Current Psychiatry Reports最新文献

{"title":"Recent Evidence on Factors and Potential Interventions Affecting Patient Sleep in Inpatient and Hospital Settings.","authors":"John Nordstrand, Natalia Vincens, Michael G Smith","doi":"10.1007/s11920-026-01720-1","DOIUrl":"10.1007/s11920-026-01720-1","url":null,"abstract":"<p><strong>Purpose of review: </strong>Sleep is a critical but frequently disrupted part of hospital care, affecting patient recovery, length of stay, and physical and mental health. This review examines recent evidence (2022-2026) on why inpatient sleep is disrupted and how interventions can mitigate disturbance across different patient groups and hospital settings.</p><p><strong>Recent findings: </strong>Findings span five domains: environmental factors such as noise and light, hospital infrastructure and room configuration, patient-related factors including pain and anxiety, care routines, and interventions. Recent high-quality trials and meta-analyses increasingly support nonpharmacological strategies - including environmental modification, care-routine restructuring, and sensory therapies - while evidence for pharmacological agents such as melatonin remains weak outside specific contexts. This review highlights the multifactorial nature of sleep disruption in hospital settings. Prioritizing patient sleep through evidence-based, sustainable strategies can support faster recovery, reduce complications, and improve overall care quality, yet poor sleep remains pervasive. Current evidence supports system-level interventions (workflow restructuring, environmental redesign) and low-cost measures (earplugs, sleep masks, physical therapy) to improve sleep related outcomes including delirium, pain, and length of stay.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147968","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}

{"title":"Considering Autism in Binge-Type Eating Disorders: Broadening Beyond an Anorexia Nervosa-Focused Model.","authors":"Lauren Makin, Kate Tchanturia","doi":"10.1007/s11920-026-01719-8","DOIUrl":"10.1007/s11920-026-01719-8","url":null,"abstract":"<p><strong>Purpose of review: </strong>Research on Autism in eating disorders (EDs) has historically focused on anorexia nervosa (AN), with comparatively limited attention given to binge-type EDs such as bulimia nervosa (BN) and binge eating disorder (BED). This review summarises emerging evidence on Autism in binge-type EDs and highlights key clinical and research implications.</p><p><strong>Recent findings: </strong>Emerging evidence suggests that Autism is over-represented in BN and BED, although prevalence appears lower than in AN and research remains methodologically limited. Recent studies suggest that affective and reward-related processes, alongside sensory differences, may contribute to binge-type presentations. Co-occurring ADHD appears particularly relevant and may complicate recognition, clinical presentation, and treatment. Autism also remains under-recognised in binge-type EDs by ED services, where existing adaptations remain largely derived from AN models. Current AN-centric models may inadequately capture Neurodivergence in binge-type EDs. More transdiagnostic, mechanism-informed research and treatment approaches are needed.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135444","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}

{"title":"Psychological Autopsy Protocols - A Selective Narrative Review.","authors":"Sergio Sanz-Gómez, Adrián Alacreu-Crespo, Diego De la Vega-Sánchez, María Isabel Perea-González, Julio Guija, Lucas Giner","doi":"10.1007/s11920-026-01716-x","DOIUrl":"10.1007/s11920-026-01716-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>Psychological autopsy (PA) is a methodological approach aimed at reconstructing the psychological and contextual factors leading to an individual's death, particularly in cases of suicide. This article provides a comprehensive review of Psychological Autopsy Protocols, examining their evolution across the decades from the first generation of psychological autopsy studies to a second generation focusing on methodological improvements.</p><p><strong>Recent findings: </strong>Methodological aspects of psychological autopsies are discussed, emphasizing both strengths and limitations of the approach. The review then delves into specific PA protocols, showcasing prominent initiatives such as the National Suicide Prevention Project in Finland, McGill Group for Suicide Studies, Chinese PA Project, and the Spanish FRienDS project, as well as notable methodologies such as the SSIPA (Semi-Structured Interview for PA) and other psychological autopsy research efforts conducted globally. In conclusion, review consolidates knowledge on psychological autopsy protocols, providing a valuable resource for researchers, clinicians, and policymakers engaged in suicide prevention. The findings underscore the importance of refining methodologies and advancing the field to enhance our understanding of the aetiology of suicide.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148975938","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}

{"title":"Integrating Yoga and Mindfulness in the Management of Internet Gaming Disorder: A Narrative Review of Current Evidence and Future Directions.","authors":"Ojas Shokeen, Anika Magan","doi":"10.1007/s11920-026-01717-w","DOIUrl":"10.1007/s11920-026-01717-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>Despite Cognitive Behavioral Therapy (CBT) remaining the frontline treatment for Internet Gaming Disorder (IGD), the therapeutic potential of yoga and mindfulness-based interventions (YBIs/MBIs) remains incompletely synthesized. This narrative review evaluates their efficacy in reducing IGD symptoms and associated psychosocial outcomes, while identifying underlying therapeutic mechanisms and research gaps.</p><p><strong>Recent findings: </strong>Across the literature, mindfulness meditation consistently outperformed Progressive Muscle Relaxation in reducing IGD severity, supported by neuroimaging evidence of improved prefrontal-striatal connectivity. Mindfulness-Oriented Recovery Enhancement produced durable symptom reductions at three-month follow-up, while integrated yoga modules yielded broad improvements across IGD symptoms, psychological distress, and attentional control in adolescents. YBIs/MBIs demonstrate meaningful potential as adjunctive IGD treatments, particularly when integrated with CBT, with notable cultural adaptability across school and clinical settings. Future research should prioritize multi-site RCTs, standardized outcome batteries, and extended follow-up to establish standalone efficacy.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918794","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}

{"title":"The School-to-Guardian Pipeline: Understanding the Medical and Social Implications for Individuals with Significant Disabilities.","authors":"Jessie C Green, Andrew Buck","doi":"10.1007/s11920-026-01718-9","DOIUrl":"10.1007/s11920-026-01718-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>As children move from being a minor to 18 and over as adults, the decision-making power shifts from the parent to the now adult child. That is unless legal guardianship is sought. One of the first encounters parents begin to really process the ramifications of this change is at school during individualized education program (IEP) transition planning meetings which begin for students with disabilities as early as 14 years in some states and school systems and required by federal law to occur by 16 years old. Local education agencies, or school districts, are required to inform students and parents of the shift in responsibilities when the child reaches the age of majority of 18 years old. This paper provides alternatives to guardianship and explores ways in which healthcare providers can support their patients who may be exploring decision-making options at 18 years old.</p><p><strong>Findings: </strong>Teachers and other school personnel often provide information that encourages parents to seek guardianship, pushing yet another student into the school-to-guardianship pipeline. Guardianship is not always the best option, yet it is often recommended, especially for transition-aged youth and young adults with significant disabilities. Healthcare providers are sometimes part of these school meetings, but more often, medical professionals provide assessment results to inform an individual's need for guardianship to the courts. Healthcare providers should comprehend the different ways in which individuals with significant disabilities make decisions upon reaching adulthood. This knowledge should include a clear understanding of the implications and consequences of a court taking away partial or full legal decision-making capabilities from a young adult with a significant disability.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918797","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}

{"title":"Associations Between Different Subtypes of Adverse Childhood Experiences with Reproductive Mood Disorders-a Scoping Review.","authors":"Christian Eric Deuter, Eugenia Kulakova, Katja Wingenfeld, Linn Kristina Kuehl","doi":"10.1007/s11920-026-01714-z","DOIUrl":"10.1007/s11920-026-01714-z","url":null,"abstract":"<p><strong>Purpose of review: </strong>Growing evidence suggests that adverse childhood experiences (ACE) increase the risk for reproductive mood disorders (RMD), i.e. premenstrual syndrome, premenstrual dysphoric disorder, postpartum and perimenopausal depression, and might be associated with symptom severity in these disorders. However, evidence for the specific impact of ACE subtypes remains scarce. This review investigates whether certain ACE subtypes are more prevalent among women with RMDs, whether women exposed to ACE have a higher risk to develop such disorders and if the degree of exposure is associated with the symptom severity.</p><p><strong>Recent findings: </strong>We conducted a literature search across electronic data bases and reviewed a final selection of 16 studies that differentiated between ACE subtypes.</p><p><strong>Results: </strong>The findings indicate that emotional abuse tends to be the subtype most clearly associated with these disorders. While emotional abuse was consistently linked to adverse outcomes, the complexities of ACE co-occurrence and the potential differing impacts of other subtypes such as different forms of abuse and neglect are underscored. The review highlights the variability in study populations, methodologies, and assessment tools. The interplay between hormonal fluctuations and emotional dysregulation is discussed as potential mediators in the development of RMDs, suggesting that emotional abuse may exacerbate sensitivity to hormonal changes. Future research is called for to clarify subtype-specific mechanisms, age-related effects, and genetic predispositions to hormonal sensitivity following ACE. Overall, this article contributes to the understanding of how ACE subtypes intersect with the etiology of RMDs in women, emphasizing the need for tailored approaches in research and clinical interventions.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857119","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}

{"title":"GLP-1 and dual GIP/GLP-1 receptor agonists' psychopharmacology and putative neuropsychiatric associated effects: a Bradford Hill-informed, systematic, evaluation.","authors":"F Schifano, M A De Luca, S Bonaccorso, Davide Arillotta, G Floresta, G Martinotti, G D Papanti, J M Corkery, S Chiappini, A Guirguis","doi":"10.1007/s11920-026-01709-w","DOIUrl":"https://doi.org/10.1007/s11920-026-01709-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review evaluates evidence linking both GLP-1 and GIP/GLP-1RAs' exposure to a range of neuropsychiatric outcomes using the Bradford Hill criteria for causal inference.</p><p><strong>Recent findings: </strong>Glucagon-like peptide-1 (GLP-1) and the dual glucose-dependent insulinotropic polypeptide-GIP/GLP-1 receptor agonists (RAs) are incretin-based medications widely prescribed for type 2 diabetes mellitus and obesity, with demonstrated cardiometabolic benefit and rapidly expanding population exposure. In parallel, post-marketing surveillance and emerging translational research have raised questions regarding potential central nervous system effects, including neuropsychiatric adverse events and psychopharmacological properties. Integrating data from receptor pharmacology, preclinical neuroscience, randomized controlled trials, and observational and pharmacovigilance studies, the strength, consistency, biological plausibility, and experimental support for reported associations with depression, anxiety, suicidality, reward-related behaviour, cognitive effects and retinal/ocular related disturbances were here assessed. Implications for clinical risk-benefit assessment were discussed as well. Current evidence supports potential biological plausibility of a relationship between GLP-1 RAs and a range of psychopathological disorders but remains insufficient to establish causality for most neuropsychiatric outcomes, suggesting the need for prospective, mechanism-informed clinical studies.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789329","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}

{"title":"Maternal Neuroplasticity: Understanding Brain Changes with Perinatal Depression and Anxiety in Women.","authors":"Sameera Abuaish, Helena J V Rutherford, Joseph S Lonstein, Jodi L Pawluski","doi":"10.1007/s11920-026-01715-y","DOIUrl":"10.1007/s11920-026-01715-y","url":null,"abstract":"<p><strong>Purpose of the review: </strong>The transition to parenthood is a unique period of adulthood during which the brain undergoes profound and rapid changes, particularly in birthing mothers. This transition is also associated with a risk of developing mental illness, likely due to intersections among the neurobiological changes and a host of psychosocial factors including one's history of mental illness and lack of adequate support systems for parents.</p><p><strong>Recent findings: </strong>Emerging evidence indicates that perinatal depression and anxiety are associated with distinct neural alterations that overlap with the brain areas also involved in caregiving. Thus, there is a critical need to better understand the neurobiological mechanisms underlying perinatal mental illness for both maternal and child wellbeing. The goals of this review are to highlight key findings from current research on the ways in which human brain function and structure are associated with (1) perinatal depression, (2) perinatal anxiety, and (3) treatments aimed at promoting parental mental health. Advances in understanding the neuroplasticity associated with perinatal depression and anxiety will inform the development of targeted interventions and treatments aimed at supporting parental wellbeing, promoting healthy parent-infant relationships, and improving peripartum brain health.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789250","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}

{"title":"Eating Disorder Focused Family Therapy with Autistic Children and Young People: A Narrative Review of Recent Developments.","authors":"Amelia Austin, Rachel Loomes, Fiona Duffy","doi":"10.1007/s11920-026-01710-3","DOIUrl":"https://doi.org/10.1007/s11920-026-01710-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review aims to report the recent advances for eating disorder focused family therapy (FT-ED) for Autistic children and young people, including outcomes, experiences, and suggested adaptations.</p><p><strong>Recent findings: </strong>Quantitative studies suggest that Autistic children and young people (and those with high autistic traits) receiving outpatient FT-ED are more likely to require escalation to more intensive levels of care compared to non-autistic peers. Qualitative research shows that Autistic young people and their parents/carers often report poor experiences of FT-ED. Clinicians report a lack of confidence, particularly when adapting care from a manualised approach. Commonly suggested adaptations include environmental adjustments (e.g., quiet spaces, dimmed lights), sensory-informed understanding of food and eating preferences (e.g., accounting for historical eating behaviour), communication adaptations (e.g., passports and clear, literal language), psychoeducation on autism and eating disorders, careful consideration of externalization, and use of separated sessions. Given that Autistic children and young people and their parents report poorer experiences of FT-ED relative to their non-autistic peers, adaptations that accommodate autistic needs while not interfering with ED recovery should be considered. Further development of guidelines and decision-making tools may support FT-ED clinicians to deliver effective and inclusive care.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763030","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}

{"title":"Recurrent Deliberate Foreign Body Ingestion: Psychiatric Comorbidities, Management Strategies, and Ethical Considerations.","authors":"Christina V Raghunandan, Elizabeth Hoffman, Heather Schultz","doi":"10.1007/s11920-026-01712-1","DOIUrl":"10.1007/s11920-026-01712-1","url":null,"abstract":"<p><strong>Purpose of review: </strong>Recurrent deliberate foreign body ingestion (DFBI) is a high-risk, resource-intensive behavior most often associated with underlying psychiatric conditions. Although medical and surgical complications are well documented, the psychiatric drivers and optimal management of DFBI are less well characterized. This review synthesizes current evidence on the epidemiology, psychiatric comorbidities, behavioral mechanisms, management strategies, and ethical challenges associated with DFBI [1, 2, 4, 6].</p><p><strong>Recent findings: </strong>Recent work highlights the roles of emotion dysregulation, personality pathology-particularly borderline personality disorder-and reinforcement mechanisms in perpetuating recurrent ingestion [1, 3, 10]. A small subset of individuals accounts for a disproportionate share of hospitalizations, underscoring the chronic and relapsing nature of this behavior and its substantial healthcare costs [1, 4]. Effective care requires coordinated multidisciplinary management that integrates medical stabilization with psychiatric treatment, including structured behavioral plans, consistent team-based responses, and attention to countertransference [2, 7]. Psychotherapeutic modalities, particularly dialectical behavior therapy and borderline personality disorder-informed models, are central to long-term management, while pharmacologic interventions primarily target comorbid conditions rather than ingestion [10-12]. Ethical considerations, including assessment of decision-making capacity, perceptions of futility, and resource allocation, further complicate care [13-15]. DFBI is a complex, recurrent behavior driven by diverse psychiatric, behavioral, and systemic factors. Effective management requires coordinated multidisciplinary care that integrates medical stabilization, psychiatric treatment, structured behavioral interventions, and ethical decision-making to reduce recurrence and improve outcomes.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13473083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763697","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}