PCN reports : psychiatry and clinical neurosciences最新文献

{"title":"Co‑occurring mental and substance use disorders among residents of Drug Addiction Rehabilitation Centers (DARCs) in Japan: Characterizing dual‑diagnosis profiles.","authors":"Satomi Mizuno, Takuya Shimane, Satoshi Inoura, Toshihiko Matsumoto","doi":"10.1002/pcn5.70196","DOIUrl":"10.1002/pcn5.70196","url":null,"abstract":"<p><strong>Aim: </strong>The co-occurrence of substance use and mental disorders, commonly referred to as a dual diagnosis, presents considerable challenges to the recovery process. Despite its clinical relevance, only a few studies have examined the characteristics correlated with dual diagnoses among individuals utilizing rehabilitation services. Thus, in this study, we aimed to identify the factors associated with dual diagnoses in study participants receiving care at drug rehabilitation support facilities.</p><p><strong>Methods: </strong>We analyzed data from participants receiving care at drug rehabilitation support facilities, specifically the Drug Addiction Rehabilitation Centers. Multivariable logistic regression analysis was performed to examine the correlations among dual diagnoses and sociodemographic characteristics, facility utilization patterns, substance dependence, physical health, and recovery outcomes at the 1-year follow-up.</p><p><strong>Results: </strong>Dual diagnosis was notably correlated with the female sex (adjusted odds ratio [AOR] = 4.18, 95% confidence interval [CI]: 2.01-8.67), history of incarceration (AOR = 2.10, 95% CI: 1.35-3.28), and prior treatment for substance use disorder (AOR = 2.22, 95% CI: 1.30-3.91). At the 1-year follow-up, participants with dual diagnoses exhibited poor recovery outcomes across multiple domains; they were more likely to be unemployed (AOR = 2.10, 95% CI: 1.35-3.31) and had greater difficulty maintaining drug abstinence (AOR = 1.85, 95% CI: 1.17-2.94).</p><p><strong>Conclusion: </strong>Individuals with dual diagnoses were more likely to be female, have histories of incarceration, and have prior treatment experiences. After 1 year, they had poorer outcomes in terms of employment and drug abstinence, highlighting the need for tailored support in recovery programs.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"4 3","pages":"e70196"},"PeriodicalIF":0.9,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12458395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152286","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}

{"title":"Perampanel-associated exacerbation of de novo psychosis and lateralized rhythmic delta activity: A case report.","authors":"Yu Fujiwara, Tomohiro Iwata, Takero Terayama, Shogo Takeshita, Aihide Yoshino","doi":"10.1002/pcn5.70208","DOIUrl":"10.1002/pcn5.70208","url":null,"abstract":"<p><strong>Background: </strong>Perampanel (PER) may instigate psychiatric phenomena encompassing irritability and aggression. This study elucidates an epileptic patient in whom PER appeared to exacerbate preexisting psychosis, concomitant with lateralized rhythmic delta activity (LRDA).</p><p><strong>Case presentation: </strong>A 30-year-old right-handed female initially exhibited focal aware seizures and focal to bilateral tonic-clonic seizures at 21 years of age. Despite administration of multiple antiseizure medications (ASM), she continued to experience weekly seizure episodes. At the age of 26 years, she underwent right selective amygdalohippocampectomy (SeAH) concurrent with vagus nerve stimulation (VNS) implantation. Following this intervention, the seizure frequency diminished from weekly to monthly, albeit not entirely eliminated. Five months postoperatively, the patient displayed paranoid delusions and auditory hallucinations. Her psychotic symptoms were assessed as de novo psychosis. In July of year Y-1, PER was coadministered with Valproic acid, Lacosamide, and Levetiracetam to optimize seizure control, with the dosage escalated to 6 mg by December of year Y-1. Simultaneously, in July of year Y, heightened irritability, aggression, and psychomotor agitation became prominent, necessitating hospitalization in August of year Y. An electroencephalogram (EEG) upon admission revealed LRDA over the right posterior quadrant. Subsequent cessation of PER administration culminated in the resolution of both exacerbated psychiatric symptoms and LRDA within approximately a week.</p><p><strong>Conclusion: </strong>The observed LRDA in this case may represent cerebral dysregulation, possibly induced by PER, concurrent with the worsening of psychiatric sequelae. Psychosis during PER treatment could signify underlying brain dysfunction, highlighting the potential utility of EEG monitoring in managing these patients.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"4 3","pages":"e70208"},"PeriodicalIF":0.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139779","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}

{"title":"Autonomy-Supportive Circuit Training Program: Differential effects on adaptive behavior and emotional symptoms in children with and without autism spectrum disorder.","authors":"Yukari Murakami, Koki Tanida, Takayuki Munechika, Satoshi Kurose, Yutaka Kimura","doi":"10.1002/pcn5.70205","DOIUrl":"10.1002/pcn5.70205","url":null,"abstract":"<p><strong>Aim: </strong>This prospective non-randomized controlled study examined the Autonomy-Supportive Circuit Training Program (ASCTP), a structured physical activity intervention. The primary objective was to assess and compare changes in internalizing (emotional symptoms) and externalizing (behavioral difficulties) traits between children with autism spectrum disorder (ASD) and those with subthreshold ASD following ASCTP participation.</p><p><strong>Methods: </strong>A total of 28 boys (aged 4-10 years) were divided into an ASD (<i>n</i> = 14) and a non-ASD group (<i>n</i> = 14). The ASCTP intervention was developed and implemented in an exercise-focused daycare center for children with disabilities in Japan. The intervention consisted of a structured 45-min exercise program conducted once a week for 6 months. It emphasized an autonomy-supportive and standardized session structure, implemented by trained facilitators, and was specifically designed to support children's self-regulation and individualized activity selection. Emotional and behavioral traits were assessed pre- and post-intervention using the Strengths and Difficulties Questionnaire, completed by the parents. Additionally, the children's lifestyle habits (sleep, screen time, and breakfast consumption) were recorded pre- and post-intervention through parental reports.</p><p><strong>Results: </strong>The ASD group showed a significant reduction in behavioral difficulties, whereas the non-ASD group exhibited an increase in behavioral difficulties (-1 [-2 to 0] vs. 1 [-1 to 1], adjusted <i>p</i> = 0.034, <i>r</i> = 0.45). Although no significant changes in emotional symptoms were present in either group, a decreasing trend was observed.</p><p><strong>Conclusion: </strong>Participation in the ASCTP was associated with a reduction in behavioral difficulties in children with ASD, which may reflect the potential benefits of the structured framework of the program. Conversely, the increased behavioral difficulties observed in the non-ASD group may indicate the need for more flexible intervention approaches.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"4 3","pages":"e70205"},"PeriodicalIF":0.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12447659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115200","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}

{"title":"What transgender individuals in Japan expect from gender-affirming surgery: A multicenter prospective observational study.","authors":"Wakako Yorozuya, Koji Ichihara, Nodoka Kozen, Teruo Abe, Manabu Nakagawa, Koji Niwa, Tsuyoshi Baba, Utako Ikeda, Satoshi Nishikawa, Hiroshi Ikeda, Toshiaki Endo, Azusa Yamana, Daito Nishiyama, Naoya Masumori","doi":"10.1002/pcn5.70207","DOIUrl":"10.1002/pcn5.70207","url":null,"abstract":"<p><strong>Aim: </strong>To understand the preferences of individuals with gender incongruence (GI) regarding gender-affirming surgery (GAS), including gonadectomy.</p><p><strong>Methods: </strong>A prospective, multicenter survey was conducted in Japan targeting individuals aged 18 years or older with GI who had not yet undergone GAS. Participants completed a questionnaire about their GAS preferences, desired surgical procedures, the reasons for their preferences, and willingness to undergo gonadectomy even if it was not legally required.</p><p><strong>Results: </strong>In total, 107 participants (82 assigned female at birth [AFAB] and 25 assigned male at birth [AMAB]; median age: 31) participated in the study. Of those, 69% desired GAS, 29% did not, and 2% were undecided. The primary reasons for desiring GAS were the need for legal gender change (positive feelings: 62%, unavoidable: 24%), mental stability (56%), and reducing gender dysphoria (54%). Conversely, the main reasons for not wanting GAS were difficulty in securing funds for surgery (58%), followed by resistance to gonadectomy (41%). Of the 53 AFAB participants, 52 individuals desired hysterectomy and oophorectomy, and 26 wanted only this surgery. Among the 22 AMAB participants, 13 individuals desired vaginoplasty; however, five withdrew due to concerns about costs or postoperative complications. Even without legal requirements, 47% said they would choose gonadectomy.</p><p><strong>Conclusion: </strong>Reforming legal requirements for gonadectomy may alter the demand for or details of GAS in Japan, yet half of the participants still desire surgery. The primary reason for not undergoing surgery is the difficulty in securing funds, which is a significant finding.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"4 3","pages":"e70207"},"PeriodicalIF":0.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12447530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115257","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}

{"title":"Prevalence, type, and related factors of adverse childhood experiences among community mental health outreach users: A four-year retrospective cohort study.","authors":"Kaori Usui, Mai Iwanaga, Asami Itokuri, Kiyoaki Nakanishi, Erisa Nishiuchi, Michiyo Shimodaira, Yugan So, Sayaka Sato, Sosei Yamaguchi, Chiyo Fujii","doi":"10.1002/pcn5.70203","DOIUrl":"10.1002/pcn5.70203","url":null,"abstract":"<p><strong>Aim: </strong>Adverse childhood experiences (ACEs) have been reported to have a detrimental impact on future mental health. However, limited research exists on how mental health staff perceive service users' ACEs. This study examined the prevalence, types, and related factor of staff-perceived ACEs among community outreach service users using 4-year retrospective data.</p><p><strong>Methods: </strong>In this retrospective study conducted using service records from the mental health outreach service in Japan, we collected demographic and clinical characteristics, as well as the number and types of ACEs perceived by staff at six assessment points, from registration to 4 years post-service initiation. We compared each clinical characteristic between groups with and without staff-perceived ACEs using independent <i>t</i>-tests and <i>χ</i> ² tests. To analyze changes in staff-perceived ACEs at six time periods, repeated measures mixed models were used, adjusting for sex, age, and diagnosis.</p><p><strong>Results: </strong>Of the 143 participants whose data were analyzed, the prevalence of ACEs was 54.5%. ACEs were associated with younger age and receipt of public welfare owing to economic deprivation. The number of ACEs notably increased from registration to 6 months post-service initiation and continued to increase 2 years after service initiation and stabilized.</p><p><strong>Conclusion: </strong>More than half of the participants had ACEs. Outreach service users with ACEs were generally younger and faced economic challenges. While most service users' ACEs are recognized within the first 6 months, it is important to note that they may gradually become apparent over a long period, such as 2 years.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"4 3","pages":"e70203"},"PeriodicalIF":0.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12447658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115300","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}

{"title":"ExoTMS transcranial magnetic stimulation for the reduction of binge eating symptoms.","authors":"David Pánek, Toni Slavchev Donchev","doi":"10.1002/pcn5.70200","DOIUrl":"10.1002/pcn5.70200","url":null,"abstract":"<p><strong>Aim: </strong>Transcranial magnetic stimulation (TMS) is an emerging treatment for binge eating (BE). TMS uses noninvasive magnetic pulses to stimulate the prefrontal cortex, which plays a role in decision-making and self-regulation. Early research suggests that TMS can reduce BE episodes by modulating brain activity linked to cravings and compulsive behavior. This article aims to evaluate the efficacy and safety of a novel TMS device with ExoTMS™ Technology for alleviating BE symptoms.</p><p><strong>Methods: </strong>Subjects underwent six TMS sessions and a 1-month follow-up. The Binge Eating Scale (BES) was administered at baseline, posttreatment, and follow-up to assess symptom severity. Weight was recorded at the same intervals. Therapy comfort was evaluated after the sixth session. The Subject Satisfaction Questionnaire was completed posttreatment and at follow-up. Adverse events and side effects were monitored throughout the study. Data from two identically designed studies were pooled for analysis.</p><p><strong>Results: </strong>A total of 38 subjects were analyzed. BES scores significantly decreased posttreatment (-37.8%, <i>p</i> < 0.001) and at follow-up (-47.9%, <i>p</i> < 0.001). At 1 month, 73.7% of subjects achieved BE remission. Average weight loss was -1.3 ± 1.1 kg posttreatment and -1.8 ± 1.3 kg at follow-up. Comfort was rated positively by 92.1% of participants. At follow-up, 89.5% reported reduced cravings and snacking, 86.8% noted improved self-control and well-being, and 94.7% were satisfied with the treatment.</p><p><strong>Conclusion: </strong>TMS shows promise as a safe and effective intervention for reducing BE symptoms, supported by both objective clinical measures and subjective patient-reported outcomes.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"4 3","pages":"e70200"},"PeriodicalIF":0.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12447532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115220","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}

{"title":"Acute exacerbation of major depressive disorder following valbenazine treatment for tardive dyskinesia: A case report.","authors":"Fumiaki Yano, Yasunori Oda, Yuki Hirose, Fumiaki Yamasaki, Yusuke Nakata, Tomihisa Niitsu","doi":"10.1002/pcn5.70204","DOIUrl":"10.1002/pcn5.70204","url":null,"abstract":"<p><strong>Background: </strong>Tardive dyskinesia (TD) is a movement disorder associated with long-term use of dopamine receptor-blocking agents. Valbenazine, a selective vesicular monoamine transporter 2 (VMAT2) inhibitor, effectively reduces TD symptoms, but it may also trigger or worsen depressive symptoms by reducing central dopamine and serotonin availability.</p><p><strong>Case presentation: </strong>We report the case of a 52-year-old woman with major depressive disorder (MDD) and oral dyskinesia who experienced an acute mood deterioration after she began taking valbenazine 40 mg/day. She developed TD while receiving antipsychotic treatment for depression. After she achieved partial psychiatric improvement on lurasidone, we started valbenazine to address her dyskinesia. Within hours of the first dose, she reported markedly worse depressive symptoms, heightened anxiety, and significant functional decline, even though her dyskinesia improved. Her Hamilton Depression Rating Scale score increased from 30 before valbenazine to 40 the next day. We stopped valbenazine, and over the following month, she gradually regained mood stability.</p><p><strong>Conclusion: </strong>This case shows that valbenazine can acutely worsen preexisting depression. Clinicians should actively evaluate psychiatric history, assess current mood stability before prescribing, and monitor patients closely to identify and address mood changes promptly.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"4 3","pages":"e70204"},"PeriodicalIF":0.9,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076840","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}

{"title":"Associations between depressive symptoms and frequency, intensity, duration, and style of walking in survivors of the Great East Japan Earthquake.","authors":"Yusuke Utsumi, Moe Seto, Hitomi Usukura, Yumiko Hamaie, Atsushi Sakuma, Kazuho Tomimoto, Hiroshi Komatsu, Saya Kikuchi, Yumi Sugawara, Shinichi Kuriyama, Naoki Nakaya, Atsushi Hozawa, Yasuto Kunii, Hiroaki Tomita","doi":"10.1002/pcn5.70178","DOIUrl":"10.1002/pcn5.70178","url":null,"abstract":"<p><strong>Background: </strong>In post-disaster communities, an association between decreased walking activity and depressive symptoms has been reported. This study aimed to identify the associations between the frequency, intensity, time, and type (or style) (FITT) of walking and depressive symptoms.</p><p><strong>Method: </strong>The 2018 survey of a cohort study was used to examine 924 individuals aged 20 years or older who were severely affected by the Great East Japan Earthquake. Participants were asked whether they walked intending to improve their health (health-conscious walkers: <i>N</i> = 335) and were cautious about their walking parameters. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D), and multivariate logistic regression analysis was used to evaluate the association between paying attention to FITT elements and depressive symptoms.</p><p><strong>Results: </strong>In health-conscious walkers, the multivariate model showed that female (odds ratio [OR], 2.45; 95% confidence interval [CI], 1.24-4.84) and paying attention to posture during walking (OR, 0.41; 95% CI, 0.21-0.81) were significantly associated with depressive symptoms (CES-D ≥ 16). In non-health-conscious walkers, evaluating multiple variables, including walking duration, showed that only a walking duration of less than 30 min per day (OR, 2.06; 95% CI, 1.19-3.56) was associated with depressive symptoms.</p><p><strong>Conclusions: </strong>The current study indicated that paying attention to posture during walking had a significant negative association with depressive symptoms, suggesting that paying attention to posture while walking may be beneficial for mental health well-being. These findings may help improve the mental health of communities affected by a disaster through an intervention to promote regular walking.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"4 3","pages":"e70178"},"PeriodicalIF":0.9,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12433608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071178","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}

{"title":"Correction to \"Factors influencing the effectiveness of case management interventions for suicide attempters in a psychiatric hospital\".","authors":"","doi":"10.1002/pcn5.70202","DOIUrl":"10.1002/pcn5.70202","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1002/pcn5.70173.].</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"4 3","pages":"e70202"},"PeriodicalIF":0.9,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024911","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}

{"title":"How are work engagement and workplace psychological safety related to sleep complaints in Japanese elementary school teachers? A nationwide cross-sectional study.","authors":"Masateru Matsushita, Schuhei Yamamura","doi":"10.1002/pcn5.70198","DOIUrl":"10.1002/pcn5.70198","url":null,"abstract":"<p><strong>Aim: </strong>Teachers experience a heavy workload and mental stress, which contributes to significant sleep problems. This study investigated the relationships between sleep complaints (sleep induction, awakenings during the night, poor overall quality of sleep, and sleepiness during the day), work engagement, and workplace psychological safety in public elementary school teachers in Japan.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted among 96,421 elementary school teachers in Japan. Participants reported on their sleep complaints, work engagement, workplace psychological safety, and demographic and work-related characteristics (age, sex, and years of experience, working hours per day). Multivariate logistic regression analyses were conducted to examine the relationships between work engagement, workplace psychological safety, and sleep complaints.</p><p><strong>Results: </strong>The study confirmed the high prevalence of sleep complaints among Japanese elementary school teachers. Both work engagement and workplace psychological safety were negatively associated with sleep complaints. Specifically, teachers working more than 13 h a day were significantly more likely to report complaints related to sleep induction and awakenings during the night. After adjusting for the confounding effects of working hours, the associations between work engagement, workplace psychological safety, and sleep complaints remained statistically significant.</p><p><strong>Conclusion: </strong>The findings suggest that addressing teachers' sleep complaints requires not only alleviating workload but also fostering a supportive organizational environment that promotes work engagement and workplace psychological safety. These insights can inform the development of policies and support measures to improve teachers' working conditions and overall well-being.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"4 3","pages":"e70198"},"PeriodicalIF":0.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002164","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}