BMC Psychiatry最新文献

{"title":"Male infertile couples: an actor-partner interdependence model of attachment styles and fertility pressure.","authors":"Huiling Qu, Guyu Liu, Xi Zhang, Xinmei Han, Lei Yan, Li Ge, Yuying Fang","doi":"10.1186/s12888-024-06236-7","DOIUrl":"10.1186/s12888-024-06236-7","url":null,"abstract":"<p><strong>Background: </strong>Couples undergoing artificial insemination by donor semen(AID) represent a unique group of infertility patients, the relationship between fertility pressure and attachment styles remains unclear. To investigate the fertility pressure and attachment dimensions in artificial insemination by donor semen(AID) couples, and develop an Actor-Partner Interdependence Model (APIM) for patient care.</p><p><strong>Methods: </strong>This study is a cross-sectional study. From June to September 2021, couples who were about to receive AID treatment in our hospital were assessed using the Fertility Problem Inventory, and the Experiences in Close Relationships(ECR). Dyadic analysis applying the APIM was used.</p><p><strong>Results: </strong>A total of 448 valid questionnaires were recovered, the effective response rate was 94.9%. The average score of men's fertility pressure was higher than that of women's(P = 0.021). The score of male attachment anxiety was higher than that of females(P = 0.038). Attachment avoidance(β = 0.46) and attachment anxiety(β = 0.33) in wives significantly impacted their fertility pressure. Attachment avoidance(β = 0.17) and attachment anxiety(β = 0.52) in husbands significantly impacted their fertility pressure. The attachment avoidance of wives' had a significant impact on the husbands' fertility pressure(β = 0.11).</p><p><strong>Conclusion: </strong>Overall, the study revealed that in the couples who use donor sperm to expect pregnancy, the male has higher fertility pressure. Insecure attachment can cause more severe fertility pressure, fertility pressure is also affected by one's partner.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and testing Advance Choice Document implementation resources for Black African and Caribbean people with experience of compulsory psychiatric admission.","authors":"Jonathan Simpson, Abigail Babatunde, Alan Simpson, Steven Gilbert, Alex Ruck Keene, Lucy Stephenson, Kia-Chong Chua, Gareth Owen, Fiona Crowe, Pauline Edwards, Selena Galloway, Megan Fisher, Marcela Schilderman, Anita Bignell, Shubulade Smith, Claire Henderson","doi":"10.1186/s12888-024-06213-0","DOIUrl":"10.1186/s12888-024-06213-0","url":null,"abstract":"<p><strong>Background: </strong>Advance Choice Documents (ACDs) have been recommended for use in England and Wales based on evidence from trials that show that they can reduce involuntary hospitalisation, which disproportionately affects Black African and Caribbean people. Our aim was therefore to develop and test ACD implementation resources and processes for Black people who have previously been involuntarily hospitalised and the people that support them.</p><p><strong>Methods: </strong>Resource co-production workshops were held to inform the development of the ACD template and two types of training for all stakeholders, comprising a Recovery College course and simulation training. An ACD facilitator then used the ACD template developed through the workshops to create personalised ACDs with service users and mental health staff over a series of meetings. Interviews were then conducted with service user and staff participants and analysed to document their experience of the process and opinions on ACDs. Other implementation strategies were also employed alongside to support and optimise the creation of ACDs.</p><p><strong>Results: </strong>Nine ACDs were completed and were largely reported as appropriate, acceptable, and feasible to service users and staff. Both reported it being an empowering process that encouraged hope for better future treatment and therefore better wellbeing. Uncertainty was also expressed about the confidence people had that ACDs would be adhered to/honoured, primarily due to staff workload. The information provision training and the skills training were generally considered to be informative by trainees.</p><p><strong>Conclusions: </strong>The project has developed an ACD creation resource that was reported as agreeable to all stakeholders; however, the generalisability of the findings is limited due to the small sample size. The project also highlights the importance of staff and ACD facilitator capacity and good therapeutic relationships in ACD completion. Further research is needed to determine the adjustments needed for large scale use, including for those under age 18 and those under the care of forensic mental health services; and how to include carers/supporters more in the process.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender differences and mental distress during COVID-19: a cross-sectional study in Japan.","authors":"Takumi Kanata, Kazuyoshi Takeda, Takeshi Fujii, Ryo Iwata, Fumikazu Hiyoshi, Yuka Iijima, Tomohiro Nakao, Keitaro Murayama, Koichiro Watanabe, Toshiaki Kikuchi, Masaru Mimura, Asuka Yoshimi, Akitoyo Hishimoto, Hitoshi Hirata, Norio Ozaki, Shinsuke Kito, Hironori Kuga, Mari Oba, Hideki Oi, Kazuyuki Nakagome","doi":"10.1186/s12888-024-06200-5","DOIUrl":"10.1186/s12888-024-06200-5","url":null,"abstract":"<p><strong>Background: </strong>To identify risk factors for mental distress and investigate whether the factors were different between men and women during the coronavirus disease 2019 (COVID-19), using KOKOROBO data, which is an online platform that aims to facilitate access to mental health services.</p><p><strong>Methods: </strong>We used baseline data on KOKOROBO users 13 years of age or older in Japan who accessed it from October 11, 2021, to April 6, 2023, excluding those receiving treatment for mental health problems. Global severity, based on the most severe measure on Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Insomnia Severity Index (ISI), was analyzed using multivariable logistic regression with baseline characteristics for each gender, and for under 30 and 30 years of age or older in women. We conducted the same analysis of suicidal ideation for each gender.</p><p><strong>Results: </strong>In the 686 men and 1274 women, 117 (17.1%) and 100 (7.8%) had minimal global severity respectively, and the rest suffered from mental distress to some extent. For women, ages under 30 years (adjusted OR (aOR): 0.352, 95%CI: 0.231-0.539, P < 0.001), marriage (aOR: 0.453, 95%CI: 0.274-0.746, P = 0.002), and concerns about COVID-19 infection were associated with global severity, while having children (aOR: 0.509, 95% CI: 0.284-0.909, P = 0.023) and decrease of going out during the COVID-19 pandemic had a protective effect on global severity and suicidal ideation for men, respectively. Living with family was a risk factor for mental distress in unmarried women over 30 years of age. Less communication with family or others and responding to the questionnaire late at night (00:00-05:59) were associated with severe global severity in both genders.</p><p><strong>Conclusions: </strong>Age, living arrangement, marriage, having children, concerns about COVID-19 infection, and lifestyle changes during the COVID-19 pandemic had gender-specific effects on mental distress, while frequent communication and regular life rhythm maintained mental health in both genders. Young women and, unmarried middle-aged women living with their families tended to experience mental distress during the COVID-19 pandemic.</p><p><strong>Trial registration: </strong>The Ethics Committee of the National Center of Neurology and Psychiatry approved this study (approval number B2020141) on April 15, 2021.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differential association between childhood trauma subtypes and neurocognitive performance in adults with major depression.","authors":"Min Wang, Jinxue Wei, Yikai Dou, Yu Wang, Huanhuan Fan, Yushun Yan, Yue Du, Liansheng Zhao, Qiang Wang, Xiao Yang, Xiaohong Ma","doi":"10.1186/s12888-024-06226-9","DOIUrl":"10.1186/s12888-024-06226-9","url":null,"abstract":"<p><strong>Background: </strong>Neurocognitive impairment is one of the prominent manifestations of major depressive disorder (MDD). Childhood trauma enhances vulnerability to developing MDD and contributes to neurocognitive dysfunctions. However, the distinct impacts of different types of childhood trauma on neurocognitive processes in MDD remain unclear.</p><p><strong>Methods: </strong>This study comprised 186 individuals diagnosed with MDD and 268 healthy controls. Childhood trauma was evaluated using the 28-item Childhood Trauma Questionnaire-Short Form. Neurocognitive abilities, encompassing sustained attention, vigilance, visual memory, and executive functioning, were measured by the Cambridge Neuropsychological Testing Automated Battery.</p><p><strong>Results: </strong>Multivariable linear regressions revealed that childhood trauma and MDD diagnosis were independently associated with neurocognitive impairment. Physical neglect was associated with impaired visual memory and working memory. MDD diagnosis is associated with working memory and planning. Interactive analysis revealed that physical/sexual abuse was associated with a high level of vigilance and that emotional neglect was linked with better performance on cognitive flexibility in MDD patients. Furthermore, childhood emotional abuse, physical abuse, and emotional neglect were revealed to be risk factors for developing early-onset, chronic depressive episodes.</p><p><strong>Conclusion: </strong>Thus, specific associations between various childhood traumas and cognitive development in depression are complex phenomena that need further study.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in medically serious suicide attempts before and after COVID-19: a four-year retrospective analysis (2018-2022).","authors":"Anna Beneria Gonzalez, Luis Marte, Marta Quesada-Franco, Sara García-González, Damià Restoy, Citlalli Pérez-Galbarro, Olga Santesteban-Echarri, Rosa Ramos, Josep Antoni Ramos-Quiroga, María Dolores Braquehais","doi":"10.1186/s12888-024-06232-x","DOIUrl":"10.1186/s12888-024-06232-x","url":null,"abstract":"<p><strong>Background: </strong>Suicide has become a first-order public health concern after the negative impact of COVID-19 on the general population's mental health. Several studies have analyzed the trends in suicide attempts (SA) before and after the onset of the pandemic, but few studies focus on the impact of the pandemic on medically serious suicide attempts (MSSA).</p><p><strong>Methods: </strong>Participants were 385 hospitalized individuals ≥ 16 years old who made MSSA identified retrospectively through a review of e-medical records between 2018 and 2022 (\"pre-COVID-19\" and \"COVID\" periods). The two groups were compared on sociodemographic and clinical variables using Chi-square or Exact Fisher's tests for categorical variables and a Mann-Whitney test for continuous variables. To study the variation in MSSA over time, MSSA were aggregated monthly. Joinpoint regression analyses were used to assess time trends.</p><p><strong>Results: </strong>A sample of 161 MSSA patients, 80 women and 81 men, were selected from 385 admissions after a suicide attempt (SA) in the four years (n = 160 pre-COVID period vs. n = 225 COVID period) (OR = 1.41; CI 95% = 1.0003-1.7223, p < 0.001). Sixty-eight patients with MSSA were admitted during the first period, and 93 during the COVID period (OR = 1.4 ; CI 95% = 1-1.9 ; p < 0.05). MSSA patients were more likely to be admitted to an intensive care unit during the COVID period than during the pre-COVID period (OR = 3.5; CI 95% = 1.7-6.9; p < 0.001).</p><p><strong>Conclusions: </strong>This study highlights the need for research on suicide risk during and after crisis periods, such as the COVID-19 pandemic. It provides valuable knowledge on the incidence of SA needing hospitalization, MSSA, and highly severe MSSA for four years before and after the pandemic onset.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified dialectical behavior therapy-informed transdiagnostic intervention for emotional disorders: protocol for a randomized controlled trial.","authors":"Shen-Ing Liu, Chih-Hung Chang, Chen-Ju Lin, Shu-Chin Chen, Hui-Chun Huang, Ying Lin, Yi-Hung Chang, Hsiao-Mei Yeh, I-Chieh Lin, Shu-I Wu","doi":"10.1186/s12888-024-06069-4","DOIUrl":"10.1186/s12888-024-06069-4","url":null,"abstract":"<p><strong>Background: </strong>Anxiety and depressive disorders, characterized by high incidence and functional impairments, are emotional disorders with shared etiological and maintenance mechanisms. Dialectical behavior therapy (DBT) is a promising approach for the transdiagnostic treatment of emotional disorders. Developing a brief DBT intervention can facilitate the adoption of evidence-based therapy.</p><p><strong>Methods: </strong>This protocol is for a 3-year single-blinded, two-arm randomized controlled trial. Individuals with depressive or anxiety disorder will be randomly allocated to a modified DBT-informed transdiagnostic psychotherapy group or a treatment-as-usual group. The intervention group will receive DBT individual therapy for 15 weeks. Power analyses revealed that the cohort should include a minimum of 250 participants. Preintervention, postintervention, and follow-up (after 3 months) assessments will be conducted. Primary outcomes will be severities of depression and anxiety rated by blind assessors. Intent-to-treat and per-protocol analyses will be conducted using the hierarchical linear model. Effect sizes will be estimated using Cohen's d.</p><p><strong>Result: </strong>To the best of our knowledge, the proposed study will be the first randomized controlled trial to evaluate the efficacy of a modified DBT intervention in managing transdiagnostic emotional disorders in Chinese individuals.</p><p><strong>Conclusion: </strong>This intervention is expected to improve clinical outcomes, daily functioning, and quality of life. The trial will enrich the empirical evidence for transdiagnostic interventions, facilitating the implementation of evidence-based therapy and reducing the high prevalence and challenges (e.g., disability) of emotional disorders in the Chinese population.</p><p><strong>Trial registration number: </strong>NCT05989451.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 mindfulness and cognitive fusion in predicting self-compassion among patients with schizophrenia: a cross-sectional study.","authors":"Warda Elshahat Hamed, Nesma Ahmed Kamel, Amani Ali Kappi, Ashjan Saeed Babegi, Hamad Ghaleb Dailah, Rania Rabie El-Etreby","doi":"10.1186/s12888-024-06204-1","DOIUrl":"10.1186/s12888-024-06204-1","url":null,"abstract":"<p><strong>Background: </strong>The exact connection between mindfulness, psychological flexibility, and severity of symptoms within schizophrenia spectrum disorders is mostly undefined and requires additional exploration. This study aimed to determine whether mindfulness, cognitive fusion, and symptom severity predict self-compassion among patients with schizophrenia.</p><p><strong>Methods: </strong>A cross-sectional descriptive research design was undertaken within the psychiatric in-patient department of Mansoura University Hospitals, situated in El-Mansoura, the administrative centre of Dakahlia governorate in the Delta area, Egypt. A total of 100 patients with schizophrenia participated in the study. Data were collected from October 2023 to January 2024 by using various tools: A socio-demographic questionnaire and clinical data sheet, the Positive and Negative Syndrome Scale (PANSS), the Mindful Attention Awareness Scale (MAAS), The Cognitive Fusion Questionnaire (CFQ), and The Self-Compassion Scale - Short Form (SCS-SF).</p><p><strong>Results: </strong>The findings show that mindfulness significantly impacts self-compassion among patients with schizophrenia. The results show that mindfulness significantly and positively impacts self-compassion, and cognitive fusion significantly and negatively impacts self-compassion. However, symptom severity did not significantly impact self-compassion (B = -0.02, t = -0.56, p = 0.57).</p><p><strong>Conclusion: </strong>The study concluded that people with schizophrenia need to be aware of their inner experience of negative feelings and thoughts at the moment and accept them. Thus, ACT, mindfulness-based, and compassion-based interventions may improve patients' cognitive fusion, mindfulness, psychological flexibility, and self-compassion.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of undergoing internet-delivered cognitive behavioural therapy for climate change-related distress: a qualitative study.","authors":"Nike Lindhe, Matilda Berg, Kali Andersson, Gerhard Andersson","doi":"10.1186/s12888-024-06212-1","DOIUrl":"10.1186/s12888-024-06212-1","url":null,"abstract":"<p><strong>Background: </strong>Internet-delivered cognitive behavioural therapy (ICBT) has previously shown promise in effectively treating climate change-related distress. The aim of the present study was to investigate participants' experiences of undergoing a novel ICBT program targeting psychological symptoms associated with climate change.</p><p><strong>Methods: </strong>Telephone interviews were conducted with nine participants who had received eight weeks of ICBT for climate change-related distress. A semi-structured interview guide was used to gather information about participants' experiences of undergoing treatment. Data were transcribed and analyzed using thematic analysis.</p><p><strong>Results: </strong>The thematic analysis resulted in three overarching themes: (1) Same old feelings, brand new strategies, (2) Bumps in the road, and (3) Personalized climate engagement. Participants experienced that they had developed new coping strategies for handling their emotions, encountered challenges during the treatment period, and adapted their pro-environmental behaviour to their individual needs and circumstances.</p><p><strong>Conclusions: </strong>The results indicate that participants were able to utilize the treatment material in different ways, resulting in a variety of emotional, cognitive, and behavioural changes. While the treatment was generally described as helpful, participants also raised some concerns regarding the treatment format. These findings can inform further development of ICBT targeting psychological symptoms associated with climate change.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of Japanese teenage suicide attempters: a retrospective study comparing suicide attempters with young adults.","authors":"Ryuichiro Narishige, Yasushi Otaka, Amane Tateno","doi":"10.1186/s12888-024-06234-9","DOIUrl":"10.1186/s12888-024-06234-9","url":null,"abstract":"<p><strong>Background: </strong>Teenage suicide-related behaviors have been highlighted in Japan in recent years, but the background factors and characteristics of these behaviors have not been clarified. Therefore, we investigated the characteristics of teenage suicide attempters who were admitted to an emergency room.</p><p><strong>Methods: </strong>The subjects were suicide attempters in their teens and twenties who were admitted to the Critical Care Medical Center of Nippon Medical School Hospital between January 1, 2010 and December 31, 2021. The means of suicide attempt, sociodemographic data, psychiatric diagnoses, and causes and motives for suicide attempts were retrospectively examined from medical records. Teenage suicide attempters were compared to those in their twenties in regard to the acquired data, and logistic regression analysis was conducted to evaluate the influence on teenage suicide attempts by the aspects that have been shown to be closely associated with teenage suicides.</p><p><strong>Results: </strong>Among 860 suicide attempters between 2010 and 2021, 59 (6.9%) were teenage suicide attempters and 216 (25.1%) were suicide attempters in their twenties. The large number of females, the history of self-harm, the great number of drug overdoses as a means of attempting suicide, and the large number of individuals with psychiatric disorders, especially with mood disorders and personality disorders, were commonly shared by suicide attempters both in their teens and twenties. On the other hand, family problems, school problems and autism spectrum disorder significantly influenced mostly teenage suicide attempters.</p><p><strong>Conclusions: </strong>It was suggested that teenage suicide attempters may have attempted suicide due to environmental difficulties and conflicts about not being able to escape from them. It has become clear that teenage suicide attempters have unique characteristics and background factors, and that it is important to take these into account when taking measures to prevent teenage suicides.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A randomized controlled trial on the effect of cranial electrotherapy stimulation on depression, anxiety, and craving in addicted male patients undergoing methadone maintenance treatment.","authors":"Homa Baghaei Ravari, Ali Kheradmand, Mahdi Ghorbani, Alireza Shamsi, Mehdi Khosravi","doi":"10.1186/s12888-024-06137-9","DOIUrl":"10.1186/s12888-024-06137-9","url":null,"abstract":"<p><strong>Background: </strong>Addicted patients undergoing methadone maintenance treatment are prone to several complications and the risk of relapse.</p><p><strong>Objective: </strong>The present study aims to investigate the effect of cranial electrotherapy stimulation on depression, anxiety, and craving in addicted male people undergoing methadone maintenance treatment.</p><p><strong>Methods: </strong>This randomized controlled trial study was conducted on 60 male patients referred to Persia addiction treatment center between 2021 and 2022. Patients were randomly divided into two equal treatment and placebo groups. The treatment group received cranial electrotherapy stimulation intervention for 48 sessions of 30 min. Depression and anxiety were evaluated using the Hamilton questionnaire before and after the intervention, and the level of craving was also evaluated with the Federdi 2008 questionnaire.</p><p><strong>Results: </strong>Comparing the level of depression and anxiety before and after the intervention in both treatment and placebo groups did not show any significant difference (p < 0.05). Craving after the intervention was significantly different in both groups and was lower in the treatment group compared to the placebo group (33.43 versus 42.17, p = 0.004). In the placebo group, the level of anxiety and depression, and in the treatment group, the level of depression, anxiety and craving for consumption decreased significantly after the intervention compared to before the intervention (p < 0.05).</p><p><strong>Conclusion: </strong>Cranial electrotherapy stimulation did not have a significant effect on reducing the level of depression and anxiety of patients, but it is effective in the reduction of craving in addicted people undergoing methadone maintenance treatment.</p><p><strong>Trial registration: </strong>This randomized clinical trial was registered on 2022/5/13 with clinical trial code of IRCT20210523051367N1.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}