IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE最新文献_第9页

ADHD symptom manifestation in adulthood: moving beyond conceptualisations of inattention and hyperactivity/impulsivity. 成年期ADHD症状表现：超越注意力不集中和多动/冲动的概念。

IF 2.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-02-05 DOI: 10.1017/ipm.2026.10175

Isabel Jia Jun Chua, Claire Salmon, Jess Vinnicombe, Johanna Bowen, Fiona McNicholas, Dimitrios Adamis, Thilini Jayasooriya, Soumitra Das, Katherine Johnson

{"title":"ADHD symptom manifestation in adulthood: moving beyond conceptualisations of inattention and hyperactivity/impulsivity.","authors":"Isabel Jia Jun Chua, Claire Salmon, Jess Vinnicombe, Johanna Bowen, Fiona McNicholas, Dimitrios Adamis, Thilini Jayasooriya, Soumitra Das, Katherine Johnson","doi":"10.1017/ipm.2026.10175","DOIUrl":"https://doi.org/10.1017/ipm.2026.10175","url":null,"abstract":"Objectives: Screening tools for attention-deficit/hyperactivity disorder (ADHD) help to identify individuals likely to have ADHD. Several screening scales are used for identifying adults with ADHD, based on criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM). The ADHD symptoms described in the DSM were originally developed to describe the behaviours of children, not adults, and focus on the triad of symptoms of inattention, hyperactivity, and impulsivity. Clinical research and experience, however, have revealed additional dimensions of adult ADHD, such as hyperfocus, racing thoughts, emotional lability, impaired sleep, and differences in time perception. Commensurate with the conditions' growing recognition, the adult ADHD presentation requires rethinking.Methods: To understand better the ADHD symptomatology experienced by adults, qualitative interviews were conducted with 11 diagnosed adults.Results: Using thematic analysis, nine themes of adult ADHD symptoms were identified. The first three themes map to the original triad of symptoms - attentional difficulties, hyperactivity, and impulsivity. A further three themes identified are briefly mentioned in the DSM - disorganisation, forgetfulness, and reduced activation. The final three themes are covered to some degree in the current rating scales but are absent from the DSM 5 - emotional lability, sleep difficulties, and time perception difficulties.Conclusions: This study highlights nine themes relevant to adult ADHD, six of which are absent from the DSM 5's triad. This research highlights gaps in current assessment tools and suggests symptoms that are more reflective of the adult experience of having ADHD.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120309","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}

引用次数: 0

Key role of nutrition in mental health. 营养在心理健康中的关键作用。

IF 2.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-02-02 DOI: 10.1017/ipm.2026.10180

Timothy G Dinan

引用次数: 0

Exploring service user attitudes towards mental health technologies. 探索服务使用者对心理健康技术的态度。

IF 2.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-01-30 DOI: 10.1017/ipm.2026.10170

Patrick Fitzpatrick, Niamh Dhondt, Guillaume Thuery, Donagh O'Brien, Kathryn Ledden, Gareth Young, Claire Gillan, Andrew Harkin, John Richard Kelly

{"title":"Exploring service user attitudes towards mental health technologies.","authors":"Patrick Fitzpatrick, Niamh Dhondt, Guillaume Thuery, Donagh O'Brien, Kathryn Ledden, Gareth Young, Claire Gillan, Andrew Harkin, John Richard Kelly","doi":"10.1017/ipm.2026.10170","DOIUrl":"https://doi.org/10.1017/ipm.2026.10170","url":null,"abstract":"Objectives: Understanding service users' knowledge of and attitudes towards the rapidly progressing field of mental health technology (MHT) is an important endeavour in clinical psychiatry.Methods: To evaluate the current use of and attitudes towards MHT (mobile apps, online therapy and counselling, telehealth, web-based programmes, chatbots, social media), a 5-point Likert-scale survey was designed based on previous studies and distributed to attendees of an adult community mental health service in Ireland. Chi-square tests were used and corrected for multiple comparisons.Results: 107 mental health service users completed the survey (58% female, aged 18-80). 86% of respondents owned a smartphone. 27.1% reported using a mental health application, while 33.6% expressed interest in using one in the future. 61.7% reported they had not used and were not interested in using AI for their mental health, and 51.4% indicated they would not feel comfortable using it. 46.8% were not comfortable with psychiatrists utilising AI in their care. The majority (86.9%) preferred face-to-face appointments, while 52.6% would consider using MHT while on a waiting list. Younger participants reported significantly greater comfort using mental health apps and higher self-rated knowledge of AI.Conclusion: There were low levels of knowledge about and comfort using MHT, accompanied by concerns about confidentiality and privacy. Younger service users tended to be more comfortable with and knowledgeable about MHT. Despite the growing interest in digital approaches, there remains a clear preference for face-to-face appointments, underscoring the importance of addressing privacy and safety concerns, together with training and education.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087529","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}

引用次数: 0

The impact of online subcultures on adolescent male mental health: a growing concern. 网络亚文化对青少年男性心理健康的影响：日益受到关注。

IF 2.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-01-28 DOI: 10.1017/ipm.2025.10163

Fiona McNicholas, Gordon Harold

引用次数: 0

Gaming's hidden gamble: are we betting more than we realise? - ERRATUM. 游戏隐藏的赌博：我们的赌注是否比我们意识到的更多？——错误。

IF 2.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-01-26 DOI: 10.1017/ipm.2026.10181

Carlos Sánchez Belmar, Narayanan Subramanian

引用次数: 0

An evaluation of the efficacy and acceptability of the National Clinical Programme for ADHD in adults in Ireland. 爱尔兰成人ADHD国家临床方案的有效性和可接受性评估。

IF 2.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-01-16 DOI: 10.1017/ipm.2025.10151

Christine Boyd, Margo Wrigley, Aisling Mulligan, Dimitrios Adamis, Aiveen Kirley, Jessica Dudley, Niamh Liddy, Jessica Bramham

{"title":"An evaluation of the efficacy and acceptability of the National Clinical Programme for ADHD in adults in Ireland.","authors":"Christine Boyd, Margo Wrigley, Aisling Mulligan, Dimitrios Adamis, Aiveen Kirley, Jessica Dudley, Niamh Liddy, Jessica Bramham","doi":"10.1017/ipm.2025.10151","DOIUrl":"https://doi.org/10.1017/ipm.2025.10151","url":null,"abstract":"Background: This study evaluated the efficacy and acceptability of Ireland's National Clinical Programme for ADHD in Adults (NCPAA), providing public assessment and supports for adults with ADHD.Methods: Overall, 249 adults (51% women, 42% men, 4% non-binary, 1% other gender) were recruited from three NCPAA services using consecutive sampling. Participants completed the Adult Self-Report Scale (ASRS) and the Weiss Functional Impairment Rating Scale (WFIRS-S) at baseline, 6, and 12 months; service satisfaction was measured with the Service Satisfaction Scale (SSS). Reflexive thematic analysis explored responses to two open-ended questions.Results: Service users presented with high baseline symptomatology and life challenges. Significant improvements were observed in ASRS and WFIRS-S (except education) in the first six months. Improvements were retained at 12 months in ASRS and WFIRS-S domains of work, life skills, self-concept and social. but not family, risk or education. Service satisfaction was high, particularly among those diagnosed with ADHD. Thematic analysis identified three positive themes: feeling affirmed, benefits of supports, and person-centred care; and three improvement areas: access barriers, resource gaps, and need for ongoing support.Conclusions: Engagement with NCPAA services is associated with improvements in ADHD symptoms and life challenges and is acceptable to adults with ADHD in the short term. Service limitations, particularly staffing constraints, warrant attention. Recommendations include strengthening resources, improving communication and appointment systems, and enhancing links to external supports. Given the absence of a control group, findings should be considered preliminary.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991155","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}

引用次数: 0

The impact of armed conflict on children: A global humanitarian crisis. 武装冲突对儿童的影响：一场全球人道主义危机。

IF 2.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-01-14 DOI: 10.1017/ipm.2025.10159

Aoife Twohig, Fiona McNicholas

{"title":"The impact of armed conflict on children: A global humanitarian crisis.","authors":"Aoife Twohig, Fiona McNicholas","doi":"10.1017/ipm.2025.10159","DOIUrl":"https://doi.org/10.1017/ipm.2025.10159","url":null,"abstract":"Armed conflict devastates children across all regions and ideologies - inflicting profound and lasting harm on their bodies, minds, and developmental trajectories. While all sides may commit atrocities, the experience of children is tragically consistent: they are the least responsible, yet often the most harmed. This article traces the evolving global understanding of war's impact on children, charting a journey in modern history to present-day realities. It begins with the landmark 1996 UN report by Graça Machel, which exposed the wide-ranging and systematic nature of the effects of war on children - where violence, displacement, and severed attachments force children into premature adulthood. Building on this, the 2009 and 2013 UN efforts codified the \"Six Grave Violations\" against children in armed conflict, now central to global monitoring and advocacy. Despite these frameworks and legal protections, including the Convention on the Rights of the Child, the 2024 UN Secretary-General's report shows violations have surged - up 21% in the past year alone. To bring these patterns into focus, the article concludes with a case study of Gaza. Chosen for its immediacy and visibility, Gaza is emblematic of the ongoing failure to shield children from war's worst impacts. Similar suffering persists in Sudan, Myanmar, and Ukraine. The article calls for an urgent, universal imperative: end hostilities to protect children. A trauma-informed, attachment-sensitive approach - grounded in lessons from Rwanda, Bosnia, and Syria - is essential. Clinicians, humanitarians, and policymakers must place children at the heart of all post-conflict recovery and accountability efforts.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-4"},"PeriodicalIF":2.1,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967394","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}

引用次数: 0

A new approach to care planning in community mental health: the 9-step Collaborative Care Pathway (CCP-9) - Paper I. 社区心理健康护理规划的新途径：9步协同护理路径(CCP-9) -论文一。

IF 2.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-01-05 DOI: 10.1017/ipm.2025.10143

Pat Gibbons, Agnes Higgins, Louise Doyle, Finn Van Gelderen, Margaret Duggan, Deirdre Jackson, Paul R Matthews, Aine Daly, Brian Keogh

{"title":"A new approach to care planning in community mental health: the 9-step Collaborative Care Pathway (CCP-9) - Paper I.","authors":"Pat Gibbons, Agnes Higgins, Louise Doyle, Finn Van Gelderen, Margaret Duggan, Deirdre Jackson, Paul R Matthews, Aine Daly, Brian Keogh","doi":"10.1017/ipm.2025.10143","DOIUrl":"https://doi.org/10.1017/ipm.2025.10143","url":null,"abstract":"This paper describes the 9-step Collaborative Care Pathway (CCP-9), an innovative approach to delivering recovery-focused community mental health care which has been piloted and implemented in a community-based secondary level service in Ireland over the past 14 years. Care planning is mandated in the Republic of Ireland by the Mental Health Act (2001). Subsequent public policy documents require care planning to have a recovery focus, as outlined in the Quality Framework Document (Mental Health Commission 2023). The CCP-9 is a novel approach to delivering community mental health care in which care planning is embedded as one of a sequence of nine steps in a complete pathway of care from referral to discharge, and which has been adapted over time in line with evolving public policy. The CCP-9 is innovative in explicitly taking a graded approach to assessment, in the emphasis placed on collaborative engagement of service users (SUs) and their families, in the detailed psychosocial assessment undertaken in parallel with diagnostic assessment and in the degree of multidisciplinary team (MDT) involvement. The CCP-9 is coordinated by a key worker, involves prospective identification of personal needs and goals by the SU and enhanced MDT involvement in review of assessments, case formulation, care planning and feedback to SUs and families. The CCP-9 emphasises sharing information, documentation and mental health education with SUs and family members throughout the process, as a necessary support for shared decision-making in developing and implementing the care plan. Challenges to the sustainability of the CCP-9 includes the significant time investment to complete the assessment, care planning and feedback.","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901019","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}

引用次数: 0

Expanding epidemiological rigor: the case for AI-based screening and multicultural mixed-method research. 扩大流行病学严谨性：基于人工智能的筛查和多元文化混合方法研究的案例。

IF 2.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-01-05 DOI: 10.1017/ipm.2025.10168

Riza Amalia, Arbin Janu Setiyowati, Ronal Surya Aditya, Novianti Rahmawati, Nikmah Sistia Eka Putri

引用次数: 0

A critical response to the mental health commission's guidance for staff working in mental health services on the care and treatment of LGBTQIA+ people. 这是对精神卫生委员会关于LGBTQIA+人群护理和治疗精神卫生服务工作人员指南的重要回应。

IF 2.1

IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE Pub Date : 2026-01-02 DOI: 10.1017/ipm.2025.10166

Kate M Keenan, Elizabeth Barrett, Agnes Higgins

引用次数: 0