Current Psychiatry Reports最新文献

{"title":"Redesigning Mental Health Care: Core Principles for Integrating Systems, Technology and Clinical Workflows.","authors":"Tiffany Love, Maryann Waugh, Jay Shore","doi":"10.1007/s11920-026-01673-5","DOIUrl":"10.1007/s11920-026-01673-5","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: A growing number of digital tools promise to mitigate provider shortages and improve patient outcomes, helping to ease ongoing challenges in psychiatry and mental health. However, technological advancements are not likely to drive improvements in care on their own. To realize the value of new technology, health systems will need new care models, infrastructure, and workflow. The purpose of this review is to introduce the concept of care redesign, and the importance of using health-specific approaches to improve the delivery and quality of mental healthcare. RECENT FINDINGS: Emerging digital tools and artificial intelligence (AI) capabilities are providing new opportunities to reduce administrative burden and improve prevention and individualized mental health treatment, while enabling more integrated and whole-person care delivery that supports patient-centered experiences and population-level impact. A successful future will pair innovation with foundational care redesign principles to effectively improve patient and provider experiences. </p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147765203","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":"Optimizing Non-Pharmacological Support for Perinatal Mental Health: A Bayesian Network Meta-Analysis of Intervention Effects by Pregnancy/Postpartum Stage.","authors":"Zecheng Li, Lamu Nima, Yiyao Song, Yan Li","doi":"10.1007/s11920-026-01672-6","DOIUrl":"10.1007/s11920-026-01672-6","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Non-pharmacological interventions for perinatal mental health lack personalized guidance tailored to the distinct stages of pregnancy. To address this evidence gap, this study employed a network meta-analysis, aiming to identify the optimal non-pharmacological intervention strategies for the perinatal period. FINDINGS: The analysis included 153 RCTs. For prenatal patients, cognitive behavioral therapy (CBT) proved most effective for depression (SMD = -1.27, 95% CI = -1.98, -0.55), while mindfulness was most effective for anxiety (SMD = -1.44, 95% CI = -2.11, -0.77). For postpartum patients, music therapy (SMD = -1.20, 95% CI = -2.05, -0.36) and educational interventions (SMD = -1.20, 95% CI = -2.05, -0.36) proved most effective. For postpartum anxiety, relaxation training was most effective (SMD = -1.90, 95% CI = -2.50, -1.31). For prevention, music interventions were most effective in reducing the risk of postpartum depression (SMD = -1.28, 95% CI = -2.44, -0.13) and anxiety (SMD = -1.53, 95% CI = -1.92, -1.15). During pregnancy, prioritize cognitive behavioral therapy and mindfulness-based interventions to alleviate symptoms, supplemented by music therapy and psychotherapy for prevention to reduce postpartum risks. For postpartum depression, prioritize music therapy and educational interventions. </p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147510201","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":"Death Anxiety and Trauma in Forcibly Displaced Children in the Gaza Strip: A Critical Review of Emerging Research, 2024-2025.","authors":"Anies Al-Hroub","doi":"10.1007/s11920-026-01670-8","DOIUrl":"10.1007/s11920-026-01670-8","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: This review synthesizes recent empirical and theoretical studies from 2024 to 2025 that examine the psychological effects of war, displacement, and siege on Palestinian children in the Gaza Strip. It focuses on the interconnected issues of death anxiety, post-traumatic stress disorder (PTSD), grief, and resilience, aiming to frame mental health outcomes within structural and political contexts rather than within individual pathology. RECENT FINDINGS: Studies indicate that between 70 and 90% of children in the Gaza Strip meet criteria for PTSD or exhibit significant symptoms of depression and anxiety. Continuous traumatic stress stems from prolonged bombardment, displacement, and loss, exacerbated by the collapse of mental health services. Qualitative evidence reveals widespread death anxiety, anticipatory grief, and moral injury. However, resilience rooted in family cohesion, faith, education, and Sumud (steadfastness) remains a key protective factor. Community-based interventions show potential but lack sustainability amid systemic destruction. Decolonial scholarship further challenges Western trauma models, treating children’s stories as acts of agency and epistemic resistance. The psychological impact of the military siege and sustained attacks in the Gaza Strip on children is profound and enduring. Effective responses should integrate psychosocial, educational, and justice-oriented approaches to rebuild community systems and explicitly acknowledge the political conditions that shape children’s lives. Future research should employ longitudinal, participatory, and culturally grounded methods that link psychological recovery to social reconstruction and the restoration of dignity. </p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13002629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147484929","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":"Stellate Ganglion Block for Post-traumatic Stress Disorder: A Comprehensive Review of Evidence, Technique Considerations and Symptom Outcomes in Military and Non-Military Patients.","authors":"Thomas Bielawiec, Brittany Melvin, Bhuvaneswari Sandeep Ram, Magdalena Anitescu","doi":"10.1007/s11920-026-01666-4","DOIUrl":"10.1007/s11920-026-01666-4","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Post-traumatic stress disorder (PTSD) is a psychiatric disorder which is defined by four symptom clusters of intrusive re-experiencing, avoidance, negative mood/cognitive changes, and hyperarousal. This pathway is mediated by a dysregulation in the amygdala-hippocampus-medial prefrontal cortex circuit resulting in an abnormal threat processing and other symptoms. Stellate ganglion blocks (SGB) are largely supported in a review of the current literature. The objective of this review is to synthesize available evidence and extrapolate findings to identify patient and symptom profiles most likely to benefit, as well as technique variations that may optimize clinical outcomes. RECENT FINDINGS: Bilateral SGBs or blocks in conjunction with a superior cervical ganglion block (SCGB) have been studied and appear safe and effective but may not necessarily offer superior efficacy or durability of response, although may be considered in patients that fail a right sided block. In observations across studies, hyperarousal symptoms tended to benefit most and re-experiencing the least. The effects are positive in both mild-moderate and severe cases, but severe cases may benefit more. The block has been shown to be effective in both military and non-military patients across all trauma types. The practitioner should perform the block using ultrasound or fluoroscopy based on their preference, and perhaps at least 6 mL of local anesthetic should be used. The block can be performed bilaterally (after 24 h to avoid bilateral recurrent laryngeal block) or in conjunction with a superior cervical ganglion block (SCGB), which has shown to be effective and safe, however not necessarily more effective than a single right sided block. There may be benefit in patients that fail a right-side block. The effects of a SGB on PTSD may last up to 3–6 months and can be repeated with efficacy. Ideally, PTSD should be treated in a multimodal approach using concurrent therapy and pharmacologic treatment. Further high-quality studies are needed to provide further data and evidence to support these observations. </p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12999755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479990","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":"Behavioral Health Assessments and Surgical Readiness Letters for Gender-affirming Surgery: Current Literature, Standards of Care, and Practical Guidance.","authors":"Calvin R Schuster, Kalie Giovanni, Kate Thomas, Bridgid M Conn, Fan Liang","doi":"10.1007/s11920-026-01669-1","DOIUrl":"10.1007/s11920-026-01669-1","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Behavioral health (BH) assessments play a key role in determining surgical readiness prior to gender-affirming surgery (GAS). These assessments evaluate mental health management preoperatively, psychosocial support postoperatively, and patient understanding of upcoming procedures. When conducting BH assessments, providers may also offer resources, support, and information, as needed. The resulting documentation, often referred to as a surgical readiness letter, can provide surgeons with relevant psychosocial context, enhancing understanding of patient needs, goals, and readiness. However, there is significant procedural heterogeneity in BH assessment prior to GAS, which has yet to become a nationally standardized process. RECENT FINDINGS: While evidence continues to demonstrate the significant mental and physical health benefits of GAS, protocols for preoperative BH assessments vary widely due to a lack of standardized templates and limited language in current standards of care. Describing a patient’s experience of gender incongruence remains an integral component of the BH assessment. Emerging literature emphasizes collaborative, trauma-informed approaches, shifting from a pathology-driven framework to one of informed consent and support system evaluation. There is growing recognition that assessing (1) a patient’s access to mental health care, (2) stability of social support, and (3) understanding of perioperative care and recovery is essential to an effective BH assessment. Evidence suggests that comprehensive preoperative evaluation and psychosocial readiness are associated with better postoperative mental health outcomes. Studies also highlight the impact of GAS barriers on mental health outcomes. This review article: 1) evaluates recent literature on BH assessments for GAS, 2) explores the current standards of care, emerging best practices, and ongoing challenges shaping this continually evolving field, and 3) leverages institutional knowledge from a pioneer gender-affirming care center at a major academic medical institution in order to address gaps in current guidelines, providing readers with practical, detailed insights into conducting effective BH assessments that support adult patients preoperatively and optimize outcomes postoperatively. </p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442773","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":"Psychological Interventions Targeting Depressive Symptoms in Children and Adolescents Living in War or Conflict Affected Zones: A Scoping Review.","authors":"Ola Bazzi, Selin Tanyeri Kayahan, Celie Weber, Antoine Stocker, Thomas Zanfonato, Alexis Revet, Julie Rolling, Hala Kerbage","doi":"10.1007/s11920-026-01667-3","DOIUrl":"10.1007/s11920-026-01667-3","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: This review maps psychological and psychosocial interventions aimed at reducing depressive symptoms in children and adolescents who continue to live within war- or armed conflict–affected zones. We sought to identify which approaches are specifically designed for depressive symptoms, how they are delivered in humanitarian contexts, and where robust evidence is still lacking. RECENT FINDINGS: Twenty-one studies published between 2005 and 2025 were identified across diverse settings including Palestine, Ukraine, Afghanistan, Indonesia, Nepal, and Northern Uganda. Most interventions were group-based and school-delivered. Studies without control conditions generally reported reductions in depressive symptoms, whereas findings from randomized or controlled trials were mixed, with few interventions demonstrating clear superiority over comparison conditions. A small number of interventions grounded in depression-specific theoretical frameworks, such as interpersonal psychotherapy or memory-focused approaches, reported reductions in depressive symptoms; however, evidence remains limited and heterogeneous. Overall, the findings highlight the need for more targeted, theoretically informed interventions and for rigorous study designs to clarify their effectiveness and inform practice and policy for war-affected children and adolescents. </p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147376425","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":"Translational Perspectives on Binge-Eating: Insights from Animal Models.","authors":"Estefania P Azevedo, Sarah A Stern","doi":"10.1007/s11920-026-01661-9","DOIUrl":"10.1007/s11920-026-01661-9","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Binge-eating is a behavior that is both recognized in both binge-eating disorder and binge-subtypes of restrictive eating disorders. Binge-eating is distinct from obesity, although the two frequently co-occur. The purpose of this review is to examine animal models of binge like behavior independent of obesity as a phenotype and to examine recent findings. RECENT FINDINGS: Current research indicates three major precipitants of binge-like behavior in rodents, namely limited access to palatable food, limited access to food following stress, and cue-induced overconsumption. These models have enabled mechanistic studies, which highlight the role of several key brain regions and circuits in binge-eating. Taken together, these studies highlight the important role that preclinical models play in elucidating the mechanisms underlying binge-eating and to develop therapeutic interventions. </p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147354139","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":"SAFEGUARD: Transforming Military Suicide Prevention Through Predictive Analytics and Targeted Interventions.","authors":"Thomas H Nassif, Amy B Adler, Robert D Atkinson, Kate H Bentley, Robin E Bonomi, Jenny D'Olympia, Emily R Edwards, Rebecca G Fortgang, Brandon A Gaudiano, Joseph C Geraci, Marianne Goodman, Daniel Herman, Evan M Kleiman, Sarah Maggio, Allison McDaniel, James A Naifeh, Matthew K Nock, Christopher Paine, Timothy Regan, John Torous, Vincent F Capaldi, Ronald C Kessler","doi":"10.1007/s11920-026-01664-6","DOIUrl":"10.1007/s11920-026-01664-6","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: Machine learning predictive modeling can support scalable prevention of suicide-related behavior (SRB). SAFEGUARD is a three-pronged universal, indicated, and clinical SRB-prevention intervention system focused on key military career touchpoints. RECENT FINDINGS: The targeted SAFEGUARD interventions are designed to improve on the mixed results of universal interventions. Level Up uses digital tools, personalized messaging, and remote booster sessions to deliver customized universal military-focused cognitive behavioral therapy skills training designed to reduce SRBs during first duty assignments. Operation Life Force delivers remote group dialectical behavior therapy skills training with a mental toughness focus to soldiers identified during annual physicals as high-risk for SRBs. Pathfinding delivers remote wrap-around case management after psychiatric inpatient discharge to soldiers identified as high-risk for SRBs. SAFEGUARD is a data-driven system for SRB prevention that delivers targeted best-practice interventions at critical points to optimize impact and efficiently use mental health resources across the military. </p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12948792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147303310","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":"Mental Health in Community Colleges: A Review.","authors":"Jordan Rasp, Meera Menon","doi":"10.1007/s11920-026-01668-2","DOIUrl":"10.1007/s11920-026-01668-2","url":null,"abstract":"<p><p>PURPOSE OF REVIEW: This paper examines the various perceptions of community college students on mental health challenges, access to resources, barriers to treatment, and possible interventions for care improvements. Data was gathered via literature review. RECENT FINDINGS: Resources for college students enrolled in a two-year or community college program have been limited despite similar or higher rates of mental health crises compared to their four-year student counterparts. Overall, these findings point to the necessity of advancing initiatives to close the mental health treatment gap between community colleges and four-year universities, as well as between racial and ethnic minority students within community colleges. A better understanding of how mental health affects community college students could inform more effective interventions from college staff and clinicians. More research is needed to generalize results and implement interventions to improve access to care.  </p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":""},"PeriodicalIF":7.5,"publicationDate":"2026-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12924780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257537","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":"Circulating Biomarkers of Military-Specific Performance Resilience: A Systematic Review.","authors":"Jeroen Van Cutsem, Nicholas H van den Berg, Brendan Flores, Youssouf Aïdara, Antonio Martin, Alexandra Musat, Nathalie Pattyn, Guido Simonelli","doi":"10.1007/s11920-025-01652-2","DOIUrl":"10.1007/s11920-025-01652-2","url":null,"abstract":"<p><strong>Purpose of review: </strong>To systematically examine the available literature on circulating biomarkers of performance resilience in a military environment, with the goal of identifying the most promising circulating biomarkers.</p><p><strong>Recent findings: </strong>The construct 'resilience' is hypothesized to play an important role in increasing Special Operations Forces' and other military personnel's capacity for withstanding exposure to various military-specific stressors. However, objectively measuring resilience is challenging. Some of the most important and well-studied circulating biomarkers that affect military-specific resilience are cortisol, dehydroepiandrosterone (sulfate) [DHEA(S)], noradrenaline, serotonin, neuropeptide-Y (NPY) and brain-derived neurotrophic factor. Despite growing evidence, the available knowledge is yet to be summarized and reviewed while considering the intensity and duration of military-specific stressors, military experience, and methodological differences between studies. Cortisol, Insulin-like growth factor-1 (IGF-1), NPY and DHEA(S) provide a physiological window into military-specific resilience. In general, individuals who exhibit a pronounced but controlled biomarker response to an acute stressor, combined with a quick recovery to baseline, demonstrate physiological flexibility that is associated with greater military-specific resilience. Future research will need to determine relative thresholds for the acute stressor-related change in circulating biomarkers and relative timing to stressor, to correctly interpret 'a pronounced but controlled biomarker response' and 'quick recovery to baseline'.</p>","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":"28 1","pages":"14"},"PeriodicalIF":7.5,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12920363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146224776","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}