Journal of Affective Disorders Reports最新文献

{"title":"Improving descriptive reporting of suicidal ideation: A call for comprehensive metrics","authors":"Samuel McKay ,&nbsp;Matthew J. Spittal","doi":"10.1016/j.jadr.2025.100953","DOIUrl":"10.1016/j.jadr.2025.100953","url":null,"abstract":"<div><div>Suicidal ideation is a critical risk factor and intervention target in suicide prevention research, yet its descriptive reporting remains inconsistent. Most studies report prevalence rates or mean scores, often omitting the conditional mean, the average score specifically among those experiencing suicidal ideation. This limits our ability to assess the true severity of ideation in affected populations and hampers cross-study comparability. We propose a standardised approach to descriptive reporting incorporating three key metrics: overall mean, conditional mean, and prevalence rate. These metrics provide a more comprehensive picture of the extent, severity, and prevalence of suicidal ideation. Where only categorical responses are available, we recommend reporting both prevalence and the full breakdown of response categories to preserve interpretability. The adoption of these standards would improve the precision of meta-analyses, enable more meaningful comparisons across studies, and support the development of targeted, evidence-based interventions. We call on researchers, journal editors, and reviewers to implement this reporting standard to strengthen the empirical foundation of suicide prevention efforts.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100953"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144680582","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":"Psychoeducation as an adjunctive treatment for depression: a systematic review and meta-analysis","authors":"Adriana Munhoz Carneiro ,&nbsp;Sara Lisboa Teodoro Silva ,&nbsp;Pedro Henrique Nunes Souto ,&nbsp;Leonardo Afonso dos Santos ,&nbsp;Ricardo Alberto Moreno","doi":"10.1016/j.jadr.2025.100950","DOIUrl":"10.1016/j.jadr.2025.100950","url":null,"abstract":"<div><div>Psychoeducation (PE) is a cost-effective psychosocial intervention recommended for many diseases; however, its application as an adjunctive treatment for patients with Major Depressive Disorder (MDD) remains unclear. This way, our study aims to gather information on how PE programs are organized and their efficacy in reducing MDD symptoms. Our search was conducted across databases (PubMed, EMBASE, and Web of Science), and sites (Clinical Trials, ProQuest, and Google Scholar) up to June 2024, including only studies with low/moderate risk of bias. From 5211 articles, 24 studies (23 RCTs and 1 cross-sectional study) were selected, resulting in data from 3311 participants; 1799 received some form of PE. Data obtained from RCT studies, comparing PE with waiting list (<em>n</em> = 3), Treatment as usual (<em>n</em> = 6), and other psychosocial treatment (<em>n</em> = 13), indicated that PE interventions were related to better symptom reduction only compared to TAU (SMD 0.24 [0.04–0.45]. By comparing pre and post-scores of PE interventions from each study, a large-size effect (Hedge’s <em>g</em> &gt; 0.8) was found. In this sense, findings suggest PE as an important adjunctive treatment for MDD during depressive episodes, leading to significant symptom reduction regardless of the PE offered. However, the heterogeneity observed limits definitive conclusions about its optimal model. Future research should prioritize the development of standardized PE models, with clear theoretical foundations in order to enhance efficacy and generalizability of PE for MDD.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100950"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711864","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":"Mentalizing in the moment – An investigation of intrapersonal fluctuations in real-time mentalizing capacity in the context of stress and arousal in an ecological momentary assessment study","authors":"Inken Höller ,&nbsp;Philip S. Santangelo ,&nbsp;Franziska Dienst ,&nbsp;Thomas Forkmann ,&nbsp;Saskia Forster","doi":"10.1016/j.jadr.2025.100943","DOIUrl":"10.1016/j.jadr.2025.100943","url":null,"abstract":"<div><h3>Background</h3><div>Although it is assumed that mentalization fluctuates over time, the ability to reflect on and interpret one's own and others' mental states has so far mainly been studied cross-sectionally. The present study tested the usage of a new mentalization short scale in a longitudinal Ecological Momentary Assessment (EMA) design to depict intrapersonal fluctuations in mentalization in real time. In addition, stress and arousal were investigated as possible influencing factors.</div></div><div><h3>Methods</h3><div>Eighty-six participants (86 % female) between 18 and 51 years old (<em>M</em> = 22.93 <em>SD</em> = 5.36) completed a baseline questionnaire and took part in a seven-day EMA phase with six daily assessments on mentalization, stress, and arousal.</div></div><div><h3>Results</h3><div>Mentalization related to oneself (self-certainty) and related to others (other-certainty) correlated moderately positively between baseline assessment and EMA. According to intraclass correlations (ICC), about half of the variance of self-certainty (ICC = 0.46) and other-certainty (ICC = 0.43) occurred within persons. In addition, stress was significantly associated with at the same measurement point and significantly predicted self- and other-certainty to the next measurement point. Arousal was associated with both mentalization dimensions at the same measurement point but was only able to significantly predict self-certainty.</div></div><div><h3>Conclusion</h3><div>Mentalization of self and others intraindividually fluctuates in everyday life and is related to stress and arousal. However, only stress can longitudinally predict both dimensions of mentalizing and is thus the more robust predictor. The prediction of fluctuations and mentalizing deficits by stress offers implications for monitoring and interventions in mental disorders.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100943"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580796","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":"Role of psychosocial work factors in sleep problems among heavy goods vehicle drivers: The buffering effect of psychosocial safety climate","authors":"Mustapha Amoadu ,&nbsp;William Akoto-Buabeng","doi":"10.1016/j.jadr.2025.100939","DOIUrl":"10.1016/j.jadr.2025.100939","url":null,"abstract":"<div><h3>Background</h3><div>Heavy goods vehicle (HGV) drivers are integral to economic productivity but face precarious working conditions that adversely affect their health and safety. This study examined the relationships between psychosocial work factors, burnout, psychological well-being, and sleep problems among HGV drivers in Ghana, with a focus on the buffering role of the psychosocial safety climate (PSC).</div></div><div><h3>Method</h3><div>A cross-sectional survey of 1,575 HGV drivers conveniently sampled. Descriptive statistics were provided for socio-demographic characteristics of the drivers. Hypotheses were tested using partial least squares structural equation modelling (PLS-SEM). Smart PLS version 4.1.0.9 statistical software was used.</div></div><div><h3>Results</h3><div>The data suggests that high PSC significantly reduced psychological demands, job insecurity, burnout, and sleep problems while improving psychological well-being. This study further suggests that psychological demands and job insecurity increased burnout and sleep problems. This study found that burnout may impair sleep while psychological well-being reduces sleep problems. Burnout and psychological well-being partially mediated the effects of psychosocial work factors on sleep problems. PSC also moderated the adverse effects of job demands and insecurity, though some effects, such as job insecurity’s impact on well-being, lacked practical significance.</div></div><div><h3>Conclusion</h3><div>The findings suggest that PSC is a predictor of job stressors, burnout and psychological well-being and a buffer of the effect of stressful work environment on health outcomes among occupational drivers in Ghana. These findings indicate the need for integrated organisational and structural interventions to create safe, decent, and supportive work environments that enhance driver well-being and promote road safety.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100939"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501647","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":"Can the integrated and selected pattern approach effectively predict suicide rates? A study using internet search queries","authors":"Sei Takane","doi":"10.1016/j.jadr.2025.100934","DOIUrl":"10.1016/j.jadr.2025.100934","url":null,"abstract":"<div><h3>Background:</h3><div>Suicide prevention has become a global public health and political issue. There have been active attempts to predict suicides (suicide rates and suicide numbers) using search queries from search engines.</div></div><div><h3>Methods:</h3><div>This study used spike-and-slab regression which is one of the sparse variable selection techniques, and we called this approach the ‘integrated and selected pattern approach.’ we used monthly national suicide data and relative search volume (RSV) of 51 search queries from Google Trends for the United States (US) and Japan from 2004 to 2019, and compared the accuracy of models using this approach against those using other approaches.</div></div><div><h3>Results:</h3><div>The model employing the integrated and selected pattern approach demonstrated the highest accuracy and stability of predicted values in predicting suicide rates and the number of suicides in the US. However, in the case of Japan, the accuracy and stability of the predicted values for this approach were lower than other approaches. Furthermore, even in the US, where the integrated and selected pattern approach outperforms other approaches at the country-level, it does not consistently outperform other models across all data subsets.</div></div><div><h3>Limitations:</h3><div>The integrated and selected pattern approach is not universally the most efficient method for predicting suicides across all linguistic, cultural contexts, and demographic groups. It remains crucial to emphasize the importance of comparing its efficacy with several other approaches in practical implementations.</div></div><div><h3>Conclusion:</h3><div>The integrated and selected pattern approach is one of the potentially effective methods for predicting suicides.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100934"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270053","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":"The echoes of childhood: How parental bonding and emotional trauma shape loneliness in young adults","authors":"Ilenia Rosa ,&nbsp;Chiara Conti ,&nbsp;Roberta Lanzara ,&nbsp;Irene Ceccato ,&nbsp;Chiara Gallelli ,&nbsp;Pasquale La Malva ,&nbsp;Alberto Di Domenico ,&nbsp;Piero Porcelli","doi":"10.1016/j.jadr.2025.100938","DOIUrl":"10.1016/j.jadr.2025.100938","url":null,"abstract":"<div><h3>Background</h3><div>Loneliness is a subjective and painful experience resulting from an imbalance between desired and perceived social relationships. Several situational factors may increase loneliness in young adults. The study aimed to explore the association between parental bonding and loneliness by including childhood traumatic experiences and current psychological distress as potential mediators.</div></div><div><h3>Method</h3><div>A sample of 608 college students in psychology (Mage = 21.23, SD = 2.10) was consecutively enrolled. Sociodemographic characteristics, parental bonding (PBI), loneliness (UCLA), childhood traumatic emotional experiences (CTQ), anxiety (GAD-7), depressive (PHQ-9), and somatic symptoms (PHQ-15) were assessed through an online survey. After preliminarily assessing frequency distributions, descriptive statistics, and correlation, we performed a path analysis to examine both direct and indirect effects among the variables of interest.</div></div><div><h3>Results</h3><div>The path model showed that PBI care was negatively associated with traumatic experiences in childhood (ps ≤ 0.01). Both emotional abuse and neglect during childhood predicted higher levels of anxiety and depression (ps ≤ 0.05). Emotional abuse further predicted somatic symptoms (<em>p</em> &lt; .001). Finally, loneliness was positively predicted by childhood traumatic emotional experiences, both neglect and abuse (ps &lt; 0.001), as well as by depression (<em>p</em> &lt; .001). Overall, the model explained a significant amount of variance in the UCLA scale (<em>R</em>² = 0.44, <em>p</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>Childhood trauma and adult depressive symptoms mediate the link between low parental care and loneliness. Recognizing early negative parental bonding's impact allows for tailored interventions to enhance psychological well-being by addressing early attachment issues.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100938"},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279350","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":"Content-specificity of a single-session cognitive bias modification of interpretations for social anxiety","authors":"Emily K. Daniel ,&nbsp;Carly Johnco ,&nbsp;Gemma Sicouri","doi":"10.1016/j.jadr.2025.100937","DOIUrl":"10.1016/j.jadr.2025.100937","url":null,"abstract":"<div><div>Cognitive bias modification of Interpretations (CBM-I) has been proposed as a promising mechanistically-focused intervention for social anxiety disorder (SAD). Although CBM-I modifies the interpretation biases associated with SAD, the effect sizes for symptomatic improvements are small. The efficacy of CBM-I may be improved by tailoring the content of the intervention to the targeted disorder (i.e., content-specificity). The current study examined whether content-specific CBM-I was associated with improved bias and symptom outcomes compared to non-content-specific CBM-I. Participants (<em>N</em> = 108, aged 18–35, <em>M</em> = 19.00, SD = 2.44) with elevated social anxiety symptoms were randomly allocated to receive a single session of content-specific or non-content-specific CBM-I. The content-specific group had significantly greater reductions in negative interpretation bias and social interaction anxiety symptoms than the non-content-specific group. There were no group differences for social observation anxiety. However, the non-content-specific group had a significantly larger reduction in state anxiety than the content-specific group. The results indicated that CBM-I for SAD may be improved by matching the content of the intervention to the disorder. Future research should replicate the results using multiple sessions and consider the importance of tailoring CBM-I to diagnostic presentation and specific biases.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100937"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144331037","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":"Exploration of the factors associated with suicide ideation among students: A structural equation modeling (SEM) approach","authors":"Md. Hazrat Ali ,&nbsp;Syed Billal Hossain ,&nbsp;Mir Apel Mahmud ,&nbsp;Kazi Mahfujur Rahman ,&nbsp;Md. Saikat Mridha ,&nbsp;Md. Sadat Hassan ,&nbsp;Shafika Rahman ,&nbsp;Md. Rezaul Karim","doi":"10.1016/j.jadr.2025.100936","DOIUrl":"10.1016/j.jadr.2025.100936","url":null,"abstract":"<div><div>This article focuses on the rising issue of suicidal thoughts among Bangladeshi students, which is prevalent nationwide. It was a cross sectional study to explore the factors associated with suicidal ideation among Bangladeshi students. 442 students of 15 to 30 years, from 1 secondary school, 2 higher secondary Schools, and 1 university spread throughout different regions of Bangladesh were employed in the study, which used an extensive questionnaire with 85 factors, including 78 possible causes for suicide, scored on a 5-point Likert Scale. The data were analyzed using structured equation modeling (SEM) and confirmatory factor analysis (CFA) techniques. The study observed five factors contributing to suicide ideation, including psychological, social, academic, economic, and physical factors through SEM approach. According to the findings, suicide ideation is highly correlated with factors like age, living area, monthly family income, family issues, feelings of unworthiness, corruption in the nation, and lack of dignity, among Bangladeshi students. Inferences of this study can be utilized to plan research approaches for exploring the ways of suicide prevention and interventions to suicide ideation.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100936"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178428","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":"Accelerated acupuncture therapy for patients with major depressive symptoms: a single blind, randomized wait-list controlled trial","authors":"Xiao Wei Tan ,&nbsp;Yuen Yin Joyce Chee ,&nbsp;Yin Jia Lim ,&nbsp;Frederick Peiwei Koh ,&nbsp;Zheng Jie Jovi Koh ,&nbsp;Gulwant Hasvinjit Kaur Singh ,&nbsp;Si Yun Rachel Tan ,&nbsp;Linda Zhong ,&nbsp;Phern Chern Tor","doi":"10.1016/j.jadr.2025.100935","DOIUrl":"10.1016/j.jadr.2025.100935","url":null,"abstract":"<div><h3>Aim</h3><div>To test the effectiveness of an accelerated acupuncture treatment as an augmentation therapy for patients with primary diagnosis of major depressive symptoms.</div></div><div><h3>Methods</h3><div>Recruited patients were 1:1 randomly assigned to receive either treatment-as-usual (wait-list controlled group) or with additional acupuncture intervention (treatment group). The acupuncture treatment includes daily scalp acupuncture with manual stimulation for a total of 10 sessions conducted within 2–3 weeks. Blinded raters assessed patients’ depressive symptoms and quality of life at baseline (pre-treatment), immediately after treatment, 2 weeks, and 3 months post-treatment.</div></div><div><h3>Results</h3><div>A total of 84 patients with 59 (70.2 %) Chinese, 17 (20.2 %) Malay and 4 (4.8 %) Indians participated in this trial. There is an overall improvement of depressive symptoms score assessed by Montgomery–Åsberg Depression Rating Scale (MADRS) and Quick Inventory of Depressive Symptomatology- Self report 16 items (QIDS-SR16), and an improvement of subjective Quality of life assessed by EQ5D Visual Analogue Score (VAS) and Utility Score (US) from pre-treatment to 3 months post-treatment for patients in both treatment groups and control group. In addition, compared to patients in control group, acupuncture induced an overall significantly better QIDS-SR16 (effect size <em>η²</em> = 0.15, <em>p</em> = 0.025) and better EQ-5D Visual Analogue Scale score (<em>η²</em> = 0.20, <em>p</em> = 0.005).</div></div><div><h3>Conclusion</h3><div>Acupuncture induced an accumulated and delayed antidepressant treatment effect for patients with depression. Our study informed the potential of an accelerated acupuncture treatment as an augmentation antidepressant therapy within a multiethnic South-east Asian population.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100935"},"PeriodicalIF":0.0,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195918","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":"Childhood maltreatment as a risk factor for depressive symptoms after an unintended pregnancy: The role of emotion regulation difficulties","authors":"Hannah Klusmann ,&nbsp;Caroline Meyer ,&nbsp;Sinha Engel ,&nbsp;Stephanie Haering ,&nbsp;Meike Katharina Blecker ,&nbsp;Elisabeth Conrad ,&nbsp;Franziska Reichmuth ,&nbsp;Sarah Schumacher ,&nbsp;Christine Knaevelsrud","doi":"10.1016/j.jadr.2025.100931","DOIUrl":"10.1016/j.jadr.2025.100931","url":null,"abstract":"<div><h3>Background</h3><div>Individuals who experience an unintended pregnancy are at risk of developing depressive symptoms, regardless of whether the pregnancy is terminated or carried to term. Knowledge about particularly vulnerable individuals after an unintended pregnancy and about potential mechanisms of change is scarce.</div></div><div><h3>Methods</h3><div>This study investigated whether participants with childhood maltreatment after an unintended pregnancy (abortion or delivery), and whether difficulties in emotion regulation contribute significantly to depressive symptoms, beyond the effects of childhood maltreatment. Welch <em>t</em>-tests, chi-square-tests and hierarchical regression analysis were conducted.</div></div><div><h3>Results</h3><div>We included 190 participants, 46.8 % of whom had experienced childhood maltreatment. Participants with childhood maltreatment reported greater depressive symptoms (<em>t</em> = 4.23, df=186, <em>p</em>&lt;.001) and were more likely to fulfill the diagnostic criteria for a depressive episode with onset during or after the pregnancy (χ²=6.5354, df=1, <em>p</em>&lt; .05). The unique contribution of childhood maltreatment to depressive symptoms was 7 % (F(184,1) = 21.52, <em>p</em> &lt; .001), the unique contribution of difficulties in emotion regulation to depressive symptoms was 28 % (F(183,1) = 80.70, <em>p</em> &lt; .001).</div></div><div><h3>Limitations</h3><div>Limitations include the cross-sectional design and self-selected sample. Furthermore, only participants with unintended pregnancies were included, impeding comparisons with intended pregnancies.</div></div><div><h3>Conclusions</h3><div>Individuals with childhood maltreatment are specifically vulnerable to developing depressive symptoms after an unintended pregnancy. Preventive interventions should identify these individuals and provide individualized support as early as possible. Emotion regulation may be a promising intervention target for reducing depressive symptoms after an unintended pregnancy.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100931"},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184300","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}