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 40.6 days after submission; acceptance to publication is undertaken in 4.9 days (median values for papers published in this journal in the second half of 2023).
- 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
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
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
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.
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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.
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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.
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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
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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
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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
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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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Open AccessArticle
A Cross-Sectional Study of How Harm Avoidance, Incompleteness and Intolerance of Uncertainty Contribute to Obsessive–Compulsive Disorder in University Students
by
Anna Nisyraiou, Meropi Simou and Gregoris Simos
Psychiatry Int. 2024, 5(1), 121-133; https://doi.org/10.3390/psychiatryint5010009 - 6 Mar 2024
Abstract
Research suggests that certain cognitive factors increase the likelihood of developing and maintaining obsessive–compulsive disorder (OCD). Such factors that are often associated with OCD are harm avoidance (HA), incompleteness (INC), and intolerance of uncertainty (IU). The present study aimed to examine the associations
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Research suggests that certain cognitive factors increase the likelihood of developing and maintaining obsessive–compulsive disorder (OCD). Such factors that are often associated with OCD are harm avoidance (HA), incompleteness (INC), and intolerance of uncertainty (IU). The present study aimed to examine the associations of intolerance of uncertainty, incompleteness, and harm avoidance with dimensions of obsessive–compulsive symptoms. Participants were 1128 university students (Mage = 19.42 St.d. = 2.02). Results showed that all subscales of the OCI-R correlated significantly with HA, INC, and IU, confirming the findings of previous studies. HA and INC appear to predict OC symptoms in a significant way. IU appears to correlate and improve the models, although to a lesser degree. The present findings contribute to our better understanding of the relationship between OCD symptoms and underlying cognitive variables and the nature of OCD heterogeneity.
Full article
Open AccessArticle
Quality of Life in Alcohol Use Disorder: Exploration of Predictive Factors in a Cross-Sectional Study
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Prabhoo Dayal and Gauri S. Kaloiya
Psychiatry Int. 2024, 5(1), 101-120; https://doi.org/10.3390/psychiatryint5010008 - 4 Mar 2024
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Alcohol use disorder (AUD) is a chronic and relapsing biopsychosocial condition that leads to various medical, psychological, social, economic, and personal issues. This study evaluated how sociodemographic characteristics, clinical variables, impulsivity dimensions, and cognitive functions were associated with quality of life (QoL) among
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Alcohol use disorder (AUD) is a chronic and relapsing biopsychosocial condition that leads to various medical, psychological, social, economic, and personal issues. This study evaluated how sociodemographic characteristics, clinical variables, impulsivity dimensions, and cognitive functions were associated with quality of life (QoL) among patients seeking treatment for AUD. Furthermore, the study investigated the predictors of QoL among patients seeking treatment for AUD based on attention, cognitive instability, motor impulsiveness, perseverance, and self-control dimensions of trait impulsivity. This study also investigated the potential mediating effect of anxiety and alcohol use severity in this relationship. After an initial assessment, the participants underwent comprehensive evaluations, including sociodemographic data, clinical history, and QoL domains. The evaluations also covered AUD severity, impulsivity dimensions, cognitive functions, craving intensity, depression, anxiety, and self-efficacy. Multiple linear regression analyses were employed to identify associations between independent variables and QoL. The attention dimension of impulsivity and anxiety symptoms significantly predicted physical health domain of QoL. The self-control dimension and severity of alcohol use disorder predicted psychological domain of QoL. The indirect effect of attention dimension on physical health was significant [effect = −1.082, 95% CI (−2.008, −0.3598)]. The significance of impulsivity in influencing QoL for individuals with AUD has profound clinical implications. These findings underscore the importance of addressing anxiety and impulsivity in managing AUD, given their considerable impact, particularly on QoL, ultimately shaping treatment outcomes.
Full article
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Open AccessArticle
Portuguese Validation of a Reduced Version of the IAT (Internet Addiction Test) Scale—Youth Version
by
Ivone Patrão, Inês Borges, Patrícia Sobral and Ana Moreira
Psychiatry Int. 2024, 5(1), 89-100; https://doi.org/10.3390/psychiatryint5010007 - 22 Feb 2024
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This study adapted and assessed a shortened version of the IAT (Internet Addiction Test) scale completed by young people aged 12 years and older regarding their online behaviors and risk of online addiction. The psychometric qualities of the reduced version (Screening IAT—youth) are
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This study adapted and assessed a shortened version of the IAT (Internet Addiction Test) scale completed by young people aged 12 years and older regarding their online behaviors and risk of online addiction. The psychometric qualities of the reduced version (Screening IAT—youth) are presented in order to validate the use of this version in the early detection of online addiction. The total sample was composed of 3021 participants that were 55.9% female and 44.1% male, with a mean age of x = 15 years (σ = 3.028), attending junior high school (56.2%), high school (37.8%), and college (5.9%). The procedure included a factorial analysis in which the total sample was randomly divided into three samples. An exploratory factor analysis was performed with one part of the sample, and a confirmatory factor analysis was performed with the other parts, assessing internal consistency, construct reliability, and discriminant validity. The results indicate that this reduced version of the IAT for young people has good psychometric qualities and that it can be applied in research and clinical settings. With this version and the parent–teacher version, there is a direct contribution to a tripartite assessment of internet addiction risk.
Full article
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Open AccessReview
Bone Health in Mood Disorders: A Narrative Review about Clinical and Biological Connections
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Antonella Maria Pia De Novellis, Giulia Ferrazzi, Gian Maria Galeazzi, Mattia Marchi, Matteo Meloni, Luca Pingani and Silvia Ferrari
Psychiatry Int. 2024, 5(1), 74-88; https://doi.org/10.3390/psychiatryint5010006 - 18 Feb 2024
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Evidence about bone health in people affected by psychiatric disorders is limited. This narrative review aims to highlight what is known, up to the present time, about clinical connections between bone health and psychiatric disorders, particularly depressive disorders (DD) and bipolar disorders (BD),
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Evidence about bone health in people affected by psychiatric disorders is limited. This narrative review aims to highlight what is known, up to the present time, about clinical connections between bone health and psychiatric disorders, particularly depressive disorders (DD) and bipolar disorders (BD), in terms of common biological pathways. Besides inflammation, we focused on two molecules of growing interest: neuropeptide Y (NPY) and the neuro-hormone melatonin. Also, the role of psychoactive drugs on bone tissue was explored. For the preparation of this narrative review, the scientific literature of the most recent 7 years from PubMed, Springer Nature, Science Direct (Elsevier), Wiley Online, ResearchGate, and Google Scholar databases was analyzed. Reviewed evidence reveals that people diagnosed with BD or DD have an increased risk of both fractures and osteoporosis; NPY reduces bone loss induced by longer periods of depression and “buffers” psychological stress effects on bone health. MLT shows beneficial effects in osteoporosis and bone healing. Lithium, a mood stabilizer, shows potential bone-protective activity, while antipsychotic and antidepressant treatments may increase the risk of bone tissue damage, though further investigation is needed.
Full article
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Open AccessReview
Neuropsychological Insights into Coping Strategies: Integrating Theory and Practice in Clinical and Therapeutic Contexts
by
Maria Theodoratou and Marios Argyrides
Psychiatry Int. 2024, 5(1), 53-73; https://doi.org/10.3390/psychiatryint5010005 - 4 Feb 2024
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The primary focus of this review is to rigorously explore the application and significance of coping strategies within the domains of clinical psychology and neuropsychology. These consist of a variety of techniques, behaviors, and cognitive interventions, and their critical role in reinforcing resilience
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The primary focus of this review is to rigorously explore the application and significance of coping strategies within the domains of clinical psychology and neuropsychology. These consist of a variety of techniques, behaviors, and cognitive interventions, and their critical role in reinforcing resilience and facilitating adaptive responses to stressors has been highlighted. This study explores the complex neuropsychological links between the brain’s stress pathways and the use of coping mechanisms. The neural aspects of stress, and how they can be influenced by adaptive strategies, are detailed, illustrating the profound impact that these coping mechanisms have at a neurobiological level. Delving into the neuropsychological underpinnings, this review will shed light on how stress response pathways in the brain interact with, and can be modulated by, various coping strategies. These mechanisms are particularly salient when addressing the multifaceted challenges that are faced by individuals with neuropsychological or mental health issues. While these strategies span a broad spectrum, from introspection and cognitive reframing to behavioral activation and social support seeking, their integration and application remain diverse within clinical contexts. This review endeavors to elucidate the theoretical underpinnings of these strategies, their empirical support, and their practical implications within therapeutic interventions. Furthermore, the intricate interplay between individualized coping techniques and structured therapeutic methodologies will be examined, emphasizing the potential for a holistic treatment paradigm, thereby enhancing therapeutic outcomes and fostering individual resilience.
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Open AccessArticle
Violence and Child Mental Health Outcomes in Iraq: Mapping Vulnerable Areas
by
Ruaa Al Juboori
Psychiatry Int. 2024, 5(1), 39-52; https://doi.org/10.3390/psychiatryint5010004 - 22 Jan 2024
Abstract
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Few studies have been conducted in Iraq regarding the association of violence at multiple ecological levels and child mental health outcomes. Therefore, the study objectives were (1) to conduct a nationwide analysis to explore violence at multiple socio-ecological levels and children’s mental health
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Few studies have been conducted in Iraq regarding the association of violence at multiple ecological levels and child mental health outcomes. Therefore, the study objectives were (1) to conduct a nationwide analysis to explore violence at multiple socio-ecological levels and children’s mental health outcomes, and (2) to identify the most vulnerable children according to the spatial distribution of Iraqi governorates. This cross-sectional study used the 2018 Iraq Multiple Indicator Cluster Survey (MICS 6), which included 12,358 mothers or caretakers who provided complete information regarding their parenting and disciplinary practices for their children between the ages of 5 and 14. Logistic regression was employed to examine the factors associated with children’s depression and anxiety. This study showed that 22% of children had depression, while 38% experienced anxiety. Notably, children residing in Iraq’s south/central regions, specifically in areas, like Nainawa, Najaf, and Basrah, exhibited notably higher anxiety and depression. The research also showed that living in unsafe neighborhoods, women’s acceptance of domestic violence, and the use of severe physical punishment as corporal discipline were all associated with the development of anxiety and depression. This study addresses the scarcity of information on children’s mental health outcomes in Iraq at national and governorate levels, emphasizing the need for urgent national-level policy discussions to achieve key Sustainable Development Goals related to ending all forms of violence against children by 2030.
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Open AccessArticle
Exploring the Link between Mindful Eating, Instagram Engagement, and Eating Disorders: A Focus on Orthorexia Nervosa
by
Efstratios Christodoulou, Verra Markopoulou and Antonios E. Koutelidakis
Psychiatry Int. 2024, 5(1), 27-38; https://doi.org/10.3390/psychiatryint5010003 - 5 Jan 2024
Cited by 1
Abstract
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Mindful eating is an increasingly popular dietary practice that may mediate the symptomatology of eating disorders. Orthorexia nervosa is a recently proposed eating disorder characterized by excessive concern for body image, healthy eating, and calorie control. The purpose of this study is to
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Mindful eating is an increasingly popular dietary practice that may mediate the symptomatology of eating disorders. Orthorexia nervosa is a recently proposed eating disorder characterized by excessive concern for body image, healthy eating, and calorie control. The purpose of this study is to investigate the relationship between mindful eating, Instagram engagement, and eating disorders, with a focus on orthorexia nervosa. This cross-sectional study involving 407 adults explored the interplay between mindful eating, psychological distress, and eating disorders, notably orthorexia nervosa and their association with Instagram use. The data extraction and analysis were conducted employing SPSS v28 and R-Statistics. Utilizing Mindful Eating Scale (MES-16), Eating Disorder Examination Questionnaire Short (EDE-QS), Orthorexia Nervosa Questionnaire-Revised (ORTO-R), and Depression Anxiety Stress Scale (DASS-21) validated scales, alongside inquiries into Instagram usage, significant correlations emerged. MES-16 demonstrated a robust negative association with both EDE-QS (r = −0.501, p < 0.001) and ORTO-R (r = −0.519, p < 0.001), while EDE-QS and ORTO-R showed significant correlations with depression, anxiety, and stress (p < 0.001). Variations in ORTO-R mean scores were notably distinct across different mindful eating adherence categories (p < 0.001), emphasizing the negative relationship between mindful eating and orthorexia nervosa. Additionally, participants with extensive daily Instagram use displayed significantly higher ORTO-R scores compared to minimal users (p < 0.05). These findings suggest a negative link between mindful eating with eating disorders and orthorexia nervosa, highlighting mindful eating’s potential role in reducing orthorexia nervosa tendencies. Furthermore, Instagram use seems associated with psychological distress and elevated orthorexia nervosa levels.
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Open AccessArticle
The Dark and Comforting Side of Night Eating: Women’s Experiences of Trauma
by
Yael Latzer, Revital Edelstein-Elkayam, Osnat Rabin, Sigal Alon, Miri Givon and Orna Tzischinsky
Psychiatry Int. 2024, 5(1), 15-26; https://doi.org/10.3390/psychiatryint5010002 - 3 Jan 2024
Abstract
Objectives: Night eating syndrome (NES) is classified as a delay of food intake, reflected by consuming large amounts after the evening meal or ingesting food after sleep onset (DSM-5). This article aims to describe NES experience, awareness, narratives, and behavior from the perspectives
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Objectives: Night eating syndrome (NES) is classified as a delay of food intake, reflected by consuming large amounts after the evening meal or ingesting food after sleep onset (DSM-5). This article aims to describe NES experience, awareness, narratives, and behavior from the perspectives of patients with NES in light of their history of traumatic life events. Method: Semi-structured interviews based on the phenomenological approach were conducted with 18 women (aged 19–60) diagnosed with NES. Results: The analysis raised two themes: 1. References to NES as an experience that represents the darker sides of patients’ behaviors and involves helplessness, contempt, self-loathing, and a loss of control. Patients also related to difficult memories concerning sexual, physical, and emotional abuse. 2. References to the comforting side of NES patients’ behaviors that involves soothing, regulating, emotional disconnecting, and a sense of calm, control, and the ability to function. Conclusion: Findings present the relationship between traumatic life events, dissociation, and EDs. Clinically, they highlight the importance of an early assessment and a traumatic life history and suggest giving special treatment attention to the role of dissociation and night eating as regulatory mechanisms in the therapeutic process and alliance.
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