Npj mental health research最新文献

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The influence of prior awareness on views about psychiatric electroceutical interventions among non-clinician stakeholders 先前认知对非临床利益相关者精神科电刺激干预观点的影响
Npj mental health research Pub Date : 2023-05-03 DOI: 10.1038/s44184-023-00028-9
J. M. Tyron, R. Bluhm, E. D. Achtyes, A. M. McCright, L. Y. Cabrera
{"title":"The influence of prior awareness on views about psychiatric electroceutical interventions among non-clinician stakeholders","authors":"J. M. Tyron, R. Bluhm, E. D. Achtyes, A. M. McCright, L. Y. Cabrera","doi":"10.1038/s44184-023-00028-9","DOIUrl":"10.1038/s44184-023-00028-9","url":null,"abstract":"Psychiatric electroceutical interventions (PEIs) are emerging interventions in the treatment of depression and other mood disorders. The uptake of PEIs is strongly influenced by public, caregiver, and patient views. This study examines the influence of prior awareness and of trust in the medico-scientific establishment with respect to non-clinicians’ views on PEI among a cohort of U.S. respondents. About 3098 U.S. caregivers, patients, and members of the general public completed an online survey with an embedded experiment to evaluate PEI views by stakeholder, modality, and disease severity. ANOVA statistical tests and logistic regression models were used to identify significant differences between groups and moderating factors. Overall, respondents had greater awareness of antidepressant medication (73–84%) and psychotherapy (68–76%) than of any PEI, and ECT garnered the most prior awareness (29–40%) within each group. Non-clinical respondents most often used websites or social media as information sources, and the least trusted sources included those with notable financial interests. Considering the low awareness level among non-clinicians, the implementation of programs to target and advance awareness levels about the use of PEIs in depression among this population may contribute to reducing negative views around these interventions. Fostering trust in the medico-scientific establishment may also increase public support for PEIs as well as uptake of these treatment modalities.","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s44184-023-00028-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45656523","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
Examining equity in access and utilization of a freely available meditation app 研究免费提供的冥想应用程序在获取和使用方面的公平性
Npj mental health research Pub Date : 2023-04-18 DOI: 10.1038/s44184-023-00025-y
Zishan Jiwani, Raquel Tatar, Cortland J. Dahl, Christine D. Wilson-Mendenhall, Matthew J. Hirshberg, Richard J. Davidson, Simon B. Goldberg
{"title":"Examining equity in access and utilization of a freely available meditation app","authors":"Zishan Jiwani, Raquel Tatar, Cortland J. Dahl, Christine D. Wilson-Mendenhall, Matthew J. Hirshberg, Richard J. Davidson, Simon B. Goldberg","doi":"10.1038/s44184-023-00025-y","DOIUrl":"10.1038/s44184-023-00025-y","url":null,"abstract":"Digital interventions have the potential to alleviate mental health disparities for marginalized and minoritized communities. The current study examined whether disparities in access and utilization of meditation in the United States (US) were reduced for a freely available meditation app. We analyzed demographic and usage data from US-based users of the Healthy Minds Program (HMP; N = 66,482) between October 2019 and July 2022. College education was associated with a greater likelihood of accessing (65.0% of users vs. 32.9% of the US population) and continuing to utilize the app (β = 0.11–0.17). Conversely, identifying as African American was associated lower likelihood of accessing (5.3% vs. 13.4% of the US population) and continuing to utilize the app (β = −0.02–0.03). African Americans were more likely to access content from an African American meditation teacher, but this did not appear to increase utilization. Additional efforts are warranted to identify factors that might reduce disparities.","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10164442/pdf/nihms-1879395.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9450274","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
Optimizing multi-domain hematologic biomarkers and clinical features for the differential diagnosis of unipolar depression and bipolar depression 优化多领域血液学生物标志物和临床特征对单相抑郁症和双相抑郁症的鉴别诊断
Npj mental health research Pub Date : 2023-04-10 DOI: 10.1038/s44184-023-00024-z
Jinkun Zeng, Yaoyun Zhang, Yutao Xiang, Sugai Liang, Chuang Xue, Junhang Zhang, Ya Ran, Minne Cao, Fei Huang, Songfang Huang, Wei Deng, Tao Li
{"title":"Optimizing multi-domain hematologic biomarkers and clinical features for the differential diagnosis of unipolar depression and bipolar depression","authors":"Jinkun Zeng, Yaoyun Zhang, Yutao Xiang, Sugai Liang, Chuang Xue, Junhang Zhang, Ya Ran, Minne Cao, Fei Huang, Songfang Huang, Wei Deng, Tao Li","doi":"10.1038/s44184-023-00024-z","DOIUrl":"10.1038/s44184-023-00024-z","url":null,"abstract":"There is a lack of objective features for the differential diagnosis of unipolar and bipolar depression, especially those that are readily available in practical settings. We investigated whether clinical features of disease course, biomarkers from complete blood count, and blood biochemical markers could accurately classify unipolar and bipolar depression using machine learning methods. This retrospective study included 1160 eligible patients (918 with unipolar depression and 242 with bipolar depression). Patient data were randomly split into training (85%) and open test (15%) sets 1000 times, and the average performance was reported. XGBoost achieved the optimal open-test performance using selected biomarkers and clinical features—AUC 0.889, sensitivity 0.831, specificity 0.839, and accuracy 0.863. The importance of features for differential diagnosis was measured using SHapley Additive exPlanations (SHAP) values. The most informative features include (1) clinical features of disease duration and age of onset, (2) biochemical markers of albumin, low density lipoprotein (LDL), and potassium, and (3) complete blood count-derived biomarkers of white blood cell count (WBC), platelet-to-lymphocyte ratio (PLR), and monocytes (MONO). Overall, onset features and hematologic biomarkers appear to be reliable information that can be readily obtained in clinical settings to facilitate the differential diagnosis of unipolar and bipolar depression.","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":" ","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s44184-023-00024-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49448169","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
Monitoring sleep using smartphone data in a population of college students 使用智能手机数据监测大学生群体的睡眠
Npj mental health research Pub Date : 2023-03-17 DOI: 10.1038/s44184-023-00023-0
Carsten Langholm, Andrew Jin Soo Byun, Janet Mullington, John Torous
{"title":"Monitoring sleep using smartphone data in a population of college students","authors":"Carsten Langholm, Andrew Jin Soo Byun, Janet Mullington, John Torous","doi":"10.1038/s44184-023-00023-0","DOIUrl":"10.1038/s44184-023-00023-0","url":null,"abstract":"Sleep is fundamental to all health, especially mental health. Monitoring sleep is thus critical to delivering effective healthcare. However, measuring sleep in a scalable way remains a clinical challenge because wearable sleep-monitoring devices are not affordable or accessible to the majority of the population. However, as consumer devices like smartphones become increasingly powerful and accessible in the United States, monitoring sleep using smartphone patterns offers a feasible and scalable alternative to wearable devices. In this study, we analyze the sleep behavior of 67 college students with elevated levels of stress over 28 days. While using the open-source mindLAMP smartphone app to complete daily and weekly sleep and mental health surveys, these participants also passively collected phone sensor data. We used these passive sensor data streams to estimate sleep duration. These sensor-based sleep duration estimates, when averaged for each participant, were correlated with self-reported sleep duration (r = 0.83). We later constructed a simple predictive model using both sensor-based sleep duration estimates and surveys as predictor variables. This model demonstrated the ability to predict survey-reported Pittsburgh Sleep Quality Index (PSQI) scores within 1 point. Overall, our results suggest that smartphone-derived sleep duration estimates offer practical results for estimating sleep duration and can also serve useful functions in the process of digital phenotyping.","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s44184-023-00023-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46604567","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
Preventing comorbidity between distress and suicidality: a network analysis 预防痛苦和自杀之间的共病:一项网络分析。
Npj mental health research Pub Date : 2023-03-04 DOI: 10.1038/s44184-023-00022-1
Alvin Junus, Paul S. F. Yip
{"title":"Preventing comorbidity between distress and suicidality: a network analysis","authors":"Alvin Junus, Paul S. F. Yip","doi":"10.1038/s44184-023-00022-1","DOIUrl":"10.1038/s44184-023-00022-1","url":null,"abstract":"Suicidality among individuals between 10 and 35 years of age may be poised to exert massive burdens on society through decreased economic productivity and increased incidence of chronic physical conditions in the individuals’ later years, thereby necessitating early prevention of suicide. While research suggests that the pathway to suicidality may begin from episodes of psychological distress, such pathway may involve complex interplays between intermediary psychiatric symptoms and external stimuli that are not easily delineated through conventional means. This study applies the network approach to psychopathology to elucidate this complexity. Comorbidity between psychological distress and suicidality in 1968 community-dwelling individuals is analyzed with regularized partial correlation networks to identify their bridge symptoms and links. Temporal relationships between symptoms are analyzed through temporal symptom network formed from 453 individuals who completed subsequent follow-up surveys. Network analysis shows that feelings of hopelessness and the presence of suicidal ideation are the strongest bridge symptoms in the comorbidity symptom network, and form the only prominent link that bridges psychological distress and suicidality. Effects of sleep troubles, anxiety, and poor social relationships on suicidal ideation appear to be mediated by hopelessness. The same observations hold among individuals with and without diagnoses of psychiatric disorders, as well as young people (10–24 year-olds) and young adults (25–35 year-olds). The edge between hopelessness and suicidal ideation remains the strongest bridge link after controlling for effects of symptoms from the previous time point. Findings here provide an evidence base for both professional training in caregiving professions as well as gatekeeper training in community members to emphasize more on how to effectively recognize hopelessness, and instill hope, in young people and young adults for various types of distress.","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9984753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9910241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of working alliance in managing youth anxiety and depression: a scoping review 工作联盟在管理青少年焦虑和抑郁方面的影响:一项范围界定综述。
Npj mental health research Pub Date : 2023-01-30 DOI: 10.1038/s44184-023-00021-2
Jermaine M. Dambi, Webster Mavhu, Rhulani Beji-Chauke, Malinda Kaiyo-Utete, Rhiana Mills, Ruvimbo Shumba, Sidney Muchemwa, Rosemary Musesengwa, Ruth Verhey, Melanie Abas, Colette R. Hirsch, Dixon Chibanda
{"title":"The impact of working alliance in managing youth anxiety and depression: a scoping review","authors":"Jermaine M. Dambi, Webster Mavhu, Rhulani Beji-Chauke, Malinda Kaiyo-Utete, Rhiana Mills, Ruvimbo Shumba, Sidney Muchemwa, Rosemary Musesengwa, Ruth Verhey, Melanie Abas, Colette R. Hirsch, Dixon Chibanda","doi":"10.1038/s44184-023-00021-2","DOIUrl":"10.1038/s44184-023-00021-2","url":null,"abstract":"A working alliance (WA) is a multidimensional construct signifying a collaborative relationship between a client and a therapist. Systematic reviews of therapies to treat depression and anxiety, almost exclusively in adults, show WA is essential across psychotherapies. However, there are critical gaps in our understanding of the importance of WA in low-intensity therapies for young people with depression and anxiety. Here, we describe an initiative to explore the effect of WA on anxiety and depression outcomes in youth aged 14–24 years through a scoping review and stakeholders’ consultations (N = 32). We analysed 27 studies; most were done in high-income countries and evaluated one-on-one in-person therapies (18/27). The review shows that optimal WA is associated with improvements in: relationships, self-esteem, positive coping strategies, optimism, treatment adherence, and emotional regulation. Young people with lived experience expressed that: a favourable therapy environment, regular meetings, collaborative goal setting and confidentiality were vital in forming and maintaining a functional WA. For a clinician, setting boundaries, maintaining confidentiality, excellent communication skills, being non-judgmental, and empathy were considered essential for facilitating a functional WA. Overall, a functional WA was recognised as an active ingredient in psychotherapies targeting anxiety and depression in young people aged 14–24. Although more research is needed to understand WA’s influence in managing anxiety and depression in young people, we recommend routine evaluation of WA. Furthermore, there is an urgent need to identify strategies that promote WA in psychotherapies to optimise the treatment of anxiety and depression in young people.","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":" ","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9885927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10285332","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: 1
A computational approach to measure the linguistic characteristics of psychotherapy timing, responsiveness, and consistency 一种测量心理治疗时间、反应和一致性的语言特征的计算方法
Npj mental health research Pub Date : 2022-12-02 DOI: 10.1038/s44184-022-00020-9
Adam S. Miner, Scott L. Fleming, Albert Haque, Jason A. Fries, Tim Althoff, Denise E. Wilfley, W. Stewart Agras, Arnold Milstein, Jeff Hancock, Steven M. Asch, Shannon Wiltsey Stirman, Bruce A. Arnow, Nigam H. Shah
{"title":"A computational approach to measure the linguistic characteristics of psychotherapy timing, responsiveness, and consistency","authors":"Adam S. Miner, Scott L. Fleming, Albert Haque, Jason A. Fries, Tim Althoff, Denise E. Wilfley, W. Stewart Agras, Arnold Milstein, Jeff Hancock, Steven M. Asch, Shannon Wiltsey Stirman, Bruce A. Arnow, Nigam H. Shah","doi":"10.1038/s44184-022-00020-9","DOIUrl":"10.1038/s44184-022-00020-9","url":null,"abstract":"Although individual psychotherapy is generally effective for a range of mental health conditions, little is known about the moment-to-moment language use of effective therapists. Increased access to computational power, coupled with a rise in computer-mediated communication (telehealth), makes feasible the large-scale analyses of language use during psychotherapy. Transparent methodological approaches are lacking, however. Here we present novel methods to increase the efficiency of efforts to examine language use in psychotherapy. We evaluate three important aspects of therapist language use - timing, responsiveness, and consistency - across five clinically relevant language domains: pronouns, time orientation, emotional polarity, therapist tactics, and paralinguistic style. We find therapist language is dynamic within sessions, responds to patient language, and relates to patient symptom diagnosis but not symptom severity. Our results demonstrate that analyzing therapist language at scale is feasible and may help answer longstanding questions about specific behaviors of effective therapists.","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":" ","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s44184-022-00020-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45352617","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: 4
Shedding light on the etiology of neurodegenerative diseases and dementia: the exposome paradigm 揭示神经退行性疾病和痴呆的病因:暴露范式
Npj mental health research Pub Date : 2022-11-16 DOI: 10.1038/s44184-022-00018-3
Fabio Cavaliere, Sinan Gülöksüz
{"title":"Shedding light on the etiology of neurodegenerative diseases and dementia: the exposome paradigm","authors":"Fabio Cavaliere, Sinan Gülöksüz","doi":"10.1038/s44184-022-00018-3","DOIUrl":"10.1038/s44184-022-00018-3","url":null,"abstract":"Age is the main risk factor of neurodegenerative diseases, but environmental exposure and lifestyle are important candidates for understanding their etiology. Accumulating evidence suggests that “exposome”, described as the totality of human environmental exposures from conception onwards, represents major modifiable risk factors for most neurodegenerative diseases and dementia. In this commentary, we discuss and provide our opinion about the urgent need for a constructive dialog between political stakeholders, researchers, and physicians to implement specific strategies to counteract and reduce the onset of neurodegenerative diseases.","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s44184-022-00018-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46290344","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
Asylum seeking and refugee adolescents’ mental health service use and help-seeking patterns: a mixed-methods study 寻求庇护和难民青少年的心理健康服务使用和求助模式:一项混合方法研究。
Npj mental health research Pub Date : 2022-11-01 DOI: 10.1038/s44184-022-00019-2
Yudit Namer, Alexandra Freţian, Diana Podar, Oliver Razum
{"title":"Asylum seeking and refugee adolescents’ mental health service use and help-seeking patterns: a mixed-methods study","authors":"Yudit Namer, Alexandra Freţian, Diana Podar, Oliver Razum","doi":"10.1038/s44184-022-00019-2","DOIUrl":"10.1038/s44184-022-00019-2","url":null,"abstract":"Almost a third of all people who entered Germany to seek protection since 2010 were under the age of 18. Asylum-seeking and refugee (ASR) adolescents in Germany face reduced entitlements to healthcare and experience barriers in accessing mental healthcare, despite documented mental health needs. This mixed-methods study aims to describe the mental health needs and service use of ASR adolescents in Germany and identify the predictors of their help-seeking patterns. Here we report findings of cross-sectional data collected between February 2019 and November 2020 in schools and refugee accommodations in three German federal states. Our subsample consists of ASR between the ages of 11 and 18, coming from Syria, Afghanistan, and Iraq (N = 216). Cross-sectional data are supplemented by semi-structured interviews with nine mental health professionals in one region of the study. Our findings reveal an underutilization of mental health services relative to the emotional difficulties reported. Perceived and experienced access barriers, age, and externalizing and internalizing symptoms predict different help-seeking patterns. Psychotherapy-related social resources, as well as reporting of emotional difficulties, are predictors of actual or intended psychotherapeutic service utilization. Based on our quantitative and qualitative findings, we highlight the need for widespread, accessible, and low-threshold mental health initiatives designed to work with ASR adolescents, for additional assistance in navigating the mental healthcare system, as well as for support to important people in ASR adolescents’ lives who fill the gap between mental health needs and accessible mental healthcare services.","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9628352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9913121","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
Decreased psychiatric symptomatology after the onset of COVID-19 in a longitudinal college mental health study 在一项纵向大学心理健康研究中,新冠肺炎发病后精神症状减少。
Npj mental health research Pub Date : 2022-10-21 DOI: 10.1038/s44184-022-00017-4
Asli Ercan Dogan, Dilek Kebapci, Oguz Ertan, Zeynepgul Kalay, Nurdan Kozan Caki, Vedat Sar, Hale Yapici Eser
{"title":"Decreased psychiatric symptomatology after the onset of COVID-19 in a longitudinal college mental health study","authors":"Asli Ercan Dogan, Dilek Kebapci, Oguz Ertan, Zeynepgul Kalay, Nurdan Kozan Caki, Vedat Sar, Hale Yapici Eser","doi":"10.1038/s44184-022-00017-4","DOIUrl":"10.1038/s44184-022-00017-4","url":null,"abstract":"The COVID-19 pandemic brings significant challenges for college students. This study aims to investigate changes in psychiatric symptomatology among them compared to the pre-pandemic period alongside their determinants. Data are collected before and 3 months after the onset of the pandemic from 168 students who applied to a college mental health center. Psychiatric symptomatology is assessed by the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Adult Attention Deficit Hyperactivity Disorder Self-Report Scale (ASRS). Possible vulnerability factors are screened by a survey on COVID-19-related health and social isolation status, Fear of COVID-19 Scale, Social Media Use Disorder Scale (SMDS), Distress Thermometer, Scoff Eating Questionnaire, and International Physical Activity Questionnaire Short-Form (IPAQ). Results show decreased PHQ-9, GAD-7, and ASRS scores at follow-up. Even though the screen time increases, SMDS scores significantly decline. SMDS have a direct effect on PHQ-9 and ASRS levels, in addition to an indirect effect through the Distress Thermometer. Higher SMDS scores predict higher anxious and depressive symptomatology in repeated assessments. Fear of COVID-19 scores have a direct effect on GAD-7 scores only. This study suggests that the stress level and psychiatric symptomatology of the students decreased significantly in the early phases of the pandemic. The level of social media use disorder should be taken into account while following college students with mental health symptoms.","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9589876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9913126","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: 2
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