Journal Description
Psychiatry International
Psychiatry International
is an international, peer-reviewed, open access journal on psychiatric research and practice, published quarterly online by MDPI.
- Open Access— free for readers, with article processing charges (APC) paid by authors or their institutions.
- High Visibility: indexed within ESCI (Web of Science), Scopus, EBSCO, and other databases.
- Rapid Publication: manuscripts are peer-reviewed and a first decision is provided to authors approximately 34 days after submission; acceptance to publication is undertaken in 5.8 days (median values for papers published in this journal in the first half of 2024).
- Journal Rank: CiteScore - Q2 (Psychiatric Mental Health)
- Recognition of Reviewers: APC discount vouchers, optional signed peer review, and reviewer names published annually in the journal.
Impact Factor:
1.2 (2023);
5-Year Impact Factor:
1.1 (2023)
Latest Articles
Relationship between Semantic Memory and Social Cognition in Schizophrenia: A Preliminary Analysis
Psychiatry Int. 2024, 5(3), 424-433; https://doi.org/10.3390/psychiatryint5030029 (registering DOI) - 2 Aug 2024
Abstract
This study investigates the relationship between semantic memory and social cognition in schizophrenia. The sample included 50 individuals with schizophrenia (mean age 42.54, SD 9.98; 14 women, 36 men) and 30 controls (mean age 42.06, SD 12.50; 6 women, 24 men). Semantic memory
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This study investigates the relationship between semantic memory and social cognition in schizophrenia. The sample included 50 individuals with schizophrenia (mean age 42.54, SD 9.98; 14 women, 36 men) and 30 controls (mean age 42.06, SD 12.50; 6 women, 24 men). Semantic memory was assessed using verbal fluency and the Camel and Cactus Test, while social cognition was evaluated through the Face Test and the Hinting Task. The schizophrenia group showed significantly lower performance in both semantic memory (semantic fluency: t(78) = 7.77, p < 0.007, δ = 1.79; Camel and Cactus Test: t(78) = 5.37, p < 0.007, δ = 1.26) and social cognition (Face Test: t(78) = 5.94, p < 0.007, δ = 1.34; Hinting Task: t(78) = 7.79, p < 0.007, δ = 1.79). Strong correlations were observed between the Camel and Cactus Test and social cognition measures (Face Test: r = 0.63, p < 0.005; Hinting Task: r = 0.54, p < 0.005). Regression analyses indicated that the Camel and Cactus Test significantly predicted social cognition performance independent of symptomatology, explaining 53% of the variance in the Face Test and 54% in the Hinting Task. This study provides new insights into the cognitive underpinnings of schizophrenia, emphasizing the need for further research to explore these relationships and their implications for cognitive models and therapeutic interventions.
Full article
Open AccessArticle
No Money, Poor Mental Health, and High Counterproductive Behavior: The Mediating Effect of Perceived Stress on Financial Threats and Job Performance
by
Chee-Seng Tan, Soon-Aun Tan, Seow-Ling Ooh, Xi-Yao Teoh and Kavitha Nalla Muthu
Psychiatry Int. 2024, 5(3), 412-423; https://doi.org/10.3390/psychiatryint5030028 - 30 Jul 2024
Abstract
Financial threat refers to fear, unease, and uncertainty regarding an individual’s present or forthcoming financial state. Despite consistent findings indicating that financial threats are harmful to individuals’ behaviors and mental health, their impacts remain largely unexplored in the context of organizational behaviors. This
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Financial threat refers to fear, unease, and uncertainty regarding an individual’s present or forthcoming financial state. Despite consistent findings indicating that financial threats are harmful to individuals’ behaviors and mental health, their impacts remain largely unexplored in the context of organizational behaviors. This study examined whether and how financial threats are detrimental to various aspects of employees’ performance, including task, contextual, and counterproductive performance. A sample of 165 working adults in Malaysia responded to an online survey consisting of the Financial Threat Scale, Perceived Stress Scale, and Individual Work Performance Questionnaire. Confirmatory factor analysis supported the structure of the measurements, although some items were eliminated. Pearson correlation analysis showed that financial threats had a positive relationship with perceived stress and counterproductive performance. Meanwhile, perceived stress was negatively related to task performance and positively associated with counterproductive performance. Finally, structural equation modeling revealed that perceived stress mediates the relationship between financial threats and counterproductive performance. These findings illuminate the underlying mechanisms by which financial threats impact employees’ job performance. They also highlight the importance of addressing resource depletion’s effects on the mental health of working adults. The implications of these findings for organizational management and employee well-being are discussed.
Full article
Open AccessReview
Life Intricacies of Sex Workers: An Integrative Review on the Psychiatric Challenges Faced by Sex Workers
by
Mokhwelepa Leshata Winter and Sumbane Gsakani Olivia
Psychiatry Int. 2024, 5(3), 395-411; https://doi.org/10.3390/psychiatryint5030027 - 30 Jul 2024
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Background: Sex work remains a contentious and marginalized aspect of society, with sex workers facing a myriad of challenges that impact their mental health and well-being. Objective: This review explores, reviews, and examines the psychiatric challenges encountered by sex workers daily
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Background: Sex work remains a contentious and marginalized aspect of society, with sex workers facing a myriad of challenges that impact their mental health and well-being. Objective: This review explores, reviews, and examines the psychiatric challenges encountered by sex workers daily and seeks to identify key gaps in the current research and highlight areas of future intervention and support. Methodology: This study followed five stages of the integrative review suggested by Whittmore and Knafl. The identification of the problem, literature search, data evaluation, data extraction, analysis, and presentation of results were the five stages of the integrative review that were carried out. This review examined English-language publications from 2010 to 2023 that discussed the mental health issues that sex workers experienced. Furthermore, this study excluded publications that were published before 2010, articles written in languages other than English, publications whose complete texts could not be retrieved, and works that did not address the mental health problems that sex workers encounter. For their initial search, the writers employed electronic databases like PubMed, Scopus, Psych-Info, Google Scholar, Science Direct, and Medline. The search terms were as follows: ‘sex work’, ‘sex workers’, ‘prostitution’, ‘mental health’, ‘psychiatric challenges’, ‘stigma’, Risk factors’, and ‘barriers’. Results: Following the critical appraisal, out of 150 studies, only 34 studies were chosen for analysis. Using Cresswell’s Tesch method, two themes emerged from this study: (1) mental health challenges faced by sex workers and (2) primary risk factors contributing to their mental health challenges. Conclusions: Moreover, addressing the psychiatric challenges faced by sex workers requires a multifaceted approach that acknowledges the intersectionality of factors influencing sex workers’ mental health outcomes, thus also highlighting the imperative for tailored interventions and support systems to promote their well-being.
Full article
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Open AccessArticle
Parents’ Experiences after Their Child’s Autism Diagnosis: A Reflexive Thematic Analysis
by
Robert Hughes, Kenneth Curley and Yasuhiro Kotera
Psychiatry Int. 2024, 5(3), 370-394; https://doi.org/10.3390/psychiatryint5030026 - 29 Jul 2024
Abstract
A child’s autism diagnosis is life-changing for their parents, due to the complex and long-term nature of the condition. Furthermore, research about the increased prevalence of autism suggests that more parents are being affected globally. However, limited studies have investigated parents’ lived experience
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A child’s autism diagnosis is life-changing for their parents, due to the complex and long-term nature of the condition. Furthermore, research about the increased prevalence of autism suggests that more parents are being affected globally. However, limited studies have investigated parents’ lived experience of their child being diagnosed with autism. This study aimed to explore the first-hand experience and concerns of parents when their child has been diagnosed with autism. The study employed a qualitative, exploratory design. Parents of a child who had received an autism diagnosis at least 12 months prior were invited to a video interview. Eleven parents participated in an hour-long interview. The interviews were transcribed, and an inductive reflexive thematic analysis was performed. The analysis resulted in four main themes: “Shock and control”, “A thousand little conversations”, “Put your own oxygen mask on first”, and “Reforged identities”, orientating around the period surrounding diagnosis, ongoing communication requirements, the need for self-care and reorientation of identity. These findings identify areas of heightened concern for parents and provide professionals with practical insight when evaluating their engagement approaches with these groups of parents. Findings can help psychologists, therapists, educators and parents themselves to identify strategies to support the well-being of parents who have an autistic child.
Full article
Open AccessArticle
Positive Emotions and Quality of Life among Malaysian Patients on Methadone Maintenance Therapy and Their Psychosocial Correlates
by
N. Sankari Ganesh, Manveen Kaur, Rusdi Abd Rashid, R. Parameswaran, Aili Hanim Hashim, Chee Hoong Moey, Noh Amit, Ching Sin Siau and Chong Guan Ng
Psychiatry Int. 2024, 5(3), 360-369; https://doi.org/10.3390/psychiatryint5030025 - 24 Jul 2024
Abstract
The main objective of this study was to assess the positive emotions and the quality of life among patients on methadone maintenance therapy (MMT) as well as their associated factors. This is a cross-sectional survey study. Participants undergoing MMT in two major Malaysian
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The main objective of this study was to assess the positive emotions and the quality of life among patients on methadone maintenance therapy (MMT) as well as their associated factors. This is a cross-sectional survey study. Participants undergoing MMT in two major Malaysian hospitals responded to the sociodemographic and clinical information sheet, the Positive Emotion Rating Scale (PERS), and the World Health Organization Quality of Life (WHOQOL)-BREF. Most of the participants (N = 154; mean age = 43.8 ± 9.0 years) were male (97.4%) and Malays (75.3%). Slightly more than half (50.6%) scored above 30 on the Positive Emotion Rating Scale. There was a significant association between being ethnically Malay, married, and employed and positive emotions. After adjusting for potential confounding factors, having positive emotions predicted a better overall, physical, and psychological quality of life. Being non-diabetic also significantly predicted a better quality of life in the overall domain, whilst not being married and family history of mental illness significantly predicted a lower overall and psychological quality of life. Positive emotions significantly improve patients’ quality of life in the MMT program, suggesting the inclusion of positive emotions in a holistic treatment approach.
Full article
Open AccessArticle
Presence of Emotions in Network Discourse on Mental Health: Thematic Analysis
by
Alba González Moreno and María del Mar Molero Jurado
Psychiatry Int. 2024, 5(3), 348-359; https://doi.org/10.3390/psychiatryint5030024 - 9 Jul 2024
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Mental health and emotions are two fundamental aspects of our overall well-being. Good mental health can help us manage and regulate our emotions in a healthy way. Similarly, emotions can affect our mental health if we are not able to recognize, express, and
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Mental health and emotions are two fundamental aspects of our overall well-being. Good mental health can help us manage and regulate our emotions in a healthy way. Similarly, emotions can affect our mental health if we are not able to recognize, express, and manage our emotions in a healthy way. The present research aims to conduct a thematic analysis on the presence of emotions in X (formerly known as Twitter) discourse on mental health. A total of 455 tweets dealing with mental health have been collected in this study. The results show that the presence of emotions in mental health discourse is quite limited compared to the non-use of emotions. Regarding those who do use emotions, love and anxiety stand out. When users do not address emotions, they do argue certain variables such as stress, depression, suicide, or job insecurity. It is argued that emotions do not receive the attention and importance they deserve in the field of mental health. If emotions are not properly recognized, understood, or managed, there may be several risks for society in general. Therefore, the need to promote emotional education with the intention of increasing people’s well-being and mental health is raised.
Full article
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Open AccessArticle
Revealing the Mechanisms That Contribute to Anger Expression Proneness in Patients with Brain Damage: The Importance of Executive Dysfunctions and Alexithymia
by
Ángel Romero-Martínez, Carolina Sarrate-Costa, Gabriel García-Pardo Sánchez-Barba, Lorena Vallejo Ortega, Sara López-Santamaría, Sara Burgos-López, Jéssica García and Luis Moya-Albiol
Psychiatry Int. 2024, 5(3), 338-347; https://doi.org/10.3390/psychiatryint5030023 - 3 Jul 2024
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Background: The ability of scientists and clinicians to detect the therapeutic needs of patients with brain damage has increased in recent years. In this sense, many studies have signaled that individuals tend to experience an increase in irritability after suffering brain damage, with
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Background: The ability of scientists and clinicians to detect the therapeutic needs of patients with brain damage has increased in recent years. In this sense, many studies have signaled that individuals tend to experience an increase in irritability after suffering brain damage, with some patients even showing sudden aggressive outbursts. This increase in anger expression in these patients could be explained by executive functioning alterations (or executive dysfunctions), given their role in goal-oriented behaviors, along with emotional dysregulations such as alexithymia (e.g., difficulties recognizing and verbalizing feelings) and anger rumination (e.g., tendency to recall thoughts regarding experiences of frustration or anger). Therefore, it is essential to understand the mechanisms that contribute to and/or facilitate anger expression in patients with brain damage. Methods: In this regard, the main objective of this study is to assess whether executive dysfunctions (assessed with the Frontal Systems Behavior Scale) would explain anger expression (measured with the Reactive and Proactive Aggression Questionnaire) in patients with brain damage (n = 23; mean age: 56.61 ± 10.68; 57% men) compared to controls (n = 24; mean age: 60.96 ± 9.25; 33% men), paying special attention to potential moderators of this association such as alexithymia (analyzed with the Toronto Alexithymia Scale-20) and anger rumination (assessed with the Anger Rumination Scale). Results: The results of the current investigation led us to conclude that anger expression in patients with brain damage was partly explained by executive dysfunction, especially in those patients who scored high in alexithymia. This model was not significant among controls. Conclusions: Thus, we highlight the importance of targeting certain psychological alterations, such as alexithymia, when implementing psychotherapeutic programs as an adjuvant to cognitive training focused on cognitive deficits (e.g., executive dysfunctions). This, in turn, would support the full recovery of individuals who have experienced brain damage.
Full article
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Open AccessSystematic Review
Efficacy of Naltrexone/Bupropion in Treatment of Binge Eating: A Systematic Review and Meta-Analysis
by
Mostafa Hossam-Eldin Moawad, Mohammed Ahmed Sadeq, Abdallah Abbas, Reem Mohamed Farouk Ghorab, Ibrahim Serag, Mohamed Hendawy and Muhammad Alkasaby
Psychiatry Int. 2024, 5(3), 323-337; https://doi.org/10.3390/psychiatryint5030022 - 2 Jul 2024
Abstract
Background: As the most widespread eating disorder in the world now, binge eating disorder (BED) is a mental condition characterized by recurrent periods of excessive food consumption and an inability to regulate one’s portion sizes. The utilization of a bupropion–naltrexone (NB) combination has
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Background: As the most widespread eating disorder in the world now, binge eating disorder (BED) is a mental condition characterized by recurrent periods of excessive food consumption and an inability to regulate one’s portion sizes. The utilization of a bupropion–naltrexone (NB) combination has been suggested as a potential therapeutic approach for BED. Assessing the effectiveness of NB in the treatment of BED and its accompanying obesity is the purpose of this research. Methods: A comprehensive search was conducted in order to obtain any pertinent articles. PubMed, Scopus, Web of Science, and Cochrane Clinical Trials were consulted against in the databases that were searched. In our final meta-analysis, we incorporated interventional or observational studies that documented the effects of NB therapy for binge eating in adults. We also examined the difference in the mean change between the NB and placebo groups, as well as the disparity in outcomes before and after treatment. Results: This study shows that the use of an NB combination is associated with a statistically significant reduction in the weight, BMI, and Binge Eating Scale (BES) of the patients compared to their weight before treatment with MD: −8.52 (95% CI: −10.01–−6.94, p < 0.00001), MD: −4.95 (95%CI: −9.72–−0.17, p = 0.04), and MD: −7.66 (95%CI: −14.36–0.96, p = 0.02), respectively. The absolute mean change was statistically significantly higher in the drug combination group compared to the placebo group. Conclusions: NB showed efficacy in the improvement of the weight and psychiatric symptoms associated with BED and this provides a promising treatment option.
Full article
(This article belongs to the Special Issue The Role of Nutritional Attitudes on Mental Diseases)
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Open AccessArticle
Exploring the Interplay between Family History of Depression, Negative Life Events, and Social Support in First-Episode Major Depression: Insights from a Pilot Case-Control Study
by
Andrei Gabriel Mangalagiu, Sorin Riga and Octavian Vasiliu
Psychiatry Int. 2024, 5(3), 305-322; https://doi.org/10.3390/psychiatryint5030021 - 26 Jun 2024
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Although the intricate network of interactions between vulnerability, resilience, and precipitating factors in a first episode of major depression (FEMD) has been investigated from many psychological, social, and neurobiological perspectives, a definitive model that encompasses all these elements is still far from being
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Although the intricate network of interactions between vulnerability, resilience, and precipitating factors in a first episode of major depression (FEMD) has been investigated from many psychological, social, and neurobiological perspectives, a definitive model that encompasses all these elements is still far from being validated. Integrated into this exploratory approach, the current pilot project examines the influence of social support, life events, and family history of major depression disorder (MDD) on FEMD, providing insights for larger-scale research. The study included 40 participants, 20 with FEMD and 20 age- and gender-matched controls, and examined characteristics of MDD, perceived social support, family history, and stressful life events. The results showed that a higher rate of negative life events increased depression risk, but better social support decreased this risk. The family history of MDD did not predict depression onset, nor did life event exposure affect treatment response, but these results may be related to the small study sample. In conclusion, social support protects against significant depression and unpleasant life experiences, according to this pilot study. Future research should use larger, diverse samples and longitudinal designs to better understand depression’s etiology and improve prevention and therapy.
Full article
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Open AccessReview
Night Eating Syndrome: A Review of Etiology, Assessment, and Suggestions for Clinical Treatment
by
Miria Bargagna and Mirko Casu
Psychiatry Int. 2024, 5(2), 289-304; https://doi.org/10.3390/psychiatryint5020020 - 17 Jun 2024
Abstract
Night Eating Syndrome (NES) is a distinct eating disorder characterized by recurrent episodes of night eating, either through excessive food consumption after the evening meal or eating after awakening from sleep. Despite its recognition, there remains a dearth of research on NES, limiting
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Night Eating Syndrome (NES) is a distinct eating disorder characterized by recurrent episodes of night eating, either through excessive food consumption after the evening meal or eating after awakening from sleep. Despite its recognition, there remains a dearth of research on NES, limiting our understanding of its etiology, prevalence, diagnosis, and treatment. This paper conducts a narrative review spanning a wide spectrum of studies focusing on the etiology, assessment, and clinical treatment strategies of NES. This review traces the historical evolution of NES definitions, distinguishes NES from obesity-related eating behaviors and other eating disorders, explores the psychological determinants of NES, and discusses existing therapeutic options. This review highlights the complex etiology of NES, influenced by circadian rhythms, hormonal changes, psychological distress, and personality traits. It emphasizes the need for reliable assessment tools and a holistic approach to treatment, considering the high comorbidity of NES with other psychiatric and medical conditions. Current treatment options, such as cognitive behavioral therapy and pharmacotherapy, show promise but require further research for refinement. NES remains underdiagnosed and undertreated, with challenges including unclear diagnostic criteria, comorbidities, and lack of evidence-based treatments. Future research should focus on developing reliable assessment tools, exploring etiology, comparing treatment approaches, and considering prevention strategies, utilizing diverse and representative samples to advance our understanding and improve clinical care.
Full article
Open AccessArticle
Exploring the Role of Dark Personality Traits in Embitterment–Jealousy Dynamics: Insights from a Multi-Scale Analysis and Moderation Effects
by
Ângela Leite and Rafaela Castro
Psychiatry Int. 2024, 5(2), 268-288; https://doi.org/10.3390/psychiatryint5020019 - 6 Jun 2024
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This study aimed to explore how dark personality traits influence the interplay between embitterment and jealousy. We first assessed the appropriateness of the scales used to assess jealousy, personality, and embitterment for our study population, examining their performance across different relationship statuses and
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This study aimed to explore how dark personality traits influence the interplay between embitterment and jealousy. We first assessed the appropriateness of the scales used to assess jealousy, personality, and embitterment for our study population, examining their performance across different relationship statuses and ensuring their reliability. Then, through correlation, regression, and moderation analyses, we investigated the relationships among these measures. Our results revealed that Machiavellianism and narcissism act as moderators in the embitterment–jealousy relationship. Specifically, Machiavellianism moderated associations between overall embitterment and its psychological state and behavioral jealousy, while narcissism moderated connections between total embitterment and its psychological state, behavioral jealousy, cognitive jealousy, and overall jealousy. Furthermore, the combined influence of a longer relationship duration and higher levels of embitterment and Machiavellianism contributed to total jealousy scores. These findings deepen our comprehension of jealousy’s intricacies and the underlying factors at play.
Full article
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Open AccessArticle
Job Satisfaction, Mental Symptoms, and Well-Being in Adult Workers: A Gender Analysis
by
M. Pilar Matud, Ligia Sánchez-Tovar, D. Estefanía Hernández-Lorenzo and David Cobos-Sanchiz
Psychiatry Int. 2024, 5(2), 253-267; https://doi.org/10.3390/psychiatryint5020018 - 4 Jun 2024
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Although studies have found that job satisfaction has an impact on workers’ physical and mental health, research has generally not focused on the psychological well-being of adult workers and a gender differential analysis has not been conducted. The aim of the current research
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Although studies have found that job satisfaction has an impact on workers’ physical and mental health, research has generally not focused on the psychological well-being of adult workers and a gender differential analysis has not been conducted. The aim of the current research is to determine the importance of job satisfaction for mental symptoms and well-being among adult working women and men. We also examine gender differences in job satisfaction. A non-probability sample of 1977 Spanish workers (51.6% men and 48.4% women) aged between 36 and 65 years was used in this cross-sectional study. Six questionnaires and self-report scales were used to assess the participants. For both men and women, higher job satisfaction was associated with lower depressive, somatic, anxiety, and social dysfunction symptoms; higher life satisfaction; and greater psychological well-being. Hierarchical multiple regression analyses showed that after controlling for the effects of self-esteem and social support, higher job satisfaction predicted greater life satisfaction, fewer mental symptoms, and greater psychological well-being, although the effect of job satisfaction on psychological well-being was somewhat stronger for men than for women. We conclude that job satisfaction is important for the mental health, psychological well-being, and life satisfaction of adult working women and men.
Full article
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Open AccessArticle
Boosting Prefrontal Brain Responsiveness by Interoceptive Attentiveness during Synchronized Breathing, Motor, and Cognitive Task
by
Laura Angioletti and Michela Balconi
Psychiatry Int. 2024, 5(2), 241-252; https://doi.org/10.3390/psychiatryint5020017 - 29 May 2024
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Background: this study explored the prefrontal cortex (PFC) hemodynamic variations produced by the association of an Interoceptive Attentiveness (IA) condition with a simple breath, motor, and cognitive synchronization task. Methods: 18 healthy individuals performed different synchronization activities (breath, motor, and cognitive) under both
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Background: this study explored the prefrontal cortex (PFC) hemodynamic variations produced by the association of an Interoceptive Attentiveness (IA) condition with a simple breath, motor, and cognitive synchronization task. Methods: 18 healthy individuals performed different synchronization activities (breath, motor, and cognitive) under both IA and control conditions, while levels of oxygenated (O2Hb) and deoxygenated hemoglobin were measured using functional Near-Infrared Spectroscopy (fNIRS). Results: findings revealed higher O2Hb levels in the prefrontal brain region during the experimental condition (IA) in contrast to the control condition. Notably, this difference was particularly evident during the cognitive task as opposed to the other tasks (breath and motor). In contrast, no significant differences were found for the PFC lateralization effect. Conclusions: This evidence holds potential for rehabilitation professionals suggesting that the combination of deliberate attention to the breath and a cognitive synchronization task (such as a vocal exercise executed simultaneously) could boost PFC responsiveness.
Full article
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Open AccessSystematic Review
Opiate Withdrawal-Associated Esotropia: A Case Report and Systematic Review
by
Varun Kasula, Brody M. Fogleman, Maaya Dev, Tyler Rizzieri, Corinne O’Brien and Rupa Shetty
Psychiatry Int. 2024, 5(2), 231-240; https://doi.org/10.3390/psychiatryint5020016 - 19 May 2024
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Esotropia, which is the medial deviation of one or both eyes, is a rare withdrawal symptom that has been associated with opiate addiction. We report a case of a 36-year-old female patient who developed acute-onset esotropia and diplopia after self-admission to a psychiatric
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Esotropia, which is the medial deviation of one or both eyes, is a rare withdrawal symptom that has been associated with opiate addiction. We report a case of a 36-year-old female patient who developed acute-onset esotropia and diplopia after self-admission to a psychiatric facility for fentanyl addiction treatment and a systematic review of this rare presentation. A search of four databases (PubMed, Scopus, Embase, and Google Scholar) was conducted as of January 2024. We found 15 documented cases of opiate withdrawal-associated esotropia, with an average age of 27.2 years and an average time between last use and symptom onset of 5.61 days. The most common symptom was diplopia, especially binocular diplopia, and the majority of cases resolved without pharmacologic intervention. Considering the current opioid crisis, our systematic review and case report add valuable insight into the less-explored neurological and ophthalmological consequences of opiate withdrawal, a condition that should always be considered in cases of acute or chronic onset esotropia.
Full article
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Open AccessReview
Modifications to Enhance Outcomes of Family-Based Treatment for Anorexia Nervosa: A Scoping Review
by
Signe Holm Pedersen, Lasse Carlsson and Mette Bentz
Psychiatry Int. 2024, 5(2), 217-230; https://doi.org/10.3390/psychiatryint5020015 - 15 May 2024
Cited by 1
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Family-based treatment (FBT) is recommended for anorexia nervosa (AN) in young people (YP). However, a substantial proportion of YP undergoing FBT do not recover. Several modifications to standard FBT have been tested to improve recovery rates. This review provides an updated overview of
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Family-based treatment (FBT) is recommended for anorexia nervosa (AN) in young people (YP). However, a substantial proportion of YP undergoing FBT do not recover. Several modifications to standard FBT have been tested to improve recovery rates. This review provides an updated overview of empirically tested modifications to FBT for AN in YP and estimates whether such modifications increase the percentage recovering. Computerized searches performed in five databases resulted in the inclusion of 43 papers (representing 40 original studies), highlighting that a variety of modifications to standard FBT have been tested and appear promising. However, only 11 studies compared the results of a modification to standard FBT. In conclusion, some modifications, such as parent-focused treatment, the addition of home treatment, or interventions for families at risk of non-response, appear to have the potential to improve the recovery rate, either at the group or subgroup level. Other modifications, such as FBT-based guided self-help, virtually delivered FBT, or FBT delivered during in- or day-patient stays, enable the dissemination of FBT principles to other contexts and to patient groups with limited access. Small additions to FBT, such as a workshop or parent-to-parent consultation, do not seem to improve the recovery rate.
Full article
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Open AccessArticle
How Moral Distress Contributes to Depression Varies by Gender in a Sample of Sub-Saharan African Nurses
by
JohnBosco Chika Chukwuorji, Michael Onwe Nwogiji, Chuka Mike Ifeagwazi, Okechukwu Hope Eke, Dumkelechuku Obed-Ohen, Oluchi Miracle Osondu, Dwi Kartika Rukmi, Crystal Njoku and Adaeze Chike-Okoli
Psychiatry Int. 2024, 5(2), 205-216; https://doi.org/10.3390/psychiatryint5020014 - 6 May 2024
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Although research has shown that moral distress harms mental health in diverse populations, information on potential moderators of such associations is scarce. In a sample of sub-Saharan African nurses, we examined the link between moral distress and depressive symptoms. We explored for whom
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Although research has shown that moral distress harms mental health in diverse populations, information on potential moderators of such associations is scarce. In a sample of sub-Saharan African nurses, we examined the link between moral distress and depressive symptoms. We explored for whom and when such relationships may hold with regard to gender, age, and work experience. Participants consisted of 398 nurses drawn from a tertiary healthcare institution in southeastern Nigeria. Data were collected using the Moral Distress Questionnaire (MDQ) for clinical nurses, and the Center for Epidemiological Studies Depression Scale Revised (CEDS-R). Hayes regression-based macro results for the moderation effects indicated that the association of high moral distress with increased depressive symptoms was robust for women but not significant for men. Although older age and higher years of nursing experience were associated with reduced symptoms of depression, nurses’ age and years of work experience did not moderate the relationship between moral distress and depressive symptoms. To promote mental well-being and preserve the integrity of nurses, gender-based differentials in how morals contribute depressive symptoms should be considered in policy and practice.
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Open AccessArticle
“Once Again It Becomes a Friend in Times of Adversity”: A Qualitative Exploration of Interrelationships between Anorexia Nervosa and Trauma over Ten Years
by
Sallee Berry, Phillipa Hay and Janet Conti
Psychiatry Int. 2024, 5(2), 188-204; https://doi.org/10.3390/psychiatryint5020013 - 30 Apr 2024
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Background: The majority of research on the relationship between anorexia nervosa (AN) and trauma has been cross-sectional and quantitative. This study aimed to qualitatively explore how this relationship may shift over time. Methods: A community sample of nine women with a lived experience
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Background: The majority of research on the relationship between anorexia nervosa (AN) and trauma has been cross-sectional and quantitative. This study aimed to qualitatively explore how this relationship may shift over time. Methods: A community sample of nine women with a lived experience of AN and trauma were interviewed three times over ten years (1997–2007). Thematic analysis and narrative emplotment were utilised to construct themes both within and across interview transcripts. Results: AN was found to function as a way of coping with trauma (Theme 1), and also became a traumatic experience in and of itself (Theme 2). Longitudinal shifts were identified where the women moved away from AN as a way of coping to loosen the stronghold it had over their lives. Conclusions: This study illuminated how the women’s relationship with AN shifted over time, including the functions and meanings ascribed to AN, and the resilience of women to exit critical stages of AN and achieve meaningful change in their lives over the long term. A further novel finding was that the coping function AN served in early years of life shifted over time as they navigated additional traumas in adulthood and new and diverse ways of coping.
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Open AccessArticle
Depressive Disorders and EU Labour Resources—The Problem of Lost Productivity in Highly Developed Economies
by
Agnieszka Jakubowska
Psychiatry Int. 2024, 5(2), 169-187; https://doi.org/10.3390/psychiatryint5020012 - 16 Apr 2024
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Research has shown that mental disorders in working-age individuals are associated with a significant burden of disability, sickness absence, and presenteeism, resulting in lost productivity. This study aims to assess the impact of depressive disorders on the labour markets in the European Union
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Research has shown that mental disorders in working-age individuals are associated with a significant burden of disability, sickness absence, and presenteeism, resulting in lost productivity. This study aims to assess the impact of depressive disorders on the labour markets in the European Union countries, with a particular focus on the disparities between the ‘old’ and ‘new’ EU countries. The study analysed the process of convergence of the burden of depressive disorders among people aged 20–54 in the group of EU-27 countries in the years 1990–2019, using data from the Global Burden of Disease Study 2019. The initial hypothesis of persistent inequalities in the system studied was verified. The study measured years lived with disability (YLD) due to depressive disorders in the working-age population. The analysis revealed that depressive disorders have a significant impact on the highly developed economies of the EU-14 countries. The convergence assessment did not confirm the effect of catching up with more favourable economies over time, and the inequalities observed at the beginning of the analysis period worsened. This study’s results expand upon the existing literature on the consequences of depressive disorders by introducing the perspective of inequalities in the studied area. These inequalities were observed between EU-27 economies with varying levels of socio-economic development.
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Open AccessArticle
Effects of Gender and Social Network Use on High School Students’ Emotional Well-Being during COVID-19
by
Sabina Mandić, Neven Ricijaš and Dora Dodig Hundrić
Psychiatry Int. 2024, 5(2), 154-168; https://doi.org/10.3390/psychiatryint5020011 - 9 Apr 2024
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Various studies conducted during the COVID-19 pandemic have confirmed changes in online behaviour, with young people increasingly using social networks. This trend appears to correlate with a heightened risk of various psychological and emotional problems. The main aim of this study is to
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Various studies conducted during the COVID-19 pandemic have confirmed changes in online behaviour, with young people increasingly using social networks. This trend appears to correlate with a heightened risk of various psychological and emotional problems. The main aim of this study is to explore the patterns of social network use among high school students amidst the pandemic, particularly focusing on the presence of specific emotional problems and potential gender differences. In addition, this study aims to contribute to the existing body of knowledge on the influence of lockdown measures on adolescents. A probabilistic sample of N = 825 students from 20 high schools in Zagreb participated in this study. Alongside basic sociodemographic variables, this study assessed social network habits and emotional problems using the Depression Anxiety Stress Scales 21 (DASS-21). The findings indicate intensive social media engagement during the pandemic. The results of the MANOVA analysis (gender x daily time on social media) show significant effects of both the time spent on social networks and gender on mental health, while no interaction effect was observed. Female students and those who spend more time on social media have higher levels of depression, anxiety, and stress symptoms. These findings underscore the need for addressing emotional problems and habits in the virtual environment of high school students and implementing appropriate preventive and treatment interventions.
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Open AccessArticle
Effects of a One-Day Experiential Sheep-Rearing Experience on Motivation, Anxiety, and Frontal Lobe Brain Activity in Patients with Chronic Psychiatric Disorders: A Crossover Pilot Study
by
Nobuko Shimizu, Shingo Ohe, Keigo Asano and Motohiko Ishida
Psychiatry Int. 2024, 5(2), 134-153; https://doi.org/10.3390/psychiatryint5020010 - 26 Mar 2024
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The purpose of this study was to investigate the effects of a one-day sheep-rearing experience on motivation and anxiety levels in patients with chronic mental illness. The study assessed changes in oxytocin and cortisol levels and brain activity in the prefrontal cortex, which
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The purpose of this study was to investigate the effects of a one-day sheep-rearing experience on motivation and anxiety levels in patients with chronic mental illness. The study assessed changes in oxytocin and cortisol levels and brain activity in the prefrontal cortex, which is known to be associated with emotion and motivation. The study employed a non-randomized controlled trial design, with participants receiving both an intervention day (sheep rearing) and a control day (usual psychiatric day care) in a crossover fashion. Written informed consent was obtained from all participants. The intervention day consisted of hands-on sheep rearing activities, while the control day consisted of general activities available at the psychiatric day care center. Results showed that the sheep-raising experience had an equal effect on motivation and increased mean oxytocin levels. In addition, significantly more activity was observed in the dorsolateral prefrontal cortex (DLPFC) region of the brain compared to typical psychiatric daycare activities (p < 0.032, p < 0.043). Participants tended to have increased oxytocin levels after sheep rearing, and the activation of the DLPFC has not previously been observed in animal intervention studies. These are new findings in psychiatric occupational therapy that may have effects on social cognition and interpersonal relationships in patients with chronic mental illness.
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