Journal of Psychiatric Practice最新文献

{"title":"Dispositional Mindfulness and Perceived Stress in Psychiatric and Nonpsychiatric Physicians: A Facet-level Pilot Study.","authors":"Mohammad Asif Sheikh","doi":"10.1097/PRA.0000000000000926","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000926","url":null,"abstract":"<p><strong>Objectives: </strong>Perceived stress is a significant concern among health care professionals, with potential consequences for mental health and clinical performance. This study examined associations between dispositional mindfulness and perceived stress among Indian physicians working in psychiatric and nonpsychiatric specializations within hierarchical systems with limited institutional support.</p><p><strong>Methods: </strong>In this cross-sectional pilot study, 62 clinicians (39 nonpsychiatric and 23 psychiatric physicians) completed the Perceived Stress Scale and the Five Facet Mindfulness Questionnaire-Short Form. Independent samples t tests compared perceived stress and mindfulness scores between the groups. Correlations and linear regression analyses were conducted to examine relationships between mindfulness and perceived stress.</p><p><strong>Results: </strong>No statistically significant differences were found between psychiatric and nonpsychiatric physicians in perceived stress, t(59)=0.98, P=0.329, d=0.27, or total mindfulness, t(59)=-1.31, P=0.186, d=0.35. Across the sample, higher dispositional mindfulness was strongly associated with lower perceived stress, r(60)=-0.65, P<0.001, r²=0.43, particularly for the Describe and Acting with Awareness facets. Linear regression indicated that mindfulness was significantly related to perceived stress, β=-0.65, t=-6.66, P<0.001, accounting for 42.5% of the variance.</p><p><strong>Conclusions: </strong>These findings cautiously suggest that dispositional mindfulness may serve as a potential psychological resource for stress regulation and burnout prevention among clinicians. Further research is warranted to validate these associations in larger and more diverse samples and to explore practical applications within wellness initiatives.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"32 3","pages":"144-152"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839277","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}

{"title":"War and Upheaval.","authors":"John M Oldham","doi":"10.1097/PRA.0000000000000922","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000922","url":null,"abstract":"","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"32 3","pages":"101"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839285","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}

{"title":"Medicinal Cannabis Prescribing.","authors":"John M Oldham","doi":"10.1097/PRA.0000000000000911","DOIUrl":"10.1097/PRA.0000000000000911","url":null,"abstract":"","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"32 2","pages":"45"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147530171","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}

{"title":"High-dose Olanzapine Versus Clozapine in Treatment-resistant Schizophrenia: A Systematic Review and Meta-analysis of Randomized Controlled Trials.","authors":"Martin Kotochinsky, Pandora Eloa Oliveira Fonseca, Laura Mora, Diogo Carrazzoni Godoi, Luisa Mendes Araujo, João Pedro Gonçalves Pacheco","doi":"10.1097/PRA.0000000000000916","DOIUrl":"10.1097/PRA.0000000000000916","url":null,"abstract":"<p><strong>Background: </strong>Treatment-resistant schizophrenia (TRS), which affects about one-third of patients with schizophrenia, remains a major challenge in psychiatric treatment. Although clozapine is the gold standard therapy for TRS, its adverse effect profile has led to growing interest in alternatives such as high-dose olanzapine (HDO), whose clinical utility remains under scrutiny.</p><p><strong>Methods: </strong>PubMed, Embase, and Cochrane databases were systematically searched for randomized controlled trials comparing HDO versus clozapine for TRS. Statistical analysis was carried out using R software. Outcomes of interest included the Clinical Global Impressions Scale and the Positive and Negative Syndrome Scale (PANSS), as well as incidence rates of adverse effects. Mean differences and relative risk with P values <0.05 were considered statistically significant.</p><p><strong>Results: </strong>Five studies and 469 patients, of which 236 (50.3%) received HDO, were included. The follow-up periods ranged from 14 to 24 weeks. No statistically significant differences were observed between the HDO and clozapine groups on the Clinical Global Impressions Scale or the PANSS Positive score. In contrast, HDO use was significantly associated with improvements in PANSS Negative scores. Moreover, incidences of the adverse events hypersalivation and postural hypotension were significantly higher in the clozapine group. The incidence of weight gain was similar in the 2 groups.</p><p><strong>Conclusions: </strong>While this meta-analysis revealed no significant difference in efficacy between clozapine and HDO for most outcomes, HDO did show a significant efficacy advantage over clozapine in the treatment of negative symptoms in adults with TRS. Adverse events were more frequently reported in the clozapine group, suggesting a more favorable safety profile for HDO. These results support HDO as a viable and potentially safer alternative to clozapine in the management of TRS.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"32 2","pages":"51-57"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147530175","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}

{"title":"The Practice of Electroconvulsive Therapy, Third Edition: Recommendations for Treatment, Training, and Privileging (A Task Force Report of the American Psychiatric Association).","authors":"Jeremy Chaikind","doi":"10.1097/PRA.0000000000000914","DOIUrl":"10.1097/PRA.0000000000000914","url":null,"abstract":"","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"32 2","pages":"96-97"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147530226","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}

{"title":"Behind the Mask: The Buffering Role of Self-efficacy on COVID-related Trauma-related and Stressor-related Symptoms Among Mental Health Workers.","authors":"Connie Guo, Marjolaine Rivest-Beauregard, Justine Fortin, Adam D Brown, Michelle Lonergan, Alain Brunet","doi":"10.1097/PRA.0000000000000919","DOIUrl":"10.1097/PRA.0000000000000919","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has challenged everyone's adaptive resources. However, a limited number of studies have examined its effects on mental health workers, a population at increased risk for vicarious traumatization.</p><p><strong>Methods: </strong>A mediation model was tested using longitudinal self-report data (N=1597). The association among occupation, severity of trauma-related and stressor-related (TSR) symptoms during the first wave of the COVID-19 pandemic, and self-efficacy was explored.</p><p><strong>Results: </strong>Mental health workers reported greater self-efficacy than other survey participants (health care workers, general population) (unstandardized β=1.53, P<0.001), and greater self-efficacy was associated with lower TSR symptoms (-0.09, P<0.001). Hence, mental health workers reported lower TSR symptoms through both direct (-0.80, P=0.005) and indirect associations (-0.94, P<0.001), with higher self-efficacy compared with other survey participants.</p><p><strong>Conclusions: </strong>Despite being at greater risk for vicarious traumatization, mental health workers fared well during the first wave of COVID-19. Increasing self-efficacy in high-risk populations in the context of stressful/traumatic events may have some value, an avenue requiring further investigation.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"32 2","pages":"79-85"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147530173","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}

{"title":"Intermediate Levels of Care and the 3 Mechanisms of Therapeutic Action.","authors":"Eric M Plakun","doi":"10.1097/PRA.0000000000000908","DOIUrl":"10.1097/PRA.0000000000000908","url":null,"abstract":"<p><p>This column describes 3 mechanisms of therapeutic action in the treatment of mental and substance use disorders. These mechanisms include biomedical interventions, dyadic interventions, and interventions involving transdyadic social learning. Combining mechanisms of action offers the potential to augment treatment response. Intermediate levels of care (Intensive Outpatient Programs, Partial Hospital Programs, and Residential Treatment Centers) are generally designed to provide treatment combining all 3 mechanisms of therapeutic action in the service of helping patients better use outpatient treatment to pursue recovery.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"32 2","pages":"75-78"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147530201","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}

{"title":"Altered Mental Status Secondary to Clonidine Addiction and Withdrawal: A Cautionary Tale: Erratum.","authors":"Brian Hodge, Samuel P Greenstein, Xavier Jimenez","doi":"10.1097/PRA.0000000000000917","DOIUrl":"10.1097/PRA.0000000000000917","url":null,"abstract":"","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"32 2","pages":"99"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147530206","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}

{"title":"Fraud-induced Psychosis: A Case Series.","authors":"Siti Khadijah Binti Ahmad, Muhammad Akmal Bin Zakaria, Risha Devi K S Mani, Poh Khuen Lim, Chong Guan Ng","doi":"10.1097/PRA.0000000000000918","DOIUrl":"10.1097/PRA.0000000000000918","url":null,"abstract":"<p><p>Online fraud cases have increased significantly and globally during the past decade. In Malaysia, a total of 36,936 fraud cases were reported in 2023, involving a total loss of $12.8 billion per year. Online commercial transactions, including but not limited to financial borrowing, were among the most reported fraud cases. Financial insecurity, social isolation, and loneliness are some of the multiple factors that predispose an individual to be susceptible to fraud-related activities. Victims of online fraud have been found to be older and female and to have higher scores on the impulsivity measures of urgency and sensation seeking, and higher addiction measures. The impact of fraud on the victims can lead to both physical and mental health problems and adverse mental health outcomes. This report describes 2 cases of brief psychotic disorder that were associated with stress from being victimized by online fraud-related behavior. Both cases involved individuals experiencing psychological distress following an online fraud.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"32 2","pages":"86-89"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147530216","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}

{"title":"The Professional Career of Sheldon Preskorn, MD: An Overview.","authors":"Sheldon H Preskorn","doi":"10.1097/PRA.0000000000000913","DOIUrl":"10.1097/PRA.0000000000000913","url":null,"abstract":"<p><p>Later this year, Dr. Preskorn will be stepping down from his position as Psychopharmacology Columnist for the Journal of Psychiatric Practice after over 30 years in that role. This column is intended to provide readers who have read or will read Dr Preskorn's articles on psychopharmacology in the Journal of Psychiatric Practice and other journals with a perspective on the author. Over his 50+ year career, the author has been and continues to be passionate about bringing science to the practice of psychiatry. The column describes the author's contributions in the following areas: (1) direct impact on psychiatric drug development and approval, (2) publication of peer-reviewed publications that have influenced both researchers and practitioners, (3) influence on psychiatrists and other prescribers to improve the prescribing of psychiatric medications for patients, and (4) regulatory, translational, and mechanistic contributions to the understanding of the science of psychiatry and clinical psychopharmacology.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"32 2","pages":"70-74"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147530240","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}