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We sought to identify risk factors for coagulase-negative staphylococcal (CoNS) surgical site infection (SSI). Risk factors associated with an increased risk of CoNS SSI include male sex and asthma or COPD. Colon surgery was associated with a reduced risk of CoNS SSI.
Nematode records and specimens from the South Australian Museum, Australian Museum, CSIRO Wildlife Collection, Queensland Museum, Western Australian Museum, and Natural History Museum, London, of 1107 individuals of Rattus fuscipes were examined. The nematode community comprised 19 families, 36 genera, and 44 identified species. Mastophorus muris and unidentified heligmonellids were recovered from 4 individuals of R. f. fuscipes. Rattus f. assimilis was infected with 40 identified species of nematode from 955 individuals; R. f. coracius 18 species from 107 individuals; and R. f. greyii 8 species from 28 individuals. Rattus fuscipes harboured 18 species in Northern Queensland, 27 species in Southern Queensland, 27 species in New South Wales, 19 species in Victoria, and 8 species in South Australia. A bootstrap analysis of the R. f. greyii nematode community indicated that 91.3% of species had been found. No core species were revealed. The Trichostrongylidae dominated with Nippostrongylus magnus, and Odilia emanuelae occurring in all the populations. Nippostrongylus magnus, 43% prevalence, in Victoria and Physaloptera troughtoni, 42% prevalence, in South Australia were secondary species. Sorensen’s indices indicated that R. f. assimilis and R. f. coracius had the most similar nematode communities, 54.8%. Overall, the Northern and Southern Queensland populations were most similar (77.3%) and the New South Wales and South Australian populations least similar (22.9%). The identifications of Heterakis spumosa, Physaloptera troughtoni, Rictularia mackerrasae, and Pterygodermatites pearsoni were confirmed. The species composition of the nematode community of R. fuscipes suggested a scenario of coevolution, host switching, recently acquired and occasional infections in a community of cosmopolitan, regional, and indigenous species. Species throughout the component communities of R. fuscipes indicated that climate and habitat were also determinants of species composition.
This systematic review examined the associations of dietary factors such as nutrients, food intake, dietary patterns and dietary biomarkers with structural and functional brain MRI biomarkers, focusing on macrostructural, microstructural, lesion and perfusion measures, and functional activity/connectivity. Articles published in English were systematically searched in PubMed, Embase and PsycInfo up to 19 July 2024. A total of thirty-eight prospective cohort studies (twenty-three cross-sectional and fifteen longitudinal analyses) and thirteen intervention studies were included. Cross-sectional analyses revealed heterogenous associations: baked fish correlated with larger hippocampal volumes (β = 0·21), while oily fish, dairy products and tofu adversely related to ventricle grade. Pro-inflammatory dietary patterns were positively associated with silent infarct risk (DII Q4 v. Q1, OR = 1·77), whereas anti-inflammatory patterns tended to favour brain preservation. Longitudinal studies demonstrated more consistent protective associations: green tea consumption (+100 mL/d) reduced hippocampal atrophy by 0·024%/year, prudent dietary patterns preserved +203 mm3 left hippocampal volume over 4 years and higher plasma carotenoids decreased medial temporal lobe loss by 0·02 cm3/year. However, null findings were common across multiple dietary factors. Interventions showed limited structural benefits (effective in only two of six studies), while polyphenol-rich supplements more consistently improved cerebral perfusion and functional connectivity. Longitudinal and intervention studies demonstrated more consistent patterns than cross-sectional analyses; however, current evidence remains limited for clinical translation. Findings from cross-sectional analyses, despite being from prospective cohorts, require careful interpretation. Further replication across diverse populations and standardised long-term studies are needed before translating these associations into clinical practice.
Therapies provided in nontraditional settings or by individuals without knowledge of core principles of infection prevention and control (IPC) may place consumers at risk of adverse events. We summarize findings from our recent consultation experiences in the Division of Healthcare Quality Promotion (DHQP) at the Centers for Disease Control and Prevention (CDC) to help identify targets for prevention efforts and enhanced consumer protections.
Methods:
We reviewed records of DHQP consultations with state, local, or territorial health officials conducted from 2016 to 2023 to identify investigations involving nontraditional therapies or settings in the United States. Information collected included type of procedure or therapy, type of setting, pathogens involved, number of affected individuals, and types of IPC issues identified.
Results:
Of 1500 consultations, we identified 30 (2%) involving nontraditional therapies or settings. Therapies were performed for esthetic reasons, general wellness, or as treatment for pain. Infectious pathogens were identified in the blood, joint fluid, and skin and soft tissue, and included viruses, bacteria, and fungi. Investigations revealed breaches in injection safety, medical device reprocessing, medication preparation and handling, and environmental disinfection. Over 7000 consumers received notification regarding potential exposure to an infectious pathogen.
Conclusions:
This summary highlights the potential infectious risks to consumers posed by nontraditional therapies, which may have unproven benefits and poorly defined risks. With continued expansion of nontraditional therapies and settings, consumers will benefit from education, training, and oversight of those who provide therapies in these settings.
Schizophrenia features pervasive insight deficits, with many failing to recognize symptoms or the need for treatment, predictors of poorer outcomes. Rather than unitary, insight comprises clinical (awareness of illness and need for care) and cognitive (self-reflectiveness and the ability to question one’s beliefs). This review examines whether mental time travel (MTT) – vivid recollection of past events and construction of detailed future scenarios – may underlie insight deficits in schizophrenia. We synthesize evidence up to May 2025 from meta-analyses, experimental studies, and neuroimaging/neuroanatomical reports on MTT (autobiographical memory specificity, future simulation, temporal horizon) and their associations with clinical and cognitive insight. Individuals with schizophrenia show reduced autobiographical specificity, future simulation vividness, alongside a narrowed temporal horizon. These impairments are linked to diminished self-reflection, narrative coherence, and metacognitive abilities, all of which are essential for accurate illness recognition. Neuroimaging indicates that the networks supporting mental time travel, self-reflection, and insight – particularly the default-mode and ventromedial prefrontal circuits – substantially overlap and are disrupted in schizophrenia, with heterogeneity across illness stage and analytic approach. Moderators such as negative symptoms and trauma appear to intensify the MTT-insight links, while depressive mood may paradoxically enhance illness awareness. Although therapies targeting episodic specificity and metacognitive mastery show promise, longitudinal and interventional evidence remains limited. Associations between MTT impairments and insight are robust but largely correlational, so reverse or bidirectional causality cannot be excluded. We outline priorities for longitudinal, interventional, and trauma-stratified studies – attentive to illness stage and default-mode dynamics – to clarify mechanisms and guide targeted interventions.
It is assumed that the biology and ecology of commercial fish species are relatively well-known, given that many of these parameters are key for stock assessment in fisheries management. Surprisingly (or not), several new parasite species are described annually from fish that are of commercial and cultural importance. Haddock (Melanogrammus aeglefinus) is an important commercial fish species in the North Atlantic with more than 50 parasite species having been reported from it. Despite its commercial importance in Icelandic waters, only 11 parasite species have been reported from Icelandic haddock. In February and March 2023, 26 haddock were sampled, including 16 and 10 from the north and south of Iceland, respectively. Fish were examined for parasites, with a focus on macroparasites (large, usually visible to the eye). Parasites were identified morphologically with identifications of helminths confirmed using DNA barcoding (Sanger sequencing). Overall, 19 different parasite species were recovered with 17 being shared between haddock sampled from the north and south of Iceland. Of these, eight represent new geographical records for parasites of haddock in Icelandic waters. Our study indicates that monitoring for parasites remains important, regardless of how well a species has been studied. Furthermore, reporting parasites per organ and per region, especially when areas are known to be influenced by different abiotic and physical features, is important in the context of parasites as biological tags for stock identification. Despite a small sample size, our study suggests that some parasites might act as potential biological tags for stock identification of haddock in Icelandic waters.
Dehydration, assessed by urine and blood evaluation, is a risk factor for chronic kidney disease (CKD). The association between water deficit, as determined by a dietary assessment, and CKD prevalence is unclear. Therefore, this study aimed to clarify this association among adults in the USA. This cross-sectional study included the data of 9332 participants aged 18 years or older from the 2009–2012 National Health and Nutrition Examination Survey. Water turnover was calculated using an equation developed by the International Doubly Labelled Water Database Group. Total water intake was assessed by 24-h dietary recall on ≥ 1 d. Water deficit was defined as the ratio of water intake to water turnover. CKD was defined as an estimated glomerular filtration rate < 60 ml/min/1·73 m2, calculated by the 2021 CKD Epidemiology formula. OR for CKD prevalence were calculated using multivariate logistic regression and restricted cubic spline models. The mean daily water intake, turnover and deficit were 2799 ml, 3290 ml and –15 %, respectively. CKD prevalence was 6·3 %. After adjusting for lifestyle and urine and serum osmolality, the fourth water deficit quartile was inversely associated with CKD prevalence when compared with the first quartile (OR, 0·71; 95 % CI, 0·51, 0·98). In the spline analysis, the water deficit at which the OR for CKD prevalence plateaued was approximately –30 % to 0 %. Water deficit had an L-shaped association with CKD prevalence independent of urine and serum osmolality, highlighting the importance of assessing water intake relative to dietary needs. These findings may assist the development of water requirements.
This study examines changes in supportive care needs, quality of life and social support among laryngeal cancer patients following total laryngectomy.
Methods
Ninety-nine patients were assessed pre-operatively (T0), one (T1), three (T2) and six months (T3) post-total laryngectomy using SCNS-SF34, FACT-H&N and PSSS. Statistical analysis included repeated-measures analysis of variance and paired t-tests.
Results
Unmet needs increased significantly over time in physical/daily (46.46 per cent →86.87 per cent), psychological (60.61 per cent →93.94 per cent), patient care (83.84 per cent →97.98 per cent) and health system domains (85.86 per cent →96.97 per cent), while sexual needs remained low. SCNS-SF34 scores rose (113.03→145.25; p < 0.001), FACT-H&N declined (97.17→75.19; p < 0.001) and PSSS decreased (55.48→41.99; p < 0.001), with family support most affected. All scales showed significant timepoint differences (p < 0.05). Notably, none of the patients underwent voice function restoration surgery during the study follow-up period, which may have amplified voice-related impacts on these outcomes.
Conclusion
Following total laryngectomy, laryngeal cancer patients experience escalating supportive care needs, alongside significant declines in quality of life and social support—with family support particularly affected by caregiving burdens.
Fear of cancer recurrence (FCR), defined as worry about cancer progression or return, is a common concern among patients and survivors. This study aims to identify factors influencing the onset of FCR and to evaluate its impact on emotional distress and quality of life (QoL) in patients undergoing systemic cancer treatment.
Methods
A sample of 175 patients undergoing systemic cancer treatment completed self-report questionnaires assessing socio-demographics, clinical factors and fear of cancer recurrence, anxiety, depression and QoL (FCRI, HADS, EORTC-QLQ-C30).
Results
Data analysis using linear and generalized linear models revealed that FCR is inversely associated with QoL and positively correlated with anxiety and depression. These associations were independent of socio-demographic and clinical variables, with anxiety and depression fully mediating the FCR-QoL relationship. Gender and time since diagnosis emerged as significant predictors, with an increase in FCR at 12 months post-diagnosis.
Significance of the results
Our results indicate that FCR, anxiety and depression linked, are present after several months post-diagnosis, suggesting that FCR tends to intensify over time. These findings carry important psychological implications, highlighting the need to support patients in recognizing and managing their fear and emotional distress. Implementing a psychoeducational counseling approximately six months after diagnosis – engaging oncologists, psycho-oncologists, and patients within a “stepped-care” framework – may be effective in mitigating FCR and its emotional consequences.
In ADHD a common obstacle of academic success is impaired reading comprehension. Impaired comprehension in ADHD is accompanied by altered eye movements during reading as well as more general eye movement deficits associated with non-verbal stimuli. This suggests that the reading deficits do not cause the eye movement impairment. Instead, eye movements might contribute to reading comprehension difficulties.
Methods:
We tested whether minimizing the need for eye movements during reading aids comprehension. We measured reading comprehension in a sample of undergraduate students with and without ADHD. Students read short paragraphs using normal text reading with all words fully visible (FULL), PACED reading that preserved text layout with one word at a time appearing at its usual location in the text, and reading with minimal eye movements in which one word at a time appeared in the center of the screen in a rapid serial visual presentation (RSVP).
Results:
ADHD participants performed better in the RSVP condition relative to the other two reading conditions that required eye movements, and they benefited from the RSVP condition requiring minimal eye movements by almost 13% relative to neurotypical controls, who showed comprehension difficulties using the RSVP mode.
Conclusions:
Minimizing eye movement boosted reading comprehension in the ADHD suggesting that eye movements are implicated in reading processes in ADHD, an interference that can be avoided in the RSVP reading condition. Future work should explore the possibility of RSVP as a reading aid in ADHD adults and potentially school-aged children.
This review aims to highlight some of the key bioactive functionalities that a range of components in milk can potentially make to reduce risks to health at key life stages. Such functionalities cannot be adequately explained by traditional estimates of nutrient supply. The benefits of gangliosides from the milk fat globule membrane (MFGM) for neonatal neurodevelopment are examined along with milk proteins for growth stimulation of children via the proteins’ ability to stimulate insulin-like growth factor-1 (IGF-1). Exosomes in bovine milk and their miRNA are bioavailable, with an animal study indicating that placenta development and embryo survival were both enhanced. Concerning bone health, the unique characteristics of the casein micelle for supplying Ca, P and Mg to the GI tract were considered. The so-called dairy food matrix and the hypotensive effect of some peptides from milk proteins may be compensatory factors for SFA regarding CVD risk. The recent rise in use of glucagon-like peptide-1 (GLP-1) receptor agonists for adiposity reduction and improving glycaemic control is noted alongside evidence that milk proteins can stimulate GLP-1 synthesis potentially reducing GLP-1 receptor agonist need in high milk protein consumers. Other functionality included the ability of whey proteins to stimulate synthesis of skeletal muscle protein, crucial for bone protection and glycaemic control and the role of milk/Ca for reducing colorectal cancer risk. Perhaps the most exciting functionality is that of polar phospholipids in the MFGM potentially improving cognition and reducing the risk of dementia in the elderly. Clearly more human studies are needed.
The long-chain omega-3 polyunsaturated fatty acids (LC n-3PUFA) eicosapentaenoic acid (EPA; 20:5n-3), docosapentaenoic acid (DPA, 22:5n-3) and docosahexaenoic acid (DHA; 22:6n-3) are beneficial for health. The aim of this review is to provide an overview of worldwide dietary recommendations for LC n-3PUFA across life-stages for general healthy populations from technical and scientific documents (TSD) that underpin food based dietary guidelines (FBDG) or TSD from expert groups. Using the Food and Agriculture Organization global online repository of FBDG and structured Google searches, forty-two TSD were identified for inclusion. Seventy-one percent of TSD included quantitative dietary intake recommendations which varied widely across life-stages with gaps for some groups, 62% included health messages related to LC n-3PUFA consumption, 33% discussed supplementation and 29% gave guidance on high intakes. The most frequently recommended intakes for adults were 250 mg/day EPA + DHA and 250 mg/day EPA + DHA plus an additional 100–200 mg/day DHA in pregnancy. This overview is useful for nutrition science, medical, industry and consumer communities since it identifies the recommendations available and the gaps of interest to national or international groups wishing to set dietary intake recommendations for LC n-3PUFA. Low dietary intake of LC n-3PUFA from seafood is a risk factor for suboptimal health. Intake recommendations can be challenging to achieve. Most countries for which data are available show that LC n-3PUFA intakes fail to meet recommended targets, highlighting the need for accessible, innovative, sustainable alternative EPA + DHA sources e.g. bio-enriched foods and supplements to support higher population intakes, LC n-3PUFA status and health benefits.
Maternal consumption of a high-fat diet (mHFD) during perinatal life influences hypothalamic-pituitary-adrenal (HPA) axis activation and impacts the long-term physiological and metabolic health of offspring. Milk-derived extracellular vesicles (MEVs) are lipid-coated nanovesicles that transfer biological materials from mother to infant and can survive intestinal degradation and cross the blood-brain barrier. MEVs provide cytoprotection in peripheral organs; however, their pro-survival functions remain unknown in the neonatal brain. Further, sex differences resulting from MEV treatment require investigation, as male and female neonates display variable responses to early life nutrient stress. We investigated the interaction between MEVs and the heat shock protein response in the liver, hypothalamus, and prefrontal cortex in male and female neonatal rats exposed to perinatal mHFD at postnatal day 11. MEV treatment robustly modulated the HSR in female neonates with the largest response recorded in the prefrontal cortex. These results suggest that MEVs may influence pro-survival outcomes in the prefrontal cortex by activating HSF1-mediated pro-survival in a sex-specific manner.
Measuring waning in vaccine effectiveness (VE) is challenging due to potential depletion-of-susceptibles bias. Some SARS-CoV-2 studies excluded individuals with prior infection and adjusted for the probability of remaining uninfected. We applied this approach to assess waning influenza VE in Hong Kong during the 2012/2013 season. First, we estimated the infection risk for unvaccinated children using published serological and surveillance data. Next, we derived infection risk for vaccinated children, assuming VE against infection of 57%. Uncorrected VE from 14 to 270 days post-vaccination was estimated from hospitalized children. We calculated the rate of depletion of susceptibles given infection risk and VE corrected for depletion-of-susceptibles bias. Waning rates for uncorrected and bias-corrected VE were measured by comparing VE at day 270 versus day 14. Bias was assessed as the absolute difference between two waning rates in percentage points. Waning rate of uncorrected VE was overestimated by 5.9 percentage points or 1.3 percentage points when assessed up to day 120. Bias was substantial when assuming 80% unvaccinated, and all vaccinated children were initially uninfected, but minimal when these proportions were similar. The observed waning in 2012/2013 was unlikely due to depletion-of-susceptibles bias. Further studies across various conditions are needed to confirm our findings.
Investigate the increased incidence of Mycobacterium chelonae positive respiratory cultures in hospitalized patients.
Design:
Apply the Healthcare-Associated Links in Transmission of Nontuberculous Mycobacteria (HALT NTM) toolkit to an outbreak investigation of M. chelonae.
Setting:
Quaternary-care pediatric hospital and medical center in the United States with a recently opened LEED-certified critical care tower.
Patients:
Adult and pediatric patients with M. chelonae positive respiratory cultures between June 2022 and January 2024.
Methods:
An epidemiological investigation involving clinical and laboratory practices, water management, building construction and renovation projects. Environmental sampling of air vents, water sources and endoscope reprocessing equipment was performed. M. chelonae isolates recovered from patients and the environment were analyzed using whole genome sequencing and compared for relatedness.
Results:
Three clusters of matching environmental and patient isolates were identified. The most common environmental source of M. chelonae was ice/water dispensers with 40% positivity of sampled units. The critical care tower’s water system performance and metrics were suboptimal, leading to four physical remediation activities along with a hyperchlorination treatment.
Conclusions:
Recent and ongoing construction along with the implementation of a LEED-certified, low-flow water system in a new critical care tower provided enhanced opportunities for M. chelonae exposure at point of use locations such as ice/water dispensers. More national infection prevention and control guidance is needed to address the infection risks from water sustainability efforts and construction activities in healthcare facilities.
As body image research continues to expand, it can be difficult for clinicians and researchers to know how to choose the most appropriate measures to assess and treat patients. This handbook provides a comprehensive and well-organized catalogue of existing body image and related measures, detailing their descriptions, psychometric properties, and recommended applications, enabling readers to easily identify the most suitable tools for their studies or clinical work. It also offers guidance on adapting these measures for diverse cultural contexts, ensuring assessments are culturally relevant and sensitive. The book features step-by-step instructions on how to administer, score, and interpret each measure, with real-world examples that make it highly practical and accessible. With its focus on accuracy, cultural sensitivity, and ease of application, this handbook is invaluable for researchers, counselors, educators, and health professionals focused on body image.
Notocotylidae is a family of digeneans with some aberrant morphological features (absence of ventral sucker), which as sexual adults parasitise herbivorous and molluscivorous birds and mammals. The phylogenetics and taxonomy of this family have many unresolved problems concerning the relatedness of genera and species and the reliability of identification of specimens for which molecular data are available. The aim of this study is morphological and molecular characterisation of the type species of Notocotylus Diesing, 1839 (Notocotylus triserialis Diesing, 1839) and its two congeners, Notocotylus pacifera (Noble, 1933) and Notocotylus sp., and verification of the monophyly of the genus Notocotylus within the taxonomic boundaries established in the recent revision. Notocotylus triserialis was collected from a Greater White-fronted Goose Anser albifrons (Scopoli, 1769) taken down in the Russian Karelia, and the other two digenean species were derived from European Coots Fulica atra Linnaeus, 1758, from different locations in Eurasia (Eastern Europe and the Far East). We provide detailed morphological descriptions of the examined digeneans, supplemented with original line drawings. Notocotylus sp. is morphologically similar to N. pacifera but differs in cirrus sac length. Phylogenetic inference based on the 28S rRNA gene dataset places N. triserialis within a well-supported clade comprising several congeners, whereas N. pacifera is recovered outside this assemblage, forming a closer phylogenetic association with Pseudocatatropis dvoryadkini Izrailskaia, Besprozvannykh, Tatonova, Nguyen and Ngo, 2019. Thus, our data do not support the monophyly of the genus Notocotylus.
Trichinella spiralis (T. spiralis) is a zoonotic parasitic worm that has a significant impact on both public health and the livestock industry. It is widely used in experimental studies because of several unique features of its life cycle that can be completed in a single host, including distinct intestinal and muscular phases of infection, and it can be easily maintained in laboratory animals. These characteristics make T. spiralis a valuable model for evaluating the efficacy of new drugs and vaccines against parasitic infections. The current work aims to evaluate the procedures used for Trichinella larval counting in experimental studies by comparing the magnetic stirring digestion method (MSDM) with individual muscle digestion and compression techniques under standardised, controlled conditions to assess their effectiveness and applicability. Fifteen male Swiss albino mice were orally infected with T. spiralis and sacrificed on day 35 post-infection. They were divided into three groups: group 1—MSDM for total larval count; group 2—individual digestion of masseter, diaphragm, gastrocnemius, and tongue muscles; and group 3—slide compression method of the same muscles. MSDM yielded the highest larval counts, with individual muscle digestion and compression methods generally producing significantly lower results, except tongue digestion, while correlation and concordance analyses identified gastrocnemius compression as an alternative despite overall poor agreement with the reference method. Therefore, MSDM is the most accurate method for larval counting in experimental studies, compared to individual muscle digestion or compression methods.
We aimed to investigate the effects of the COVID-19 pandemic on the education and professional development, working conditions, and wellbeing of early career psychiatrists (ECPs) in Europe, as well as their attitudes to telepsychiatry.
Methods
A questionnaire comprising 24 items was designed by the Early Career Psychiatrists Committee of the European Psychiatric Association. Data were collected online from June 2020 to September 2021. A series of multiple regression analyses were conducted to determine variables that could predict the dependent variables.
Results
Data were obtained from 517 early career psychiatrists from 39 different countries. Men were more confident than women in their knowledge of COVID-19 symptoms and management, including in managing patients with a comorbidity of COVID-19 and a mental disorder. Providing specific recommendations during the COVID-19 pandemic, access to additional educational activities for ECPs, following COVID-19-related recommendations and access to protective equipment were the significant predictors of a higher confidence in managing patients with comorbidity of COVID-19 and mental disorders. The obligation to change the place of work predicted a decreased satisfaction with telepsychiatry as well as a decreased willingness to use telepsychiatry after the COVID-19 pandemic, while a diagnosis of COVID-19, having recommendations for telepsychiatry and access to dedicated platform for telemedicine were predictors of an increased satisfaction with telepsychiatry.
Conclusions
The COVID-19 pandemic has affected ECPs in Europe to varying degrees. The results point to areas where decision-makers can improve the working conditions for ECPs.
Depression rates are higher in women, especially during periods of hormonal fluctuation. Reproductive system disorders (RSDs), which often disrupt hormonal balance, may contribute to this mental health burden. Despite their prevalence and significant health implications, the link between RSDs and depression remains underexplored, leaving a gap in understanding these women’s mental health risks.
Methods
Using Danish nationwide health registers (2005–2018), we conducted a cohort study of 2,295,824 women aged 15–49, examining depression outcomes in 265,891 women diagnosed with 24 RSDs, including endometriosis, polycystic ovary syndrome, and pain-related diagnoses. For each RSD, age-matched controls were selected. We calculated incidence rates, incidence rate ratios, and prevalence proportions of depression diagnoses or antidepressant use around RSD diagnosis.
Results
Across all RSD subtypes, women demonstrated higher rates of depression both before and after diagnosis, with a peak within the year following diagnosis. Incidence rate ratios within 1 year of RSD diagnosis ranged from 1.15 (95% confidence interval [CI] 1.06–1.25) to 2.09 (95% CI 1.98–2.21), depending on RSD subtype. Elevated depression prevalence was observed 3 years before diagnosis, suggesting mental health impacts may have preceded clinical RSD identification.
Conclusions
This study reveals a striking association between RSDs and depression. Women with RSDs are more likely to suffer from depression, before and after RSD diagnosis, highlighting the need for integrated mental health screening and intervention. With over 10% of women affected by RSDs, addressing this overlooked mental health burden is imperative for improving well-being in a significant portion of the population.