EUROPEAN PSYCHIATRY

A never-ending story: The COVID-19 pandemic and the increase of hospital admissions for typical and atypical anorexia nervosa in children, adolescents and young adults in the post-pandemic era in Germany
Herpertz-Dahlmann B, Eckardt S and Dempfle A
A large increase in the rate of hospitalizations for adolescents and children with anorexia nervosa (AN) was observed during the coronavirus disease (COVID-19) pandemic. It is still not clear whether this was a temporary effect or whether the increased admission rates persist.
Let's focus on the insula in addiction: A refined anatomical exploration of insula in severe alcohol and cocaine use disorders
Billaux P, Segobin S, Maillard A, Bloch V, Delmaire C, Cabé N, Laniepce A, Maurage P, Poireau M, Volle E, Vorspan F and Pitel AL
Theoretical and empirical contributions have identified insula as key in addiction. However, anatomical modifications of the insula in addictive states, and their variations across substance use disorders (SUDs), remain to be specifically explored. We therefore explored the specificities and commonalities of insula gray matter (GM) alterations in severe alcohol use disorder (sAUD) and severe cocaine use disorder (sCUD).
Predictors for improvement in personality functioning during outpatient psychotherapy: A machine learning approach within a psychodynamic psychotherapy sample
Dönnhoff I, Kindermann D, Stahl-Toyota S, Nowak J, Orth M, Friederich HC and Nikendei C
Since its introduction in the diagnostic manuals DSM-5 and ICD-11, the construct of personality functioning has gained increasing attention. However, it remains unclear which factors might predict improvement in personality functioning.
Relationships between cognition, functioning, and quality of life of euthymic patients with bipolar disorder: Structural equation modeling with the FACE-BD cohort
Roux P, Frileux S, Vidal N, Aubin V, Belzeaux R, Courtet P, Dubertret C, Etain B, Haffen E, Leboyer M, Lefrere A, Llorca PM, M'Bailara K, Marlinge E, Olié E, Polosan M, Schwan R, , Brunet-Gouet E and Passerieux C
Quality of life is decreased in bipolar disorders (BD) and contributes to poor prognosis. However, little is known about the causal pathways that may affect it. This study aimed to explore health-related QoL (HRQoL) in BD and investigate its relationship with cognition and psychosocial functioning.
A systematic review and meta-analysis of music interventions to improve sleep in adults with mental health problems
Zhao N, Lund HN and Jespersen KV
Music listening has been used as a sleep intervention among different populations. This systematic review and meta-analysis aimed to explore whether music is an effective sleep aid in adults with mental health problems.
Early-life adversity predicting the incidence of multisite chronic pain in the general population
Rouch I, Strippoli MF, Dorey JM, Laurent B, Ranjbar S, Marques-Vidal PM, Berna C, Suter M, Vaucher J, von Gunten A and Preisig M
Adverse childhood events (ACEs) have been linked to widespread chronic pain (CP) in various cross-sectional studies, mainly in clinical populations. However, the independent role of different ACEs on the development of different types of CP remains elusive. Accordingly, we aimed to prospectively assess the associations between specific types of ACEs with the development of multisite CP in a large population-based cohort.
Prevalence of attention-deficit hyperactivity disorder (ADHD): systematic review and meta-analysis
Popit S, Serod K, Locatelli I and Stuhec M
The estimates of attention-deficit hyperactivity disorder (ADHD) prevalence across various studies are significantly variable, contributing to uncertainty in ADHD prevalence estimation. Previous systematic reviews and meta-analyses have attributed this variability primarily to the methodological characteristics of the studies, including the diagnostic criteria, source of information, and impairment requirement for the diagnosis.
Specificity in the commonalities of inhibition control: using meta-analysis and regression analysis to identify the key brain regions in psychiatric disorders
Wan L, Pei P, Zhang Q and Gao W
The differential diagnosis of psychiatric disorders is relatively challenging for several reasons. In this context, we believe that task-based magnetic resonance imaging (MRI) can serve as a tool for differential diagnosis. The aim of this study was to explore the commonalities in brain activities among individuals with psychiatric disorders and to identify the key brain regions that can distinguish between these disorders.
Exploring potential working mechanisms of accelerated HF-rTMS in refractory major depression with a focus on locus coeruleus connectivity
Wu GR and Baeken C
This study investigates the effects of accelerated high-frequency repetitive transcranial magnetic stimulation (aHF-rTMS), applied to the left dorsolateral prefrontal cortex (DLPFC), on locus coeruleus (LC) functional connectivity in the treatment of refractory medication-resistant major depression (MRD).
Prevalence of autistic traits and their relationships with other psychopathological domains in young adults seeking psychiatric attention: a cluster analysis
Demartini B, Ingrosso G, Serio F, Nisticò V, Broglia G, Bertani A, Faggioli R, Gambini O, Massimetti G, Dell'Osso L and Carpita B
Nearly two-thirds of individuals with a mental disorder start experiencing symptoms during adolescence or early adulthood, and the onset of a mental disorder during this critical life stage strongly predicts adverse socioeconomic and health outcomes. Subthreshold manifestations of autism spectrum disorders (ASDs), also called autistic traits (ATs), are known to be associated with a higher vulnerability to the development of other psychiatric disorders. This study aimed to assess the presence of ATs in a population of young adults seeking specialist assistance and to evaluate the study population across various psychopathological domains in order to determine their links with ATs.
Patient trust in the use of machine learning-based clinical decision support systems in psychiatric services: A randomized survey experiment
Perfalk E, Bernstorff M, Danielsen AA and Østergaard SD
Clinical decision support systems (CDSS) based on machine-learning (ML) models are emerging within psychiatry. If patients do not trust this technology, its implementation may disrupt the patient-clinician relationship. Therefore, the aim was to examine whether receiving basic information about ML-based CDSS increased trust in them.
Symptom profile in suicide attempters during the COVID-19 pandemic: Relationships with suicide outcomes
Díaz-Carracedo P, Marín C, Diaz-Marsa M, Borges G, de la Torre-Luque A, Elices M, Toll A, Grande I, Roberto N, Vázquez M, González-Pinto A, Ruiz-Veguilla M, Canal-Rivero M, Cebria AI, Palao D, Bobes-Bascaran T, Jimenez-Treviño L, Saiz P, Andreo-Jover J, March K, Palao-Tarrero A, and Perez V
Suicidal behavior constitutes a multi-cause phenomenon that may also be present in people without a mental disorder. This study aims to analyze suicidal behavior outcomes in a sample of attempters, from a symptom-based approach.
Suicidal transition rates and their predictors in the adult general population: a repeated survey over 21 years in France
Jollant F and Leon C
The "suicidal transition" from ideation to an act has become a specific topic of research. However, rates in the general population, variations across time and risk factors are unclear.
Differential effects of lifetime stressors on major depressive disorder severity: a longitudinal community-based cohort study
Su Y, Li M, Caron J, Li D and Meng X
Stressors across the lifespan are associated with the onset of major depressive disorder (MDD) and increased severity of depressive symptoms. However, it is unclear how lifetime stressors are related to specific MDD subtypes. The present study aims to examine the relationships between MDD subtypes and stressors experienced across the lifespan while considering potential confounders.
Understanding mental health help-seeking and stigma among Hungarian adults: A network perspective
Swisher VS, Őri D, Rihmer Z and Wernigg R
Hungarians exhibit more negative attitudes toward help-seeking for mental health problems compared to other European countries. However, research on help-seeking in Hungary is limited, and it is unclear how stigma relates to help-seeking when considering demographic and clinical characteristics. We used a network analytic approach to simulate a stigma model using hypothesized constructs in a sizable sample of Hungarian adults.
Problematic diagnosis of substance-induced disorders in ICD-11
Bramness JG, Hjorthøj C, Niemelä S, Taipale H and Rognli EB
The ICD-11 was introduced in January 2022. In chapter 6, "Mental, behavioral and neurodevelopmental disorders" we find the section "Disorders due to substance use and addictive behaviors" (section 6C4). Changes from the ICD-10 in this section include broadening the categories of harmful use and dependence, including more types of substances, and the addition of more behavioral addictions (gaming disorder). These changes have been discussed and debated [1].
Major depression recurrence is associated with differences in obesity-related traits in women, but not in men
Bannert U, Siewert-Markus U, Klinger-König J, Grabe HJ, Stracke S, Dörr M, Völzke H, Markus MRP, Töpfer P and Ittermann T
Obesity-related cardiometabolic comorbidity is common in major depressive disorder (MDD). However, sex differences and MDD recurrence may modify the MDD-obesity-link.
Exploring the associations between momentary cortisol levels and psychotic-like experiences in young adults: Results from a temporal network analysis of daily-life data
Grąźlewski T, Samochowiec J, Gelner H, Gawęda Ł, Bogudzińska B, Kowalski K, Piotrowski P and Misiak B
Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis has been implicated in the development of psychosis and subthreshold psychotic symptoms commonly referred to as psychotic-like experiences (PLEs). The exact mechanisms linking the HPA axis responses with the emergence of PLEs remain unknown. The present study aimed to explore real-life associations between stress, negative affect, salivary cortisol levels (a proxy of the HPA axis activity) as well as PLEs together with their underlying cognitive biases (i.e., threat anticipation and aberrant salience). The study was based on the experience sampling method scheduled over 7 consecutive days in the sample of 77 drug-naïve, young adults (18-35 years). The saliva samples were collected with each prompt to measure cortisol levels. A temporal network analysis was used to explore the directed associations of tested variables. Altogether, 3234 data entries were analyzed. Data analysis revealed that salivary cortisol levels did not directly predict next-moment fluctuations of PLEs. However, higher salivary cortisol levels were associated with higher next-moment levels of PLEs through the effects on threat anticipation and negative affect. In turn, PLEs appeared to predict cortisol levels through the effects on negative affect and event-related stress. Negative affect and threat anticipation were the most central nodes in the network. There might be bidirectional associations between the HPA axis responses and PLEs. Threat anticipation and negative affect might be the most important mediators of these associations. Interventions targeting these mediators might hold promise for disrupting the connection between the HPA axis dysregulation and PLEs.
Preventing the risk of iatrogenic harm when assessing and diagnosing functional neurological disorders and other functional somatic symptoms
Stanghellini G, Ikkos G and Esposito CM
The present commentary raises some concerns about the risk of iatrogenic harm arising out of the diagnosis of functional neurologic and somatic disorders. These concerns are supported by evidence from the history of hysteria and findings from contemporary brain imaging. We discuss their implications for practice.
The minimal important difference in obsessive-compulsive disorder: An analysis of double-blind SSRI trials in adults
Cohen SE, Zantvoord JB, Mattila TK, Storosum BWC, de Boer A and Denys D
The change in symptoms necessary to be clinically relevant in obsessive-compulsive disorder (OCD) is currently unknown. In this study, we aimed to create an empirically validated threshold for clinical significance or minimal important difference (MID).
Association of cardiometabolic multimorbidity with risk of late-life depression: a nationwide twin study
Yang W, Li W, Wang S, Qi X, Sun Z, Dove A and Xu W
Cardiometabolic diseases (CMDs) including heart disease, stroke, and type 2 diabetes have been individually linked to depression. However, their combined impact on depression risk is unclear. We aimed to examine the association between cardiometabolic multimorbidity and depression and explore the role of genetic background in this association.
Prevalence of schizophrenia spectrum and other psychotic disorders in problem gambling: A systematic review and meta-analysis
Corbeil O, Béchard L, Anderson É, Huot-Lavoie M, Desmeules C, Bachand L, Brodeur S, Carmichael PH, Jacques C, Solmi M, Dorval M, Giroux I, Roy MA and Demers MF
High rates of psychiatric comorbidities have been found in people with problem gambling (PBG), including substance use, anxiety, and mood disorders. Psychotic disorders have received less attention, although this comorbidity is expected to have a significant impact on the course, consequences, and treatment of PBG. This review aimed to estimate the prevalence of psychotic disorders in PBG.
Trajectories of daily antipsychotic use and weight gain in people hospitalized for the first episode of psychosis
Vochoskova K, McWhinney SR, Fialova M, Kolenic M, Spaniel F, Furstova P, Boron P, Okaji Y, Trancik P and Hajek T
We need to better understand the risk factors and predictors of medication-related weight gain to improve metabolic health of individuals with schizophrenia. This study explores how trajectories of antipsychotic medication (AP) use impact body weight early in the course of schizophrenia.
Impact of air pollution exposure on the severity of major depressive disorder: Results from the DeprAir study
Borroni E, Buoli M, Nosari G, Ceresa A, Fedrizzi L, Antonangeli LM, Monti P, Bollati V, Pesatori AC and Carugno M
Major depressive disorder (MDD) is one of the most prevalent medical conditions worldwide. Different factors were found to play a role in its etiology, including environmental ones (e.g., air pollution). The aim of this study was to evaluate the association between air pollution exposure and MDD severity.
Research evidence on the management of the cognitive impairment component of the post-COVID condition: a qualitative systematic review
Melillo A, Perrottelli A, Caporusso E, Coltorti A, Giordano GM, Giuliani L, Pezzella P, Bucci P, Mucci A, Galderisi S and Maj M
Cognitive impairment (CI) is one of the most prevalent and burdensome consequences of COVID-19 infection, which can persist up to months or even years after remission of the infection. Current guidelines on post-COVID CI are based on available knowledge on treatments used for improving CI in other conditions. The current review aims to provide an updated overview of the existing evidence on the efficacy of treatments for post-COVID CI.
Early detection of perinatal depression in couples: a single-center prospective study
Paria A, Atallah A, Nourredine M, Dubernard G, Joubert F, Landel V, Viaux-Savelon S and De la Fournière B
This prospective study aimed to assess couples' psychological status during the perinatal period to identify those at risk for postpartum depression.
Impact of early risk factors on schizophrenia risk and age of diagnosis: A Danish population-based register study
Lemvigh CK, Ambrosen KS, Ebdrup BH, Glenthøj BY, Osler M and Fagerlund B
While several risk factors for schizophrenia have been identified, their individual impacts are rather small. The relative independent and cumulative impacts of multiple risk factors on disease risk and age of onset warrant further investigation.
Mortality in patients with major depressive disorder: A nationwide population-based cohort study with 11-year follow-up
Bitter I, Szekeres G, Cai Q, Feher L, Gimesi-Orszagh J, Kunovszki P, El Khoury AC, Dome P and Rihmer Z
Major depressive disorder (MDD) is a leading cause of disability and premature mortality. This study compared the overall survival (OS) between patients with MDD and non-MDD controls stratified by gender, age, and comorbidities.
Childhood socio-economic disadvantages versus adverse care experiences: Mediation and moderation impacts on late-life depressive symptoms
Huang YY, Zhang WS, Jiang CQ, Zhu F, Jin YL, Au Yeung SL, Wang J, Cheng KK, Lam TH and Xu L
Whether material deprivation-related childhood socio-economic disadvantages (CSD) and care-related adverse childhood experiences (ACE) have different impacts on depressive symptoms in middle-aged and older people is unclear.
Influence of cognitive reserve on risk of depression and subsequent dementia: A large community-based longitudinal study
Yang W, Wang J, Dove A, Yang Y, Qi X, Guitart-Masip M, Papenberg G and Xu W
Cognitive reserve (CR) has been linked to dementia, yet its influence on the risk of depression and related outcomes remains unknown. We aimed to examine the association of CR with depression and subsequent dementia or death, and to assess the extent to which CR is related to depression-free survival.