BMC Psychiatry最新文献

{"title":"Comparing the experiences of cancer survivors living with sleep disturbances between differing levels of psychological distress: a qualitative study.","authors":"Julia Chan, Danielle Wing Lam Ng, Richard Fielding, Wendy Wing Tak Lam","doi":"10.1186/s12888-024-06344-4","DOIUrl":"10.1186/s12888-024-06344-4","url":null,"abstract":"<p><strong>Background: </strong>Psychological distress often co-occurs with sleep disturbances; but the specific mechanisms linking the two remain unclear. A qualitative study explored perceptions and factors associated with sleep disturbances in cancer survivors between patients with varying levels of psychological distress.</p><p><strong>Methods: </strong>Thirty-three Cantonese speaking mixed type cancer survivors were recruited from a community cancer care program. Participants that scored > 5 on the Pittsburgh Sleep Quality Index and had non-clinical or borderline to clinical levels of psychological distress underwent semi-structured interviews. Interviews were analyzed using grounded theory.</p><p><strong>Results: </strong>Common triggers of sleep disturbances included unresolved treatment side-effects, intrusive thoughts about cancer and fear of cancer recurrence or progression, poor sleep hygiene and a lack of routine. Those with higher levels of distress exhibited more worry about recovery after cancer. Further, they engaged in thought suppression and experienced meta-worry about negative emotions and worry of poor sleep impacting recovery and cancer progression. They commonly exhibited high sleep reactivity and were observed to have limited social support. In contrast, those with low distress adopted better adaptive mechanisms, including a changed commitment to prioritizing health and positive reappraisal of their recovery progress. Self-distraction was used to cope with sleep disturbances and they had fewer expectations of good sleep quality.</p><p><strong>Conclusions: </strong>Findings provided insights into the suitability of interventions for patients with sleep disturbances. Interventions targeting maladaptive emotion-focused coping may be more effective in addressing sleep disturbances in cancer survivors with higher distress. Interventions adopting a stepped-care approach may be advantageous in managing sleep disturbances by catering for varying levels of distress.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"24 1","pages":"869"},"PeriodicalIF":3.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765940","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":"Preliminary adaptation of cognitive behavioral therapy for major depression in the Bangladeshi context: a pilot study.","authors":"Jesan Ara, Farah Deeba","doi":"10.1186/s12888-024-06145-9","DOIUrl":"https://doi.org/10.1186/s12888-024-06145-9","url":null,"abstract":"<p><p>Cultural values and standard social rules of communities strongly influence any psychological therapy. Being developed and modified in the Western world, cognitive behavior therapy (CBT) is not anyway different from such influences. In this study, CBT was adapted in Bengali to determine the functional feasibility of the psychological intervention for people with depression in Bangladesh. This is the first pilot study of an adapted CBT manual for psychological intervention for working with depressive clients in Bangladesh. There were three phases of the study. In the first two phases, the standard protocols of CBT were adapted for the Bangladeshi community, as practiced by mainstream practitioners and mental health professionals around the world. The information gathered during the first phase of the standard protocols of CBT was written in Bengali as the first draft. In the second phase, the CBT manual was judged by seven senior clinical psychologists in Bangladesh who were trained in CBT by British clinical psychologists and later provided training to fellow mental health professionals. After the judges' evaluation, their comments and suggestions were synthesized and the first draft of the adapted intervention was finalized. In the third phase, to evaluate the functional feasibility of the Bengali CBT-based manual, five patients diagnosed with major depression by psychiatrists were tested. Four valid and reliable psychometric measurements were used to measure symptoms of depression and comorbid symptoms of anxiety, psychological distress, and suicidal risk. Assessments were completed at 2 time points (pretest and posttest) via scales. The intervention was delivered within 6 to 10 sessions, and improvements were monitored over the scores of all the questionnaires. The possibilities of Bengali CBTs to reduce depression and appear to be promising treatment options for depression are discussed in this paper.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"24 1","pages":"868"},"PeriodicalIF":3.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765973","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":"Mental health professionals' beliefs and attitudes towards compulsory admission in Athens: a token of social stigma or good faith in psychiatry?-a cross-sectional study.","authors":"Lily Evangelia Peppou, Sofia Nikolaidi, Kyriaki Tsikou, Nektarios Drakonakis, Eugenie Georgaca, Aikaterini Arvaniti, Kyriakos Souliotis, Stelios Stylianidis, Vasiliki Yotsidi","doi":"10.1186/s12888-024-06300-2","DOIUrl":"10.1186/s12888-024-06300-2","url":null,"abstract":"<p><strong>Background: </strong>Mental health professionals' (MHPs) attitudes towards involuntary admissions have not received adequate attention in efforts to curb their rates. Thus, the present study set out to (i) explore MHP attitudes regarding involuntary hospitalisation, (ii) describe their perceived dangerousness of people with severe mental illness (SMI) and their trust in psychiatry, (iii) identify the predictors of attitudes towards compulsory admissions and (iv) gauge the contribution of perceived dangerousness versus trust in psychiatry to explaining them.</p><p><strong>Methods: </strong>A random sample of 300 mental health professionals working in public mental health services located in the Northern part of Athens and in the two psychiatric hospitals of Attica participated in the study. Respondents had to complete a self-reported instrument garnering information about participants' attitudes towards involuntary hospitalisation (original scale), the perceived dangerousness of people with SMI (Perceived Dangerousness Scale) and their trust in psychiatry (based on the Attitudes to Mental Illness scale) as well as various socio-demographic and work-related variables.</p><p><strong>Results: </strong>Respondents largely accepted involuntary hospitalisations, considering them to be beneficial (72.96%) and disagreeing with the view that they adversely influence the course of illness (54.85%). Nonetheless, they believe that people with SMI should be treated in the community (89.93%), that compulsory admission should be the last therapeutic resort (84.01%) and that people with SMI should not be placed in psychiatric hospitals against their will in order to be under surveillance (90.64%). However, they acknowledge that involuntary admission is often the only treatment options(61.19%). Concomitantly, they report moderate levels of perceived dangerousness and high levels of trust in psychiatry. Trust in psychiatry had the strongest positive association with acceptance of involuntary hospitalisation among mental health professionals whereas postgraduate studies and working in outpatient settings were linked to less favourable attitudes. Interestingly, perceived dangerousness did not yield an independent effect; rather, it weakened the association between trust in psychiatry and acceptance of involuntary admissions.</p><p><strong>Conclusions: </strong>Mental health professionals hold complex attitudes towards involuntary hospitalisation, which are largely explained by their trust in psychiatry. Efforts to reduce the rates of involuntary admissions should address both them and their determinants.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"24 1","pages":"873"},"PeriodicalIF":3.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765956","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":"Screen time trajectories and psychosocial well-being among Chinese adolescents: a longitudinal study.","authors":"Wanxin Wang, Weiqing Jiang, Liwan Zhu, Ciyong Lu, Yanzhi Li, Wenjian Lai, Lan Guo","doi":"10.1186/s12888-024-06329-3","DOIUrl":"10.1186/s12888-024-06329-3","url":null,"abstract":"<p><strong>Background: </strong>While the association between screen time (ST) and psychosocial well-being has been extensively examined, limited studies have investigated the dynamic patterns of ST, and their impact on subsequent psychosocial well-being among adolescents. Therefore, this longitudinal study aimed to examine the association between ST trajectories and the subsequent psychosocial well-being among Chinese adolescents.</p><p><strong>Methods: </strong>Data were drawn from the Longitudinal Study of Adolescents' Mental and Behavioral Well-being Research (Registration No. ChiCTR1900022032). The final analysis included 1480 participants who completed baseline and two follow-up surveys. Standardized measures were employed to assess ST and multiple psychosocial well-being, including depressive symptoms, anxiety, externalizing problems, and coping style. Group-based trajectory modeling and generalized linear mixed models were performed.</p><p><strong>Results: </strong>Over the two-year follow-up period, two distinct ST trajectories emerged: continued high (298 [20.1%]) and continued low (1182 [79.9%]). Compared with those in the continued low ST group, adolescents in the continued high group exhibited a higher likelihood of presenting depressive symptoms (β = 0.97, 95% CI = 0.43 ~ 1.50), anxiety symptoms (β = 0.29, 95% CI = 0.05 ~ 0.53), and emotional problems (β = 0.35, 95% CI = 0.22 ~ 0.48), and were less likely to demonstrate prosocial behavior or employ positive coping style. The stratified analysis demonstrated that the aforementioned associations only existed among female adolescents.</p><p><strong>Conclusions: </strong>Persistent high exposure to ST was associated with an increased odds of emotional problems and a decreased probability of engaging in prosocial behavior and positive coping style, with particularly noteworthy effects observed among female adolescents. These findings underscore the importance of reducing ST exposure to improve the psychological well-being of adolescents.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"24 1","pages":"863"},"PeriodicalIF":3.4,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765991","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":"Perspectives of people with schizophrenia on clinical outcome scales and patient-reported outcome measures: a qualitative study.","authors":"Utako Sawada, Asami Matsunaga, Ayano Taneda, Natsu Sasaki, Sosei Yamaguchi","doi":"10.1186/s12888-024-06292-z","DOIUrl":"10.1186/s12888-024-06292-z","url":null,"abstract":"<p><strong>Background: </strong>Over the past half-century, numerous scales have been designed to quantify outcomes in people with severe mental health disorders. However, little is known about the views of people diagnosed with schizophrenia on individual outcome scales, particularly outside of European countries.</p><p><strong>Aim: </strong>We conducted a qualitative study to examine the perspectives of people with schizophrenia on multiple scales in Japan.</p><p><strong>Methods: </strong>Eleven participants took part in focus group interviews. Five had extensive experience as mental health peer supporters; the others had no such experience. To address potential power imbalances and facilitate dynamic discourse, participants were intentionally divided into two groups on the basis of peer support experience, and two simultaneous two-hour focus group interviews were conducted in separate rooms. The participants reviewed 12 clinical and patient-reported outcome measures and discussed their views on each measure. Interview data for each group were combined prior to analysis and qualitatively analyzed by four researchers using a thematic analysis approach.</p><p><strong>Results: </strong>The average age of the participants was 42.7 years (SD = 8.3), and six were male. On average, the participants had been living with schizophrenia for 22.2 years (SD = 11.1). After analyzing the interview data, the following five themes were identified, each containing two to seven subthemes: 1) validity and format of the scale construct, 2) factors affecting the accuracy of responses, 3) plain language and familiar words in Japanese culture, 4) psychological impact on the respondents, and 5) containing important items in everyday life.</p><p><strong>Conclusion: </strong>The participants provided both favorable and unfavorable feedback on each scale. When implementing research utilizing clinical outcome scales and patient-reported outcome measures, researchers should exercise caution considering the potential emotional impact on respondents. Furthermore, scale development should take into account the cultural background and psychological burden experienced by the respondents.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"24 1","pages":"861"},"PeriodicalIF":3.4,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142754462","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":"Deficits in prosodic speech-in-noise recognition in schizophrenia patients and its association with psychiatric symptoms.","authors":"Shenglin She, Bingyan Gong, Qiuhong Li, Yu Xia, Xiaohua Lu, Yi Liu, Huawang Wu, Chao Wu, Yingjun Zheng","doi":"10.1186/s12888-024-06065-8","DOIUrl":"https://doi.org/10.1186/s12888-024-06065-8","url":null,"abstract":"<p><strong>Background: </strong>Uncertainty in speech perception and emotional disturbances are intertwined with psychiatric symptoms. How prosody embedded in target speech affects speech-in-noise recognition (SR) and is related to psychiatric symptoms in patients with schizophrenia (SCHs) remains unclear. This study aimed to examine the neural substrates of prosodic SR deficits and their associations with psychiatric symptom dimensions in patients with schizophrenia.</p><p><strong>Methods: </strong>Fifty-four SCHs and 59 healthy control participants (HCs) completed the SR task (participants were required to identify the contents of the target pseudo-sentences expressed in neutral, happy, sad, angry, fearful, and disgusted prosody by actors), positive and negative syndrome scale (PANSS) assessment, and magnetic resonance imaging scanning. We examined the deficits of the six prosodic SRs in schizophrenia patients and their associations with brain gray matter volume (GMV) and psychiatric symptoms.</p><p><strong>Results: </strong>Negative emotional (sad, angry, fearful, and disgusted) prosodies of the target sentences worsened SR across groups. Both participant groups had equal SR between the neutral and happy prosody conditions. Compared to the anger and disgusted conditions, SCHs and HCs had better SR under sad and fearful conditions. Better prosodic SR was associated with shorter duration and lower local shimmer of target sentences. A partial least squares (PLS) component of GMV (covering 47 brain regions with group differences) was associated with six prosodic SRs. The happy SR was associated with the PANSS total, negative, and general scores, adjusting for covariates.</p><p><strong>Conclusions: </strong>Negative emotional prosodies of the target sentences dampened the recognition of the target sentences. The prosodic SR abnormalities in SCHs were associated with not only brain GMV reductions in the regions involved in the processing of sensorimotor, speech, and emotion but also with negative and general psychiatric symptoms. These findings suggest the possibility of improving negative symptoms by improving a happy SR in schizophrenia patients based on neuroplasticity.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"24 1","pages":"864"},"PeriodicalIF":3.4,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765949","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":"Network integration and segregation changes in schizophrenia: impact of electroconvulsive therapy.","authors":"Ningning Ding, Entu Zhang, Yangyang Liu, Shuaiqi Zhang, Pei Lu, Haisan Zhang","doi":"10.1186/s12888-024-06331-9","DOIUrl":"https://doi.org/10.1186/s12888-024-06331-9","url":null,"abstract":"<p><strong>Background: </strong>Studies have confirmed brain network topology disruption in schizophrenia (SZ). Electroconvulsive therapy (ECT) rapidly improves acute psychiatric symptoms, yet the exact mechanism by which it impacts brain network topology in SZ patients remains unclear. This study aims to explore topological changes in SZ patients' whole-brain functional networks during ECT, ultimately elucidating implicated neurological mechanisms.</p><p><strong>Methods: </strong>This study collected resting-state functional magnetic resonance imaging (rs-fMRI) data from 53 patients with schizophrenia before and after ECT, as well as data from 46 age-, gender-, and education-matched healthy control participants (HC). Using the Brainnetome Atlas, brain functional networks were constructed for each participant. Graph theory methods were applied to measure global and nodal topological properties. Clinical symptoms of patients were assessed using the Positive And Negative Syndrome Scale (PANSS). Independent sample t-tests were employed to compare topological properties between patients and healthy controls, while paired t-tests were used to assess before and after ECT differences within the patient group. Finally, partial correlation analyses were conducted to examine the relationship between changes in topological properties and changes in PANSS scores among patients before and after ECT.</p><p><strong>Results: </strong>Before ECT, compared to the HC group, the patient group demonstrated reduced local efficiency (Eloc) and clustering coefficient (Cp). In the right superior temporal gyrus, degree centrality (Dc) and nodal global efficiency (Ne) were lower, whereas in the left cingulate gyrus, Ne and Dc were higher. Following ECT, Eloc and Cp normalized in the patient group. Additionally, nodal local efficiency (NLe) and nodal clustering coefficient (NCp) increased in the bilateral superior frontal gyrus. Conversely, in the left inferior parietal lobule, Ne and Dc decreased, and nodal shortest path length (NLp) increased. Both NLe and NCp were lower in the bilateral lateral occipital cortex, both before and after ECT. However, no significant correlation was observed between changes in PANSS scores and alterations in global and nodal topological properties before and after ECT treatment.</p><p><strong>Conclusions: </strong>Our study suggests that ECT may improve psychiatric symptoms by modulating the integration and dissociation functions within damaged brain networks in SZ patients. Specifically, the balance between the integration and dissociation functions of the default mode network (DMN), central executive network (CEN), and auditory networks (AN) may play a crucial role in the improvement of psychiatric symptoms.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"24 1","pages":"862"},"PeriodicalIF":3.4,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765969","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":"Management of obesity with semaglutide or metformin in patients with antipsychotic-induced weight gain (MOSA): a non-randomised open-label pilot study.","authors":"Bea Campforts, Marjan Drukker, Therese van Amelsvoort, Maarten Bak","doi":"10.1186/s12888-024-06317-7","DOIUrl":"https://doi.org/10.1186/s12888-024-06317-7","url":null,"abstract":"<p><strong>Background: </strong>Antipsychotic-induced weight gain (AIWG) represents a significant clinical challenge for both patients and clinicians, requiring appropriate interventions to prevent or reverse weight gain in patients using antipsychotics. Glucagon-like peptide 1 (GLP-1) agonists represent a novel approach to the management of obesity that has recently attracted considerable attention. Semaglutide (a GLP-1 agonist) has been demonstrated to result in notable weight loss. The present study investigates whether semaglutide is equally effective in achieving weight loss in patients with AIWG.</p><p><strong>Methods: </strong>A prospective, non-randomised cohort study was conducted with the objective of evaluating the efficacy and safety of oral semaglutide for the treatment of AIWG in routine outpatient clinical practice. Subsequently, the results were compared with those of a control group of AIWG patients taking metformin.</p><p><strong>Results: </strong>After 16 weeks, the mean body weight loss was 4.5 kg (95% confidence interval (CI), -6.7 to -2.3 kg; p < 0.001) in the semaglutide group (n = 10) versus 2.9 kg (95% CI, -4.5 to -1.4 kg; p < 0.001) in the metformin group (n = 26). This corresponds to an average body weight loss of 4% for semaglutide, and 2.5% for metformin. The respective reductions in body mass index (BMI) and waist circumference were -1.7 kg/m2 (95% CI, -2.4 to -1.0 kg/m2; p < 0.001) and -6.8 cm (95% CI, -9.7 to -3.8 cm; p < 0.001) for semaglutide. The observed reductions for metformin were -0.8 kg/m2 (95% CI, -1.4 to -0.3 kg/m2; p = 0.001) and -3.4 cm (95% CI, -5.4 to -1.3 cm; p = 0.001). The differences between the two groups were not statistically significant. In both groups, adverse effects were typically mild and transient, predominantly nausea. Furthermore, psychiatric symptoms were reduced, and quality of life improved.</p><p><strong>Conclusions: </strong>Oral semaglutide represents a viable, effective, and safe treatment option for psychiatric patients. However, further investigation is required to corroborate these findings.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"24 1","pages":"865"},"PeriodicalIF":3.4,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765954","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 dyadic coping and post-traumatic growth in breast cancer patients and spouses: based on potential profile analysis.","authors":"Yefan Zhang, Yuqi Gao, Ning Zhang, Kaiyan Xu, Shuo Zhao","doi":"10.1186/s12888-024-06289-8","DOIUrl":"10.1186/s12888-024-06289-8","url":null,"abstract":"<p><strong>Background: </strong>The disease impact of breast cancer is to view the couple as a whole, breast cancer is a disease shared by the couple. Cancer coping has evolved from an individual perspective to a dyadic coping perspective for couples. The purpose of this study was to identify and describe the dyadic coping categories of couples with breast cancer and to analyze the relationship between dyadic coping categories and post-traumatic growth (PTG) in couples with breast cancer.</p><p><strong>Method: </strong>In this study, breast cancer patients and their spouses were selected as the study population from several tertiary hospitals in Jinzhou City using convenience sampling method in 2023. A general information questionnaire, Dyadic Coping Inventory (DCI), and Post-traumatic Growth Inventory (PTGI) were used to survey 254 couples with breast cancer. Latent profile analysis (LPA) was performed using Mplus (version 8.3). SPSS 26.0 was used for data entry, and data were analyzed using one-way analysis of variance and multifactor logistic regression. Significance level α = 0.05.</p><p><strong>Result: </strong>The study examines the influence of various factors such as educational attainment, age, income, residence, medical insurance, surgical procedure type, disease stage, and breast cancer recurrence on patients' coping strategies. Multiple logistic regression analysis showed that education level, age at marriage, place of residence, form of health care coverage, stage of the disease, and whether or not the disease recurred were significant predictors of each indicator (P < 0.05). The LPA yielded four dyadic coping subgroups, with high relative entropy (0.942), respectively, each accounting for 7.4%, 17.1%, 24.3%, and 51.2% of the total. The study found that the high-level coping group scored significantly higher in all dimensions of binary coping with post-traumatic growth among different patient and spouse subgroups.</p><p><strong>Conclusion: </strong>Couple dyadic coping in breast cancer patients was categorized into four groups. The low-level coping group is the one that needs focused observation and intervention. This is a better reference for caregivers to provide more targeted coping programs based on the different dyadic coping categories of couples of breast cancer patients.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"24 1","pages":"860"},"PeriodicalIF":3.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142754464","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":"Self-harm hospitalizations and neighbourhood level material and social deprivation in Canada: an ecological study.","authors":"Li Liu, Nathaniel J Pollock, Gisèle Contreras, Yuan Xu, Wendy Thompson","doi":"10.1186/s12888-024-06316-8","DOIUrl":"10.1186/s12888-024-06316-8","url":null,"abstract":"<p><strong>Background: </strong>Socio-economic status is associated with self-harm at the individual and area level. In Canada, there is limited evidence on the relationship between area-level markers of socio-economic status and self-harm. The objective of this study was to assess the impact of small area-level material and social deprivation on rates of hospitalization due to self-harm.</p><p><strong>Methods: </strong>Administrative data on hospitalizations from two databases in Canada (Discharge Abstract Database and Ontario Mental Health Reporting System) for the period April 1, 2015 to March 31, 2022, were analyzed. Rates of self-harm hospitalization and percentage of repeated admissions were estimated across quintiles of material and social deprivation. Rate ratios were computed to evaluate disparities. The rates were stratified by sex and age group; the percentage of repeated admissions were stratified by sex.</p><p><strong>Results: </strong>In total, the study included 109,398 hospitalizations due to self-harm. Populations in more deprived areas had higher rates of self-harm hospitalizations than those in less deprived areas. The rate ratios for people who lived in the most deprived areas over the least deprived areas were 1.48 (95% CI: 1.38-1.58) and 1.71 (95% CI: 1.60-1.82) for material and social deprivation, separately. The largest disparity was among people aged 25-44 years for material and 45-64 years for social deprivation. Percentages of repeated self-harm hospitalizations were significantly higher in more deprived areas compared to less deprived areas for social deprivation, and among males but not females for material deprivation.</p><p><strong>Conclusions: </strong>Both material and social deprivation were associated with self-harm hospitalization and repeated admissions; the disparity varied by subgroup and the deprivation components. This study demonstrated a need to consider interventions at the neighbourhood level and address both community and population-level conditions of social and material need.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":"24 1","pages":"859"},"PeriodicalIF":3.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749850","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}