NEUROPSYCHIATRIEPub Date : 2025-09-01Epub Date: 2025-07-28DOI: 10.1007/s40211-025-00538-2
Dimitri Chubinidze, Catherine Perry, Kate Tchanturia
{"title":"Artificial intelligence-assisted visual elicitation in anorexia nervosa : Qualitative case studies.","authors":"Dimitri Chubinidze, Catherine Perry, Kate Tchanturia","doi":"10.1007/s40211-025-00538-2","DOIUrl":"10.1007/s40211-025-00538-2","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored the feasibility and therapeutic potential of combining artificial intelligence (AI)-assisted visual elicitation with sensory-attuned guided reflection to support emotional expression and engagement in individuals with anorexia nervosa (AN).</p><p><strong>Methods: </strong>We conducted a two-session, therapist-led intervention with two adults with restrictive AN. In session 1, we guided participants to reflect on emotionally challenging experiences using metaphor and sensory language cues. We translated these narratives into prompts for DALL·E (v3; OpenAI, San Francisco, CA, USA), an AI image-generation tool. In session 2, participants selected from curated images to reflect on and deepen their exploration of emotional experiences. We analysed the data using reflexive thematic analysis and performed a cross-case synthesis.</p><p><strong>Results: </strong>Visual metaphors helped to externalise and communicate emotions, evoke embodied responses and refine affective descriptions. The co-creative process fostered therapeutic engagement and a greater sense of agency in both participants.</p><p><strong>Conclusion: </strong>AI-assisted visual elicitation, integrated into a structured therapeutic process, may offer an additional benefit to talking therapy for individuals with AN. By enabling visual expression, this approach could support emotional insight and communication in populations with emotion labelling and regulation differences.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":"144-154"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2025-09-01Epub Date: 2025-07-22DOI: 10.1007/s40211-025-00534-6
Maximilian Wolfmeir, Julia Burits
{"title":"Acute psychosis in variegate porphyria: a case report.","authors":"Maximilian Wolfmeir, Julia Burits","doi":"10.1007/s40211-025-00534-6","DOIUrl":"10.1007/s40211-025-00534-6","url":null,"abstract":"<p><strong>Background: </strong>Variegate porphyria (VP) is a rare metabolic disorder resulting in a deficiency of the heme synthesis pathway. Patients typically present with photosensitive skin lesions, hypertension, abdominal pain, and heterogeneous neuropsychiatric symptoms, including psychosis.</p><p><strong>Methods: </strong>We report a case of porphyria-associated psychosis in a female patient with VP and no prior psychiatric history. Additionally, we highlight the hypothesized underlying pathophysiological mechanisms contributing to neuropsychiatric symptoms in VP.</p><p><strong>Results: </strong>Although VP is a rare cause of psychosis, its pathophysiological mechanisms are of significant interest, as they further support the plausibility of current prevailing hypotheses on the development of psychosis.</p><p><strong>Conclusion: </strong>Management of VP requires care in specialized centers. Avoiding triggers, such as stress, fasting, and certain medications, is crucial for preventing disease flare-ups.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":"155-158"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2025-09-01DOI: 10.1007/s40211-025-00547-1
A Karwautz
{"title":"bericht aus dem ögkjp-vorstand.","authors":"A Karwautz","doi":"10.1007/s40211-025-00547-1","DOIUrl":"https://doi.org/10.1007/s40211-025-00547-1","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"39 3","pages":"161-163"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2025-09-01Epub Date: 2025-08-20DOI: 10.1007/s40211-025-00544-4
Marzieh Abdoli, Elisabeth Schiechtl, Marco Scotto Rosato, Barbara Mangweth-Matzek, Paolo Cotrufo, Katharina Hüfner
{"title":"Body image, self-esteem, emotion regulation, and eating disorders in adults: a systematic review.","authors":"Marzieh Abdoli, Elisabeth Schiechtl, Marco Scotto Rosato, Barbara Mangweth-Matzek, Paolo Cotrufo, Katharina Hüfner","doi":"10.1007/s40211-025-00544-4","DOIUrl":"10.1007/s40211-025-00544-4","url":null,"abstract":"<p><p>This systematic review examines the connections between eating disorders, body image disturbance, self-esteem, and emotion regulation in adults. Following the PRISMA guidelines, a systematic search of PubMed, Scopus, and Web of Science databases was conducted for articles published between 2010 and June 2024. Studies were included if they involved participants aged 18 years and older, employed validated tools for measuring the variables, and presented original research that specifically addressed these psychological factors. Out of 1117 records, six studies met the inclusion criteria, with mostly female samples and a focus on body image, self-esteem, and emotion regulation in relation to eating disorders. The results indicate that body dissatisfaction is closely related to disordered eating behaviors, with a significant link to lower self-esteem and difficulties in emotion regulation. Obese individuals with binge eating disorder (BED) were found to have more negative attitudes toward obesity and greater levels of depression than their non-BED counterparts. Women with bulimia nervosa showed higher emotion-focused coping, which is associated with low self-worth. Differences in gender were evident, with women exhibiting greater vulnerability to body image dissatisfaction and emotion dysregulation. The results show that treatment for adults with eating disorders should focus on the enhancement of self-esteem, the improvement of body image perception, and the development of adaptive emotion regulation strategies. Lastly, practicing self-compassion techniques in psychotherapy could improve the treatment process for patients suffering from eating disorders, low self-esteem, emotion dysregulation, and body image disturbance. Future studies should investigate these variables in various non-Western cultural contexts for better understanding and clinical intervention for the adult population.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":"118-132"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2025-09-01Epub Date: 2025-08-01DOI: 10.1007/s40211-025-00540-8
Leonie Neu, Lucas Maunz, Sophia Vedova, Timo Schurr, Barbara Mangweth-Matzek, Barbara Sperner-Unterweger, Bernhard Holzner, Katharina Hüfner
{"title":"Influence of individual illness perception on readiness to change behavior in patients with anorexia nervosa.","authors":"Leonie Neu, Lucas Maunz, Sophia Vedova, Timo Schurr, Barbara Mangweth-Matzek, Barbara Sperner-Unterweger, Bernhard Holzner, Katharina Hüfner","doi":"10.1007/s40211-025-00540-8","DOIUrl":"10.1007/s40211-025-00540-8","url":null,"abstract":"<p><strong>Background: </strong>Treating patients with anorexia nervosa (AN) is generally prolonged or often ineffective. A key factor influencing treatment is the high level of ambivalence patients feel regarding the necessary behavioral changes. We examined the trajectories of patients' readiness to change throughout their inpatient stay, considering the influence of their illness perceptions.</p><p><strong>Methods: </strong>Data from clinical routine monitoring at the Department of Psychosomatic Medicine at Medical University Innsbruck, collected between 2015 and 2024, were analyzed. Monitoring included questionnaires assessing readiness to change (Fragebogen zur Erfassung der Veränderungsbereitschaft [FEVER], biweekly) and the patients' individual perception of illness (Brief Illness Perception Questionnaire [B-IPQ], weekly). Data analysis was conducted using linear mixed models, considering data from 189 adult patients (2321 data points) diagnosed with AN or atypical AN (F 50.0, F 50.1; 94.9% female; average length of hospital stay 5.3 weeks).</p><p><strong>Results: </strong>Willingness to change shifted during treatment, with lower precontemplation and higher action scores at discharge. In linear mixed-effects models, higher perceived treatment control, illness concern, and consequences were significantly associated with more advanced stages of change.</p><p><strong>Conclusion: </strong>The results indicate that an individual's perception of their illness influences their readiness to change. This underscores the importance of continuously integrating patients' perceptions into treatment and collaboratively addressing their assumptions and beliefs.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":"107-117"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2025-09-01DOI: 10.1007/s40211-025-00548-0
U Goedl-Fleischhacker
{"title":"bericht aus dem ögpp-vorstand.","authors":"U Goedl-Fleischhacker","doi":"10.1007/s40211-025-00548-0","DOIUrl":"https://doi.org/10.1007/s40211-025-00548-0","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"39 3","pages":"159-160"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predictive model for mild cognitive impairment in older Chinese adults with depression.","authors":"Yu Zhu, Jinhan Nan, Tian Gao, Jia Li, Nini Shi, Yunhang Wang, Xuedan Wang, Yuxia Ma","doi":"10.1007/s40211-025-00533-7","DOIUrl":"https://doi.org/10.1007/s40211-025-00533-7","url":null,"abstract":"<p><strong>Background: </strong>Older adults with depression are at an increased risk of developing cognitive decline. This study aimed to develop and validate a risk prediction model for mild cognitive impairment (MCI) in older adults with depression in China.</p><p><strong>Methods: </strong>This study used 2020 China Health and Retirement Longitudinal Study (CHARLS) data, splitting the cohort (70:30) into training and validation sets. Least absolute shrinkage and selection operator (LASSO) regression with ten-fold cross-validation identified key predictors, and binary logistic regression examined MCI risk factors in older adults with depression. A nomogram was developed, with receiver operating characteristic (ROC) curves assessing discrimination, calibration curves for accuracy, and decision curve analysis (DCA) for clinical benefit.</p><p><strong>Results: </strong>This study included 3512 older adults with depression, 640 (19.9%) of whom had MCI. Binary logistic regression identified age, education level, marital status, residence, pain, internet use, and social participation as significant predictors of MCI in older adults with depression, and these factors were used to construct a nomogram model with good consistency and predictive accuracy. The area under the curve (AUC) values of the predictive model in the training set and internal validation set were 0.78 (95% confidence interval [CI] 0.75-0.80) and 0.75 (95% CI 0.71-0.78); the Hosmer-Lemeshow test results were P = 0.916 and P = 0.749, respectively. ROC analysis of the prediction model showed strong discriminatory ability, calibration curves demonstrated significant agreement between the nomogram model and actual observations, and DCA confirmed a favorable net benefit.</p><p><strong>Conclusion: </strong>The nomogram constructed in this study is a promising and convenient tool for evaluating the risk of MCI among older adults with depression, facilitating early identification of high-risk individuals and enabling timely intervention.</p>","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2025-06-01DOI: 10.1007/s40211-025-00531-9
Andreas Karwautz
{"title":"bericht aus dem ögkjp-vorstand.","authors":"Andreas Karwautz","doi":"10.1007/s40211-025-00531-9","DOIUrl":"https://doi.org/10.1007/s40211-025-00531-9","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"39 2","pages":"102-104"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NEUROPSYCHIATRIEPub Date : 2025-06-01DOI: 10.1007/s40211-025-00530-w
Goedl-Fleischhacker U
{"title":"bericht aus dem ögpp-vorstand.","authors":"Goedl-Fleischhacker U","doi":"10.1007/s40211-025-00530-w","DOIUrl":"https://doi.org/10.1007/s40211-025-00530-w","url":null,"abstract":"","PeriodicalId":44560,"journal":{"name":"NEUROPSYCHIATRIE","volume":"39 2","pages":"100-101"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}