Actas espanolas de psiquiatria最新文献

{"title":"The Impact of Humanistic Postoperative Care Integrated With the 6S Management Model on Postoperative Delirium and Psychiatric Symptoms in Patients With Schizophrenia Undergoing Surgery.","authors":"Junxia Tong, Meijuan Lan, Yanling Xiao, Xiaoli Liu","doi":"10.62641/aep.v54i3.2239","DOIUrl":"10.62641/aep.v54i3.2239","url":null,"abstract":"<p><strong>Background: </strong>To explore the effects of humanistic postoperative nursing integrated with the 6S management model on psychiatric symptoms, postoperative delirium and stress response in patients with schizophrenia undergoing surgery.</p><p><strong>Methods: </strong>This study adopted a retrospective research design, selecting 80 schizophrenia patients who underwent elective general surgery treatment at People's Hospital of Pingyang between 1 August 2023 and 1 August 2025 as the research subjects. Based on the different treatment methods, the study subjects were divided into a control group (n = 40, receiving routine care) and an observation group (n = 40, receiving humanistic postoperative care integrating the 6S management model on the basis of routine care). Statistical analysis was used to examine the incidence of postoperative delirium, incidence of complications, stress response levels before and after nursing care, social function scores, Positive and Negative Syndrome Scale (PANSS) scores, and mental status scores in both groups.</p><p><strong>Results: </strong>The incidence of postoperative delirium and complications was lower in the observation group than in the control group. There were no significant differences in stress response levels, social function scores, PANSS scores, and mental status scores between the two groups before nursing care (p > 0.05). After nursing care, the observation group had lower stress response levels, PANSS scores, mental status scores and higher social function scores than the control group (p < 0.001).</p><p><strong>Conclusions: </strong>Humanistic postoperative nursing integrated with the 6S management model can reduce the incidence of postoperative delirium, complications, alleviate stress response, improve social function, and reduce psychiatric symptoms in patients with schizophrenia undergoing surgery.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"626-634"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortality Risks in Patients With Schizophrenia in Shanghai: A Longitudinal Cohort Study.","authors":"Yu Zhou, PanPan Zhang, Feng Wang, WeiBo Zhang, YiHua Jiang","doi":"10.62641/aep.v54i3.2022","DOIUrl":"10.62641/aep.v54i3.2022","url":null,"abstract":"<p><strong>Background: </strong>Schizophrenia is a severe mental disorder associated with significantly higher mortality risk than the general population, constituting a major public health challenge. Clarifying temporal trends in mortality among patients with schizophrenia helps inform targeted clinical and public health interventions. To assess changes in mortality rates over the last 2 years in patients with schizophrenia from one district of Shanghai, China.</p><p><strong>Methods: </strong>This longitudinal cohort study assessed the mortality of individuals with schizophrenia (n = 5234) from April 1, 2021, to March 31, 2023. The early cohort (up to March 31, 2022) contained 5207 individuals and the late cohort (up to March 31, 2023) contained 5114 individuals. Partitions of Pearson's chi-square statistic were used to conduct pairwise comparisons. A multivariable Cox proportional hazards model was used to assess the effects of different factors on mortality risk. Data were drawn from the official Shanghai database used for following-up individuals with severe mental health disorders.</p><p><strong>Results: </strong>The total number of deaths was 370. Of these, 120 occurred in the early cohort (2.30% of the cohort) and 250 in the late cohort (4.89% of the cohort). Individuals with schizophrenia in the late cohort had a 5.08- fold increased mortality risk than individuals in the general population. In the early cohort, mortality rates remained relatively stable (0.29%-0.48%). There were peaks in mortality rates (2.23%) in December 2022 and January 2023. Men had a higher risk of mortality than women (hazard ratio [HR], 1.294; 95% confidence interval [CI], 1.035-1.618; p = 0.024). Age was a contributing factor to the mortality of people with schizophrenia (HR, 1.048; 95% CI, 1.040- 1.056; p < 0.001). Being unmarried (HR, 1.956; 95% CI, 1.522-2.513; p < 0.001), divorced (HR, 1.481; 95% CI, 1.010-2.170; p = 0.044), or widowed (HR, 1.334; 95% CI, 0.958-1.856; p = 0.088) was associated with a high risk of mortality. Age of onset (HR, 1.046; 95% CI, 1.037- 1.054; p < 0.001) and illness duration (HR, 1.044; 95% CI, 1.037-1.051; p < 0.001) were associated with high mortality risk. The late cohort showed a higher mortality rate than the early cohort (HR, 2.427; 95% CI, 1.467-4.014; p = 0.001). The mortality of patients with schizophrenia was not significantly related to education level, economic status, or symptom onset.</p><p><strong>Conclusions: </strong>These findings highlight trends in schizophrenia mortality since April 2021. Compared with the general population, individuals with schizophrenia had higher mortality risk, particularly adults aged ≥65 years and women with low education.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"635-643"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148314871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience and Social Support as Predictors of Life Satisfaction in Healthy Older Adults: A Moderation Analysis.","authors":"Lorena González-García, Aranzazu Duque, Mireia Molins, Marta Aliño, Francisco Molins, Patricia Mesa-Gresa","doi":"10.62641/aep.v54i3.2218","DOIUrl":"10.62641/aep.v54i3.2218","url":null,"abstract":"<p><strong>Background: </strong>Previous literature has highlighted the importance of psychosocial factors such as the perception of an adequate social support network or the subjective experience of life satisfaction in promoting well-being in older adults and facilitating healthy aging processes. The objective of the present study was to analyze the possible relationship between the level of resilience and social support in healthy older adults, and how these variables may influence experiences of life satisfaction. Furthermore, potential moderation relationships between these variables were analyzed.</p><p><strong>Methods: </strong>The sample consisted of 42 healthy older adults (71.4% women), with a mean age of 66.57 years (standard deviation (SD) = 5.82). Participants completed a battery of questionnaires that included a sociodemographic questionnaire, the Connor-Davidson Resilience Scale (CDRISC), the Duke-UNC Functional Social Support Questionnaire (Duke-UNC-11), and the Satisfaction With Life Scale (SWLS).</p><p><strong>Results: </strong>The results of the multiple regression analyses indicate that resilience and social support positively and significantly predict life satisfaction. Furthermore, moderation analyses indicate that social support moderates the relationship between resilience and life satisfaction, jointly explaining 44.98% of the variance of this indicator of wellbeing. Specifically, the positive association between resilience and life satisfaction was stronger at lower levels of perceived social support.</p><p><strong>Conclusions: </strong>These findings suggest that resilience may play a particularly relevant role in life satisfaction when perceived social support is limited. However, the small sample size, the predominance of women, and the selective recruitment of healthy older adults warrant caution when generalizing the results. Overall, the findings support the need to expand the study of the correlations of well-being in old age, as well as to develop intervention programs aimed at promoting optimal aging that include strategies to improve resilience and foster functional social support networks.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"854-866"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Comfort Nursing in Operating Room on Anxiety Depression and Postoperative Recovery in Thyroidectomy Patients With Coexisting Sleep Disorders.","authors":"Wenjing Wu, Xiulan Huang, Qianwen Xu, Mei Dai, Jingjing Huang","doi":"10.62641/aep.v54i3.2238","DOIUrl":"10.62641/aep.v54i3.2238","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effects of comfort nursing in the operating room on anxiety, depression and postoperative recovery in thyroidectomy patients with sleep disorders.</p><p><strong>Methods: </strong>This retrospective analysis included 156 propensity-score-matched patients undergoing thyroidectomy at Taizhou Second People's Hospital (January 2023- September 2025). The patients were assigned to conventional care (n = 78) or comfort nursing (n = 78). Outcomes included Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index (PSQI), polysomnography (PSG), Quality of Recovery-15 (QoR-15), Visual Analogue Scale (VAS), thyroid cancer-specific quality of life (THYCA-QoL), recovery indices, complications and satisfaction.</p><p><strong>Results: </strong>Repeated-measures ANOVA revealed significant time, group and interaction effects for HADS-A, HADS-D and PSQI scores (all p < 0.001). Both groups improved postoperatively, with the comfort group showing greater reductions at 5 days and 4 weeks (p < 0.05). PSG parameters (total sleep time, sleep efficiency, REM%, sleep latency and microarousals) also improved in both groups, with superior outcomes in the comfort group (p < 0.05). Comfort nursing was associated with short times to first flatus and ambulation, reduced hospital stay, low choking incidence and high normal swallowing rate at 72 hours (p < 0.05). Complication rates did not differ between groups (p > 0.05). The comfort group achieved higher QoR-15 and lower VAS scores on days 1-3 (p < 0.001) and lower THYCA-QoL anxiety, psychological and sensory scores at 4 weeks (p < 0.001). Satisfaction was higher in the comfort group (84.62% vs. 69.23%, p < 0.05).</p><p><strong>Conclusions: </strong>Operating room comfort nursing alleviates anxiety and depression, improves sleep architecture, promotes early recovery and enhances quality of life and satisfaction in thyroidectomy patients with sleep disorders.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"701-713"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Social Contagion in Initiating Non-Suicidal Self-Injury in Schizophrenia: A Case Report.","authors":"Jonathan Shaw, Peter Bota, Charles Lai, Aidan Yong, Justin Cheng, Tina Allee","doi":"10.62641/aep.v54i3.2190","DOIUrl":"10.62641/aep.v54i3.2190","url":null,"abstract":"<p><p>Non-suicidal self-injury (NSSI) is a highly prevalent maladaptive behavior with studies indicating that it can affect between 40-80% of individuals with schizophrenia spectrum disorder. NSSI can arise during any point during the course of schizophrenia spectrum disorder and has the potential to suddenly manifest as major-self mutilation (MSM), a particularly severe and catastrophic form of NSSI. Although the motivation for NSSI/MSM varies by patient, the literature indicates that there are factors associated with these behaviors such as first-episode psychosis, command hallucinations, and past self-harming episodes. In this case report, the authors discuss a rare case of a 25-year-old male with schizophrenia who presented with ligature of multiple digits on both hands. The authors examine this rare presentation and how it is suspected to be linked to a similar case in nearby Los Angeles county through social contagion. Through this case, the authors aim to highlight the prevalence of NSSI, the potential for NSSI to transform to MSM, and the need for ongoing screening for these behaviors in those with psychotic disorder diagnoses.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"949-955"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging Three Decades: Global Self-Harm Trends From 1990-2021 and Projections to 2040.","authors":"Hong Zhu, Xuhong Zhang, Tiantian Chen, Zhixin Lim, Saboor Saeed, Jianping Tong, Ye Shen","doi":"10.62641/aep.v54i3.2111","DOIUrl":"10.62641/aep.v54i3.2111","url":null,"abstract":"<p><strong>Background: </strong>Self-harm, which includes both nonsuicidal self-injury and suicidal behaviors, poses a major global public health challenge. This study provides a comprehensive analysis of trends in self-harm worldwide, the socioeconomic disparities associated with it, and future projections, using data from the Global Burden of Disease, Injuries, and Risk Factors Study (GBD) 2021.</p><p><strong>Methods: </strong>Self-harm data were extracted from GBD 2021, including incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years(DALYs) for 204 countries and territories from 1990 to 2021. Age-standardized rates and estimated annual percentage change (EAPC) were calculated. Inequality was assessed using the Slope Index of Inequality (SII) and Concentration Index (CI). Autoregressive Integrated Moving Average (ARIMA) models were employed to generate projections of self-harm burden from 2022 to 2040.</p><p><strong>Results: </strong>The global burden of self-harm is projected to change substantially by 2040, with deaths estimated to increase to 829,853 (95% Uncertainty Interval (UI), 262,233-1,397,474) and prevalence projected to rise to 35,863,341 (95% UI, 8,079,108-63,647,574) cases (representing a 131.9% increase from the 2021 baseline of 15,467,153 cases). From 1990 to 2021, age-standardized rates of self-harm demonstrated decreasing trends globally and across sociodemographic index (SDI) levels, with the largest declines observed in high-middle SDI countries. Gender disparities were evident, with more pronounced decreases in females. Inequalities in DALYs due to self-harm decreased over time but remained higher among females in lower-SDI populations.</p><p><strong>Conclusions: </strong>Despite decreasing age-standardized rates, the global burden of self-harm is projected to increase substantially by 2040, with driven by increasing incidence and prevalence in incidence and prevalence. Inequities persist, particularly among females in lower-SDI populations. Implementation of targeted prevention and intervention strategies, strengthening of mental health systems, and addressing social determinants of health are imperative to reduce the growing burden of self-harm worldwide.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"644-656"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Anxiety and Depression Symptoms in Patients With Acute Ischaemic Stroke and the Development and Validation of a Risk Prediction Model.","authors":"Ruorui Yang, Xiaoying Meng, Jingjing Feng, Qiong Zhang","doi":"10.62641/aep.v54i3.2226","DOIUrl":"10.62641/aep.v54i3.2226","url":null,"abstract":"<p><strong>Background: </strong>To analyse the factors influencing anxiety and depression symptoms in patients with acute ischaemic stroke (AIS) and construct a nomogram model for predicting the risk of developing anxiety and depression.</p><p><strong>Methods: </strong>A total of 354 patients with AIS admitted to the Anhui Provincial Corps Hospital of Chinese People's Armed Police Force between May 2023 and April 2025 were selected. They were divided into anxiety and depression (n = 180) and nonanxiety and depression (n = 174) groups on the basis of the presence of anxiety (Hamilton Anxiety Rating Scale ≥ 7 points) and depression (Hamilton Depression Rating Scale ≥ 8 points). Baseline patient data, laboratory indicators and anxiety-depression status were extracted from medical records. Logistic multivariable analysis was employed to identify factors influencing the occurrence of anxiety and depression in patients with AIS, establishing a nomogram prediction model. Internal validation was conducted by using receiver operating characteristic (ROC) and calibration curves and decision curve analysis.</p><p><strong>Results: </strong>Comparative analysis revealed statistically significant differences between the two patient groups in terms of age, neutrophil count, angiogenin-like protein 4 (ANGPTL4), silencing information regulator protein 1 (SIRT1), Krüppel-like transcription factor 2 (KLF2), retinol-binding protein (RBP), lipoprotein (a) levels and plaque stability (p < 0.05). Multivariate logistic regression analysis revealed that age (odds ratio [OR] = 1.311, 95% confidence interval [95%CI]: 1.031-1.667), ANGPTL4 (OR = 0.057, 95%CI: 0.023-0.144), SIRT1 (OR = 0.096, 95%CI: 0.016-0.554), KLF2 (OR = 0.001, 95%CI: 0.000- 0.401), RBP (OR = 1.476, 95%CI: 1.068-2.040), lipoprotein (a) (OR = 1.130, 95%CI: 1.024-1.247) and plaque stability (OR = 23.941, 95%CI: 5.178-32.186) were factors influencing anxiety and depression symptoms in patients with AIS (p < 0.05). The established regression model equation is log(P) = 0.271 × age - 0.044 × ANGPTL4 - 2.348 × SIRT1 - 7.453 × KLF2 + 0.390 × RBP + 0.122 × lipoprotein (a) + 3.176 × plaque stability. The area under the ROC curve was 0.901 (95%CI: 0.867-0.934). Internal validation using the bootstrap method demonstrated high concordance between the predictive and standard model curves.</p><p><strong>Conclusions: </strong>Age, ANGPTL4, SIRT1, KLF2, RBP, lipoprotein (a) and plaque stability are factors influencing the occurrence of anxiety and depression symptoms in patients with AIS. The nomogram model constructed on the basis of these factors demonstrates predictive validity.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"867-877"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148314892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Neuromuscular Electrical Stimulation of Gluteus Medius Muscle on Hip Function and Sleep Quality in Patients With Sleep Disorders After Hip Arthroplasty.","authors":"Yang Zhou, Yanmei Shen, Xianping Lin, Chaohui Huang, Jie Sun, Zizheng Wu, Liang Lu, Chunxia Qian, Ting Zhang","doi":"10.62641/aep.v54i3.2248","DOIUrl":"10.62641/aep.v54i3.2248","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the effects of neuromuscular electrical stimulation (NMES) of gluteus medius on hip function and sleep quality in patients with sleep disorders after hip arthroplasty (HA).</p><p><strong>Methods: </strong>This retrospective analysis included 100 patients who underwent HA between January 2022 and August 2025 and developed postoperative sleep disorders. Patients were divided into in a control group (n = 45) and an NMES group (n = 55) based on the treatment received. The NMES group received NMES applied to the gluteus medius; both groups were treated for 4 weeks. Patient data extracted from the medical record system included hip function scores and sleep records: visual analogue scale (VAS), Harris Hip score, Berg Balance Scale (Berg) score, and Pittsburgh Sleep Quality Index (PSQI) score. These measures were compared between the two groups before and after treatment. Therefore, the correlation between VAS score and PSQI score was analysed.</p><p><strong>Results: </strong>After treatment, hip function and sleep quality improved in both groups. VAS scores decreased significantly after 4 weeks of treatment in both groups (p < 0.05), with the NMES group showing lower scores than the control group (p < 0.05), Harris and Berg scores increased significantly in both groups(p < 0.05), and both were higher in the NMES group (p < 0.05). The PSQI score in the NMES group was lower than that in the control group (p < 0.05). Correlation analysis showed a strongly positively correlated between VAS and PSQI scores in both groups before treatment (p < 0.05); after treatment, a weak positive correlation remained in the NMES group, whereas a moderate positive correlation persisted in the control group.</p><p><strong>Conclusions: </strong>Applying NMES to the gluteus medius is associated with reduced pain intensity in patients with sleep disorders after HA. This may contribute to improved sleep quality and help alleviate the reciprocal interaction between pain and sleep disorders.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"692-700"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148314936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Postoperative Pain in Surgery and the Onset of Psychological Symptoms Such as Mental Anxiety and Depression.","authors":"Yunyun Chen, Wenting Hu, Liangliang Tan, Jing Ren, Xiang Bao","doi":"10.62641/aep.v54i3.2216","DOIUrl":"10.62641/aep.v54i3.2216","url":null,"abstract":"<p><strong>Background: </strong>Postoperative pain is not only a primary source of physical discomfort but also a significant risk factor that can trigger or exacerbate mental and psychological symptoms such as anxiety and depression. This study aimed to explore the interrelationship between postoperative pain and mental psychological symptoms, such as anxiety and depression, and analyse the risk factors influencing postoperative mental psychological symptoms.</p><p><strong>Methods: </strong>This study retrospectively collected clinical data of 411 surgical patients from March 2023 to April 2025 through an electronic medical record system. The Numeric Rating Scale (NRS) was used to assess preoperative and postoperative pains during rest and exercise. Postoperative pain was defined as a resting or exercise-evoked NRS score > 3 (moderate to severe pain). The Hospital Anxiety and Depression Scale (HADS) was used to assess anxiety (Hospital Anxiety and Depression Scale-Anxiety [HADS-A]) and depression (Hospital Anxiety and Depression Scale-Depression [HADS-D]). The relationship between postoperative pain and psychological symptoms, such as anxiety and depression, was explored through Spearman's correlation analysis and univariate and multivariate logistic regression analysis.</p><p><strong>Results: </strong>After surgery, 59.12% (243/411) of patients had chronic postsurgical pain (CPSP), 36.25% (149/411) had anxiety symptoms (HADS-A > 7) and 31.63% (130/411) had depression symptoms (HADS-D > 7). Regarding surgical specialty, orthopaedic surgery patients had the highest proportion of CPSP, accounting for 63.64% (91/143) of orthopaedic cases, which represented 22.14% (91/411) of the total cohort. Gynaecologic surgery patients showed the highest rates of postoperative anxiety (41.76%, 38/91) and depression (45.05%, 41/91) within their specialty. After surgery, the average resting and exercise NRS scores of patients were significantly reduced compared with preoperative levels (both p < 0.01). However, the average HADS-A and HADS-D scores were significantly higher than before surgery (p < 0.01). Spearman's correlation analysis showed that postoperative resting NRS score was positively correlated with exercise NRS, HADS-A and HADS-D scores (p < 0.01). The correlation between HADS-A score and HADS-D score was not strong, whereas the correlation between exercise NRS score and these psychological indicators was strong. Multivariate logistic regression analysis showed that postoperative pain is an independent risk factor for the occurrence of mental symptoms.</p><p><strong>Conclusions: </strong>A statistically significant mutual association exists between postoperative pain and psychological symptoms in surgery.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"786-796"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-Stratified Analysis of Social Environmental Drivers of Depression Among Chinese Young People Aged 10-24 Years.","authors":"Xiongwei Xiang, Mingyu Fu, Jianing Wu, Ruiyang Chen, Xionggen Xiang, Yao Zhou, Yongchun Li, Weiwei Gao, Shuji Li","doi":"10.62641/aep.v54i3.2236","DOIUrl":"10.62641/aep.v54i3.2236","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;This study aimed to evaluate the effect of key social environmental determinants on trends in depression burden amongst Chinese adolescents aged 10-24 years and to examine the age- and gender-specific variations and lagged effects of these factors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Nationwide data spanning 2003-2021 were collected from the Global Burden of Disease database for depression burden indicators, World Bank socioeconomic datasets and the Chinese General Social Survey for education and social metrics. The primary variables analysed were gross domestic product (GDP) per capita, higher education enrolment rate (HEER), per capita current health expenditure and urban population percentage. Descriptive statistics and Pearson correlations were used to explore variable distributions and associations. Mixed-effects regression models quantified relationships between social factors and depression burden, and autoregressive distributed lag models assessed short-term lagged effects across age groups(10-14, 15-19 and 20-24 years). Interaction terms (HEER × total public expenditure on education (TPEE); unemployment × dependency ratio) were included on the basis of theoretical and empirical support from prior studies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Between 2003 and 2021, the overall burden of depression amongst young Chinese people decreased, but the 10- to 14-year age group showed a notable upward trend in disability‑adjusted life‑years since 2017. High GDP per capita, urbanisation and per capita health expenditure were significantly associated with reduced depression burden (p &lt; 0.05). Conversely, increasing HEER- indicative of rising educational competition-was associated with a high disease burden, particularly amongst females aged 15-19 and 20-24 years. Short-term lagged effects revealed that the psychological burden of education competition manifested within 1 year, particularly amongst younger adolescents. Economic improvements and health investments exerted protective lagged effects. Age-stratified analyses underscored distinct vulnerability patterns: 10- to 19-year-olds were highly sensitive to family and educational support, and 20- to 24-year-olds were greatly affected by social structural pressures. Pearson correlation analysis identified significant negative associations between several social factors and depression burden. The mechanisms were explained by China-specific social contexts and data characteristics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This nationwide longitudinal study reveals that multidimensional social determinants exert age- and gender-specific influences on depression burden amongst young Chinese people aged 10-24 years. The findings emphasise the urgent need for stratified policies, including enhancing family and educational support for individuals under 20 years old and reducing structural social pressures on young adults. Public mental health interventions should target these modifiable s","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"663-679"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}