Current Opinion in Psychiatry最新文献_第4页

Lived experience of gaming disorder among people with psychotic disorders: implications for tailored interventions and clinical management. 精神病患者中游戏障碍的生活经验：对量身定制的干预和临床管理的影响。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2025-07-01 Epub Date: 2025-05-23 DOI: 10.1097/YCO.0000000000001013

Maxime Huot-Lavoie, Laurent Béchard, Olivier Corbeil, Olivier Roy, Sophie L'Heureux, Ingrid Salvini, Catherine Lehoux, Anne-Marie Essiambre, Chantale Thériault, Sébastien Brodeur, Marie-France Demers, Yasser Khazaal, Marc-André Roy

{"title":"Lived experience of gaming disorder among people with psychotic disorders: implications for tailored interventions and clinical management.","authors":"Maxime Huot-Lavoie, Laurent Béchard, Olivier Corbeil, Olivier Roy, Sophie L'Heureux, Ingrid Salvini, Catherine Lehoux, Anne-Marie Essiambre, Chantale Thériault, Sébastien Brodeur, Marie-France Demers, Yasser Khazaal, Marc-André Roy","doi":"10.1097/YCO.0000000000001013","DOIUrl":"10.1097/YCO.0000000000001013","url":null,"abstract":"Purpose of review: Despite growing recognition of the impact of Gaming Disorder in individuals with psychotic disorders, little is known about the clinical and personal implications of this dual diagnosis. Preliminary data suggest that Gaming Disorder may be associated with increased psychotic symptoms and reduced occupational and social functioning. However, insight from lived experience remain largely absent, despite their importance.Recent findings: This review synthesizes recent literature on the comorbidity between Gaming Disorder and psychotic disorders, highlighting the scarcity of research in this emerging field. It also presents preliminary findings from an ongoing qualitative study focussing on the lived experiences of individuals receiving early psychosis intervention. These data focus on participants' motivations for gaming and their perceptions of both positive and negative effects gaming has on their life.Summary: This review underscores the significant lack of data on the dual diagnosis of Gaming Disorder and psychosis. Early qualitative insights reveal diverse gaming motivations, including symptom regulation, anxiety management, cognitive stimulation, and social connection. These first-person accounts emphasize the functional role of gaming and the need for recovery-oriented care. Integrating lived experience into research and clinical practice can improve relevance, support nuanced interventions, and advance our understanding of behavioral addictions in early psychosis.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":" ","pages":"295-301"},"PeriodicalIF":7.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing a sentinel network for illicit substance use monitoring in Spain: a qualitative approach to key determinants. 在西班牙建立非法药物使用监测哨点网络：对关键决定因素的定性方法。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1097/YCO.0000000000001017

Leonor Varela-Lema, Sara Esteves Araujo Correia, Carla Guerra-Tort, Ana Teijeiro, Linda B Cottler, Jasjit S Ahluwalia, Mónica Perez-Rios

{"title":"Developing a sentinel network for illicit substance use monitoring in Spain: a qualitative approach to key determinants.","authors":"Leonor Varela-Lema, Sara Esteves Araujo Correia, Carla Guerra-Tort, Ana Teijeiro, Linda B Cottler, Jasjit S Ahluwalia, Mónica Perez-Rios","doi":"10.1097/YCO.0000000000001017","DOIUrl":"10.1097/YCO.0000000000001017","url":null,"abstract":"Purpose of review: Sentinel surveillance networks have been developed in different countries to monitor changes in patterns of addiction. The aim of this study was to ascertain fundamental aspects required for the design and implementation of a sentinel network for the surveillance of illicit drugs use in Spain.Recent findings: Internationally, sentinel networks vary in organization, collaboration, and informants. Some rely on hospital emergency departments, such as Euro-DEN Plus and SISVEA; others include community pharmacists (Addictovigilance, Catalan Sentinel Pharmacies) or drug users themselves (IDRS, EDRS). Networks like N-DEWS and CCENDU combine real-time community data with epidemiological analysis. The challenges identified in the literature include the inclusion of drug users as informants due to reliability concerns, inconsistencies in data collection across health services, and professional fatigue. While focused on Spain, these findings may also be relevant for other countries with comparable public health challenges.Summary: This qualitative study, based on focus groups with key informants, offers recommendations for the creation of a multidisciplinary, flexible sentinel network adapted to the Spanish context. Integration of professionals from diverse sectors, training in toxicology and digital tools, and mechanisms for feedback and motivation are critical. These insights can support clinical early detection, improve alert dissemination, and serve as a foundation for future research on surveillance systems for substance use.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":" ","pages":"287-294"},"PeriodicalIF":7.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case against purity: prioritizing translational polysubstance use research. 一个反对纯度的案例：优先考虑翻译多物质的使用研究。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2025-07-01 Epub Date: 2025-04-23 DOI: 10.1097/YCO.0000000000001010

Cassandra D Gipson, Amanda Fallin-Bennett, Jibran Y Khokhar, Lori Knackstedt, William W Stoops, Rachel Vickers-Smith, Linda Cottler

{"title":"A case against purity: prioritizing translational polysubstance use research.","authors":"Cassandra D Gipson, Amanda Fallin-Bennett, Jibran Y Khokhar, Lori Knackstedt, William W Stoops, Rachel Vickers-Smith, Linda Cottler","doi":"10.1097/YCO.0000000000001010","DOIUrl":"10.1097/YCO.0000000000001010","url":null,"abstract":"Purpose of review: Preclinical (nonhuman) research on neurobehavioral underpinnings of addiction often focuses on one addictive drug studied in isolation, however, this does not reflect real-world substance use patterns of polysubstance use (PSU). Here we make a case against purity, incorporating patterns of clinically relevant PSU into preclinical models. We argue that the meaningful inclusion of people with living experience as integral collaborators in translational addiction models is critical to advance the identification of novel efficacious therapeutics to reduce the harms associated with PSU.Recent findings: Substance use disorders are complex as clinically defined and diagnosed. Further, PSU is highly prevalent and individuals may use multiple substances within the illicit drug supply which continually evolves and is tracked via surveillance efforts (e.g., the National Drug Early Warning System). Preclinical models often model monosubstance use patterns which do not reflect real world drug use and omits expertise from people who use drugs in driving preclinical addiction science.Summary: Here, we argue a case against purity in the development, design, and implementation of preclinical translational studies of addictive drugs, a need for inclusion of individuals with living experience, and highlight the need for additional research on PSU across the translational spectrum.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":" ","pages":"282-286"},"PeriodicalIF":7.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Substantiating policy recommendations for reducing gambling-related harms with perspectives from individuals with lived experience. 从有亲身经历的个人角度，证实减少赌博相关危害的政策建议。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2025-07-01 Epub Date: 2025-04-01 DOI: 10.1097/YCO.0000000000001008

Li Yan McCurdy, Jennifer J Park, Marc N Potenza

{"title":"Substantiating policy recommendations for reducing gambling-related harms with perspectives from individuals with lived experience.","authors":"Li Yan McCurdy, Jennifer J Park, Marc N Potenza","doi":"10.1097/YCO.0000000000001008","DOIUrl":"10.1097/YCO.0000000000001008","url":null,"abstract":"Purpose of review: Changes in gambling regulation have been linked to public health concerns, with system- and population-level approaches suggested to prevent and reduce gambling-related harms in societies. This review utilizes recent qualitative studies on individuals with lived experience of gambling-related harms to substantiate and inform refinement of current policy-level recommendations.Recent findings: Recent policy recommendations are well poised to address issues faced by individuals with lived experience of gambling-related harms, as reflected in several recent qualitative studies. Pertinent topics include increased accessibility to gambling via digitization, limitations of self-exclusion, and difficulty adhering to self-imposed financial limits. A range of barriers, including stigma, aggressive advertising by gambling operators, and gambling opportunities in video games, may undermine the effectiveness of some policies (e.g., self-exclusion, deposit limits, and age restrictions, respectively).Summary: The perspectives of individuals with lived experience of gambling-related harms can be invaluable in complementing, strengthening, and contextualizing quantitative results to substantiate policy recommendations and provide insight into potential limitations of the recommendations to refine population-level strategies. Individuals with lived experience should be involved in future research involving monitoring of the gambling industry and assessing the impact of regulatory measures to strengthen the process of evaluating and adapting policies.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":" ","pages":"259-264"},"PeriodicalIF":7.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial introductions. 编辑介绍。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1097/YCO.0000000000001014

引用次数: 0

Treatments for weight gain in schizophrenia. 精神分裂症患者体重增加的治疗。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-02-12 DOI: 10.1097/YCO.0000000000000992

Igor Elman

{"title":"Treatments for weight gain in schizophrenia.","authors":"Igor Elman","doi":"10.1097/YCO.0000000000000992","DOIUrl":"10.1097/YCO.0000000000000992","url":null,"abstract":"Purpose of review: Obesity and related metabolic disorders are extremely common in psychiatric patients, particularly in those with schizophrenia. Elucidating this link's neurobiology may inform clinicians and researchers of rational therapeutic approaches necessary to optimize clinical outcomes.Recent findings: Current literature highlights the pivotal role of the inflammation-oxidative stress-insulin resistance loop in the pathophysiology of both metabolic and neuropsychiatric disorders. The concept of 'diabetophrenia' is put forward to highlight the overlapping neurobiological mechanisms underlying metabolic dysfunction and schizophrenia symptoms. Innovative treatments, including the combination of xanomeline with trospium and incretin-based medicines, demonstrate encouraging potential in addressing such complex health challenges.Summary: The nuanced dynamics of chronic inflammation and psychiatric symptomatology underscore the significance of addressing both metabolic and mental health factors in a cohesive fashion while considering unique psychosocial contexts, dietary preferences, and lifestyle choices. A multidisciplinary strategy is essential for incorporating counseling, dietary interventions, behavioral therapies, and pharmacotherapy into the management of schizophrenia. The ensuing enhanced collaboration among healthcare professionals may render obsolete the prevailing siloed conceptualizations of mental disorders, opening new vistas for generating synergistic insights into the mind-body systems and leading to improved health and quality of life for patients with schizophrenia and other psychiatric conditions.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":" ","pages":"159-168"},"PeriodicalIF":7.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How and why scientific discoveries and clinical innovations are published. 科学发现和临床创新如何以及为什么要发表。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-03-27 DOI: 10.1097/YCO.0000000000000990

Lynn E DeLisi

引用次数: 0

Schizophrenia in women: a review of unique aspects regarding course, management, and challenges across the lifespan. 女性精神分裂症：回顾病程、管理和生命周期挑战的独特方面。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-03-27 DOI: 10.1097/YCO.0000000000000998

Marcela Almeida, Sun Fletcher, Melisa Granoff

{"title":"Schizophrenia in women: a review of unique aspects regarding course, management, and challenges across the lifespan.","authors":"Marcela Almeida, Sun Fletcher, Melisa Granoff","doi":"10.1097/YCO.0000000000000998","DOIUrl":"10.1097/YCO.0000000000000998","url":null,"abstract":"Purpose of review: This review of the latest literature aims to underscore some unique characteristics of schizophrenia in women and to explore the role of hormonal fluctuations and life-stage stressors in its pathogenesis and management. It summarizes the emerging evidence-based recommendations on biological and psychosocial interventions, with the goal to raise awareness of some gender-specific issues and the ultimate intent to optimize outcomes for this patient population.Recent findings: Schizophrenia affects men and women differently due to gender-specific biological, psychological, social, and cultural factors. Hormonal changes through the woman's reproductive life are associated with differences in disease expression, response to treatment, and treatment adjustments.Summary: Schizophrenia is a chronic and serious mental illness associated with significant personal and societal burden and with important sexual differences in presentation, course, and management, attributed at least in part to hormonal changes and other factors (e.g. medication compliance, drug interactions, social and cultural characteristics). Periods of high hormonal flux, such as pregnancy, postpartum, and the menopause transition, pose additional challenges concerning psychiatric stability and treatment efficacy and safety. Becoming familiar with important gender-specific characteristics including biological, psychological and sociocultural determinants can lead to adjustments in management and, ultimately, to improved outcomes.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":"38 3","pages":"169-176"},"PeriodicalIF":7.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial introductions. 编辑介绍。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-03-27 DOI: 10.1097/YCO.0000000000001000

引用次数: 0

Drug addiction and impact of urbanization: a systematic review. 药物成瘾与城市化的影响：一项系统综述。

IF 7.5 2区医学

Current Opinion in Psychiatry Pub Date : 2025-05-01 Epub Date: 2025-02-17 DOI: 10.1097/YCO.0000000000000997

Kelly Lin, Jie Jia, Xiaoyu Zhu, Bei Zhang, Zhaohua Zhu, Li Li, Jing Sun

{"title":"Drug addiction and impact of urbanization: a systematic review.","authors":"Kelly Lin, Jie Jia, Xiaoyu Zhu, Bei Zhang, Zhaohua Zhu, Li Li, Jing Sun","doi":"10.1097/YCO.0000000000000997","DOIUrl":"10.1097/YCO.0000000000000997","url":null,"abstract":"Purpose of review: Using the ecological public health framework, this study aims to systematically review the risk of illicit drug use and its associated negative health outcomes relating to urbanization.Recent findings: Previous studies have indicated that urbanization associated with increased population density drives segregation of vulnerable communities of low socioeconomic status (SES). Marginalized individuals in segregated communities have increased risk of poor mental health and illicit drug use.Summary: The results indicated that urban-specific environmental risk factors, individual characteristics and level of social support all influenced risk of drug use, substance use disorder (SUD), overdose, and drug-use associated death. Urban environmental risk factors of economic disparity, marginalization and barriers in accessing healthcare and negative individual characteristics of low education, low income and comorbid diagnosis of mental illness significantly increased risk of drug use. In contrast, better social support reduced the risk of drug use.","PeriodicalId":11022,"journal":{"name":"Current Opinion in Psychiatry","volume":" ","pages":"235-251"},"PeriodicalIF":7.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0