johanna Baas, Eric Vermetten, Elbert Geuze","doi":"10.1177/24705470241285828","DOIUrl":"10.1177/24705470241285828","url":null,"abstract":"<p><strong>Background: </strong>During military deployment, stress regulation is vital to protect against the development of anxiety and trauma-related symptoms. Brain endocannabinoids play an important role in stress regulation and previous research has shown that genetic variations in the FAAH rs324420 polymorphism demonstrate protective effects during stress. In addition, this polymorphism shows interactions with the CRHR1 and CNR1 polymorphisms on anxiety. The present study examines whether genetic variations of the FAAH, CRHR1 and CNR1 polymorphisms interact with the development of anxiety and trauma related symptoms in military veterans.</p><p><strong>Methods: </strong>Veterans (N = 949) who went on military deployment and experienced a stressful event were genotyped for FAAH rs324420, CRHR1 rs110402 and CNR1 rs2180619. Anxiety and trauma symptoms were measured pre-deployment and 6 months after deployment. Anxiety was measured with the anxiety subscale of the Symptom Checklist-90 (SCL-90) and trauma with the Self-Rating Inventory for PTSD (SRIP).</p><p><strong>Results: </strong>Covariance Pattern Models demonstrated no significant relation of genetic variations in FAAH rs324420 on anxiety and PTSD symptoms from pre-deployment to 6 months after military deployment. Additionally, we investigated interactions between the FAAH s324420, CRHR1 rs110402 and CNR1 rs2180619 polymorphisms. This also demonstrated no significant effects on anxiety and PTSD symptoms pre- to post deployment. However, the covariate of childhood trauma that was included in the models was significant in all these models.</p><p><strong>Conclusion: </strong>Genetic variations in FAAH rs324420 and its interactions with CRHR1 rs110402 and CNR1 rs2180619 are not related to the development of anxiety and trauma-related symptoms. The study however, indicates the importance of considering childhood trauma in the investigation of the effects of polymorphisms that are related to the endocannabinoid system on the development of anxiety and PTSD symptoms.</p>","PeriodicalId":52315,"journal":{"name":"Chronic Stress","volume":"8 ","pages":"24705470241285828"},"PeriodicalIF":0.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interpersonal Violence and Mental Health, Drug use, and Treatment Utilization among Patients with Co-Occurring Opioid use and Mental Health Disorders. 人际暴力与精神健康、药物使用以及同时患有阿片类药物使用和精神健康疾病的患者的治疗利用率。
Chronic Stress Pub Date : 2024-09-05 eCollection Date: 2024-01-01 DOI: 10.1177/24705470241279335
Grace Hindmarch, Lisa S Meredith, Colleen M McCullough, Beth Ann Griffin, Katherine E Watkins
{"title":"Interpersonal Violence and Mental Health, Drug use, and Treatment Utilization among Patients with Co-Occurring Opioid use and Mental Health Disorders.","authors":"Grace Hindmarch, Lisa S Meredith, Colleen M McCullough, Beth Ann Griffin, Katherine E Watkins","doi":"10.1177/24705470241279335","DOIUrl":"10.1177/24705470241279335","url":null,"abstract":"<p><p>Interpersonal violence is a common type of trauma experienced by people with opioid use disorder (OUD), especially for people with co-occurring OUD and mental illness (COD). However, little is known about demographic and clinical characteristics of individuals with COD who have experienced an interpersonal violence traumatic event compared to those who have experienced a non-violent trauma, and how experiences of interpersonal violence are associated with treatment utilization. Data presented are from a randomized clinical trial testing collaborative care for COD in primary care. Of the 797 patients enrolled in the larger study, 733 (92%) were included in this analysis because they reported a traumatic event. In this sample, 301 (41%) participants experienced a traumatic event involving interpersonal violence. Participants who experienced interpersonal violence were more likely to be younger and female. Among the 301 people who experienced interpersonal violence, 30% experienced child sexual abuse, 23% experienced physical violence, 19% experienced domestic violence, and 28% experienced sexual assault. Those who experienced physical violence were significantly less likely to be female (28.6% vs 74.2% to 88.2% in other groups). Those who reported domestic violence had significantly fewer days of drug use (4.1 days vs 9.0 to 11.5 in the other groups) and lower opioid use severity scores (mean = 13.0 vs 16.6 to 19.5 in the other groups). Multivariable regression results examining the associations between interpersonal violence experiences on treatment utilization revealed no statistically significant differences. Rates of receipt were high for medication for opioid use disorder (∼80%) in this sample while rates of mental health counseling were around 35% and rates of receiving mental health medication around 48%. These findings make an important contribution to understanding the associations between patient characteristics and traumatic experiences, and receipt of treatment for OUD and mental health problems among a sample of patients with COD.</p><p><strong>Clinical trial registration: </strong>clinicalTrials.gov ID: NCT04559893.</p>","PeriodicalId":52315,"journal":{"name":"Chronic Stress","volume":"8 ","pages":"24705470241279335"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Loneliness and Alcohol use among College Students During the COVID-19 Pandemic in Rural Appalachia. 阿巴拉契亚农村地区 COVID-19 大流行期间大学生的孤独感和饮酒情况。
Chronic Stress Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.1177/24705470241264909
Manik Ahuja, Rachel Miller-Slough, Esther Adebayo-Abikoye, Callon Williams, Andrea Haubner, McKenzie G Dooley, Minakshi Bansal, Thiveya Sathiyaseelan, Amanda Pons, Arpana Karki, Kawther Al Ksir, Brook Samuel, Phoebe Tchoua, Trisha Schuver, Praveen Fernandopulle
{"title":"Loneliness and Alcohol use among College Students During the COVID-19 Pandemic in Rural Appalachia.","authors":"Manik Ahuja, Rachel Miller-Slough, Esther Adebayo-Abikoye, Callon Williams, Andrea Haubner, McKenzie G Dooley, Minakshi Bansal, Thiveya Sathiyaseelan, Amanda Pons, Arpana Karki, Kawther Al Ksir, Brook Samuel, Phoebe Tchoua, Trisha Schuver, Praveen Fernandopulle","doi":"10.1177/24705470241264909","DOIUrl":"10.1177/24705470241264909","url":null,"abstract":"<p><strong>Objective: </strong>Binge drinking and heavy alcohol use are highly prevalent among college students. During the COVID-19 pandemic, due to lockdown restrictions and other challenges, many college students were burdened with loneliness, which can contribute to chronic stress, and substance use. The current study explores the association between loneliness and various levels of alcohol use among college students in the rural, underserved region of Central Appalachia, USA.</p><p><strong>Methods: </strong>Data were collected from a regional sample (n = 320) of college age adults, age 18-25 in the Central Appalachian region. The UCLA-3 item Loneliness Scale (UCLA-3) was used in the study to evaluate loneliness. Logistic regression analysis was conducted to assess the association between levels of loneliness and three separate outcomes, including past year binge drinking, past year heavy alcohol use, and past year weekly alcohol use.</p><p><strong>Results: </strong>Overall, 25.5% of the participants reported severe loneliness, 33.6% reported moderate, and 40.9% reported low levels of loneliness. Results of the adjusted models revealed that severe loneliness was associated with higher odds of heavy alcohol use (AOR = 1.89, 95% CI [1.02, 3.50]) and binge drinking (AOR = 2.96, 95% CI [1.16, 7.51]), and not associated with weekly alcohol use.</p><p><strong>Conclusion: </strong>The study found that higher levels of loneliness were linked to both binged drinking and heavy alcohol use. Further efforts for counseling and treatment among college students who are burdened with severe loneliness should be considered. The chronic stress associated with severe loneliness needs to be further addressed, particularly among emerging adults.</p>","PeriodicalId":52315,"journal":{"name":"Chronic Stress","volume":"8 ","pages":"24705470241264909"},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prefrontal Metabolite Alterations in Individuals with Posttraumatic Stress Disorder: A 7T Magnetic Resonance Spectroscopy Study. 创伤后应激障碍患者的前额叶代谢物变化:7T 磁共振波谱研究。
Chronic Stress Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.1177/24705470241277451
Meredith A Reid, Sarah E Whiteman, Abigail A Camden, Stephanie M Jeffirs, Frank W Weathers
{"title":"Prefrontal Metabolite Alterations in Individuals with Posttraumatic Stress Disorder: A 7T Magnetic Resonance Spectroscopy Study.","authors":"Meredith A Reid, Sarah E Whiteman, Abigail A Camden, Stephanie M Jeffirs, Frank W Weathers","doi":"10.1177/24705470241277451","DOIUrl":"10.1177/24705470241277451","url":null,"abstract":"<p><strong>Background: </strong>Evidence from animal and human studies suggests glutamatergic dysfunction in posttraumatic stress disorder (PTSD). The purpose of this study was to investigate glutamate abnormalities in the dorsolateral prefrontal cortex (DLFPC) of individuals with PTSD using 7T MRS, which has better spectral resolution and signal-to-noise ratio than lower field strengths, thus allowing for better spectral quality and higher sensitivity. We hypothesized that individuals with PTSD would have lower glutamate levels compared to trauma-exposed individuals without PTSD and individuals without trauma exposure. Additionally, we explored potential alterations in other neurometabolites and the relationship between glutamate and psychiatric symptoms.</p><p><strong>Methods: </strong>Individuals with PTSD (n = 27), trauma-exposed individuals without PTSD (n = 27), and individuals without trauma exposure (n = 26) underwent 7T MRS to measure glutamate and other neurometabolites in the left DLPFC. The severities of PTSD, depression, anxiety, and dissociation symptoms were assessed.</p><p><strong>Results: </strong>We found that glutamate was lower in the PTSD and trauma-exposed groups compared to the group without trauma exposure. Furthermore, <i>N</i>-acetylaspartate (NAA) was lower and lactate was higher in the PTSD group compared to the group without trauma exposure. Glutamate was negatively correlated with depression symptom severity in the PTSD group. Glutamate was not correlated with PTSD symptom severity.</p><p><strong>Conclusion: </strong>In this first 7T MRS study of PTSD, we observed altered concentrations of glutamate, NAA, and lactate. Our findings provide evidence for multiple possible pathological processes in individuals with PTSD. High-field MRS offers insight into the neurometabolic alterations associated with PTSD and is a powerful tool to probe trauma- and stress-related neurotransmission and metabolism <i>in vivo</i>.</p>","PeriodicalId":52315,"journal":{"name":"Chronic Stress","volume":"8 ","pages":"24705470241277451"},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11381574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increasing our Understanding of Experiences of Discrimination and Chronic Stress. 增进我们对歧视和慢性压力经历的了解。
Chronic Stress Pub Date : 2024-08-11 eCollection Date: 2024-01-01 DOI: 10.1177/24705470241268480
Manik Ahuja, Angela Haeny
{"title":"Increasing our Understanding of Experiences of Discrimination and Chronic Stress.","authors":"Manik Ahuja, Angela Haeny","doi":"10.1177/24705470241268480","DOIUrl":"10.1177/24705470241268480","url":null,"abstract":"","PeriodicalId":52315,"journal":{"name":"Chronic Stress","volume":"8 ","pages":"24705470241268480"},"PeriodicalIF":0.0,"publicationDate":"2024-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11320389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Substance Use Disorder and Suicidal Ideation in Rural Maryland. 马里兰州农村地区的药物使用障碍和自杀意念。
Chronic Stress Pub Date : 2024-08-06 eCollection Date: 2024-01-01 DOI: 10.1177/24705470241268483
Manik Ahuja, Monika Jain, Hadii Mamudu, Kawther Al Ksir, Thiveya Sathiyaseelan, Shahin Zare, Nils Went, Praveen Fernandopulle, Trisha Schuver, Amanda Pons, McKenzie Dooley, Chisom Nwanecki, Kajol Dahal
{"title":"Substance Use Disorder and Suicidal Ideation in Rural Maryland.","authors":"Manik Ahuja, Monika Jain, Hadii Mamudu, Kawther Al Ksir, Thiveya Sathiyaseelan, Shahin Zare, Nils Went, Praveen Fernandopulle, Trisha Schuver, Amanda Pons, McKenzie Dooley, Chisom Nwanecki, Kajol Dahal","doi":"10.1177/24705470241268483","DOIUrl":"10.1177/24705470241268483","url":null,"abstract":"<p><strong>Background: </strong>Rural areas in the United States have been disproportionately burdened with high rates of substance use, mental health challenges, chronic stress, and suicide behaviors. Factors such as a lack of mental health services, decreased accessibility to public health resources, and social isolation contribute to these disparities. The current study explores risk factors to suicidal ideation, using emergency room discharge data from Maryland.</p><p><strong>Methods: </strong>The current study used data from the Healthcare Cost and Utilization Project (HCUP) State Emergency Department Databases (SEDD) from the State of Maryland. Logistic regression was used to assess the association between ICD-10 coded opioid use disorder, alcohol use disorder, cannabis use disorder, major depressive disorder, and the outcome variable of suicidal ideation discharge. We controlled for income, race, age, and gender.</p><p><strong>Results: </strong>Lifetime major depressive disorder diagnosis (odds ration [OR] = 79.30; 95% confidence interval [CI] 51.91-121.15), alcohol use disorder (OR = 6.87; 95% CI 4.97-9.51), opioid use disorder (OR = 5.39; 95% CI 3.63-7.99), and cannabis use disorder (OR = 2.67; 95% CI 1.37-5.18) were all positively associated with suicidal ideation.</p><p><strong>Conclusions: </strong>The study highlights the strong link between prior substance use disorder, depression, and suicidal ideation visit to the emergency room, indicating the need for prevention and intervention, particularly among those in rural areas where the burden of suicidal ideation and chronic stress are high. As health disparities between rural and urban areas further widened during the COVID-19 pandemic, there is an urgent need to address these issues.</p>","PeriodicalId":52315,"journal":{"name":"Chronic Stress","volume":"8 ","pages":"24705470241268483"},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modeling Sex-Bias in Anxiety: Pros and Cons of a Larval Zebrafish Model. 焦虑中的性别偏差建模:幼体斑马鱼模型的利与弊
Chronic Stress Pub Date : 2024-06-17 eCollection Date: 2024-01-01 DOI: 10.1177/24705470241261781
Lesha Pretorius, Aidan G Balshaw, Kelly S Ross, Carine Smith
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