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Mediating role of coping strategies in the relationship between disease management self-efficacy, mental toughness, and quality of life in cardiovascular patients. 应对策略在心血管患者疾病管理自我效能感、心理韧性和生活质量之间的中介作用
Discover mental health Pub Date : 2025-02-24 DOI: 10.1007/s44192-025-00133-5
Parisa Janjani, Parisa Nosrati, Arash Ziapour, Mehdi Khezeli, Sahand Geravand, Reza Heidari Moghadam, Murat Yıldırım
{"title":"Mediating role of coping strategies in the relationship between disease management self-efficacy, mental toughness, and quality of life in cardiovascular patients.","authors":"Parisa Janjani, Parisa Nosrati, Arash Ziapour, Mehdi Khezeli, Sahand Geravand, Reza Heidari Moghadam, Murat Yıldırım","doi":"10.1007/s44192-025-00133-5","DOIUrl":"10.1007/s44192-025-00133-5","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases are among the leading causes of morbidity and mortality worldwide, significantly impacting the quality of life of affected individuals. Understanding the psychological factors that influence the well-being of cardiovascular patients is crucial for developing effective interventions. This study investigates the mediating role of coping strategies in the relationship between self-efficacy for disease management, mental toughness, and quality of life in cardiovascular patients.</p><p><strong>Method: </strong>This descriptive-analytical cross-sectional study was conducted in a specialized cardiology hospital in western Iran in 2022. The research employed correlation structure analyses and structural equation modeling. A total of 313 eligible patients with coronary artery disease participated in the study. Data were collected using questionnaires on coping strategies, self-efficacy in disease management, mental toughness, and quality of life. Of these, 303 valid responses were and analyzed using SPSS version 26 and PLS_3 software.</p><p><strong>Results: </strong>The results indicated that self-efficacy and mental toughness are directly and indirectly related to quality of life through the mediation of problem-oriented coping style. Self-efficacy positively influenced problem-oriented coping styles (β = 0.226), which in turn enhanced quality of life (β = 0.192). Mental toughness showed a direct positive effect on quality of life (β = 0.276) and an indirect effect through problem-oriented coping (β = 0.032). However, Structural Equation Modeling did not confirm the mediation of emotion-oriented coping style, indicating no significant influence from self-efficacy or mental toughness on quality of life through this path. Additionally, patients with higher self-efficacy in managing their disease reported higher quality of life (β = 0.352).</p><p><strong>Conclusion: </strong>These results highlight the importance of boosting self-efficacy and mental toughness in patients to improve their coping strategies and overall quality of life. Healthcare providers should consider incorporating these psychological factors into their treatment plans to achieve better patient outcomes.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494975","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
Direct observation systems for child behavior assessment in early childhood education: a systematic literature review. 幼儿教育中儿童行为评估的直接观察系统:系统的文献综述。
Discover mental health Pub Date : 2025-02-24 DOI: 10.1007/s44192-025-00139-z
Maha Al-Hendawi, Esraa Hussein, Sughra Darwish
{"title":"Direct observation systems for child behavior assessment in early childhood education: a systematic literature review.","authors":"Maha Al-Hendawi, Esraa Hussein, Sughra Darwish","doi":"10.1007/s44192-025-00139-z","DOIUrl":"10.1007/s44192-025-00139-z","url":null,"abstract":"<p><p>This systematic literature review critically assessed the use of direct observation systems (DOSs) in early childhood educational research, highlighting their role in the objective and systematic evaluation of child behavior and classroom dynamics. Our comprehensive analysis distinguishes between standardized and non-standardized observation systems regarding their applications, target groups, and capabilities for assessing diverse behavioral constructs in early childhood education settings. We synthesized data from 88 empirical studies, including standardized (47 studies) and non-standardized (41 studies) approaches. While the standardized DOS was defined as that which was consistently replicated across multiple research projects, the non-standardized DOS was tailored to the unique requirements of individual studies. Our findings suggest that while the standardized DOS offers a reliable method for generalized behavioral assessment, the non-standardized DOS is also widely and effectively used because it provides the flexibility required for more targeted behavioral evaluations. The Classroom Assessment Scoring System (CLASS) and the Individualized Classroom Assessment Scoring System (inCLASS) represent commonly used standardized tools, while non-standardized systems demonstrate particular strength in context-specific applications. The majority of the research was situated within pre-elementary contexts, with standardized studies having a median sample size of 158 compared to 136 non-standardized studies. Gender representation across the studies was notably equitable. A significant portion of related research has focused on populations at-risk of or diagnosed with emotional/behavioral disorders (EBDs) and attention-deficit/hyperactivity disorder (ADHD), accounting for 59.6% of standardized studies and 80.5% of non-standardized studies. DOS predominantly addressed emotional regulation (42%) and externalizing behaviors (21%).</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494974","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
Assessing the effects of long-COVID on mental health in the United States: a population based study. 评估长期covid对美国心理健康的影响:一项基于人口的研究。
Discover mental health Pub Date : 2025-02-24 DOI: 10.1007/s44192-025-00142-4
Anusua Datta
{"title":"Assessing the effects of long-COVID on mental health in the United States: a population based study.","authors":"Anusua Datta","doi":"10.1007/s44192-025-00142-4","DOIUrl":"10.1007/s44192-025-00142-4","url":null,"abstract":"<p><strong>Background: </strong>While most individuals recover fully from COVID-19, a significant proportion of survivors experience prolonged symptoms lasting three months or more, a condition commonly referred to as long-COVID. Long-COVID conditions have been associated with reduced quality of life. By utilizing a nationally representative sample of nearly a million Americans, this study provides insights into the prevalence and impact of long-COVID on anxiety and depression in the U.S.</p><p><strong>Methods: </strong>We utilize the Household Pulse Survey data, which provides the first population-based sample on the prevalence of long-COVID, beginning with its June 2022 wave. This survey also includes questions on respondents' mental health status-specifically anxiety and depression. We employ a quasi-experimental difference-in-differences framework to conduct research using control groups, to predict anxiety and depression among individuals who suffered from long-COVID.</p><p><strong>Results: </strong>Approximately 51.8% of those surveyed tested positive for COVID-19 and of these 27.3% reported suffering from long-COVID. Individuals with long-COVID were twice as likely to experience anxiety and depression relative to those with mild/asymptomatic COVID-19. Our analysis at the sub-group level revealed that younger adults and females were disproportionately affected, reporting higher rates of anxiety and depression in both the COVID-19 and long-COVID groups. Additionally, individuals with lower income and educational attainment were more likely to experience mental health challenges. Relative to the reference group (Asians), Whites, Blacks, and Hispanics exhibited significantly higher odds of anxiety and depression in both groups. Notably, long-COVID was linked to a higher incidence of depression among males, which is consistent with previous research.</p><p><strong>Conclusion: </strong>This study fills a significant gap in the literature regarding the mental health effects of long-COVID. The findings from this study provide strong evidence of the link between long-COVID and anxiety and depression, utilizing a large nationally representative sample, and employing rigorous analysis with control groups.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"23"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494972","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
Shared interactions of six neurotropic viruses with 38 human proteins: a computational and literature-based exploration of viral interactions and hijacking of human proteins in neuropsychiatric disorders. 六种嗜神经病毒与38种人类蛋白质的共同相互作用:基于计算和文献的神经精神疾病中病毒相互作用和劫持人类蛋白质的探索。
Discover mental health Pub Date : 2025-02-22 DOI: 10.1007/s44192-025-00128-2
Elif Asli Ozer, Aleyna Keskin, Yusuf Huseyin Berrak, Fatma Cankara, Fusun Can, Yasemin Gursoy-Ozdemir, Ozlem Keskin, Attila Gursoy, Hale Yapici-Eser
{"title":"Shared interactions of six neurotropic viruses with 38 human proteins: a computational and literature-based exploration of viral interactions and hijacking of human proteins in neuropsychiatric disorders.","authors":"Elif Asli Ozer, Aleyna Keskin, Yusuf Huseyin Berrak, Fatma Cankara, Fusun Can, Yasemin Gursoy-Ozdemir, Ozlem Keskin, Attila Gursoy, Hale Yapici-Eser","doi":"10.1007/s44192-025-00128-2","DOIUrl":"10.1007/s44192-025-00128-2","url":null,"abstract":"<p><strong>Introduction: </strong>Viral infections may disrupt the structural and functional integrity of the nervous system, leading to acute conditions such as encephalitis, and neuropsychiatric conditions as mood disorders, schizophrenia, and neurodegenerative diseases. Investigating viral interactions of human proteins may reveal mechanisms underlying these effects and offer insights for therapeutic interventions. This study explores molecular interactions of virus and human proteins that may be related to neuropsychiatric disorders.</p><p><strong>Methods: </strong>Herpes Simplex Virus-1 (HSV-1), Cytomegalovirus (CMV), Epstein-Barr Virus (EBV), Influenza A virus (IAV) (H1N1, H5N1), and Human Immunodeficiency Virus (HIV1&2) were selected as key viruses. Protein structures for each virus were accessed from the Protein Data Bank and analyzed using the HMI-Pred web server to detect interface mimicry between viral and human proteins. The PANTHER classification system was used to categorize viral-human protein interactions based on function and cellular localization.</p><p><strong>Results: </strong>Energetically favorable viral-human protein interactions were identified for HSV-1 (467), CMV (514), EBV (495), H1N1 (3331), H5N1 (3533), and HIV 1&2 (62425). Besides immune and apoptosis-related pathways, key neurodegenerative pathways, including those associated with Parkinson's and Huntington's diseases, were frequently interacted. A total of 38 human proteins, including calmodulin 2, Ras-related botulinum toxin substrate 1 (Rac1), PDGF-β, and vimentin, were found to interact with all six viruses.</p><p><strong>Conclusion: </strong>The study indicates a substantial number of energetically favorable interactions between human proteins and selected viral proteins, underscoring the complexity and breadth of viral strategies to hijack host cellular mechanisms. Further in vivo and in vitro validation is required to understand the implications of these interactions.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477283","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
Mediating effect of intolerance of uncertainty between fear of war and mental health in adults during the Israel-Palestine war of 2023. 2023年以巴战争期间成人战争恐惧与心理健康之间不确定性不容忍的中介作用
Discover mental health Pub Date : 2025-02-22 DOI: 10.1007/s44192-025-00144-2
Yelda Najem, Diana Malaeb, Fouad Sakr, Mariam Dabbous, Feten Fekih-Romdhane, Souheil Hallit, Sahar Obeid
{"title":"Mediating effect of intolerance of uncertainty between fear of war and mental health in adults during the Israel-Palestine war of 2023.","authors":"Yelda Najem, Diana Malaeb, Fouad Sakr, Mariam Dabbous, Feten Fekih-Romdhane, Souheil Hallit, Sahar Obeid","doi":"10.1007/s44192-025-00144-2","DOIUrl":"10.1007/s44192-025-00144-2","url":null,"abstract":"<p><strong>Background: </strong>The Israel-Palestine war of 2023 has exposed many individuals to prolonged fear and uncertainty, contributing to significant psychological and behavioral consequences. Fear of war has been shown to exacerbate negative mental health outcomes such as anxiety, depression, aggression and suicidal ideation and reduce overall wellbeing. Intolerance of uncertainty is a trait characterized by difficulty coping with ambiguous situations. It was regarded as a potential mediator in the association between fear of war and these outcomes. Therefore, this study's aim is to investigate the mediating effect of intolerance of uncertainty between fear of war and mental health including anxiety, depression, aggression, suicidal ideation and wellbeing in adults during the Israel-Palestine war of 2023.</p><p><strong>Methods: </strong>This study employs a cross-sectional design; it included a total of 484 Lebanese participants. A snowball sampling method via Google forms was employed by the research team to collect data. They were assessed with self-reported measures using The War-related Media Exposure Scale (WarMES), the Buss Perry Aggression Questionnaire-Short Form (BPAQ-SF), Columbia-Suicide Severity Rating Scale (C-SSRS), Intolerance of Uncertainty Scale (IUS) and The World Health Organization 5-item Well-Being Index (WHO-5).</p><p><strong>Results: </strong>Higher fear of war was significantly associated with more inhibitory and prospective anxiety. More prospective anxiety and inhibitory anxiety were significantly associated with more aggression, higher suicidal ideation, higher depression, lower wellbeing and higher anxiety. Fear of war was directly associated with depression, anxiety and lower wellbeing. Whereas the results did not show a direct association with aggression and suicidal ideation. The mediation analysis revealed that inhibitory anxiety and prospective anxiety fully mediated the relation between fear of war and aggression and partially mediated the relation between fear of war and depression, anxiety and wellbeing. Whereas the association between fear of war and suicidal ideation was fully mediated by prospective anxiety but not by inhibitory anxiety.</p><p><strong>Conclusion: </strong>Understanding the role of intolerance of uncertainty is crucial to developing interventions aimed to reduce mental health challenges in populations affected by conflict.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477282","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
Competence required while caring for people living with mental illness in the ambulance care setting: a Delphi study. 在救护车护理环境中照顾精神疾病患者所需的能力:一项德尔菲研究。
Discover mental health Pub Date : 2025-02-21 DOI: 10.1007/s44192-025-00140-6
Mats Holmberg, Staffan Hammarbäck, Henrik Andersson
{"title":"Competence required while caring for people living with mental illness in the ambulance care setting: a Delphi study.","authors":"Mats Holmberg, Staffan Hammarbäck, Henrik Andersson","doi":"10.1007/s44192-025-00140-6","DOIUrl":"10.1007/s44192-025-00140-6","url":null,"abstract":"<p><strong>Background: </strong>People living with mental illness form a significant component of individuals presenting to emergency care services. Ambulance care embraces the care and treatment given to people of all ages who have suffered a sudden illness or injury and is carried out twenty-four-seven, regardless of setting and organizational belonging.</p><p><strong>Aim: </strong>The aim was to explore ambulance clinicians' competence requirements in caring for people living with mental illness.</p><p><strong>Method: </strong>The study had a deductive and explorative design. A Delphi method was adopted using a group of experienced individuals recruited from the emergency care chain and non-governmental organizations (N = 15). An initial open-ended questionnaire was distributed covering three questions about; (1) knowledge, (2) skills and (3) attitudes that ambulance clinicians need to care for people living with mental illness. The informants' answers were analysed using a manifest content analysis ending up in statements designed into a questionnaire that was sent out digitally in two rounds.</p><p><strong>Results: </strong>The 57 statements that reached consensus could be categorised as referring to knowledge (n = 26), skills (n = 13) and attitude (n = 18).</p><p><strong>Conclusion: </strong>Ambulance clinicians are expected to manage a range of incidents involving people living with mental illness, demanding knowledge of mental illness and the skills of mental health assessment, to ensure ambulance clinicians have the ability and non-judgmental attitude to make appropriate decisions within a caring encounter.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469908","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
Bouncing back after trauma: music therapy, gender, and mental health in conflict-ridden settings. 创伤后的恢复:冲突环境中的音乐治疗、性别和心理健康。
Discover mental health Pub Date : 2025-02-20 DOI: 10.1007/s44192-025-00137-1
Ali Bitenga Alexandre, Amani Kasherwa, Juvenal Bazilashe Mukungu Balegamire, Jonathan Yoyu Tunangoya, Lampard Omari Mukanga, Freddy Zihindula Buhendwa, Marc Ombeni Rusagulira, Masheka Mirango Hilaire, Phillipe Amani Busane, Gilbert Mubalama Mugisho, Denis Mukwege Mukengere
{"title":"Bouncing back after trauma: music therapy, gender, and mental health in conflict-ridden settings.","authors":"Ali Bitenga Alexandre, Amani Kasherwa, Juvenal Bazilashe Mukungu Balegamire, Jonathan Yoyu Tunangoya, Lampard Omari Mukanga, Freddy Zihindula Buhendwa, Marc Ombeni Rusagulira, Masheka Mirango Hilaire, Phillipe Amani Busane, Gilbert Mubalama Mugisho, Denis Mukwege Mukengere","doi":"10.1007/s44192-025-00137-1","DOIUrl":"10.1007/s44192-025-00137-1","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The aim of this study was to assess the impact of music therapy with songwriting on mental health of vulnerable women and men in conflict-ridden setting settings. We examine the impact on participants' mental health (specifically anxiety, depression and post-traumatic stress disorder symptoms), the extent to which improvement was sustained for an extended period of time, and whether there were gender differences in improvement. Such an assessment is central in appraising the strength and relevance of mental health services offered to vulnerable populations in post conflict settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology: &lt;/strong&gt;This study is a longitudinal mixed method evaluation of music therapy with songwriting comparing mental health symptoms of participants before and after exposure to the program rather than a clinical trial with a control group. Participants in the Healing in Harmony (HIH) program were screened for anxiety, depression and PTSD before treatment, immediately after treatment and 6 months later. The Hopkins Symptoms checklists were used to evaluate anxiety and depression among 128 women and 60 men exposed to the HIH program from April to August 2021 in Mulamba in eastern DRC. The Harvard Trauma Questionnaire was used to measure post-traumatic stress disorder (PTSD). Average scores range from 1 to 4, with higher values indicating higher levels of the symptoms. Participants were classified as positive for each outcome when they scored equal to 1.75 or higher for anxiety and depression, and 2.5 or higher for PTSD. The qualitative component of the study  draws from   four focus group discussions (FGDs), two of which were conducted immediately after treatment and two six months later to gain an in-depth understanding of participants' experiences with the HIH.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;At the aggregate level, the rates of anxiety, depression and PTSD before treatment among participants were respectively 91.4, 90.4 and 36.7%. Immediately after treatment, the rates dropped significantly to 14.3, 15.9 and to 2.1%, respectively. The mean scores of the three mental health disorders were high before treatment but dropped significantly after treatment. The aggregate mean scores for anxiety, depression, and PTSD before and after treatment were 2.55 vs 1.29, p &lt; 0.001, 2.38 vs 1.35, p &lt; 0.001 and 2.27 vs 1.30, p &lt; 0.001, respectively. The only statistically significant difference between men and women was the mean score of depression before treatment (women 2.44 vs men 2.24, p &lt; 0.05). Both men and women demonstrated statistically significant improvement in mental health immediately after treatment across all categories (p &lt; 0.001). Six months after treatment, aggregate scores show that improvement was sustained across all categories. For depression and PTSD, scores showed a small but statistically significant improvement over the immediate post-treatment scores (by 0.03 and 0.01, respectively, p &lt; 0.05), while anx","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460997","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
Neurocognitive difficulties in trauma-exposed adults with metabolic syndrome: no influence of PTSD status or PTSD and metabolic syndrome comorbidity. 创伤暴露成人代谢综合征的神经认知困难:创伤后应激障碍状态或创伤后应激障碍与代谢综合征合并症的影响
Discover mental health Pub Date : 2025-02-20 DOI: 10.1007/s44192-025-00141-5
Sharain Suliman, Leigh van den Heuvel, Erine Bröcker, Soraya Seedat
{"title":"Neurocognitive difficulties in trauma-exposed adults with metabolic syndrome: no influence of PTSD status or PTSD and metabolic syndrome comorbidity.","authors":"Sharain Suliman, Leigh van den Heuvel, Erine Bröcker, Soraya Seedat","doi":"10.1007/s44192-025-00141-5","DOIUrl":"10.1007/s44192-025-00141-5","url":null,"abstract":"<p><strong>Background: </strong>Metabolic syndrome (MetS) and posttraumatic stress disorder (PTSD) often co-occur and both may compromise cognition, owing in part to common underlying mechanisms. Few studies have investigated the additive effects of these disorders on cognitive performance. Our aims were to compare cognitive performance between patients with PTSD and trauma-exposed controls (TEC) and investigate the additive effects of MetS factors on cognition.</p><p><strong>Methods: </strong>In this case-control study, we included 474 adult participants, 236 with PTSD and 238 TEC. Demographic, neuropsychiatric, metabolic-related, and neurocognitive assessments were undertaken and MANCOVAs performed controlling for age. Cognitive domains (immediate and delayed memory, attention, language, visuospatial performance, working memory and global cognition) were the dependent variables in the analysis. Patient status and presence/absence of MetS or MetS components were independent variables, in each model.</p><p><strong>Results: </strong>Patients with PTSD did not demonstrate worse cognitive performance than TEC on the neurocognitive domains assessed, and the presence of MetS in patients with PTSD did not alter this finding. Individuals with MetS also did not demonstrate worse cognition when compared to those without MetS. When we looked at individual MetS features, higher BMI was associated with poorer visuospatial performance, CONCLUSIONS: These findings contrast with many previous studies showing worse neurocognitive performance related to both PTSD and MetS. Further investigation is required to establish the contribution of MetS to cognitive deficits in those with PTSD. Generalisability and inferences regarding the directionality of associations are limited.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461000","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
Role of strategies used by young people for dealing with emotional distress: a qualitative study in deprived urban neighborhoods in Latin America. 年轻人处理情绪困扰的策略的作用:拉丁美洲贫困城市社区的定性研究。
Discover mental health Pub Date : 2025-02-20 DOI: 10.1007/s44192-025-00143-3
Isabela Osorio Jaramillo, Carlos Gomez-Restrepo, Luis Ignacio Brusco, Francisco Diez-Canseco, Catherine Fung, Karen Ariza-Salazar, Natividad Olivar, Mauricio Toyama, Diliniya Stanislaus Sureshkumar, José Miguel Uribe-Restrepo, Fernando Luis Carbonetti, Ana L Vilela-Estrada, Stefan Priebe
{"title":"Role of strategies used by young people for dealing with emotional distress: a qualitative study in deprived urban neighborhoods in Latin America.","authors":"Isabela Osorio Jaramillo, Carlos Gomez-Restrepo, Luis Ignacio Brusco, Francisco Diez-Canseco, Catherine Fung, Karen Ariza-Salazar, Natividad Olivar, Mauricio Toyama, Diliniya Stanislaus Sureshkumar, José Miguel Uribe-Restrepo, Fernando Luis Carbonetti, Ana L Vilela-Estrada, Stefan Priebe","doi":"10.1007/s44192-025-00143-3","DOIUrl":"10.1007/s44192-025-00143-3","url":null,"abstract":"<p><strong>Background: </strong>Many young people achieve recovery from mental health problems by using strategies to manage emotional distress and enhance well-being. Given that little is known about the functions of these strategies, especially in Latin American countries, this study aims to describe the usefulness of the resources used by youth from deprived urban neighborhoods in Bogotá (Colombia), Buenos Aires (Argentina), and Lima (Perú) in managing emotional distress.</p><p><strong>Methods: </strong>112 in-depth interviews about strategies for dealing with emotional distress and their perceived function were conducted with young people from three Latin American cities. The sample included young adults and adolescents in a longitudinal cohort study. A thematic content analysis was carried out.</p><p><strong>Results: </strong>Participants identify different functions linked to their strategies to cope with emotional distress or increase their well-being. However, \"coping with distress,\" \"perceived support,\" and \"distraction\" are the three main functions of the strategies used by them in situations of emotional distress. Each of these functions comprises several aspects, some of which overlap between functions, such as motivation, emotional expression, companionship, and regulation.</p><p><strong>Conclusion: </strong>The variety of functions linked to the strategies used by young people to cope with emotional distress or enhance their well-being could guide the facilitation of a favorable social and interpersonal context through public policies and a community approach that promotes young people's access to strategies to cope with emotional distress.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461003","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
Transcranial magnetic stimulation as a novel approach to effectively treat musical obsession (stuck song syndrome): a case series and a systematic review of case reports. 经颅磁刺激是一种有效治疗音乐强迫症(卡歌综合征)的新方法:病例系列和病例报告的系统回顾。
Discover mental health Pub Date : 2025-02-17 DOI: 10.1007/s44192-025-00145-1
Julie Niyitegeka, Olivia Haysey, Kilian Abellaneda-Pérez, Chi Hung Au
{"title":"Transcranial magnetic stimulation as a novel approach to effectively treat musical obsession (stuck song syndrome): a case series and a systematic review of case reports.","authors":"Julie Niyitegeka, Olivia Haysey, Kilian Abellaneda-Pérez, Chi Hung Au","doi":"10.1007/s44192-025-00145-1","DOIUrl":"10.1007/s44192-025-00145-1","url":null,"abstract":"<p><p>This is the first case series that demonstrates the use of transcranial magnetic stimulation (TMS) for the treatment of musical obsessions or stuck song syndrome (SSS), following a systematic review that identified existing treatments. SSS can occur independently, but in literature it is commonly reported as an obsessive-compulsive disorder (OCD) or major depressive disorder (MDD) symptom. Most people are familiar with earworms, experienced by up to 98% of the western population. Earworms can become severe leading to the SSS diagnosis. SSS is a distressing repetition of involuntary tunes persisting in one's mind. According to literature, SSS has often been treated using antidepressants which are used to treat MDD and OCD. As TMS has shown a positive therapeutic effect for psychiatric disorders particularly MDD and OCD, we hypothesized that TMS could be an effective treatment that reduces symptoms of patients with SSS. We present two cases of TMS treatment contributing to a reduction in symptoms of SSS. We also aim to provide a systematic review of cases where SSS has been described and compare the pharmacological or psychotherapeutic treatments used with our novel TMS interventions for SSS. This report highlights some limitations, including patient's psychiatric comorbidities and treatment protocol changes, which affect the findings generalizability. Despite these limitations, TMS appears promising as a treatment for SSS due to the observed effectiveness in reducing SSS symptoms and minimal side effects especially in medication-resistant cases.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442873","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
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