International Journal of Psychiatry in Clinical Practice最新文献_第2页

Do emotional intelligence, dysregulation and theory of mind predict irritability in adolescents with DMDD and ADHD? 情绪智力、失调和心理理论是否能预测DMDD和ADHD青少年的易怒？

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2025-06-01 Epub Date: 2025-05-08 DOI: 10.1080/13651501.2025.2498997

Gonca Özyurt, Yusuf Öztürk, Ali Evren Tufan, Serkan Turan, Ezgi Karagöz Tanıgör, Aynur Akay, Neslihan İnal

{"title":"Do emotional intelligence, dysregulation and theory of mind predict irritability in adolescents with DMDD and ADHD?","authors":"Gonca Özyurt, Yusuf Öztürk, Ali Evren Tufan, Serkan Turan, Ezgi Karagöz Tanıgör, Aynur Akay, Neslihan İnal","doi":"10.1080/13651501.2025.2498997","DOIUrl":"10.1080/13651501.2025.2498997","url":null,"abstract":"Objective: The aim of this study was to compare adolescents with disruptive mood dysregulation disorder (DMDD) and comorbid attention deficit hyperactivity disorder (ADHD) and healthy control adolescents in terms of emotional intelligence (EI), emotion regulation (ER) and theory of mind (ToM) abilities.Methods: Twenty-eight adolescents with DMDD and ADHD formed the DMDD group were compared to 31 healthy controls. We administered the Affective Reactivity Index (ARI), Difficulties in Emotion Regulation Scale (DERS), Kiddie-SADS, Bar-On Emotional Intelligence Test, Faux Pas, Comprehension Test, Unexpected Outcomes Test, Faces Test and Reading Mind in the Eyes Test (RMET) as ToM skills.Results: ARI and DERS scores were significantly elevated in the DMDD-ADHD group. The DMDD-ADHD group had significantly lower ToM skills and emotional intelligence (p < .05). When RMET, Bar-On Emotional Intelligence Test -general mood, DERS- impulsivity scores were compared between the groups, their effect sizes were as follows: 0.52, 0.81, 0.79, respectively. DERS, emotional intelligence and ToM scores were correlated in the DMDD group. In the linear regression analysis, the sole significant predictors of self-reported irritability were EI and ED total scores.Conclusions: This study suggests that adolescents with DMDD and ADHD face difficulties in peer relationships, mentalizing, various domains of emotional intelligence andregulation. .","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"74-81"},"PeriodicalIF":2.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cognitive reactivity compared to other risk factors in the prediction of depressive episodes over two and nine years: a longitudinal cohort study. 认知反应性与其他风险因素在预测2年和9年抑郁发作中的比较：一项纵向队列研究。

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2025-03-01 Epub Date: 2025-03-16 DOI: 10.1080/13651501.2025.2476509

Ericka C Solis, Ingrid V E Carlier, Robert A Schoevers, Brenda W J H Penninx, Albert M van Hemert, A J Willem van der Does

{"title":"Cognitive reactivity compared to other risk factors in the prediction of depressive episodes over two and nine years: a longitudinal cohort study.","authors":"Ericka C Solis, Ingrid V E Carlier, Robert A Schoevers, Brenda W J H Penninx, Albert M van Hemert, A J Willem van der Does","doi":"10.1080/13651501.2025.2476509","DOIUrl":"10.1080/13651501.2025.2476509","url":null,"abstract":"Objective: Cognitive Reactivity (CR) is the (re-)activation of negative cognitions by dysphoric mood. We examined whether CR predicts depressive episodes across 2 and 9 years, beyond subclinical depressive symptoms, neuroticism, and previous depressive episodes.Methods: Participants (N = 1,734) from the Netherlands Study of Depression and Anxiety (NESDA) were never-depressed or remitted-depressed for ≥1 month prior to baseline. We examined 2-year and 9-year predictions using Cox's survival analysis and logistic regression, respectively. Two-year coefficient-based weight-points were calculated and evaluated using ROC analysis.Results: CR was a statistically-significant predictor of two-year depressive episodes, with an odds ratio of 1.04, 95% CI (1.02-1.06), and over nine years, with an adjusted hazard ratio of 1.01, 95% CI (1.01-1.02). The influence of CR and subclinical depressive symptoms decreased as the number of episodes increased, especially in ≥ 3 past episodes. Calculated weight-points correctly predicted 33.5% of participants who developed 2-year depression, compared to a 17.8% base rate (sensitivity = .81, specificity = .66).Conclusions: CR is a moderately strong predictor of depressive episodes across 2 and 9 years. In participants with ≥ 3 prior episodes, depression history is such a strong predictor that a ceiling effect occurs, removing any added value of other predictors.","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"32-40"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adult separation anxiety and feelings of guilt as predictors of prolonged grief disorder. 成人分离焦虑和内疚感作为长期悲伤障碍的预测因子。

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2025-03-01 Epub Date: 2025-03-16 DOI: 10.1080/13651501.2025.2479696

Rukiye Tekdemir, Özge Tan Çamok, Ali Kandeğer, Memduha Aydın, Kürşat Altınbaş, Yavuz Selvi

{"title":"Adult separation anxiety and feelings of guilt as predictors of prolonged grief disorder.","authors":"Rukiye Tekdemir, Özge Tan Çamok, Ali Kandeğer, Memduha Aydın, Kürşat Altınbaş, Yavuz Selvi","doi":"10.1080/13651501.2025.2479696","DOIUrl":"10.1080/13651501.2025.2479696","url":null,"abstract":"Introduction: This study aimed to evaluate the sociodemographic factors, loss-related factors, and adult separation anxiety associated with a diagnosis of Prolonged Grief Disorder (PGD), after controlling for anxiety, depression, and perceived social support during the COVID-19 pandemic in Türkiye.Methods: Participants (n=126) completed an online survey that included socio-demographic and loss-related information, as well as the Hospital Anxiety and Depression Scale, Prolonged Grief Disorder Scale-13, Multidimensional Scale of Perceived Social Support, and Adult Separation Anxiety Questionnaire-27.Results: Twelve participants were diagnosed with probable PGD (9.5%). In the linear regression analysis, it was found that when the deceased person was a first-degree relative and younger in age, the presence of guilt, increased separation anxiety, and higher depression scores significantly associated with the severity of PGD.Conclusion: Even when the pandemic is under control, it remains crucial to offer mental health services those who have lost a loved one during the COVID-19 outbreak.","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"41-47"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transcranial direct current stimulation in patients with obsessive-compulsive disorder: a meta-analysis of randomised controlled trials. 强迫症患者经颅直流电刺激：随机对照试验的荟萃分析。

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI: 10.1080/13651501.2025.2466498

Le Yan, Yixuan Wang, Mi Li

{"title":"Transcranial direct current stimulation in patients with obsessive-compulsive disorder: a meta-analysis of randomised controlled trials.","authors":"Le Yan, Yixuan Wang, Mi Li","doi":"10.1080/13651501.2025.2466498","DOIUrl":"10.1080/13651501.2025.2466498","url":null,"abstract":"Objective: Efficacy and safety of transcranial direct current stimulation (tDCS) in the treatment of obsessive-compulsive disorder (OCD) were explored by meta-analysis.Method: Four electronic databases (Cochrane, PubMed, Embase, Web of Science) were retrieved at 25/06/23. From our inclusion criteria, seven studies (N = 201 patients) were included, and we performed a meta-analysis using Stata15.0.Results: Results suggested that the total Y-BOCS (Yale-Brown obsessive com-pulsive scale) scale was significantly lower in patients with OCD after tDCS treatment [SMD= -0.46, 95%CI (-0.84, -0.07), I2=39%, p = 0.02, Grade: high]. Subgroup analysis showed statistically significant results when treatment duration ≤ 20 days [SMD= -0.95, 95%CI (-1.80, -0.10), p = 0.03]. Moreover, tDCS and sham tDCS-treated OCD patients showed neither significantly different depressive symptoms nor significantly different adverse events [RR= -0.21, 95%CI (-0.58, 0.15), p = 0.25, Grade: moderate] and [RR = 3.98, 95%CI (0.04, 374.99), p = 0.55, Grade: very low], respectively.Conclusion: tDCS maybe reduce the Y-BOCS total scores in OCD patients and depressive symptoms, but for adverse reactions. the results are inconclusive.","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"1-8"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sex differences in the prevalence and clinical correlates of autistic features in patients with chronic schizophrenia: a large scale cross-sectional study. 慢性精神分裂症患者自闭症特征患病率和临床相关性的性别差异：一项大规模横断面研究

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2025-03-01 Epub Date: 2025-03-05 DOI: 10.1080/13651501.2025.2472672

Qihui Guo, Rongrong Zhu, Zheng Ma, Ying He, Dongmei Wang, Xiangyang Zhang

{"title":"Sex differences in the prevalence and clinical correlates of autistic features in patients with chronic schizophrenia: a large scale cross-sectional study.","authors":"Qihui Guo, Rongrong Zhu, Zheng Ma, Ying He, Dongmei Wang, Xiangyang Zhang","doi":"10.1080/13651501.2025.2472672","DOIUrl":"10.1080/13651501.2025.2472672","url":null,"abstract":"Objective: Sex differences have been suggested in both schizophrenia (SCZ) and autism spectrum disorder (ASD). This study aims to assess the prevalence and clinical correlates of autistic features in male and female patients with chronic SCZ.Methods: A total of 1690 chronic SCZ patients (M/F: 1122/568) were recruited from ten psychiatric hospitals in China. The Positive and Negative Syndrome Scale Autism Severity Score and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) were utilised to assess the presence of autistic features and measure cognitive function, respectively.Results: Female SCZ patients had a higher prevalence of autistic features than male SCZ patients. In male patients, those with autistic features exhibited higher illness duration and RBANS scores, but lower years of education. Whereas in female patients, those with autistic features had higher RBANS scores, but lower years of education. Binary logistic regression analysis revealed that years of education, illness duration, visuospatial/constructional abilities, and language were correlated with autistic features in male patients. In female patients, years of education, language, and delayed memory were correlated with the presence of autistic features.Conclusions: Our findings suggest that sex differences exist in the prevalence and clinical correlates of autistic features in chronic SCZ patients.","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"9-17"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the interplay between mitochondrial dysfunction, early life adversity and bipolar disorder. 探索线粒体功能障碍、早期生活逆境和双相情感障碍之间的相互作用。

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2025-03-01 Epub Date: 2025-03-14 DOI: 10.1080/13651501.2025.2476505

Cheng Ying Wu, Cheng-Chen Chang, Ta-Tsung Lin, Chin-San Liu, Po See Chen

{"title":"Exploring the interplay between mitochondrial dysfunction, early life adversity and bipolar disorder.","authors":"Cheng Ying Wu, Cheng-Chen Chang, Ta-Tsung Lin, Chin-San Liu, Po See Chen","doi":"10.1080/13651501.2025.2476505","DOIUrl":"10.1080/13651501.2025.2476505","url":null,"abstract":"Objective: Mitochondria are essential for energy production and reactive oxygen species (ROS) generation, with changes in ROS levels or energy demands affecting mitochondrial DNA (mtDNA) copy numbers, indicating mitochondrial function. Early life adversity (ELA) affects mitochondrial dynamics, influencing long-term health. Both ELA and mitochondrial abnormalities have been independently associated with bipolar disorder (BD). This study aims to explore the complex interplay between mitochondrial dysfunction, ELA, and BD.Methods: The study included 60 participants diagnosed with BD and 66 healthy controls (HCs). Data were collected using the Childhood Trauma Questionnaire (CTQ), and leukocyte mtDNA copy number (MCN) was determined from blood samples.Results: The results indicated the CTQ sum scores were significantly higher in the BD group, reflecting greater exposure to ELA. In HCs, a marginally significant nonlinear relationship between the square of the CTQ sum score and MCN was found. Further analysis demonstrated a significant interaction between ELA and BD on MCN (p = 0.023), highlighting a critical connection between ELA and mitochondrial dysfunction in BD and reinforcing its biological underpinnings.Conclusions: Future treatments for BD might target mitochondrial dysfunctions related to chronic stress, with potential pharmaceuticals designed to address these issues and mitigate the negative effects of chronic stress.","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"25-31"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Electroconvulsive therapy in depression with twin pregnancy. 电休克疗法治疗双胎妊娠抑郁症。

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2025-03-01 Epub Date: 2025-03-14 DOI: 10.1080/13651501.2025.2472676

Lucie Joly, Hugo Bottemanne, Marie-Pierre Bonnet, Anne Pinton, Vladimir Adrien, Stephane Mouchabac, Florian Ferreri

引用次数: 0

Oxytocin receptor gene single nucleotide polymorphisms in patients with bipolar disorder. 双相情感障碍患者的催产素受体基因单核苷酸多态性。

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2025-03-01 Epub Date: 2025-03-06 DOI: 10.1080/13651501.2025.2472693

Figen Ünal Demir, Tayfun Turan, Hilal Akalın, Saliha Özsoy, Munis Dündar

{"title":"Oxytocin receptor gene single nucleotide polymorphisms in patients with bipolar disorder.","authors":"Figen Ünal Demir, Tayfun Turan, Hilal Akalın, Saliha Özsoy, Munis Dündar","doi":"10.1080/13651501.2025.2472693","DOIUrl":"10.1080/13651501.2025.2472693","url":null,"abstract":"Introduction: Many studies have reported that psychiatric disorders may be associated with oxytocin receptor (OXTR) gene polymorphisms. The aim of this study was to investigate whether there is a relationship between OXTR gene polymorphisms and bipolar disorder (BPD).Methods: The study included 100 patients diagnosed with BPD type 1 (BPD I) and 96 healthy controls. Single nucleotide polymorphisms (SNPs) of the OXTR gene, including rs53576, rs2254298 and rs2268494, were examined via polymerase chain reaction in blood samples taken from the study participants. Based on the BPD determinants, the patients were divided into 4 subgroups, as those with psychotic features, seasonal patterns, rapid cycling and peripartum onset.Results: The frequency of the rs2268494 A allele was lower in the patients than in the healthy controls (p = .048), that frequency of psychotic mania was higher in patients with the rs53576 GG genotype compared to the A allele carriers (p = .003), and that of the seasonal pattern was higher in those carrying the rs2268494 A allele compared to those carrying the rs2268494 TT genotype (p < .001).Conclusion: OXTR gene polymorphisms may be associated with several clinical determinants of BPD. Multicentre studies involving more subjects are required to verify these findings.","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"18-24"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of serum arginine metabolic pathway markers in patients with bipolar disorder and schizophrenia. 双相情感障碍和精神分裂症患者血清精氨酸代谢途径标志物的评价。

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-09-01 Epub Date: 2025-02-15 DOI: 10.1080/13651501.2025.2466506

Gulsah Mete, Çigdem Fidan, Adem Demirci, Demet Ozen Yalcin, Erdinc Devrim, Serenay Elgun Ulkar, Hasan Serdar Ozturk

{"title":"Evaluation of serum arginine metabolic pathway markers in patients with bipolar disorder and schizophrenia.","authors":"Gulsah Mete, Çigdem Fidan, Adem Demirci, Demet Ozen Yalcin, Erdinc Devrim, Serenay Elgun Ulkar, Hasan Serdar Ozturk","doi":"10.1080/13651501.2025.2466506","DOIUrl":"10.1080/13651501.2025.2466506","url":null,"abstract":"Objectives: Research on new serum parameters in bipolar disorder (BD) and schizophrenia is crucial for early diagnosis and understanding of disease pathophysiology. The arginine metabolic pathway has been found to be associated with several neuropsychiatric disorders in recent years. This study aims to investigate the role of serum markers involved in different steps of the arginine metabolic pathway in BD and schizophrenia.Methods: Sixty healthy volunteers, sixty patients with schizophrenia and sixty patients with BD were included in the study. We analysed ornithine decarboxylase (ODC), arginine decarboxylase (ADC) and agmatinase levels using enzyme-linked immunosorbent assay. Enzymatic colorimetric methods were used for nitric oxide (NO), nitric oxide synthase (NOS) and arginase measurement.Results: Serum agmatinase levels were significantly lower in BD and schizophrenia (p < 0.01). ODC and ADC levels were significantly lower in BD group compared to the control and schizophrenia groups (p < 0.001; p < 0.01). Serum NO levels were significantly higher and NOS levels were significantly lower in BD (p < 0.001; p < 0.05). Arginase levels were also lower in BD (p < 0.05).Conclusions: Enzymes and substrates of the arginine metabolic pathway are promising markers in BD and schizophrenia. These markers can also be used to enable the diagnosis, when an adequate verbal communication is impossible.","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"218-223"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adolescents with first-episode psychosis and clinical high risk in the Province of Ferrara: an audit on the implementation of a specialised early intervention program. 费拉拉省有首发精神病和临床高风险的青少年：对专门早期干预方案实施情况的审计。

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-09-01 Epub Date: 2025-01-14 DOI: 10.1080/13651501.2024.2446777

Vittoria Magnabosco, Maria Ferrara, Ilaria Domenicano, Marco Cruciata, Antonia Ioanna Sarela, Franca Emanuelli, Luigi Grassi

{"title":"Adolescents with first-episode psychosis and clinical high risk in the Province of Ferrara: an audit on the implementation of a specialised early intervention program.","authors":"Vittoria Magnabosco, Maria Ferrara, Ilaria Domenicano, Marco Cruciata, Antonia Ioanna Sarela, Franca Emanuelli, Luigi Grassi","doi":"10.1080/13651501.2024.2446777","DOIUrl":"10.1080/13651501.2024.2446777","url":null,"abstract":"Objective: The first-episode psychosis (FEP) and clinical high-risk (CHR) team within the child and adolescent mental health (CAMH) service receives referrals by psychiatric units, CAMH service, schools, and general practitioners. This audit evaluated the implementation of the FEP-CHR team in Ferrara, Italy.Methods: The FEP-CHR team provides standardised assessment and up to 2-year individualised treatment including pharmacological prescription, cognitive-behavioral psychotherapy, and vocational activities. Data regarding access and pathways to care, assessment, and outcome of all patients admitted to this service from January 2019 to June 2023 were analysed. Descriptive statistics were reported and discussed.Results: The service admitted 29 patients (19 FEP, 10 CHR), mostly females. FEP referrals primarily came from families via general practitioners, while half of CHR patients were already receiving CAMH care. One in three in the total sample had psychiatric hospitalisation during treatment. At discharge, most transitioned to usual or specialised mental health care and five patients achieved full recovery.Conclusions: The audit revealed a lower-than-expected incidence rate, a sub-optimal adherence to the standardised assessment, and a need for improved outcome monitoring. It promoted quality improvement initiatives including professional training to improve psychiatric differential diagnosis, drug prescribing, and transition to adult psychiatric services.","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"224-234"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0