{"title":"'What Works, for Whom?' Sexual Offence Treatment Dosage, Duration, Sequence, and Composition.","authors":"Nadine McKillop, Susan Rayment-McHugh","doi":"10.1007/s11920-024-01574-5","DOIUrl":"10.1007/s11920-024-01574-5","url":null,"abstract":"<p><strong>Purpose of review: </strong>Recent scholarship has advocated the need for more detailed analysis of key components within sexual offender treatment programs that contribute to successful outcomes; and importantly to delineate 'what works best, for whom.' The present review interrogates recent scholarship on treatment duration and dosage, program composition and sequencing, to advance critical discussion on 'for whom' treatment works best.</p><p><strong>Recent findings: </strong>Although we now know more about what key program components are associated with better outcomes overall, observed differences at an individual level reemphasize the importance of attending to specific responsivity factors in treatment. Elevating the specific responsivity principle demands more tailored methods to program design and implementation. However, implementing nuanced programming within 'real-world' correctional settings poses significant challenges. Therefore, we call to action the adoption of an implementation science lens in future research, to optimize translation of research knowledge on 'what works, and for whom' into practice.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":" ","pages":"58-65"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767357","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":"Personality Disorders and Clinical Disorders: The Challenge of Comorbid Autism Spectrum Disorder (ASD), Eating Disorders (EDs), Posttraumatic Stress Disorder (PTSD), or Somatic Symptom Disorder (SSD).","authors":"Paul S Links, Hira Aslam, McKenna O'Donnell","doi":"10.1007/s11920-024-01571-8","DOIUrl":"10.1007/s11920-024-01571-8","url":null,"abstract":"<p><strong>Purpose of the review: </strong>The purpose of this review is to report on prevalence of co-occurrence, possible etiologic mechanisms, and course and treatment implications of each of these challenging clinical disorders (Autism Spectrum Disorder, Eating Disorders, Posttraumatic Stress Disorder) comorbid with Personality Disorders.</p><p><strong>Recent findings: </strong>These comorbidities often increase the symptom severity, worsen the course and outcome, and increase the risk of self-harm and suicidal behavior. For EDs and PTSD, existing therapies may prove somewhat helpful but novel approaches are needed and under investigation in the context of comorbid PDs and ASD, EDs and PTSD to address common underlying diatheses. Treatments for these comorbid disorders need to incorporate interventions addressing suicide risk, emotion dysregulation, be trauma-informed and attend to patient engagement. Future research should prioritize studying the course and outcome of ASD comorbid with PDs, novel therapies for EDs comorbid with PDs; refining the concept of Complex PTSD and commencing study of SSD comorbid with PDs.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":" ","pages":"1-9"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738683","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}
Luigi Grassi, Daniel McFarland, Michelle Riba, Maria Ferrara, Giulia Zaffarami, Martino Belvederi Murri, Marco Cruciata, Rosangela Caruso
{"title":"The Challenging Problems of Cancer and Serious Mental Illness.","authors":"Luigi Grassi, Daniel McFarland, Michelle Riba, Maria Ferrara, Giulia Zaffarami, Martino Belvederi Murri, Marco Cruciata, Rosangela Caruso","doi":"10.1007/s11920-024-01570-9","DOIUrl":"10.1007/s11920-024-01570-9","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Patients with Serious Mental Illness (SMI) are reported to be at higher risk for somatic disorders (e.g. cardiovascular and metabolic diseases) and higher mortality, compared to the general population, because of the consequences of SMI including psychotropic medication side effects, sedentary and unhealthy lifestyle, difficult access to physical health care. The aim of this review was to examine the current evidence regarding oncology, focusing on the problem of cancer among patients with SMI. RECENT FINDINGS: Compared to the general population, individuals with SMI showed a lower rate of screening for cancer, suboptimal standard cancer treatment, delayed treatment, and higher mortality from cancer. Several factors, including those related to the patient, the health-care system, and the social context, are involved in these negative outcomes. It is therefore necessary to raise awareness and alert clinicians in oncology settings to the challenging problem of cancer among patients with SMI, a marginalized and vulnerable segment of the population that can be at risk for not receiving proper cancer prevention and care. Evidence supports the mandatory need for an interdisciplinary approach involving psychiatry and mental health services.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":" ","pages":"41-57"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945997","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":"Recent Advances in the Study of Conflict-Related Sexual Violence.","authors":"Ragnhild Nordås, Esmeralda López","doi":"10.1007/s11920-024-01575-4","DOIUrl":"10.1007/s11920-024-01575-4","url":null,"abstract":"<p><strong>Purpose of review: </strong>Conflict-related sexual violence (CRSV) is a frequent but not ubiquitous part of warfare, affecting not only survivors but also their families and wider communities. This thematic review describes advances in research on CRSV, reviews new developments in the literature, and proposes recommendations for future study.</p><p><strong>Recent findings: </strong>An increasing number of studies consider how to address methodological and ethical research challenges, how understudied victim/survivor groups as well as families and communities are affected by CRSV, how survivor-centered justice mechanisms can be developed to reduce impunity, and how CRSV is perceived by different actors. Research is expanding to deepen and nuance knowledge on CRSV, particularly on CRSV by rebel groups and the experiences of diverse victims. The research community is also growing more diverse. Remaining challenges exist, in particular regarding data and measurement, justice and accountability, and violations by state-affiliated actors.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":" ","pages":"66-75"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892884","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}
María Isabel Perea-González, Diego De la Vega, Sergio Sanz-Gómez, Lucas Giner
{"title":"Personality Disorders and Suicide. A Systematic Review of Psychological Autopsy Studies.","authors":"María Isabel Perea-González, Diego De la Vega, Sergio Sanz-Gómez, Lucas Giner","doi":"10.1007/s11920-024-01572-7","DOIUrl":"10.1007/s11920-024-01572-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>This systematic review explores the relationship between personality disorders (PDs) and lethal suicide behavior. Following PRISMA guidelines, the study examines psychological autopsy studies with suicide deaths and identified PDs. Inclusion criteria encompass studies using the psychological autopsy method, reporting PD diagnosis and suicide deaths, in English language and with no temporal restrictions. The search strategy, conducted in PubMed and Embase until December 2nd, 2023, utilized specific terms related to suicide, PD, and psychological autopsy. Quality assessment using the Newcastle Ottawa-Scale for case-control studies was employed.</p><p><strong>Recent findings: </strong>56 psychological autopsy studies were included in the systematic review, revealing a prevalence of PDs among suicide deaths, and emphasizing their role as significant suicide risk factors. The review underscores the impact of comorbid PDs and Axis I disorders on suicide risk, particularly if additional stressors are present. Gender differences in PD prevalence are noted, with impulsivity and alcohol abuse identified as universal risk factors. Despite extensive global data collection, limitations include potential methodological variations and biases inherent in psychological autopsy studies. This study, registered in PROSPERO (CRD42022322359), contributes essential insights into the prevalence, characteristics, and risk factors of PDs among suicide deaths.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":" ","pages":"10-30"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812670","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}
Lisa Vitte, Sandra Nakić Radoš, Mijke Lambregtse-van den Berg, Emmanuel Devouche, Gisèle Apter
{"title":"Peripartum Depression: What's New?","authors":"Lisa Vitte, Sandra Nakić Radoš, Mijke Lambregtse-van den Berg, Emmanuel Devouche, Gisèle Apter","doi":"10.1007/s11920-024-01573-6","DOIUrl":"10.1007/s11920-024-01573-6","url":null,"abstract":"<p><strong>Purpose of the review: </strong>Peripartum depression (PPD), including both depression during pregnancy and postpartum, is the most frequent health disorder during the perinatal period. It is a significant public health issue in many countries due to its prevalence and its impact on women, as well as on their partners and offspring. Here, we will attempt to untangle the most recent studies and publications, considering what it is essential to know in 2024 about PPD as a specific perinatal issue.</p><p><strong>Recent findings: </strong>PPD appears to be a very heterogeneous disorder in which a complex interplay between different factors contributes to its pathophysiology. Thus, the need to enhance diagnosis and referral through a better understanding of its severity and co-morbidities has emerged as a major public health issue. Indeed, research has consistently shown that PPD negatively impacts parent-infant interactions and infants' cognitive, social, and emotional development. Evidence underlining its global risk has accumulated over the past three decades, but many questions remain, including how these vulnerable offspring developmental trajectories unfold.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":" ","pages":"31-40"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767355","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}
Joelle T Taknint, Fiona C Thomas, Resham Gellatly, Maithri Ameresekere
{"title":"Responding to Trauma: A Critical Review of Mental Health and Psychosocial Interventions for Refugee Women.","authors":"Joelle T Taknint, Fiona C Thomas, Resham Gellatly, Maithri Ameresekere","doi":"10.1007/s11920-024-01568-3","DOIUrl":"10.1007/s11920-024-01568-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>This is a critical review of English language literature (January 2023-June 2024) on psychological trauma amongst forcibly displaced migrant women. The Mental Health and Psychosocial Support (MHPSS) Framework was used to organize multi-layered mental health interventions.</p><p><strong>Recent findings: </strong>Findings indicate many promising community-based interventions, often delivered by trained lay facilitators. Interventions address: upstream drivers of mental health such as empowerment and economic security, group-based care focused on social connection and well-being, and trauma focused treatment such as Mindfulness Based Interventions, Cognitive Processing Therapy, and Culturally Adapted Cognitive Behavioral Therapy. The variety of (primarily short-term) interventions must be complemented by longitudinal evaluation. Clinicians and care systems should partner with those delivering psychosocial interventions outside of clinical settings. Continued research on the impacts of cumulative and intergenerational trauma amongst refugee women, and intervention research that centers the experiences of marginalized groups (e.g., sexual and gender minority refugees) is needed.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":" ","pages":"866-876"},"PeriodicalIF":5.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750204","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}
Samantha C Patton, Laura E Watkins, Therese K Killeen, Denise A Hien
{"title":"Posttraumatic Stress Disorder and Substance Use Disorder Screening, Assessment, and Treatment.","authors":"Samantha C Patton, Laura E Watkins, Therese K Killeen, Denise A Hien","doi":"10.1007/s11920-024-01547-8","DOIUrl":"10.1007/s11920-024-01547-8","url":null,"abstract":"<p><strong>Purpose of review: </strong>We review prevalence, etiology, impact on treatment, and best practices for treatment of posttraumatic stress disorder (PTSD) in a substance use disorder (SUD) treatment setting. Recommendations are given related to screening, assessment, and symptom monitoring.</p><p><strong>Recent findings: </strong>PTSD and SUDs are highly comorbid. This comorbidity is associated with higher acuity, more difficulty completing treatment, and worse prognosis. Integrated treatment is recommended, and trauma-focused psychotherapies combined with pharmacotherapy show particular promise. PTSD is highly prevalent in substance using samples, negatively impacting treatment course and worsening prognosis. This comorbidity has been explained by a variety of models, with self-medication having garnered the most support. Trauma-focused psychotherapies combined with pharmacotherapy demonstrate the most efficacy and are recommended when treating co-occurring SUDs and PTSD. Specifically, prolonged exposure (PE), concurrent treatment of PTSD and SUDs using PE (COPE), and cognitive processing therapy (CPT) have been seen as promising trauma-focused treatments. Investigations into ways to best augment therapy are also underway, both through treatment format and neuromodulation. Several recommendations are given.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":" ","pages":"843-851"},"PeriodicalIF":5.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460116","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}
André P Pacheco, Jonathan Cedernaes, Christian Benedict
{"title":"Insomnia, OSA, and Mood Disorders: The Gut Connection.","authors":"André P Pacheco, Jonathan Cedernaes, Christian Benedict","doi":"10.1007/s11920-024-01546-9","DOIUrl":"10.1007/s11920-024-01546-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>With the growing body of research examining the link between sleep disorders, including insomnia and obstructive sleep apnea (OSA), and the gut microbiome, this review seeks to offer a thorough overview of the most significant findings in this emerging field.</p><p><strong>Recent findings: </strong>Current evidence suggests a complex association between imbalances in the gut microbiome, insomnia, and OSA, with potential reciprocal interactions that may influence each other. Notably, specific gut microbiome species, whether over- or under-abundant, have been associated with variation in both sleep and mood in patients diagnosed with, e.g., major depressive disorder or bipolar disorder. Further studies are needed to explore the potential of targeting the gut microbiome as a therapeutic approach for insomnia and its possible effects on mood. The variability in current scientific literature highlights the importance of establishing standardized research methodologies.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":" ","pages":"703-711"},"PeriodicalIF":5.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460113","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}
Madison E Taylor, Michelle Liu, Sara Abelson, Daniel Eisenberg, Sarah K Lipson, Stephen M Schueller
{"title":"The Reach, Effectiveness, Adoption, Implementation, and Maintenance of Digital Mental Health Interventions for College Students: A Systematic Review.","authors":"Madison E Taylor, Michelle Liu, Sara Abelson, Daniel Eisenberg, Sarah K Lipson, Stephen M Schueller","doi":"10.1007/s11920-024-01545-w","DOIUrl":"10.1007/s11920-024-01545-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>We evaluated the impact of digital mental health interventions (DMHIs) for college students. We organized findings using the RE-AIM framework to include reach, effectiveness, adoption, implementation, and maintenance.</p><p><strong>Recent findings: </strong>We conducted a systematic literature review of recent findings from 2019-2024. Our search identified 2,701 articles, of which 95 met inclusion criteria. In the reach domain, student samples were overwhelmingly female and White. In the effectiveness domain, over 80% of DMHIs were effective or partially effective at reducing their primary outcome. In the adoption domain, studies reported modest uptake for DMHIs. In the implementation and maintenance domains, studies reported high adherence rates to DMHI content. While recruitment methods were commonly reported, adaptations and costs of implementation and maintenance were rarely reported. DMHIs for college students are effective for many psychological outcomes. Future work should address diversifying samples and considering implementation in a variety of college settings.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":" ","pages":"683-693"},"PeriodicalIF":5.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399701","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}