Psychiatry Int., Volume 5, Issue 1 (March 2024) – 9 articles

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

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

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

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

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. Full article

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. Full article

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. Full article

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. Full article

Biobanks are collections of human biological materials (biospecimens) alongside personal health information that are stored for scientific research. There is a wide range of evidence to show that biomarkers can be linked to psychiatric illnesses. Identification of such biomarkers facilitates clinical diagnosis, early intervention, and compressive treatment. The aim of this systematic review was to analyze the methodology of global biobanks focusing on mental illnesses. Six databases were systematically searched. A total of 1363 abstracts were screened, and 21 full texts were assessed for eligibility. The quality of the literature was appraised. Of the six papers included, there were few mental health-specific biobanks globally, with the majority being in European and American countries. Most research was conducted examining depression with scant research on self-harm, personality disorders, and post-traumatic stress disorder (PTSD). Blood was the most common biological sample collected, and less common samples were hair and saliva. Mental health-specific biobanks support the understanding of biological etiologies of psychiatric diseases. There are gaps in research on certain mental illnesses such as personality disorders and PTSD. More research is required in lower–middle income countries. Despite scientific progress to identify biochemical markers of mental disorders, further research is needed to aid diagnosis and management within this discipline. Full article