BJPsych Open最新文献

{"title":"The transfer process from child and adolescent mental health services to adult mental health services for patients with childhood-onset neurodevelopmental disorders: first case-control study from Türkiye - CORRIGENDUM.","authors":"Melike Karaçam Doğan, Yağmur Karakuş Aydos, Şükrü Keleş, Halime Tuna Çak Esen, Mevhibe İrem Yildiz","doi":"10.1192/bjo.2025.10859","DOIUrl":"10.1192/bjo.2025.10859","url":null,"abstract":"","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 5","pages":"e204"},"PeriodicalIF":3.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between psychotic experience dimensions and polygenic liability to schizophrenia in a longitudinal birth cohort.","authors":"Alastair G Cardno, Hein Heuvelman, Sophie E Legge, James T R Walters, Stanley Zammit, Hannah J Jones","doi":"10.1192/bjo.2025.10825","DOIUrl":"10.1192/bjo.2025.10825","url":null,"abstract":"<p><strong>Background: </strong>Some psychotic experiences in the general population show associations with higher schizophrenia and other mental health-related polygenic risk scores (PRSs), but studies have not usually included interviewer-rated positive, negative and disorganised dimensions, which show distinct associations in clinical samples.</p><p><strong>Aims: </strong>To investigate associations of these psychotic experience dimensions primarily with schizophrenia PRS and, secondarily, with other relevant PRSs.</p><p><strong>Method: </strong>Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort participants were assessed for positive, negative and disorganised psychotic experience dimensions from interviews, and for self-rated negative symptoms, at 24 years of age. Regression models were used to investigate associations between psychotic experience dimensions and schizophrenia and other PRSs (2500+ participants for each analysis).</p><p><strong>Results: </strong>Against expectation, none of the positive, negative or disorganised dimensions was associated with schizophrenia PRS. In secondary analysis, self-rated negative symptoms were associated with higher depression (<i>β</i> = 0.10 [95% CI 0.06-0.15]), anxiety (<i>β</i> = 0.09 [95% CI 0.04-0.13]), neuroticism (<i>β</i> = 0.11 [95% CI 0.06-0.15]) and autism (<i>β</i> = 0.09 [95% CI 0.05-0.13]) PRSs (all <i>P</i> < 0.001); and first-rank delusions were nominally associated with higher schizophrenia PRS (odds ratio 7.35 [95% CI 2.10-25.77], <i>P</i> = 0.002), although these experiences/symptoms were rare.</p><p><strong>Conclusions: </strong>Positive, negative and disorganised psychotic experiences are probably not strongly associated with polygenic liability to schizophrenia in this general population cohort of young adults. Self-rated negative symptoms may indicate social withdrawal/low motivation due to higher polygenic liability to affective disorders or autism, and first-rank delusions may indicate higher polygenic liability to schizophrenia, but these findings require independent confirmation.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 5","pages":"e197"},"PeriodicalIF":3.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 factors associated with depression, anxiety and post-traumatic stress disorder among healthcare workers from sub-Saharan Africa: systematic review.","authors":"Ezra Kipngetich Too, Peninah Wachira, Solomon Njenga, Sabina Adhiambo Odero, Eunice Ndirangu-Mugo, Amina Abubakar","doi":"10.1192/bjo.2025.10818","DOIUrl":"10.1192/bjo.2025.10818","url":null,"abstract":"<p><strong>Background: </strong>Depression, anxiety and post-traumatic stress disorder (PTSD) are prevalent among healthcare workers (HCWs), including those from sub-Saharan Africa (SSA). However, there are limited summary data on the burden and factors associated with these disorders in this region. We conducted this systematic review (registration no. CRD42022349136) to fill this gap.</p><p><strong>Aims: </strong>The aim of this review was to systematically summarise the available evidence on the prevalence and factors associated with depression, anxiety and PTSD, or their symptoms, among HCWs from SSA.</p><p><strong>Method: </strong>We searched African Index Medicus, African Journals Online, CINAHL, PsycINFO and PubMed for articles published, from database inception to 15 February 2024. The keywords used in the search were 'depression/anxiety/PTSD', 'healthcare workers', 'SSA' and their variations.</p><p><strong>Results: </strong>Sixty-nine studies met our inclusion criteria, most of which (<i>n</i> = 55, 79.7%) focused on the burden of these disorders during the COVID-19 pandemic. Across studies, wide-ranging prevalence estimates of depressive (2.1-75.7%), anxiety (4.8-96.5%) and PTSD symptoms (11.7-78.3%) were reported. These disorders appear to have been heightened during the COVID-19 pandemic. Several sociodemographic, health-related, COVID-19-related and work-related factors were reported to either increase or lower the risk of these disorders among HCWs from SSA.</p><p><strong>Conclusions: </strong>The burden of depression, anxiety and PTSD among HCWs from SSA is high and appears to have been worsened by the COVID-19 pandemic. The correlates of these disorders among HCWs from this region are multifactorial. A multi-component intervention could contribute to addressing the burden of mental disorders among HCWs from this region.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 5","pages":"e192"},"PeriodicalIF":3.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Solution-focused approaches to improving the careers of women academics in psychiatry: UK viewpoint.","authors":"Angela Hassiotis, Lindsey Sinclair, Anne Lingford Hughes, Allan H Young, Ania Korszun, Emmeline Lagunes-Cordoba, Kenneth R Kaufman","doi":"10.1192/bjo.2025.10845","DOIUrl":"10.1192/bjo.2025.10845","url":null,"abstract":"<p><p>Clinical academics in psychiatry face several inequities, many of which are specific to women academics and intersectional in nature. We characterise the current state of UK academic psychiatry utilising findings of the annual Medical Schools Council clinical academic survey, and consider initiatives seeking to address gaps in supporting the career journeys of women academics.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 5","pages":"e203"},"PeriodicalIF":3.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A different lens on diagnosis: value of the CFI in asylum seekers' psychiatric diagnostic assessment.","authors":"Lukas Claus, Bernard Sabbe, Sofie Bäärnhielm, Marianne Destoop, Meryam Schouler-Ocak, Mario Braakman, Seline van den Ameele","doi":"10.1192/bjo.2025.10828","DOIUrl":"10.1192/bjo.2025.10828","url":null,"abstract":"<p><strong>Background: </strong>Asylum seekers face significant mental health challenges but underutilise mental health services and are at increased risk of misdiagnosis. The Cultural Formulation Interview (CFI) could be helpful by introducing individuals' culture and context to psychiatric evaluation. However, its impact on the diagnostic process for asylum seekers remains underexplored.</p><p><strong>Aims: </strong>This study aims to evaluate the added value of the CFI in the psychiatric diagnostic assessment of asylum seekers.</p><p><strong>Method: </strong>A mixed-methods design was applied. Diagnostic shifts from the CFI were quantitatively described in 63 participating asylum seekers. The CFI's value was explored using qualitative content analysis.</p><p><strong>Results: </strong>In about a third of cases, diagnoses were either confirmed (34.9%), changed (25.4%) or narrowed (33.3%), with notable shifts from depressive and psychotic disorders to either trauma- and stressor-related disorders or no psychopathology. Qualitative analysis revealed that the CFI enhanced understanding of participants' experiences, including the impact of trauma, migration and social context. It provided insights into their strengths and therapeutic needs. The shift towards stress-related diagnoses and away from other common DSM categories reflects the CFI's ability to provide a more nuanced, contextual understanding of asylum seekers' mental health.</p><p><strong>Conclusion: </strong>This study underscored the CFI as a valuable tool in asylum seekers' diagnostic assessment. The CFI facilitated a shift towards a more holistic, recovery-oriented approach. It prompted conceptual reflections on psychopathology in asylum seekers. The CFI presents a promising yet underutilised tool for addressing diagnostic challenges in cross-cultural settings. The findings highlight its potential for broader clinical implementation.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 5","pages":"e202"},"PeriodicalIF":3.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Umbrella review of psychosocial and ward-based interventions to reduce self-harm and suicide risks in in-patient mental health settings.","authors":"Leah Quinlivan, Jodie Westhead, Jane Graney, Fanyi Su, Sarah Steeg, Emma Nielsen, Eloise Curtis, Ellie Wildbore, Faraz Mughal, Rachel Elliott, Roger T Webb, Nav Kapur","doi":"10.1192/bjo.2025.10811","DOIUrl":"10.1192/bjo.2025.10811","url":null,"abstract":"<p><strong>Background: </strong>Understanding what psychosocial interventions can reduce self-harm and suicide within in-patient mental health settings can be challenging, due to clinical demands and the large volume of published reviews.</p><p><strong>Aims: </strong>To summarise evidence from systematic reviews on psychosocial and ward-level interventions (excluding environmental modifications) for self-harm and suicide that may enhance patient safety in in-patient mental health settings.</p><p><strong>Method: </strong>We systematically searched Medline, Embase, CINAHL, PsycINFO and CDSR (2013-2023) for systematic reviews on self-harm and suicide prevention interventions that included in-patient data. Review quality was assessed using AMSTAR-2, primary study overlap via an evidence matrix, and evidence strength evaluated (GRADE algorithm). Findings were narratively synthesised, with input from experts-by-experience throughout (PROSPERO ID: CRD42023442639).</p><p><strong>Results: </strong>Thirteen systematic reviews (seven meta-analyses, six narrative), comprising over 160 000 participants, were identified. Based on quantitative reviews, cognitive-behavioural therapy reduces repeat self-harm by follow-up, and dialectical behaviour therapy decreases the frequency of self-harm. Narrative review evidence suggested that post-discharge follow-up, as well as system and ward-based interventions (e.g. staff training) may reduce suicide and/or self-harm. However, review quality varied, patient involvement was lacking and methodological quality of trials informing reviews was predominately low. Overlap was slight (covered area 12.4%).</p><p><strong>Conclusions: </strong>The effectiveness of interventions to prevent self-harm and suicide in in-patient settings remains uncertain due to variable quality reviews, evidence gaps, poor methodological quality of primary studies and a lack of pragmatic trials and co-production. There is an urgent need for better, co-designed research within in-patient mental health settings.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 5","pages":"e196"},"PeriodicalIF":3.5,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes of psychiatric staff toward coercion: nationwide AttCo study.","authors":"Klara Czernin, Anna Oster, Matthias Jaeger, Julia Junghanss, Josef S Baumgartner, Lieselotte Mahler","doi":"10.1192/bjo.2025.10808","DOIUrl":"10.1192/bjo.2025.10808","url":null,"abstract":"<p><strong>Background: </strong>Attitudes of mental health professionals toward coercion are a potential tool in reducing the use of coercive measures in psychiatry.</p><p><strong>Aims: </strong>This study, part of the nationwide Attitudes toward Coercion (AttCo) project, aimed to assess staff attitudes on a nationwide and multiprofessional scale across adult, child and adolescent, and forensic psychiatric departments.</p><p><strong>Method: </strong>During 9 weeks in 2023, 1702 psychiatric staff members across Germany filled out a survey including gender, age, profession, work experience and setting, and the validated Staff Attitude to Coercion Scale (SACS). Analyses of variance and multivariate regression analysis for SACS mean overall score were computed to assess group differences.</p><p><strong>Results: </strong>Participants largely supported that coercion could be reduced with more time and personal contact (mean 4.20, range 1-5), and that coercion can harm the therapeutic relationship (mean 4.08); however, they acknowledged that coercion sometimes needs to be used for security reasons (mean 4.10). Regarding group differences, specialisation (<i>P</i> < 0.001) and professional affiliation (<i>P</i> = 0.008) remained significantly associated with SACS mean score (with a higher score in forensic psychiatric staff compared with staff in adult and child and adolescent psychiatry), when controlling for gender, age and work experience.</p><p><strong>Conclusions: </strong>Differences in attitudes are predominantly linked to professional training and structural surroundings. Professionals in adult psychiatry and child and adolescent psychiatry are more critical than staff in forensic settings, with an emphasis on patients' rights and individuals' integrity. Further studies are needed on how mental health professionals view coercion, and how actual use of coercion is influenced by staff attitudes.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 5","pages":"e195"},"PeriodicalIF":3.5,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors shaping the decision-making process to continue or discontinue antipsychotics: exploratory qualitative study of 12 individuals in remission from first-episode psychosis.","authors":"Laurent Béchard, Elizabeth Anderson, Olivier Corbeil, Maxime Huot-Lavoie, Sébastien Brodeur, Amal Abdel-Baki, Charles Massé, Mina Gabriel-Courval, Marie-Ève Coté, Annie LeBlanc, Marc-André Roy, Marie-France Demers, Sophie Lauzier","doi":"10.1192/bjo.2025.10817","DOIUrl":"10.1192/bjo.2025.10817","url":null,"abstract":"<p><strong>Background: </strong>The decision-making process regarding antipsychotic continuation or discontinuation following remission from first-episode psychosis (FEP) remains complex and underresearched. While discontinuation increases the risk of relapse, concerns over long-term side-effects such as metabolic disturbances and extrapyramidal symptoms also exist. Current guidelines recommend maintaining antipsychotics for 1-5 years, emphasising shared decision-making (SDM) between clinicians and patients.</p><p><strong>Aims: </strong>This study aimed to explore the decision-making process and describe the factors influencing the decision to discontinue or continue antipsychotic treatment following remission from FEP, from the patients' perspective.</p><p><strong>Method: </strong>A descriptive qualitative study was conducted with 12 individuals in remission from FEP who received care at early intervention services in Quebec, Canada. Data were collected through online semi-structured interviews and analysed thematically to identify key factors influencing treatment decisions.</p><p><strong>Results: </strong>The decision-making process was activated by treatment reflection triggers and shaped by various perceptions (of illness, treatment and stigma) and relationships (with friends, family and the clinical team), ultimately leading to decisions to either discontinue, continue (at standard or reduced dose) or remain ambivalent. This dynamic process was guided by participants' motivators, such as well-being and societal contribution. Most participants felt that discontinuation discussions were not initiated by the clinical team.</p><p><strong>Conclusions: </strong>The decision-making process is driven by motivators that were found to be linked to the concept of personal recovery. This study highlights the need for proactive, personalised discussions between clinicians and patients. Future research should focus on decision aids tailored to the FEP population to support SDM and improve treatment outcomes.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 5","pages":"e193"},"PeriodicalIF":3.5,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The meaning of 'acceptance' of a psychiatric diagnosis: qualitative study of illness narratives with review of the literature.","authors":"Magali J de Rooy, Megan M Milota, Stefan M van Geelen, Léon C de Bruin, Floortje E Scheepers","doi":"10.1192/bjo.2025.10810","DOIUrl":"10.1192/bjo.2025.10810","url":null,"abstract":"<p><strong>Background: </strong>Although diagnosis acceptance is frequently discussed in psychiatric practice and research, both components - psychiatric diagnoses and the act of accepting them - are inherently unclear.</p><p><strong>Aims: </strong>The present study aimed to evaluate how well existing theoretical concepts of diagnosis acceptance align with patient experiences and to explore themes related to diagnosis acceptance.</p><p><strong>Method: </strong>An iterative thematic analysis was conducted on 30 illness narratives from (former) psychiatric patients. The analysis proceeded through three phases: (a) review of transcripts for overall narratives and attitudes toward diagnoses, (b) extraction of detailed data using a narrative summary template and (c) refining and comparison of themes across narratives.</p><p><strong>Results: </strong>Existing acceptance theories insufficiently captured the lived experiences reflected in the narratives. Attitudes toward diagnoses were multidimensional, fluctuated over time and were often described using terms other than 'acceptance'. Participants emphasised the importance of sharing their stories without being defined by a diagnosis and conflated DSM-5 classifications with broader diagnostic terms, highlighting challenges in communication of psychiatric constructs. Disagreement with diagnoses did not necessarily hinder therapeutic relationships, emphasising the importance of collaboration over consensus.</p><p><strong>Conclusions: </strong>Given the limited practical application of existing acceptance theories and our findings on contextual factors relevant to psychiatric diagnosis attitudes, the necessity of diagnosis acceptance as a stand-alone goal for positive outcomes should be questioned. Rather than imposing classifications, creating co-constructed narratives may be more effective. Researchers and clinicians are encouraged to adopt narrative approaches to better understand and support patients, thereby fostering reciprocal, patient-centred mental healthcare.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 5","pages":"e194"},"PeriodicalIF":3.5,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the Revised Epistemic Trust, Mistrust and Credulity Questionnaire (ETMCQ-R).","authors":"Chloe Campbell, Henry Delamain, Rob Saunders, Michal Tanzer, Alberto Milesi, Tobias Nolte, Elizabeth Allison, Patrick Luyten, Peter Fonagy","doi":"10.1192/bjo.2025.10813","DOIUrl":"10.1192/bjo.2025.10813","url":null,"abstract":"<p><strong>Background: </strong>It has been argued that disruptions to epistemic trust are implicated in psychopathology; however, this requires empirical testing, and an existing scale evaluating epistemic trust, the Epistemic Trust, Mistrust and Credulity Questionnaire (ETMCQ), requires improvement.</p><p><strong>Aims: </strong>This study tested a revised version of the Epistemic Trust, Mistrust and Credulity Questionnaire (the ETMCQ-R), examining the strength of associations between the updated scale and mental health symptoms, epistemic vice, psychological resilience, perceived social support, attachment style, history of childhood adversity and an experimental measure of trust, and epistemic stance as a mediator between adversity and psychopathology.</p><p><strong>Method: </strong>Using an online survey design, 525 participants completed the ETMCQ-R alongside other measures. Exploratory and confirmatory factor analyses were conducted to assess the structure of the ETMCQ-R and correlational and mediational analyses were used to further assess validity of the measure.</p><p><strong>Results: </strong>The ETMCQ-R possesses greater model fit and a stronger three-factor structure (Trust, Mistrust and Credulity) compared with the ETMCQ. Significant negative correlations were identified between Trust (<i>r</i> = -0.12) and higher scores on global psychopathology severity, while Mistrust (<i>r</i> = 0.41) and Credulity (<i>r</i> = 0.36) showed positive correlations. Trust negatively correlated with borderline features (<i>r</i> = -0.10), whereas Mistrust and Credulity positively correlated (<i>r</i> = 0.54 and <i>r</i> = 0.48, respectively). Mistrust and credulity partially mediated the relationship between childhood adversity and psychopathology, with stronger mediation effects for borderline features than general psychopathology.</p><p><strong>Conclusion: </strong>The study demonstrated strong psychometric properties of the ETMCQ-R, and further analyses indicate the three factors are differentially related to wider domains of socio-emotional functioning.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 5","pages":"e191"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144941888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}