INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY

Beyond Disease: Reclaiming Therapeutic Relationships in Psychiatry
Bhugra D and Ventriglio A
Internalized Stigma in Patients With Schizophrenia in Rural China: Prevalence and Associated Factors
Zhang J, Gu J, Li Y, Hao Z, Zhao C, Deussing JM and Li Y
Internalized stigma among patients with schizophrenia can harm self-esteem, hinder social participation, and worsen psychiatric symptoms. This study aims to examine the prevalence of high internalized stigma and identify its associated factors among patients with schizophrenia in rural China to inform future interventions.
ChatGPT-4 in Psychiatric Discharge Summaries: Toward a More Comprehensible and Emotionally Sensitive Clinical Communication
Torales J, O'Higgins M, Di Martino B, Kunihiro D, Carbajal L, Pereira F, Franco E, Torres-Romero AD, Ventriglio A, Castaldelli-Maia JM, Caycho-Rodríguez T and Barrios I
Psychiatric discharge summaries are vital for ensuring continuity of care, yet they are often written in technical language that can be difficult for patients to understand and may cause emotional distress or reinforce stigma. With increasing patient access to medical records, there is a pressing need to develop communication tools that are both comprehensible and emotionally safe.
Perceptions of Eco-Anxiety in Parents With Preschool Children
Öner H, Uslu Ö and Salik H
Eco anxiety is a negative emotional state that affects all societies at different levels as a result of climate change. This study was aimed to examine perceptions of eco-anxiety in parents who had preschool children.
Prevalence and Associated Factors With Depression, Anxiety, and Stress Among Secondary School Students in Mattu Town, Southwest Ethiopia
Sento M, Negera A, Negera S and Diriba M
To determine the prevalence and factors associated with depression, anxiety, and stress (DAS) in adolescents enrolled in secondary school.
The Role of Social Connections on Suicide Attempts After Heroin Detoxification Treatment in South Africa: A Prospective Study
Hutchison M, Denton EG, Van Orden KA and Morgan N
Seventy-seven percent of suicides occur in Low- and Middle-Income Countries (LMIC), and this risk increases threefold for those with substance use disorder. Theoretically, the interplay of sociodemographic and cultural resources embedded in an individual's setting can raise or lower risk for suicide. We therefore aim to observe the associations between available social connection resources: social network size and quality, social support, and conflicts, on future 3- and 9-month suicide attempts following heroin detoxification treatment.
Are People Worse Off in a Mental Health Treatment Paradigm Where Medication Is Deemphasised? A Naturalistic Noninferiority Trial of an Initiative to Improve Patient Choice
Standal K, Solbakken OA, Šaltytė Benth J, Abbass A and Heiervang KS
Norwegian health authorities have established dedicated units for medication-free mental health treatment (MFT) to enhance patient choice. These services place greater emphasis on psychosocial and psychotherapeutic interventions than traditional care. They aim to be free from coercion and pressure regarding medication, rather than totally absent of medication.
Prevalence of Socio-Emotional and Behavioral Difficulties and Determinants Among Public School Adolescents in Hawassa, Sidama Regional State, Ethiopia
Gemeda TT, Mohangi K and Scherman V
Adolescents who attend public schools are more prone to experience behavioral and socio-emotional issues. The main reasons are that most parents send children to public schools when they experience resource constraints, poverty, social upheavals like parental death, divorce, or poor parental literacy levels, as well as unfavorable physical and social conditions at home.
Effects of Subjective Socioeconomic Status and Interpersonal and Non-Interpersonal Trauma on Extreme Social Withdrawal: A Path Analysis
Bae H, Yim M, Lee JO, Kim H and Hur JW
Although sociodemographic characteristics related to extreme social withdrawal (ESW) have been investigated, the role of subjective socioeconomic status (SES) and the differential effects of interpersonal and non-interpersonal trauma remain underexplored. This study examined the effects of distal (i.e. subjective SES, interpersonal, and non-interpersonal trauma) and proximal (i.e. a history of psychiatric diagnosis and depressive symptoms) risk factors on ESW.
Problems in Studying Factors Affecting the Rehabilitation of People With Substance Use Disorders in South Korea
Jang SH, Jung MK and Chung JK
The purpose of this study was to identify the causes of drug addiction in South Korea and the factors that contribute to the treatment of drug addicts.
Varieties of Capital, History, Mental Health, and Social Psychiatry
Bhugra D and Ventriglio A
The Role of Social Adjustment in the Relationship Between Body Image, Impulsiveness, and Eating Disorder Symptoms: A Cross-Sectional Study
Ahmadi Shooli Z, Hasanvand B, Khodarahimi S, Heidarisoodjani A, Rahimian Bougar M, Rasti A and Imani Torkamani A
According to the existing theories and literature, body image worries, impulsive predisposition, and social maladaptation are identified as potential risk factors for the onset of eating disorder symptoms.
Association Between Social Media Use and Self-Reported Anxiety and/or Depression: Results from 113 Countries
Ranabhat CL, Marion JW and Jakovljevic M
Self-realized anxiety and depression are closely related, often co-occurring mental health conditions, which can present as a mood disorder reflected by sadness, hopelessness, nervousness, and worry. Different factors contribute to anxiety and depression. The aim of this associative study was to examine the factors related to self-reported anxiety and/or depression relative to their self-reported use of social media for informing future causal studies. Individual-level data from the Wellcome Global Monitor 2020 Mental Health cross-sectional survey were examined for potential factors associated with the outcome of interest, specifically, self-reported anxiousness or depression that prevented respondents from regularly doing daily activities for 2 weeks or longer. Independent variables were demographic variables: age, gender, economic level, educational attainment, employment status, belief factors, and usage frequency of social media. Multivariable logistic regression was used for assessing relationships between the frequency of social media use and anxiety/depression by obtaining adjusted odds ratios, which adjusted for confounding by age, gender, economic level, etc. The prevalence of self-reported anxiousness and/or depression was 20.5% among the 119,088 respondents across 113 countries. The prevalence was highest among those in the lowest quintiles of income (22.4%-25.4%), not trusting science (23.6%), in the youngest (15-29) age group (22.7%), lowest education level (22.6%), and females (22.1%). Social media users in the past 30 days also had higher self-reported anxiety/depression than non-users (21.2% vs. 17.6%). Furthermore, upon adjusting for potentially confounding variables, social media users had a 24% increased odds of reporting anxiety/depression (aOR = 1.24; 95% CI: [1.18, 1.29]) relative to non-users. There is an increasing prevalence of anxiety and depression worldwide, and while certain populations are at increased risk, such as low-income, women, and young adults, the study results demonstrate social media use is associated with an increased prevalence of anxiety and/or depression, even upon adjusting for known risk factors.
Why Loneliness Matters in Mental Distress and Mental Illnesses
Bhugra D and Ventriglio A
Attention-Deficit/Hyperactivity Disorder Symptoms and Expectations of Longevity Among Adults in Japan
Stickley A, Shirama A, Ruchkin V, Isaksson J, Koposov R and Sumiyoshi T
A growing body of research has linked attention-deficit/hyperactivity disorder (ADHD) to premature mortality. However, as yet, little is known about whether individuals with ADHD think they will die at an earlier age.
Effects of Marital Disruption on Anxiety, Depression, and Cambodian Somatic Symptoms
Sao S, Poch B, Lay K and O'Brien WH
The impact of marital disruption (divorce or widowed) on the mental health of Cambodian persons has not been studied with a comprehensive and representative national sample.
Social Isolation, Economic Insecurity, and Mistrust in Institutions among psychiatric inpatients from a Low-Income urban area: A preliminary study
Stilo E, Siracusano A, Niolu C, Fiori Nastro F and Ribolsi M
Making a Home for Individuals With Serious Mental Illness: A Systematic Review
Patmisari E, Huang Y, Wong R, Orr M, Govindasamy S, Hielscher E and McLaren H
Housing is widely recognised as a key social determinant of mental health and recovery, yet the concept of remains under-theorised and inconsistently applied in practice and policy.
Privacy: Impact of Social Media-A Study on University Students
Marazziti D, Diolaiuti F, Gurrieri R, Carbone MG, Di Quirico R, Pozza A and Mucci F
The study investigates how social media affects privacy perceptions among university students, combining a historical perspective on privacy with contemporary data on young adults; interactions with digital platforms. An online survey of 219 students (122 women and 97 men) assessed their awareness of social media's overt and hidden influences on personal decisions and privacy concerns. Statistical analyses included -tests, Wilcoxon-Mann-Whitney tests, χ² tests, and correlation measures. Results highlighted significant gender differences. Women were more aware of social media's influence (54.9% vs. 38.1% of men) and expressed greater privacy concerns (41.8% vs. 36.1%). These findings emphasize the need for gender-sensitive educational initiatives to improve privacy awareness and inform policies to safeguard user rights. Further research is recommended to explore broader demographics for a comprehensive understanding of social media's impact on privacy.
A Systematic Review of Non-suicidal Self-Injury in India
Madhok K and Rizvi SH
Non-suicidal self-injury research has grown significantly, primarily in Western context. While reviews of NSSI literature exist for Western and developing countries, as well as South Asia, a systematic analysis focusing on NSSI within India specifically has not yet been undertaken. Given that the pattern of NSSI can differ across ethnic groups, gaining an in-depth understanding of NSSI in the Indian context is crucial. This systematic review aims to inform clinical practice and future research in India by examining the prevalence of NSSI, identifying key risk and protective factors, characterizing common methods of self-harm, and assessing the effectiveness of existing treatment approaches. An electronic literature search of all articles published in the English language, between January 2000 to December 2023 was conducted across five databases (PubMed, ScienceDirect, Scopus, Web of Science, PsycNet). A total of 1,890 citations were identified from which 11 studies were selected for the present review. NSSI prevalence varied across demographics (adolescents, university students, adults), with onset age also showing variation. Key risk factors included family conflict, peer bullying, need for social acceptance, self-criticism and emotion regulation difficulties. Protective factors included strong self-esteem, social support, and nurturing environments. The need for culturally sensitive diagnostic and therapeutic interventions for NSSI in India was highlighted. This review provides crucial insights for mental health professionals and researchers in India, informing more effective strategies for managing and reducing NSSI. This work contributes significantly to understanding NSSI within Indian context and directs future research toward culturally appropriate interventions.
The Mediating Role of Loneliness in the Relationship Between Insecurity Feelings and Internet Addiction
Dey BK and Roy K
Loneliness acts as a mediator role in the relationship between insecurity feelings and internet addiction, to understand this phenomenon, the present study has been conducted to know the mediation effect of loneliness in the relationship between insecurity feelings and internet addiction in adult people.
Empowering Gen Z's Mental Health in a Hyperconnected World
Fadillah D and Long B
Generation Z faces unprecedented mental health challenges in a hyperconnected digital environment. While technology offers benefits such as access to resources and support networks, it also poses risks including anxiety, depression, and social comparison. Comprehensive studies integrating diverse methods to examine these challenges remain limited.
Prevalence of Depression and Associated Factors Among Adult Eritreans in Norway
Afewerki Haylom F and Neupane SP
The higher rates of depression among immigrant populations are often attributed to socioeconomic disadvantage, adverse life events and other pre-migration circumstances and challenges with reintegration process. We aimed to determine the prevalence of depression and examine the associated factors among Eritrean immigrants living in Oslo and surrounding areas.
Professional Perspectives on Mental Distress: Exploring Attributional Differences and Their Association With Stigmatizing Attitudes Among Psychiatrists, Psychologists, and Social Workers
Wolgast M, Tham KF, Straht M and Levinsson H
Mental health professionals often differ in their explanatory models of mental distress, which may influence their attitudes toward individuals experiencing such conditions. Stigmatizing attitudes among providers can adversely affect therapeutic relationships, service quality, and recovery outcomes.
Within-Person Fluctuations in Momentary Loneliness Among People with Schizophrenia
Gentry MM, Zoleikhaeian D, Wong HJ, Patapoff MA, Williams AP, Ross S, Tu XM and Palmer BW
Loneliness is highly prevalent among individuals with schizophrenia and contributes to poor functional and clinical outcomes. However, most research to date has relied on trait-based assessments, providing limited insight into the dynamic nature of loneliness experiences.
Longitudinal Relationship Between Medical Students' Stressors and Mental Health Outcomes: A Structural Equation Modeling Analysis
Toledo PMES, Lucchetti G, Grunewald STF, Ezequiel ODS and Lucchetti ALG
Further research is crucial to clarify the factors associated with mental disorders that directly impact the well-being of medical students.
Caregivers' Perspectives Regarding the Use of Psychotropic Medication in Children and Young Adults: A Systematic Review
Downey PM, Collins JC, El-Den S and O'Reilly CL
The use of psychotropic medications in children and adolescents is increasing worldwide. However, caregivers' perspectives regarding the use of these medications in young people remain underexplored.
Exploring Depression in Older Adults Amid Crises: A Moderated Mediation Analysis Through the Lens of Conservation of Resources Theory
Liu J, Liu Z and Ding P
This study aims to investigate how emergency prevention expenditure, types of pension insurance and making ends meet affect depression levels of older adults in the context of public health emergencies.
The Prevalence of and Inter-Relationship Between Subclinical Hikikomori and Internet Addiction in Health-Related University Students: A Network Analysis Perspective
A LY, Chen MY, Jiang YY, Huang HT, Liu S, Ma Y, Su Z, Cheung T, Ungvari GS, Ng CH and Xiang YT
Hikikomori, a form of pathological social withdrawal or isolation, is increasingly recognized particularly among young people. This study examined the prevalence of subclinical hikikomori and Internet addiction and assessed their interrelationships from the perspective of network analysis among health-related university students.
Eco-Anxiety Without Borders: A Cross-National Study on Climate Perceptions, Beliefs About Government Climate Action, and Climate Concern
Cebeci F, Reyes MES, Innocenti M, Kochuchakkalackal G, Jeremie W, Buvar A, Atak I, Karaman M, Dinçer R, Cankardaş Nalbantçılar S, Mammadov E, Cadeddu C, Pacquing MCT, Ágoston C, Santarelli G, Cayubit RFO, Kuttiankal T, Uzun K, Trinidad KKV, Okamoto S, Karimova T and Artan T
Eco-anxiety has become a prominent emotional response to the global climate crisis, yet there is a lack of empirical research examining its prevalence and correlates across diverse cultural and national contexts.