Subthreshold bipolar disorder in a U.S. national representative sample: Prevalence, correlates and perspectives for psychiatric nosography

2013 ◽  
Vol 146 (3) ◽  
pp. 338-347 ◽  
Author(s):  
Nicolas Hoertel ◽  
Yann Le Strat ◽  
Jules Angst ◽  
Caroline Dubertret
2021 ◽  
Author(s):  
Evelyn Schapansky ◽  
Ines Keygnaert ◽  
Christophe Vandeviver

Sexual violence is a major public health, societal, and judicial problem worldwide. Studies investigating the characteristics of its offenders often rely on samples of convicted offenders, which are then biased by low reporting and conviction rates of sexual offences. The reliability of self-report studies of undetected sexual offenders, however, is threatened by underreporting of sexually aggressive acts. Despite these limitations, we argue that it is important to publish available data on self-disclosed sexual aggression to learn more about those who are more likely to report own sexual aggression and to further improve self-report methods. Based on a self-report study conducted in a representative sample (n = 4,693) of the Belgian general population aged 16 to 69, we provide lifetime and past-year prevalence rates of sexual aggression and report the characteristics of the events, including type, target, and the applied coercion strategies. A logistic regression analysis revealed factors associated with self-disclosed sexual aggression. Almost 4% of all participants reported at least one incident of hands-on sexual aggression. Men were more likely than women to report sexual aggression (aOR: 5.33 (95% CI:3.62-7.86). Furthermore, a history of sexual victimization was associated with sexual aggression. In most cases, the target was an (ex)partner or friend. About 4 in 5 perpetrators indicated that none of the given coercion strategies (i.e., force, threat, verbal pressure, or exploiting the victim’s incapacitation or the own position of authority) applied to the incident. Further research is needed to clarify under which circumstances sexual aggression occurs and which factors increase reporting thereof.


2020 ◽  
Vol 9 (1) ◽  
pp. 163-174 ◽  
Author(s):  
Haoran Meng ◽  
Hongjian Cao ◽  
Ruining Hao ◽  
Nan Zhou ◽  
Yue Liang ◽  
...  

Abstract Background and aims Previous studies on smartphone use motivation (SUM) and problematic smartphone use (PSU) have been limited in the utilization of regional samples of emerging adults (e.g., college students) and also in the foci on the direct association between SUM and PSU. To address such gaps, using data from a large, national representative sample of Chinese young adolescents and their parents this study examined the associations between adolescents' various types of SUM and their PSU, and also tested the potential mediating roles of smartphone use time (SUT) that adolescents spent on various activities in such associations. Methods A nationwide representative sample of 8,261 Chinese adolescents (Mage = 12.86 years old, SD = 1.76; 42.6% females) and their parents (49% mothers) participated in this survey study. Results Instrumental SUM (i.e., to expand knowledge or acquire information) was associated negatively with PSU via longer SUT spent on learning and shorter SUT spent on entertainment and communication. Self-expression SUM (i.e., to gain acceptance and recognition of others by maintaining or improving self-images) was associated with longer SUT spent on both learning and entertainment, which, in turn, predicted lower and higher levels of PSU, respectively. Last, hedonic SUM (i.e., to gain pleasure) was associated positively with PSU via longer SUT spent on entertainment and communication. Discussion These findings contribute to the literature by adding greater specificity in our understanding of the implications of SUM and SUT in the etiology of PSU during the critical life stage of adolescence in a Chinese cultural context.


2018 ◽  
Vol 49 (6) ◽  
pp. 952-961 ◽  
Author(s):  
Jonathan M. Platt ◽  
Katherine M. Keyes ◽  
Katie A. McLaughlin ◽  
Alan S. Kaufman

AbstractBackgroundMost research on the prevalence, distribution, and psychiatric comorbidity of intellectual disability (ID) relies on clinical samples, limiting the generalizability and utility of ID assessment in a legal context. This study assessed ID prevalence in a population-representative sample of US adolescents and examined associations of ID with socio-demographic factors and mental disorders.MethodsData were drawn from the National Comorbidity Survey Adolescent Supplement (N= 6256). ID was defined as: (1) IQ ⩽ 76, measured using the Kaufman Brief Intelligence Test; (2) an adaptive behavior score ⩽76, and (3) age of onset ⩽18 measured using a validated scale. The Composite International Diagnostic Interview assessed 15 lifetime mental disorders. The Sheehan disability scale assessed disorder severity. We used logistic regression models to estimate differences in lifetime disorders for adolescents with and without ID.ResultsID prevalence was 3.2%. Among adolescents with ID, 65.1% met lifetime criteria for a mental disorder. ID status was associated with specific phobia, agoraphobia, and bipolar disorder, but not behavior disorders after adjustment for socio-demographics. Adolescents with ID and mental disorders were significantly more likely to exhibit severe impairment than those without ID.ConclusionsThese findings highlight how sample selection and overlap between ID and psychopathology symptoms might bias understanding of the mental health consequences of ID. For example, associations between ID and behavior disorders widely reported in clinical samples were not observed in a population-representative sample after adjustment for socio-demographic confounders. Valid assessment and understanding of these constructs may prove influential in the legal system by influencing treatment referrals and capital punishment decisions.General Scientific SummaryCurrent definitions of intellectual disability (ID) are based on three criteria: formal designation of low intelligence through artificial problem-solving tasks, impairment in one's ability to function in his/her social environment, and early age of onset. In a national population sample of adolescents, the majority of those with ID met criteria for a lifetime mental disorder. Phobias and bipolar disorder, but not behavior disorders, were elevated in adolescents with ID. Findings highlight the need to consider how behavioral problems are conceptualized and classified in people with ID.


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