Lancet Psychiatry最新文献

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WHO recommendations on psychological interventions for mental disorders. 世界卫生组织关于精神障碍心理干预的建议。
IF 30.8 1区 医学
Lancet Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-07-24 DOI: 10.1016/S2215-0366(24)00220-7
Kenneth Carswell, Pim Cuijpers, Brandon Gray, Dévora Kestel, Aiysha Malik, Inka Weissbecker, Mark van Ommeren
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引用次数: 0
Proactive integrated consultation-liaison psychiatry and time spent in hospital by older medical inpatients in England (The HOME Study): a multicentre, parallel-group, randomised controlled trial. 积极主动的综合会诊-联络精神病学与英格兰老年住院病人的住院时间(HOME 研究):一项多中心、平行分组、随机对照试验。
IF 30.8 1区 医学
Lancet Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-08-10 DOI: 10.1016/S2215-0366(24)00188-3
Michael Sharpe, Jane Walker, Maike van Niekerk, Mark Toynbee, Nicholas Magill, Chris Frost, Ian R White, Simon Walker, Ana Duarte, Colm Owens, Chris Dickens, Annabel Price
{"title":"Proactive integrated consultation-liaison psychiatry and time spent in hospital by older medical inpatients in England (The HOME Study): a multicentre, parallel-group, randomised controlled trial.","authors":"Michael Sharpe, Jane Walker, Maike van Niekerk, Mark Toynbee, Nicholas Magill, Chris Frost, Ian R White, Simon Walker, Ana Duarte, Colm Owens, Chris Dickens, Annabel Price","doi":"10.1016/S2215-0366(24)00188-3","DOIUrl":"10.1016/S2215-0366(24)00188-3","url":null,"abstract":"<p><strong>Background: </strong>Older people admitted to hospital in an emergency often have prolonged inpatient stays that worsen their outcomes, increase health-care costs, and reduce bed availability. Growing evidence suggests that the biopsychosocial complexity of their problems, which include cognitive impairment, depression, anxiety, multiple medical illnesses, and care needs resulting from functional dependency, prolongs hospital stays by making medical treatment less efficient and the planning of post-discharge care more difficult. We aimed to assess the effects of enhancing older inpatients' care with Proactive Integrated Consultation-Liaison Psychiatry (PICLP) in The HOME Study. We have previously described the benefits of PICLP reported by patients and clinicians. In this Article, we report the effectiveness and cost-effectiveness of PICLP-enhanced care, compared with usual care alone, in reducing time in hospital.</p><p><strong>Methods: </strong>We did a parallel-group, multicentre, randomised controlled trial in 24 medical wards of three English acute general hospitals. Patients were eligible to take part if they were 65 years or older, had been admitted in an emergency, and were expected to remain in hospital for at least 2 days from the time of enrolment. Participants were randomly allocated to PICLP or usual care in a 1:1 ratio by a database software algorithm that used stratification by hospital, sex, and age, and randomly selected block sizes to ensure allocation concealment. PICLP clinicians (consultation-liaison psychiatrists supported by assisting clinicians) made proactive biopsychosocial assessments of patients' problems, then delivered discharge-focused care as integrated members of ward teams. The primary outcome was time spent as an inpatient (during the index admission and any emergency readmissions) in the 30 days post-randomisation. Secondary outcomes were the rate of discharge from hospital for the total length of the index admission; discharge destination; the length of the index admission after random allocation truncated at 30 days; the number of emergency readmissions to hospital, the number of days spent as an inpatient in an acute general hospital, and the rate of death in the year after random allocation; the patient's experience of the hospital stay; their view on the length of the hospital stay; anxiety (Generalized Anxiety Disorder-2); depression (Patient Health Questionnaire-2); cognitive function (Montreal Cognitive Assessment-Telephone version); independent functioning (Barthel Index of Activities of Daily Living); health-related quality of life (five-level EuroQol five-dimension questionnaire); and overall quality of life. Statisticians and data collectors were masked to treatment allocation; participants and ward staff could not be. Analyses were intention-to-treat. The trial had a patient and public involvement panel and was registered with ISRTCN (ISRCTN86120296).</p><p><strong>Findings: </strong>274","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Pre-migration decision-making support for people affected by climate change. 为受气候变化影响的人们提供移民前决策支持。
IF 30.8 1区 医学
Lancet Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-07-10 DOI: 10.1016/S2215-0366(24)00216-5
Muhammad Kamruzzaman Mozumder
{"title":"Pre-migration decision-making support for people affected by climate change.","authors":"Muhammad Kamruzzaman Mozumder","doi":"10.1016/S2215-0366(24)00216-5","DOIUrl":"10.1016/S2215-0366(24)00216-5","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Correction to Lancet Psychiatry 2024; 11: 526-35. 柳叶刀精神病学》2024;11:526-35 的更正。
IF 30.8 1区 医学
Lancet Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-07-31 DOI: 10.1016/S2215-0366(24)00253-0
{"title":"Correction to Lancet Psychiatry 2024; 11: 526-35.","authors":"","doi":"10.1016/S2215-0366(24)00253-0","DOIUrl":"10.1016/S2215-0366(24)00253-0","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Prevention of in-hospital suicide in China. 在中国预防院内自杀。
IF 30.8 1区 医学
Lancet Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-07-10 DOI: 10.1016/S2215-0366(24)00219-0
Lifeng Xiao, Qishuo Zhang
{"title":"Prevention of in-hospital suicide in China.","authors":"Lifeng Xiao, Qishuo Zhang","doi":"10.1016/S2215-0366(24)00219-0","DOIUrl":"10.1016/S2215-0366(24)00219-0","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
WHO treatment guideline for mental disorders. 世卫组织精神障碍治疗指南。
IF 30.8 1区 医学
Lancet Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-07-24 DOI: 10.1016/S2215-0366(24)00169-X
Falk Leichsenring, Allan Abbass, Peter Fonagy, Kenneth N Levy, Peter Lilliengren, Patrick Luyten, Nick Midgley, Barbara Milrod, Christiane Steinert
{"title":"WHO treatment guideline for mental disorders.","authors":"Falk Leichsenring, Allan Abbass, Peter Fonagy, Kenneth N Levy, Peter Lilliengren, Patrick Luyten, Nick Midgley, Barbara Milrod, Christiane Steinert","doi":"10.1016/S2215-0366(24)00169-X","DOIUrl":"10.1016/S2215-0366(24)00169-X","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
The overlap of disordered eating, autism and ADHD: future research priorities as identified by adults with lived experience. 饮食失调、自闭症和多动症的重叠:有生活经验的成年人确定的未来研究重点。
IF 30.8 1区 医学
Lancet Psychiatry Pub Date : 2024-08-14 DOI: 10.1016/S2215-0366(24)00186-X
Johanna Keller, Moritz Herle, William Mandy, Virginia Carter Leno
{"title":"The overlap of disordered eating, autism and ADHD: future research priorities as identified by adults with lived experience.","authors":"Johanna Keller, Moritz Herle, William Mandy, Virginia Carter Leno","doi":"10.1016/S2215-0366(24)00186-X","DOIUrl":"https://doi.org/10.1016/S2215-0366(24)00186-X","url":null,"abstract":"<p><p>The focus of mental health research in emerging fields should be driven by the priorities of people with relevant lived experience. Autism and ADHD are childhood-onset neurodevelopmental conditions that are associated with a range of health inequalities, including increased risk for eating disorders. The evidence base for how best to support neurodivergent individuals who experience disordered eating is still in its infancy, but research suggests that existing clinical approaches are not currently fit for purpose. In this Personal View, through community consultation with autistic people and people with ADHD who have experienced disordered eating, we present a comprehensive ranked list of research topics that people with lived experience prioritise. These priorities could be clustered into two areas: improving outcomes and identifying causal mechanisms. Within the theme of improving disordered eating outcomes, priorities are the improvement of treatment, the need for neurodiversity training in clinical services, and the identification and minimisation of unintended adverse effects of psychological intervention. Within the theme of identifying causal mechanisms, priorities are the identification of risk factors and a better understanding of the effect of autistic or ADHD neurocognitive profiles as potential contributors to eating disorder vulnerability. The final top ten research priorities are contextualised in terms of how they compare to the existing literature on the overlap between autism or ADHD and eating disorders, and concrete suggestions are made for how to implement these research priorities as testable hypotheses. Research informed by these priorities will build necessary understanding of the reasons behind the increased risk for eating disorders in neurodivergent people, and how to best support people who are affected by disordered eating to live positive and fulfilling lives.</p>","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Integration of guidance following mass trauma. 整合大规模创伤后的指导。
IF 30.8 1区 医学
Lancet Psychiatry Pub Date : 2024-08-01 Epub Date: 2024-06-06 DOI: 10.1016/S2215-0366(24)00166-4
David Forbes, Keren Doenyas-Barak, Neil Greenberg
{"title":"Integration of guidance following mass trauma.","authors":"David Forbes, Keren Doenyas-Barak, Neil Greenberg","doi":"10.1016/S2215-0366(24)00166-4","DOIUrl":"10.1016/S2215-0366(24)00166-4","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Non-medical factors influencing mental health still need evidence. 影响心理健康的非医疗因素仍然需要证据。
IF 30.8 1区 医学
Lancet Psychiatry Pub Date : 2024-08-01 DOI: 10.1016/S2215-0366(24)00168-8
Michael Baber
{"title":"Non-medical factors influencing mental health still need evidence.","authors":"Michael Baber","doi":"10.1016/S2215-0366(24)00168-8","DOIUrl":"10.1016/S2215-0366(24)00168-8","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Samuel Kelton Roberts: any positive change counts. 塞缪尔-凯尔顿-罗伯茨:任何积极的变化都算数。
IF 30.8 1区 医学
Lancet Psychiatry Pub Date : 2024-08-01 DOI: 10.1016/S2215-0366(24)00217-7
Jules Morgan
{"title":"Samuel Kelton Roberts: any positive change counts.","authors":"Jules Morgan","doi":"10.1016/S2215-0366(24)00217-7","DOIUrl":"10.1016/S2215-0366(24)00217-7","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":null,"pages":null},"PeriodicalIF":30.8,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
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