Junzhe Cheng , Zhenchu Tang , Yubo Wang , Shazia Rehman , Zhixuan Ren , Yumeng Ju , Jin Liu , Mi Wang , Bangshan Liu , Yan Zhang
{"title":"Knowledge mapping of biofeedback for depression from 1999 to 2023: A bibliometric analysis","authors":"Junzhe Cheng , Zhenchu Tang , Yubo Wang , Shazia Rehman , Zhixuan Ren , Yumeng Ju , Jin Liu , Mi Wang , Bangshan Liu , Yan Zhang","doi":"10.1016/j.jadr.2025.100946","DOIUrl":"10.1016/j.jadr.2025.100946","url":null,"abstract":"<div><h3>Background</h3><div>Depression is a leading neuropsychiatric disorder causing disability worldwide. In recent years, biofeedback has been increasingly applied in the clinical treatment of depression. This study aims to explore the emerging trends and knowledge structure in biofeedback for depression.</div></div><div><h3>Methods</h3><div>The retrieval was conducted in the Science Citation Index-Expanded database from 1999 to 2023. The CiteSpace, VOSviewer, Microsoft Excel 365, and a bibliometric online platform were used to visualize bibliometric networks and conduct statistical analyses, exploring the relationships and contributions among countries/regions, institutions, funding agencies, journals, authors, and keywords.</div></div><div><h3>Results</h3><div>A total of 540 publications related to biofeedback for depression were included in this analysis, revealing a two-phase growth trend. From 1999 to 2013, there was steady but slow growth, with a compound annual growth rate of 7.49 %. This was followed by an explosive growth phase from 2014 onwards, with a 23.02 % annual growth rate, peaking at 71 publications in 2022. The United States ranked top in the number of publications, citations, and h-index, while Bodurka, J was the most prolific author. The University of London produced the highest number of publications. The most frequent keywords were \"depression\" and \"biofeedback,\" with \"anxiety,\" \"chronic pain,\" and \"therapy\" also prominent, underscoring the potential of biofeedback in treating depression and its comorbidities.</div></div><div><h3>Conclusion</h3><div>Since 2010 and 2016, scientific interest in biofeedback for depression has experienced two significant growths. The United States leads in this field, with Germany and China following. However, the scope of biofeedback applications for depression treatment is still limited, and there is a lack of inter-institutional collaboration. Biofeedback is an important direction of non-invasive adjuvant options for depression treatment in clinical practice.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100946"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144595775","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":"Understanding the gaming disorder–depression co-occurrence: A narrative literature review","authors":"An-Pyng Sun , Stephanie Diez","doi":"10.1016/j.jadr.2025.100961","DOIUrl":"10.1016/j.jadr.2025.100961","url":null,"abstract":"<div><div>Because gaming disorder (GD) often co-occurs with depression, understanding how both disorders work together enables clinicians to better treat individuals with GD<strong>–</strong>depression comorbidity. The extant literature on GD<strong>–</strong>depression comorbidity is unsystematic and contradictory, with some studies suggesting depression predicts GD but not vice versa, some claiming GD predicts depression but not vice versa, and some proposing a bidirectional relationship between the two. The goal of this narrative review is to explore and organize these findings to establish a holistic and coherent conceptual framework that explains how GD co-occurs with depression.</div><div>The PubMed, PsycINFO, and Web of Sciences databases were searched for relevant peer-reviewed journal articles published 2013–2025, using the search terms <em>(gaming disorder OR gaming addiction) AND (depression OR depressive symptoms)</em>. Results included 127 empirical studies that meet the inclusion criteria and are relevant to building a coherent map to explain the GD<strong>–</strong>depression relationship. The resulting framework combines their findings to map paths and mechanisms, as well as salient contextual factors, explaining how GD and depression may be connected. Specifically, the self-medication perspective indicates that psychiatric disorders, adverse life experiences, and other factors may predict GD via the mediation of depression. By comparison, the negative consequences perspective suggests that GD may lead to negative consequences (e.g., withdrawal, unhealthy lifestyles, and compromised self-esteem), which subsequently foster depression. Together, these two paths form a chronic vicious cycle.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100961"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144912190","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}
Eva-Maria Stelzer , Melissa Flores , Emily Butler , Jeff Greenberg , Matthias R. Mehl , David Sbarra , Mary-Frances O’Connor
{"title":"Beyond goodbye: daily emotion regulation sensed from deceased loved ones","authors":"Eva-Maria Stelzer , Melissa Flores , Emily Butler , Jeff Greenberg , Matthias R. Mehl , David Sbarra , Mary-Frances O’Connor","doi":"10.1016/j.jadr.2025.100972","DOIUrl":"10.1016/j.jadr.2025.100972","url":null,"abstract":"<div><h3>Background</h3><div>Attachment theory posits mental working models of close relationship partners that function as a source of support in the partner’s absence, and experimental evidence shows that thoughts of living attachment figures provide stress buffering. Bereaved individuals may benefit from accessing mental representations of deceased loved ones as well. This daily diary study examined whether sensing emotion regulation from the deceased is associated with mental health outcomes in conjugally bereaved adults.</div></div><div><h3>Methods</h3><div>Grief and well-being were assessed at baseline and after a 14-day daily diary study. Each evening, participants chose from a list of emotion regulation strategies they sensed from the deceased on that day, in addition to brief ratings of well-being (comprised of life satisfaction, positive and negative affect) and grief.</div></div><div><h3>Results</h3><div>Widowed participants (<em>N</em> = 156) experienced greater negative affect on days when they reported many emotion regulation strategies they sensed from the deceased. However, between participants, those who reported more emotion regulation strategies from the deceased on average across the study period reported more positive affect and more life satisfaction compared to people who reported fewer strategies across the 14 days. There were no associations between emotion regulation sensed from the deceased and grief. Follow up analyses found no indication of reverse causation, but found moderation by time since loss.</div></div><div><h3>Discussion</h3><div>In the long-term, “imagined” emotion regulation sensed from one’s deceased partner was linked to positive mental health indicators. In the short-term, however, emotion regulation strategies sensed from the deceased were associated with greater negative affect.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100972"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048725","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}
Helene Seljenes Dalum , Erlend Hem , Øivind Ekeberg , Kim Stene-Larsen , Lars Johan Hauge
{"title":"Suicide and utilisation of health-care services for depressive disorders among health-care professionals and clerics in Norway 2008–2021: a case-control study","authors":"Helene Seljenes Dalum , Erlend Hem , Øivind Ekeberg , Kim Stene-Larsen , Lars Johan Hauge","doi":"10.1016/j.jadr.2025.100944","DOIUrl":"10.1016/j.jadr.2025.100944","url":null,"abstract":"<div><h3>Background</h3><div>There is a lack of research on suicide and depression among health-care professionals, and most studies on depression are based on self-report. Thus, we conducted a register-based study to examine suicide risk and health-care utilisation for depressive disorders, both in the primary and specialist health-care services, among physicians, veterinarians, dentists, psychologists, pharmacists, physiotherapists, and nurses, as well as among clerics, compared to controls with higher and lower education.</div></div><div><h3>Methods</h3><div>The study is a case-control analysis based on Norwegian nationwide registers from 2008 to 2021. Occupations were included according to the Classification of Occupations provided by Statistics Norway. Information on occupations were linked to the Norwegian Cause of Death Registry, the Norwegian Patient Registry, and the Norwegian Registry for Primary Care.</div></div><div><h3>Results</h3><div>Suicide risk was not significantly elevated in any of the professions investigated. Physicians, psychologists, physiotherapists, and nurses had significantly lower rates as compared to controls with lower education. Psychologists and clerics had a higher likelihood of utilising specialist health-care services for depression as compared to controls with both higher and lower education. Clerics also utilised primary health-care services for depression to a larger extent as compared to both groups.</div></div><div><h3>Limitations</h3><div>Occupational exposure is only one of many factors contributing to depression and suicide risk. Other risk factors such as working conditions or mental illnesses other than depression were not accounted for in the present study.</div></div><div><h3>Conclusions</h3><div>Preventive mental health measures and timely treatment of depression among health-care professionals in need is important and may contribute to suicide prevention.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100944"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144595774","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}
Mohamad Awal Lakadjo , Ilham Khairi Siregar , Mohamad Rizal Pautina , Jumadi Mori Salam Tuasikal , Muh Taufiq , Bau Ratu
{"title":"Integration of inflammatory biomarkers and family counseling in postpartum depression management: A multidisciplinary perspective","authors":"Mohamad Awal Lakadjo , Ilham Khairi Siregar , Mohamad Rizal Pautina , Jumadi Mori Salam Tuasikal , Muh Taufiq , Bau Ratu","doi":"10.1016/j.jadr.2025.100967","DOIUrl":"10.1016/j.jadr.2025.100967","url":null,"abstract":"<div><div>This correspondence responds to the recent publication by Xie et al. (2025) on immune-inflammatory biomarkers associated with postpartum depression (PPD). We commend the study's methodological rigor and highlight its implications for early detection. Integrating biological screening with psychosocial assessment is essential to address the multifactorial etiology of PPD. Drawing from multidisciplinary perspectives, we emphasize the synergistic role of family functioning and systemic inflammation in shaping maternal mental health outcomes. Recent evidence shows that family-based interventions significantly improve both maternal well-being and infant development. In addition, impaired family dynamics are independently linked to increased antenatal distress, reduced coping, and negative developmental outcomes in children. We advocate for a biopsychosocial approach that combines biomarker monitoring with family counseling as a promising strategy for comprehensive perinatal care. Closing the implementation gap between research and clinical practice is crucial to ensure equitable access to integrative maternal mental health services.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100967"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932214","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}
Lorenz Rapp, Sandra A. Mai-Lippold, Eleana Georgiou, Olga Pollatos
{"title":"Atypical automatic processing of interoceptive information in adolescents with alexithymia","authors":"Lorenz Rapp, Sandra A. Mai-Lippold, Eleana Georgiou, Olga Pollatos","doi":"10.1016/j.jadr.2025.100958","DOIUrl":"10.1016/j.jadr.2025.100958","url":null,"abstract":"<div><h3>Background</h3><div>Alexithymia, characterized by impaired emotional identification and expression, exhibits conceptual and neuroanatomical overlap with atypical interoception - the ability to perceive and process bodily signals. This study investigates in adolescents the link between alexithymia and interoception using the heartbeat-evoked potential (HEP), a brain response reflecting cardiac signal processing.</div></div><div><h3>Methods</h3><div>Forty-seven healthy subjects (mean age 14.29 years, 53.2% female) underwent HEP recordings across three conditions (an interoceptive task, facial emotion recognition task, and resting condition) and completed the Toronto Alexithymia Scale (TAS-20).</div></div><div><h3>Results</h3><div>Frontocentral right hemisphere HEP activity during the interoceptive task displayed a negative correlation with TAS-20 total score. The HEP measured in the same area showed a non-significant trend for a negative correlation with two TAS-20 subscales. No significant correlation was observed between alexithymia scores and HEP amplitudes during the other conditions. TAS-20 scores had no significant association with the performance in an interoceptive task.</div></div><div><h3>Limitations</h3><div>Generalizability to adults is limited due to ongoing emotional and interoceptive network maturation in adolescents. HEP is only an indirect marker for interoceptive processes; therefore, no causality can be implied. Alexithymia self-reports could be critical, as individuals with higher levels of alexithymia exhibit more difficulties in discerning their internal emotional states. Power sensitivity analysis revealed a slightly underpowered sample.</div></div><div><h3>Conclusion</h3><div>This study suggests altered neuronal processing of bodily signals during interoception in adolescents with higher alexithymia scores. Our findings are novel, as they are the first to exhibit an interaction in this direction, thus highlighting the relevance of interoceptive processing in alexithymia.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100958"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889725","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":"Prevalence and influential factors of symptom and medication persistence in children with attention deficit hyperactivity disorder (ADHD) during COVID-19 pandemic","authors":"Pongpan Suriyong , Penkarn Kanjanarat , Shih-Hsien Lin , Thawari Khansamrong , Nootjaree Kamduang , Jenwara Pisitsupamitr , Khwandao Sudthanaphan","doi":"10.1016/j.jadr.2025.100952","DOIUrl":"10.1016/j.jadr.2025.100952","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic significantly impacted worldwide populations, triggering substantial societal changes and notably affecting children with ADHD's health<em>.</em> This study examined the prevalence and influential factors of ADHD symptoms and medication persistence in children during COVID-19.</div></div><div><h3>Methods</h3><div>This cross-sectional study at Rajanagarindra Institute of Child Development in Thailand, analyzed ADHD symptom management and medication persistence among children, using administrative data from April 3, 2019, to December 31, 2022. Supplemented by telephone interviews with parents, the study identified responsive and refractory groups, employing the SNAP IV scale and physician assessments for symptom evaluation. Medication persistence was evaluated through the medication possession ratio, dosage adjustments, additional psychiatric medications, and treatment discontinuation exceeding six months post-COVID-19. The study analyzed the influential factors using logistic regression analysis.</div></div><div><h3>Results</h3><div>During the COVID-19 pandemic, 1864 individuals accessed hospital services, with 90.7 % experiencing poor medication persistence, 33.4 % showing refractory ADHD symptoms, and 27.5 % exhibiting both. Among the 191 subjects (predominantly male), children aged 10–12 and 13–18 demonstrated better medication persistence than those aged 7–9, with aOR = 2.44 (95 % CI: 1.23–4.85; <em>P</em> = 0.011) and 4.55 (95 % CI: 1.84–11.28; <em>P</em> = 0.001), respectively. Symptom-responsive children with sustained medication persistence had improved hospital access compared to the refractory group (aOR = 0.43; 95 % CI: 0.19–0.98; <em>P</em> = 0.045). Additionally, 17.3 % reported adverse drug events.</div></div><div><h3>Conclusion</h3><div>During COVID-19, Thai children with ADHD struggled with severe symptoms and medication persistence, influenced by age and hospital access; telehealth and telepharmacy could offer support.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100952"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687041","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}
J.O. Kik , M.A. Alma , M. Hofman , J.A. Panjer , M.Y. Berger , H. Burger , D.C. Cath
{"title":"Barriers to and facilitators for a healthy lifestyle in people with mood and anxiety disorders: a qualitative study preceding the start of a multicomponent lifestyle intervention in secondary care","authors":"J.O. Kik , M.A. Alma , M. Hofman , J.A. Panjer , M.Y. Berger , H. Burger , D.C. Cath","doi":"10.1016/j.jadr.2025.100948","DOIUrl":"10.1016/j.jadr.2025.100948","url":null,"abstract":"<div><div>People with mood and/or anxiety disorders often experience compromised mental and physical health, but these can be enhanced through multicomponent lifestyle interventions (MLIs). However, current MLIs are not sufficiently adapted to address the specific motivational challenges faced by these individuals. This study aimed to identify facilitators and barriers to achieving a healthy lifestyle in these patients, including their expected challenges and supports when participating in an MLI within secondary care.</div><div>We conducted a qualitative study using semi-structured interviews with sixteen patients mood and/or anxiety disorders, and ten of their buddies, just before or at the beginning of their participation in our MLI <em>LIVES-SC</em>. Thematic analysis was used for analyzing data.</div><div>Thematic analysis identified four themes: health (mental and physical), awareness and motivation, social support, and environment. Physical health only posed barriers, while mental health could be both a barrier and a facilitator. Increased awareness of physical health enhanced motivation for lifestyle changes, especially through practical exercises. Social support, both at home and work, was crucial, with patients valuing a strong support system. For environmental factors, patients and buddies mentioned that buddies found that having a structured life with financial freedom supports a healthy lifestyle.</div><div>This qualitative study highlights how physical and mental health challenges, combined with environmental factors and social context, shape the ability of patients with mental health issues to adopt a healthier lifestyle. Despite various barriers, patients were motivated to change their lifestyle and valued the personalised, practical approach of the <em>LIVES-SC</em> intervention.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100948"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687043","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}
Hailey Burns , Abiaz Hossain , Alyssa Forbes , Sana Sheikh , Ravishankar Subramani Iyer , Silvia Marin-Dragu , Davi Pereira dos Santos , Rita Orji , Tomas Hajek , Sherry Stewart , Alexa Bagnell , Sandra Meier
{"title":"Pandemic-related anxiety and screen time: A mediation analysis","authors":"Hailey Burns , Abiaz Hossain , Alyssa Forbes , Sana Sheikh , Ravishankar Subramani Iyer , Silvia Marin-Dragu , Davi Pereira dos Santos , Rita Orji , Tomas Hajek , Sherry Stewart , Alexa Bagnell , Sandra Meier","doi":"10.1016/j.jadr.2025.100940","DOIUrl":"10.1016/j.jadr.2025.100940","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic brought worldwide lockdowns and social distancing, causing feelings of pandemic-related anxiety and consequentially poorer mental health and loneliness. While social isolation and poor mental health have both been previously linked to increased screen time, it is unclear if they can explain the increased screen time during the pandemic.</div></div><div><h3>Objective</h3><div>This study investigated whether pandemic-related anxiety is associated with increased screen time, and whether this relationship is mediated by an increase in internalizing and externalizing symptoms, as well as loneliness.</div></div><div><h3>Methods</h3><div>572 Canadian participants (average age 27.60) completed an online survey between June 2020 to November 2021. The survey measured pandemic-related anxiety, emotional and behavioral symptoms, and loneliness. Participants also used a mobile sensing app over two weeks to record their daily objective screen time. A structural equation model assessed the relationship of pandemic-related anxiety with general mental health and loneliness, as well as the relationship between these psychological constructs and objective daily screen time.</div></div><div><h3>Results</h3><div>Pandemic-related anxiety was associated with greater screen time. Externalizing symptoms and loneliness mediated the association of screen time with worries about the consequences of the pandemic, but not with worries about contracting the disease.</div></div><div><h3>Conclusions</h3><div>Worrying about contracting the disease is an independent risk factor in developing more concerning patterns of screen use. Additionally, worrying about the consequences of the pandemic is not an independent factor but rather is mediated by externalizing symptoms and loneliness. This has implications for conceptualizing problematic screen use and the development of intervention and prevention efforts.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100940"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517112","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}
Mathilde M. Husky , Hélène Amieva , Valérie Bergua , Karine Peres , Océane Pic , François Beck , Christophe Léon , Ingrid Gillaizeau , Helen-Maria Vasiliadis
{"title":"Living alone and 12-month major depressive episode in men and women from 2005 to 2021","authors":"Mathilde M. Husky , Hélène Amieva , Valérie Bergua , Karine Peres , Océane Pic , François Beck , Christophe Léon , Ingrid Gillaizeau , Helen-Maria Vasiliadis","doi":"10.1016/j.jadr.2025.100971","DOIUrl":"10.1016/j.jadr.2025.100971","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of the present study is to determine whether living alone is associated with major depression among men and women after adjusting for sociodemographics known to be associated with depression.</div></div><div><h3>Methods</h3><div>Data from the 2005, 2010, 2017, and 2021 nationally representative cross-sectional French Health Barometer surveys were pooled covering <em>n</em> = 71,168 adults ages 18 to 75. Logistic regressions were performed to identify associations between 12-month major depressive episode and living alone overall, and stratified by sex.</div></div><div><h3>Results</h3><div>An increasing portion of adults 18 to 75 lives alone in France: 11.2 % in 2005, 16.7 % in 2010, 17.4 % in 2017, and 19.0 % in 2021. Among men, in our study, those living alone represented 10.3 % in 2005 to 20.0 % in 2021, among women, 12.1 % in 2005 and 18.0 % in 2021. Men are more likely than women to live alone before age 55, the reverse is true thereafter. In parallel, the prevalence of depression has increased from 8.0 % in 2005 to 13.3 % in 2021. In multivariable models adjusting for age, sex, education, occupation, income level, urbanicity and study wave, living alone was associated with higher odds of depression (AOR=1.50, 95 %CI=1.41–1.60). No significant interactions were found for living alone x sex, while living alone was significantly associated with depression only among those 25 or older.</div></div><div><h3>Limitations</h3><div>Cross-sectional surveys.</div></div><div><h3>Conclusion</h3><div>Living alone is becoming more frequent and is a strongly associated with major depression. This finding should raise attention to groups of men and women at increased risk of mental health problems.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100971"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007544","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}