BMC Psychiatry最新文献

{"title":"Mediation of the association between education and dementia by occupational complexity, income, health behaviours and health outcomes.","authors":"Katherine Taylor, Louise Marston, Naaheed Mukadam","doi":"10.1186/s12888-025-06619-4","DOIUrl":"10.1186/s12888-025-06619-4","url":null,"abstract":"<p><strong>Background: </strong>Many studies observe a negative association between education and all-cause dementia, however, little is known about how the association develops. Current evidence regarding mediatory factors is limited, conflicted and suggests a complex relationship. In this study we used UK Biobank data to determine to what extent multiple factors mediate the association.</p><p><strong>Methods: </strong>Data was sourced from UK Biobank and multiple imputation used to replace missing values. Education was measured at baseline assessment and dementia diagnosis determined from self-report or linked healthcare records. Five potential mediators were considered: Social isolation, income and occupational complexity were measured at baseline and health behaviour and health outcome scores derived. Logistic regression was used to examine the association between education and dementia with adjustment for potential mediators. Causal mediation analysis was then performed to determine the proportion of the dementia education association occurring via each mediatory pathway.</p><p><strong>Results: </strong>In a sample of 384,284 participants, higher level of education was associated with reduced odds of dementia. When considered as a confounder, occupational complexity almost fully attenuated the association (OR: 0.94, CI: 0.89-0.99) and was found to mediate 73% of the association. Average income, health outcomes and health behaviours also acted as mediators, explaining 10%, 27% and 35% of the relationship respectively.</p><p><strong>Conclusions: </strong>Occupational complexity mediates a large proportion of the association between education and dementia. Intervention to improve access to cognitively stimulating work and leisure activities, particularly to those who are less educated, may reduce the number of people in the UK living with dementia.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"25 1","pages":"174"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498917","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 relationship between social support and smartphone addiction: the mediating role of negative emotions and self-control.","authors":"Guanping Zhong, Yang Shu, Yuelin Zhou, Hongwei Li, Jiushun Zhou, Lian Yang","doi":"10.1186/s12888-025-06615-8","DOIUrl":"10.1186/s12888-025-06615-8","url":null,"abstract":"<p><strong>Background: </strong>With the rapid development of the internet, smartphones have become an indispensable part of our lives. However, prolonged, excessive and uncontrolled use may lead to the hidden danger of smartphone addiction, posing a threat to users' physical and mental health. Previous studies have shown that social support may be a factor in alleviating smartphone addiction. However, its specific mechanism needs further exploration. The purpose of this study is to examine the chain mediating effects of negative emotions and self-control on the relationship between social support and smartphone addiction.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from January 2022 to April 2023 in Sichuan Province, China, with 5,188 respondents aged 15 years or older. Spearman's correlation analysis was used to determine correlations between social support, negative emotions, self-control, and smartphone addiction. We construct a Structural Equation Model (SEM) to explore the pathways of smartphone addiction across different age groups.</p><p><strong>Results: </strong>Social support, negative emotions, self-control, and smartphone addiction were found to be significantly related (p < 0.01).In the population aged 15-44, a complete SEM pathway analysis was achieved, while for the population aged 45-64, a simplified version of the pathway analysis was obtained. Among the population aged 65 and above, multiple pathways were found to be nonsignificant. For the full sample, social support not only exhibited a negative correlation with smartphone addiction (β = -0.410; 95% CI: -0.534 to -0.320) but also influenced smartphone addiction through three specific pathways: via negative emotions (β = -0.041; 95% CI: -0.066 to -0.021), via self-control (β = -0.087; 95% CI: -0.119 to -0.063), and via a sequential effect of negative emotions and self-control (β = -0.047; 95% CI: -0.062 to -0.036). The 15-44 age group demonstrated similar pathways to the full sample, whereas the 45-64 age group lost the pathway mediated solely by negative emotions.</p><p><strong>Conclusions: </strong>Our study shows that high social support reduces smartphone addiction by diminishing negative emotions and improving self-control.The effect is more pronounced in the 15-44 age group.We suggest strengthening the social support system through more activities and urge relevant departments to improve the mental health education, enhance self-control training, and promote mental well-being to help avoid smartphone addiction.</p><p><strong>Trial registration: </strong>Clinical trial number: not applicable.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"25 1","pages":"167"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498612","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":"Changes in inpatient mental health treatment and related costs before and after flexible assertive community treatment: a naturalistic observational cohort study.","authors":"Eva Brekke, Admassu N Lamu, Renira C Angeles, Hanne Clausen, Anne S Landheim","doi":"10.1186/s12888-025-06614-9","DOIUrl":"10.1186/s12888-025-06614-9","url":null,"abstract":"<p><strong>Background: </strong>Flexible Assertive Community Treatment (FACT) is currently implemented in Norwegian mental health services, aiming to ensure comprehensive and rights-based services for persons with severe mental illness and complex needs, but also motivated by assumed cost-effectiveness. We need knowledge about the consequences of this service innovation. The aim of this study was to investigate changes in total and involuntary inpatient mental health treatment and associated changes in costs of inpatient days before and after enrolment into FACT for persons with severe mental illness and complex needs in Norway.</p><p><strong>Methods: </strong>In this naturalistic observational cohort study of 397 patients in eight Norwegian FACT teams, we compared total and involuntary admissions, total and involuntary inpatient days, and the costs of total and involuntary inpatient days, for two periods: 24 months before and 24 months after enrolment in FACT. We used paired t-test.</p><p><strong>Results: </strong>There was a significant reduction in involuntary admissions, involuntary inpatient days, and total inpatient days after enrolment in FACT. We found a slight but non-significant reduction in total admissions to inpatient mental health treatment. There was a significant reduction in the costs of total inpatient days and involuntary inpatient days.</p><p><strong>Conclusion: </strong>Patients in FACT were admitted to inpatient treatment as frequently as before enrolment in FACT, but involuntary admissions were less frequent. Furthermore, the duration of involuntary and total inpatient treatment was reduced, with a corresponding reduction in costs as expected. Results suggest that targeted and well-timed interventions from FACT may reduce the need for prolonged involuntary inpatient treatment, implying reduced disadvantages for the individual and more efficient allocation of health service funding.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"25 1","pages":"164"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11852869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498905","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":"General practitioners' knowledge of psychotraumatism in Burkina Faso in a context of security challenges.","authors":"Konsam Cédric Christel Sawadogo, Boubacar Bague, Adama Galboni, Mahamane Mobarak Salifou Abdou, Zeinabou Cisse, Kapouné Karfo","doi":"10.1186/s12888-025-06618-5","DOIUrl":"10.1186/s12888-025-06618-5","url":null,"abstract":"<p><p>Post-traumatic stress disorders are psychiatric disorders that arise after a traumatic event. They result in moral suffering and physical complications that profoundly alter personal, social and professional life. Our main objective was to study general practitioners (GP)' knowledge of psychotraumatism. This was a descriptive, cross-sectional study whose data collection took place from January 15 to September 15, 2023 in Burkina Faso. GP practicing in Burkina Faso were included. The minimum number of subjects to be included was 422. A Google Form ^® questionnaire was administered to participants. Our study sample comprised 427 GP, 67% of whom were men (284/427). The mean age of the doctors was 32.4 ± 3.5 years. Doctors were married in 49% of cases (208/427) and single in 41% (174/427). Average professional experience was 3.8 ± 2.6 years. The largest number of GP (120) came from the Centre region. A minority of GP practiced in rural areas (7%). The majority of GP (63%) thought they had already dealt with a case of psychotraumatism. Our sample had received training in psychotraumatism during their medical studies in 26.9% of cases, and 17.8% had received continuing education. Considering the grading of GP' knowledge of psychotraumatism, 182 had an average score of 10 or above, i.e. 43% of our sample. Our study did not reveal any factors associated with better knowledge of psychotraumatism. A study on a larger population including nurses could enable us to better assess the level of knowledge in psychotraumatism.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"25 1","pages":"171"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498909","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":"Temporal trends of psychiatric disorders incidence by sex, education and immigration status among young and middle-aged adults in Sweden, 2004-2019.","authors":"Ali Kiadaliri, Mehdi Osooli, Henrik Ohlsson, Jan Sundquist, Kristina Sundquist","doi":"10.1186/s12888-025-06596-8","DOIUrl":"10.1186/s12888-025-06596-8","url":null,"abstract":"<p><strong>Objective: </strong>To explore temporal changes in incidence of major psychiatric disorders across sociodemographic subgroups in Sweden.</p><p><strong>Methods: </strong>This population-based open cohort study included all individuals born during 1958-1994 and residing in Sweden at any time during 2004-2019. We identified psychiatric disorders registered in inpatient and outpatient specialist care. We calculated person-years from the inclusion until diagnosis of psychiatric disorder of interest, death, emigration or December 31, 2019, whichever occurred first. Combining sex (female, male), education (low, medium, high) and immigration status (first- or second-generation immigrant, native), we created a variable with 18 strata. Average annual percent changes (AAPCs) in age-standardized incidence rates (ASIRs) were estimated using Joinpoint regression.</p><p><strong>Results: </strong>A total of 5,051,875 individuals aged 25-61 years were followed for ≈ 56-58 million person-years. First-generation immigrants generally had lower overall ASIRs than second-generation and natives with more pronounced differences among persons with low education and females. While ASIRs of autism spectrum and other pervasive developmental disorders (AAPC 11.8%, 95% CI: 9.5, 15.8), as well as attention deficit hyperactivity disorder and conduct disorders (18.8%, 16.6, 25.0) rose over time, other psychiatric disorders were stable or had decreasing temporal changes (AAPC ranged from 0% for substance use disorders to -5.7% for schizophrenia/acute and transient psychotic disorders). First-generation immigrants generally experienced more favourable changes (i.e. more decreases or less increases) in ASIRs and this was most evident among those with low education.</p><p><strong>Conclusions: </strong>While incidence of psychiatric disorders in inpatient and outpatient specialist care generally declined during 2004-2019, there were important sociodemographic variations in temporal changes.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"25 1","pages":"166"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498986","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":"Therapeutic effects of short-term trauma stabilization techniques combined with escitalopram in treating adolescent major depressive disorder: a pilot randomised controlled trial.","authors":"Jiating Xu, Jiajia Wu, Xiaojing Wang, Qianqian Chen, Ruizhi Xu, Yaoyan Xu, Xiuchao Geng, Yiping Tang","doi":"10.1186/s12888-025-06624-7","DOIUrl":"10.1186/s12888-025-06624-7","url":null,"abstract":"<p><strong>Objective: </strong>To explore the efficacy of short-term trauma stabilization techniques combined with escitalopram in the treatment of adolescent major depressive disorder (MDD).</p><p><strong>Methods: </strong>A total of 80 patients with MDD who were hospitalized in the Psychosomatic Department of our hospital were selected and randomly divided into two groups: the escitalopram combined with short-term trauma stabilization technique group (study group) and the escitalopram combined with mental health education group (control group). Upon hospitalization, patients completed the adolescent self-rating life events check list (ASLEC), impact of event scale-revised (IES-R), 17-item Hamilton depression scale (HAMD-17) and Hamilton anxiety scale (HAMA). After 2 and 4 weeks of treatment, the IES-R, HAMD-17-17 and HAMA scores were reevaluated.</p><p><strong>Results: </strong>There were no significant differences in the ASLEC, IES-R, HAMD-17 or HAMA scores between the two groups at admission. Compared with that of the control group, the IES-R score of the study group was significantly improved at the 2nd week of treatment (P < 0.01). By the 4th week of treatment, the IES-R scores in the study group had further improved compared to the control group (P < 0.01). Additionally, the HAMD-17 and HAMA scores in the study group were significantly improved compared to the control group (P < 0.01).</p><p><strong>Conclusion: </strong>Escitalopram combined with short-term trauma stabilization is more effective in the treatment of MDD than escitalopram with mental health education, warranting further exploration.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"25 1","pages":"176"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498783","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":"Prevalence and risk factors of attention deficit hyperactive disorder among children aged 6-17 years in arbaminch City, Gamo zone, Southern Ethiopia: a community-based cross-sectional study.","authors":"Abigia Samuel, Berhan Tekeba, Destaye Guadie","doi":"10.1186/s12888-025-06625-6","DOIUrl":"10.1186/s12888-025-06625-6","url":null,"abstract":"<p><strong>Introduction: </strong>Attention deficit hyperactivity disorder (ADHD) is among the most common neurodevelopmental diseases affecting children and adolescents all over the world. There is limited evidence on the magnitude of ADHD among children in the Southern Nation and Nationality region in Ethiopia. Therefore, this study aimed to assess the magnitude and associated factors of ADHD among children aged 6-17 years in Arba Minch town, Southern Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted in Arba Minch city from April 5 to May 5, 2023. A study included 520 participants. A multistage sampling followed by systematic random sampling was used to select the study participants. The Vanderbilt ADHD diagnostic DSM-IV criteria using a pre-tested, structured questionnaire with a face-to-face interview were used to assess the outcome. For data entry and analysis, Epi Info version 7 and STATA version 14 software were used, respectively. Variables with a p < 0.25 from the bivariate analysis were considered for the multivariable analysis. The multivariable logistic regression analysis was performed to identify statistically significant variables with a p-value of < 0.05. The adjusted odds ratio presented the strength of the association with a 95% confidence interval.</p><p><strong>Result: </strong>The prevalence of ADHD was found to be 9.77% (95% CI; 7.47-12.66) in Arbaminch city. Family history of mental illness (AOR = 2.27; 95% CI: 1.15-4.45), children with a history of previous mental health problems (AOR = 7.11; 95% CI: 1.66-30.41), children whose mothers used alcohol during pregnancy (AOR = 3.36; 95% CI: 1.41-7.99), and children whose mothers smoked tobacco during their lifetime (AOR = 4.17; 95% CI: 1.05-16.89) were significantly associated with attention-deficit hyperactivity disorder.</p><p><strong>Conclusion: </strong>According to this study, one in ten children in Arbaminch City, Ethiopia, is diagnosed with ADHD. Key predictors of ADHD include a prior history of mental illness in the child, maternal smoking, alcohol consumption during pregnancy, and a family history of mental disorders. Consequently, children with previous mental health issues and those from families with a history of mental illness should receive special attention. Additionally, expectant mothers must be informed about the harmful effects of alcohol and tobacco consumption on fetal development.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"25 1","pages":"175"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498969","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 association between weekend warrior physical activity pattern and anxiety: evidence from a U.S. population-based study.","authors":"Zihao Chen, Jiahao Xin, Junqiang Jia, Jiayuan Tu, Xiaoming Li","doi":"10.1186/s12888-025-06612-x","DOIUrl":"10.1186/s12888-025-06612-x","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the association between the Weekend Warrior (WW) pattern and the risk of anxiety among American adults, offering insights into a more flexible exercise strategy for individuals with limited time for regular exercise during weekdays.</p><p><strong>Methods: </strong>We analyzed data from the 2007-2012 National Health and Nutrition Examination Survey (NHANES) to examine the relationship between different physical activity (PA) patterns and the risk of anxiety. Multivariate logistic regression, subgroup interaction, restricted cubic spline analysis (RCS), and sensitivity analyses were conducted to assess this association.</p><p><strong>Results: </strong>Compared to inactive individuals, those engaging in WW pattern (OR = 0.65, 95% CI: 0.48-0.90, p = 0.010), insufficiently active (OR = 0.71, 95% CI: 0.62-0.82, p < 0.001), or regularly active pattern (OR = 0.75, 95% CI: 0.65-0.87, p < 0.001) showed significantly lower risk of anxiety. Subgroup interaction analyses revealed significant effect modification in the poverty income ratio (PIR) and diabetes subgroups (P for interaction < 0.05), while no significant interactions were observed for other variables. RCS analysis showed a significant nonlinear relationship between recreational moderate to vigorous intensity physical activity and risk of anxiety (P for nonlinear < 0.001). Sensitivity analyses further confirmed the stability of the findings.</p><p><strong>Conclusion: </strong>The WW pattern was associated with a lower risk of anxiety. For individuals unable to exercise consistently throughout the week, the WW pattern offers a practical alternative for reducing the risk of anxiety, particularly among those with lower income levels or diabetes.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"25 1","pages":"168"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498241","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 person-centered examination of adverse childhood experiences and associated distal health, mental health, and behavioral outcomes in the United Arab Emirates.","authors":"Anthony Murphy, Iffat Elbarazi, Neal Horen, Zeina Ismail-Allouche, Toby Long, Adam McNeill, Cairo Arafat, Dawn England","doi":"10.1186/s12888-025-06623-8","DOIUrl":"10.1186/s12888-025-06623-8","url":null,"abstract":"<p><strong>Background: </strong>An increasing body of evidence highlights the utility of examining adverse childhood experiences (ACEs) utilizing person-centered analytical approaches, particularly for understanding the organization and co-occurrence of ACEs, and their contributions to risk, vulnerability, and the development of intervention efforts.</p><p><strong>Methods: </strong>In the first study of its kind, this paper uses Latent Class Analysis, to assess ACEs among a large community sample in Abu Dhabi, capital city of the United Arab Emirates, by examining patterns of ACEs and their associated impact on health, mental health, behavioral risk, and adult psychological function in a cross-sectional sample of 922 members of the Abu Dhabi community.</p><p><strong>Results: </strong>Findings support a 3-class solution, representing low-to-no ACEs, Household ACEs, and Violence ACEs among this sample, with variability in the age, sex, and nationality status reflected across classes. ACE categories notably differentiated later adult risk for a suite of diagnoses of health and mental health disorders, risk for elevated screening values for depression, anxiety and stress, and a range of adult risk-related behaviors.</p><p><strong>Conclusion: </strong>These findings are considered in line with the extant literature and form the basis of considerable public health policy and intervention planning in Abu Dhabi, the United Arab Emirates, and the Arab region.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"25 1","pages":"165"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498901","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":"Implementation of the healthy heart tool- an algorithm with potential cardiometabolic health benefits in persons with severe mental illness.","authors":"Elisabeth Haug Lund-Stenvold, Petter A Ringen, Ole A Andreassen, Torfinn L Gaarden, Cecilie B Hartberg, Erik Johnsen, Silje Myklatun, Kåre Osnes, Kjetil Sørensen, Arne Vaaler, Serena Tonstad, John A Engh, Anne Høye","doi":"10.1186/s12888-025-06578-w","DOIUrl":"10.1186/s12888-025-06578-w","url":null,"abstract":"<p><strong>Background: </strong>Cardiometabolic diseases are the main causes of death in persons with severe mental illness (SMI), highlighting the need to improve management of cardiovascular risk factors in both primary and specialized health care. The \"Healthy Heart Tool\" aims at helping health care workers to identify persons at risk, and to initiate proper interventions. Here we investigate if the recommendations in the Healthy Heart Tool are followed one year after implementation and whether implementation of the tool improved cardiometabolic risk factors in SMI.</p><p><strong>Methods: </strong>Data from 270 individuals with SMI from six Norwegian hospitals were collected at baseline and at 12 months after implementation of the Healthy Heart Tool throughout the health care services. Changes from baseline to 12 months follow-up were analyzed using chi-square and independent t-tests, whereas implementation effects were analyzed using logistic general linear mixed models.</p><p><strong>Results: </strong>After implementing the Healthy Heart Tool, significantly more persons received dietary advice and/or salt restriction advice (75.5% vs. 84.8%, p = 0.035). After controlling for Body Mass Index (BMI) ≥ 30 and sex, there was an odds ratio (OR) of 8.9 (95% CI 1.42-55.77) for receiving dietary advice and/or advice on salt reduction. There was a significant reduction (p = 0.016) in numbers of participants with high levels of total serum cholesterol ≥ 5 mmol/ (54.4% vs. 46.3%).</p><p><strong>Conclusions: </strong>Implementing the Healthy Heart Tool can increase awareness of cardiovascular risk factors in patients with SMI. The intervention increased the proportion of individuals who received dietary and salt reduction advice and decreased the proportion of individuals with high cholesterol levels. However, due to the small numbers, these results should be interpreted with caution. Nonetheless, the findings suggest that the Healthy Heart Tool may be an effective means for improving the management of cardiovascular risk factors in individuals with SMI in typical clinical settings.</p><p><strong>Trial registrations: </strong>The trial was retrospectively registered in ClinicalTrials.gov 29.01.25, ID NCT06807242.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"25 1","pages":"172"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498913","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}