Current Psychiatry Reports最新文献

{"title":"Bridging Gaps in Perinatal Mental Health: A Review of Peer and Non-specialist Supports for Racially, Ethnically and Culturally Diverse Communities in the U.S.","authors":"Antonella Onofrietti Magrassi, Anahí Collado, Laurel M Hicks, Samuel Hubley, Desiree Bauer, Sona Dimidjian","doi":"10.1007/s11920-026-01692-2","DOIUrl":"10.1007/s11920-026-01692-2","url":null,"abstract":"<p><strong>Purpose of review: </strong>This narrative review synthesizes findings from U.S.-based peer-reviewed studies published between January 2020 and May 2025 on peer and non-specialist delivered perinatal mental health support programs for racially, ethnically and culturally diverse populations.</p><p><strong>Recent findings: </strong>Eight quantitative studies demonstrated improvements in depression, anxiety, and parenting outcomes through mechanisms including behavioral activation, cognitive behavior therapy, increased social support, and self-efficacy. Structured peer and non-specialist delivered programs, emphasized social support and culturally resonant approaches, with higher session \"dose\" linked to grater improvement in mental health outcomes. Trauma-informed models and multi-component interventions integrating culturally adapted cognitive behavior therapy and navigation also reported positive outcomes. Qualitative findings reinforced these mechanisms, with participants highlighting the importance of cultural resonance, trust, and emotional connection. However, no studies conducted formal mediation analyses. Peer‑ and non‑specialist‑delivered perinatal mental health supports show promise in improving outcomes among racially, ethnically, and culturally diverse populations in the U.S. These models draw on behavioral, psychosocial, and relational approaches, however more research is needed to establish effectiveness, guide dissemination, and identify mechanisms of change. Implementation science is critical for advancing scalable models of training and supervision, while policy innovation is needed to create sustainable funding and reimbursement pathways to embed these roles into routine perinatal care. Future efforts should intentionally employ participatory research approaches, ensure cultural relevance, and strengthen partnerships with community‑based organizations to support implementation and maximize equity, feasibility and acceptability.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148338186","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":"Psychosocial Preparedness for Disasters: A Scoping Review of International Models and Public Health Priorities.","authors":"Tommaso Barlattani, Alessandra Trianni, Antony Bologna, Edoardo Trebbi, Grazia Terrone, Rodolfo Rossi, Alessandro Rossi, Francesca Pacitti","doi":"10.1007/s11920-026-01693-1","DOIUrl":"10.1007/s11920-026-01693-1","url":null,"abstract":"<p><strong>Purpose of review: </strong>To map international models of psychosocial preparedness for disasters and identify recurrent public mental health priorities for policy, service readiness, and implementation.</p><p><strong>Recent findings: </strong>Following PRISMA extension for scoping reviews (PRISMA-ScR) and Joanna Briggs Institute guidance, we searched PubMed (2015-2025) using two complementary strategies and mapped 35 included studies. Eight model families emerged, including community resilience and governance; non-specialist support and psychological first aid (PFA); integrated mental health and psychosocial support (MHPSS) across the disaster cycle; implementation and scale-up models; organizational and health-system preparedness; digital continuity models; monitoring and evaluation frameworks; and behavioral emergency response models. Across model families, preparedness was concentrated mainly on community and non-specialist levels, and emphasized trust, community capacity, task-sharing, workforce readiness, and continuity of care. The mapped literature supports psychosocial preparedness as a layered public health function rather than a post-event specialist intervention. Core priorities include pre-event governance, community engagement, supervised non-specialist delivery with referral pathways, workforce protection, digital continuity with clinical safeguards, and minimum monitoring standards. Future work should prioritize implementation-focused research and outcome evaluation across diverse disaster settings.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13303767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148316233","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":"Artificial Intelligence in Child and Adolescent Psychiatry: A Narrative Review of Recent Clinical Applications and Ethical Considerations.","authors":"Stephen Cheng, Elizabeth Kim, Rina Bhalodi, Tevin Um, Dustin Wong, Eunice Y Yuen","doi":"10.1007/s11920-026-01691-3","DOIUrl":"10.1007/s11920-026-01691-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>This narrative review examines recent literature of artificial intelligence (AI) in child and adolescent psychiatry. With increasing mental health disorders in young people along with persistent workforce shortages, AI has emerged as a potential tool to improve efficiency and support clinical decision making. However, using AI raises important ethical concerns which are summarized in our review.</p><p><strong>Recent findings: </strong>Most AI applications in child and adolescent psychiatry remain early in development and are not ready for routine clinical use. AI scribes are likely impractical in many child psychiatry settings because of multiparty visits, consent concerns, and sensitive clinical discussions. Many multimodal diagnostic tools using machine learning still require further testing and can be impractical when relying on costly diagnostics like neuroimaging. Similarly, AI-assisted therapeutics requiring physical hardware like robotics and virtual or augmented reality devices can also be prohibitively expensive. One of the few exceptions includes AI-enabled video and eye-tracking approaches for autism diagnosis. Chatbots and robot companions may provide modest improvements for depression, but evidence remains limited in the pediatric population with risk of serious harm. Concerns of AI include misinformation, algorithmic biases, privacy risks, crisis mismanagement, and excessive emotional attachments to chatbots. AI may eventually support child and adolescent psychiatry, but current evidence supports cautious, supervised use rather than broad clinical adoption. Clinicians should help families understand AI's limits, encourage digital literacy, and ensure that AI remains an adjunct to human care rather than a substitute.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148293683","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 Digital Mirror: Clinical Potentials and Relational Risks of Generative AI in Mental Health Interventions.","authors":"Cesare Cavalera, Fabio Frisone, Chiara Rossi, Osmano Oasi, Francesco Pagnini, Giuseppe Riva, Lorenzo Antichi","doi":"10.1007/s11920-026-01690-4","DOIUrl":"10.1007/s11920-026-01690-4","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review explores the rapidly evolving integration of Generative Artificial Intelligence (GenAI) in mental health care. It aims to evaluate current applications in assessment, treatment planning, and psychotherapeutic interventions, while critically examining the clinical risks, ethical dilemmas, and the future potential of GenAI as an adjunctive tool rather than a replacement for human-delivered therapy.</p><p><strong>Recent findings: </strong>Recent studies indicate that AI models can effectively assist in diagnostic reasoning, biomarker identification via EEG, and the prediction of symptom trajectories from session transcripts. Randomized controlled trials (RCTs) suggest that GenAI chatbots significantly reduce anxiety and depressive symptoms in the short term, particularly in settings with limited access to clinicians. However, human-led therapy remains superior in fostering deep emotional engagement and clinical impact. Significant risks identified include the potential for GenAI to foster dependency, reinforce maladaptive schemas or delusional ideation through \"sycophantic\" mirroring, and raise complex ethical-legal challenges regarding the reporting of criminal disclosures. AI represents a transformative adjunctive layer in mental health, offering scalable support for assessment, training, and between-session monitoring. While technological advances in personalization, multimodality, and immersive virtual reality enhance its clinical utility, GenAI lacks the authentic relational depth and\"calibrated mismatches\" essential for autonomy and transformative change. Future integration must prioritize a human-centered, blended approach, where GenAI is strictly supervised by clinicians within a robust ethical and regulatory framework to preserve the essential heart of the therapeutic connection. Research priorities, interim clinical safeguards, and recommendations for navigating the gap between current evidence and real-world adoption need to be defined and implemented.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270618","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":"Digital Tools to Support Mental Health in Later Life: Scoping Review of Systematic Reviews.","authors":"Melanie Stowell, Rosie Dobson, Noah Bunkley, Judith McCool, Vili Nosa, Robyn Whittaker","doi":"10.1007/s11920-026-01689-x","DOIUrl":"10.1007/s11920-026-01689-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>This scoping review synthesises existing evidence from systematic reviews on the effectiveness and implementation of digital mental health interventions among community-dwelling older adults.</p><p><strong>Recent findings: </strong>Twenty-one systematic reviews were included. Results showed that a range of digital tools demonstrate potential to improve common mental health and psychosocial symptoms among older adults, with most evidence concentrating on digital tools to improve depressive symptoms. However, reviews' findings were frequently mixed and accompanied with cautions that primary evidence under-reported key elements such as theoretical underpinnings, intervention design process, participant demographics, intervention acceptability and usability, participant retention, adverse events, and long-term outcomes. More rigorous research and reporting are needed to understand the mechanisms underpinning effective digital mental health interventions for older adults and how they might mitigate the age-related digital divide in mental health services.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148263739","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":"Effects of Pharmacological and Psychological Treatments on Depressive Symptoms in Body Dysmorphic Disorder: A Systematic Review and Meta-Analysis.","authors":"Alvaro Loewen, Inmaculada Peñuelas-Calvo, Adrián Alacreu-Crespo, Laura Jiménez-Muñoz, Sandra Grijalba-Chiva, Laura Mata-Iturralde, Alejandro Porras-Segovia","doi":"10.1007/s11920-026-01688-y","DOIUrl":"10.1007/s11920-026-01688-y","url":null,"abstract":"<p><strong>Purpose of review: </strong>This systematic review and meta-analysis evaluated the effects of pharmacological and psychological treatments on depressive symptoms in individuals with body dysmorphic disorder (BDD). The primary objective was to assess treatment-related changes in depressive symptom severity among patients with BDD, while evidence regarding dysmorphic symptoms and combined interventions was reviewed narratively and should be interpreted with caution.</p><p><strong>Recent findings: </strong>Across 46 studies (N = 2,227), evidence suggests antidepressants-especially SSRIs-substantially reduce depressive symptoms. Cognitive-behavioral therapy (CBT) also shows large effects, though variability across trials remains high. Most research includes small samples and heterogeneous designs, underscoring the need for consistency. Pharmacological treatment yielded a pooled standardized mean difference (SMD) of -0.96 (95% CI [-1.37,-0.54], p < 0.001), with SSRIs showing the greatest improvement (SMD =-1.16). CBT demonstrated comparable efficacy (SMD = -1.12), remaining significant after bias correction (SMD = -0.65). Combined approaches may provide optimal outcomes. Future research should focus on large, standardized RCTs evaluating functional recovery and suicide risk reduction.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216673","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":"Narrative Review of Non-Suicidal Self-Injury Among Indian College Students: An Underexplored Mental-Health Concern.","authors":"Dikshita Kain, Pratima Singh","doi":"10.1007/s11920-026-01687-z","DOIUrl":"10.1007/s11920-026-01687-z","url":null,"abstract":"<p><strong>Purpose of review: </strong>The present narrative review synthesizes existing research on non-suicidal self-injury among Indian college students examining its prevalence, forms, repetition, impact, reasons and functions for engagement, and suggested intervention approaches as well as future research directions, while highlighting underexploration and limitations.</p><p><strong>Recent findings: </strong>This review synthesized 11 research which consistently showed that Indian college students engaged in non-suicidal self-injury at a concerning rate using multiple forms, such as cutting, scratching, and burning skin, while emotion regulation, interpersonal distress, self-punishment, attention-seeking, and using non-suicidal self-injury as a coping mechanism emerged as reasons. Findings also suggested multi-level and socio-ecological intervention approaches. However, the literature remains limited in exploring non-suicidal self-injury with regard to its repetition, broader impact, cultural-specific assessment, and the empirical evaluation of intervention approaches in Indian college settings. Non-Suicidal Self-Injury is a prevalent mental-health concern in Indian college settings but remains underexplored. Future research on non-suicidal self-injury in Indian college settings may be longitudinal, span across wider regions and socio-cultural backgrounds, develop cultural-specific assessments, and evaluate intervention approaches.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216676","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":"Sensory Reactivity in Autism: Integrating Behavioural, Affective, Physiological, and Neural Dimensions.","authors":"Teresa Tavassoli, Elysa J Marco, Nick Puts","doi":"10.1007/s11920-026-01682-4","DOIUrl":"10.1007/s11920-026-01682-4","url":null,"abstract":"<p><strong>Purpose of review: </strong>The goal of this paper is to synthesise recent research on sensory reactivity differences in autism across the lifespan, using He et al.'s sensory taxonomy as an organising framework. The review aims to address how behavioural, affective, perceptual, physiological, and neural levels of processing contribute to sensory reactivity differences, and how these differences relate to broader outcomes such as mental health, adaptive functioning, and quality of life.</p><p><strong>Recent findings: </strong>Across behavioural studies, autistic youth show elevated and variable sensory responsivity, with hypersensitivity predicting internalising symptoms and sensory seeking linked to externalising behaviours. Affective reactivity is consistently elevated across cultures, associated with anxiety and caregiver stress, and sensory seeking may function as a coping mechanism. Psychophysical research reveals domain‑specific perceptual differences-such as reduced tactile adaptation, altered motion noise exclusion, and enhanced pitch discrimination-rather than overarching hyper‑ or hyposensitivity. These perceptual findings often show limited correspondence with questionnaire‑based measures. Physiologically, autonomic dysregulation is implicated, or pharmacological approaches show emerging promise. Neuroimaging evidence highlights excitation-inhibition imbalance and altered connectivity, including dissociations between exogenous and endogenous networks in sensory‑reactive autistic children. Across multiple levels of processing, sensory reactivity differences in autism are robust, heterogeneous, and meaningfully linked to mental health and daily functioning. Key conclusions include: • Sensory hyperreactivity predicts internalising challenges, while sensory seeking may reflect regulatory strategies. • Perceptual differences are domain‑specific • Physiological and neural evidence converges on autonomic dysregulation and differences in connectivity patterns.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13249907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148204194","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":"College Mental Health Training.","authors":"Brian Skehan, Jessica Moore, Ellen House, Anthony Rostain","doi":"10.1007/s11920-026-01686-0","DOIUrl":"10.1007/s11920-026-01686-0","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review examines developments in training the psychiatric workforce to treat psychiatric conditions in college mental health. It provides helpful examples of training materials that can be utilized by psychiatrists to gain a better understanding of treating college students as they transition from child serving systems to adult models of care.</p><p><strong>Recent findings: </strong>Data from the 2024-2025 Healthy Minds Study indicates that more than 60% of students surveyed with positive depression or anxiety screens received treatment and nearly a third of students had taken at least one psychotropic medication in the past year. This same data indicated 50% of students have a mental health diagnosis yet only 18% stated that there were no barriers to receiving care. University presidents have also acknowledged this issue, responding to the \"Campus Mental Health Crisis\" as an institution-wide priority. Psychiatrists must be prepared to treat this growing need. College Mental Health Programs vary nationwide but demand for services continues to increase. Psychiatrists must recognize the unique attributes of students and be prepared to treat them utilizing a developmental perspective. Furthermore, there are systemic differences that exist in higher education compared to traditional ambulatory care models. Educating the workforce can be accomplished through curriculum, peer mentorship, and research, to ensure high quality care for this vulnerable population.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148197838","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":"Correction to: Preliminary Evidence of Sleep Improvements Following Psilocybin Administration, and their Involvement in Antidepressant Therapeutic Action.","authors":"Matthew J Reid, Hannes Kettner, Tessa F Blanken, Brandon Weiss, Robin Carhart-Harris","doi":"10.1007/s11920-026-01685-1","DOIUrl":"10.1007/s11920-026-01685-1","url":null,"abstract":"","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13236774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148162072","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}