International Review of Psychiatry最新文献

The future of psychiatry: Reflections on the past three decades and projections for the next three. 精神病学的未来：对过去三十年的反思和对未来三十年的预测。

IF 3.4 4区医学

International Review of Psychiatry Pub Date : 2025-10-07 DOI: 10.1080/09540261.2025.2569467

David Musyimi Ndetei, Victoria Nthunya Mutiso, Pascalyne Nyamai

{"title":"The future of psychiatry: Reflections on the past three decades and projections for the next three.","authors":"David Musyimi Ndetei, Victoria Nthunya Mutiso, Pascalyne Nyamai","doi":"10.1080/09540261.2025.2569467","DOIUrl":"https://doi.org/10.1080/09540261.2025.2569467","url":null,"abstract":"The field of psychiatry has experienced an incredible development within the last three decades as it is no longer an institution/medically based profession but rather is more inclusive of community care with emphasis on human rights and cultural sensitivity. Globally, neuroscience, psychopharmacology and psychotherapy developments have increased treatment options, whereas advocacy has reduced stigma and helped in patient autonomy. However, there are still challenges that comprise a widening treatment gap, workforce shortages, and inequities in access, particularly in low- and middle-income countries. In Kenya, psychiatry has transitioned from its historical monopoly by Mathari National Teaching and Referral Hospital to more widespread decentralization, policy reforms and integration into the general health systems. Nonetheless, a paucity of resources, unequal investment across counties, and entrenched stigma continue to hinder progress. The next three decades will require context-specific, culturally based strategies, which take into consideration utilization of digital innovations, integrating mental and physical health care, equity and inclusivity. The future of psychiatry is not only in the scientific breakthroughs but the ability to develop strong structures that address the local realities and at the same time connect with the global innovation.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-6"},"PeriodicalIF":3.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240343","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

The future of addiction psychiatry. 成瘾精神病学的未来。

IF 3.4 4区医学

International Review of Psychiatry Pub Date : 2025-10-07 DOI: 10.1080/09540261.2025.2566211

Felipe Santos Arruda, João Maurício Castaldelli-Maia

{"title":"The future of addiction psychiatry.","authors":"Felipe Santos Arruda, João Maurício Castaldelli-Maia","doi":"10.1080/09540261.2025.2566211","DOIUrl":"https://doi.org/10.1080/09540261.2025.2566211","url":null,"abstract":"Addiction remains one of the most complex challenges in psychiatry, marked by conceptual ambiguity and persistent treatment gaps. Advances in neuroscience, genetics, neuroimaging and artificial intelligence have deepened understanding of reward circuitry, vulnerability and relapse trajectories, yet controversies endure regarding whether addiction is best conceived as disease, disordered choice or socially constructed phenomenon. This article aims to synthesize current debates and outline future perspectives in addiction psychiatry through an integrative framework that bridges biological, technological, systemic and humanistic approaches. Findings highlight the promise and limitations of precision psychiatry, pharmacogenetics and neurocircuit-guided interventions, as well as the ethical and equity challenges of AI-based tools and biomarker-driven approaches. Novel consumption forms (dual vaping, synthetic cannabinoids) demand adaptive clinical and regulatory responses. Values-based practice and phenomenological psychiatry emerge as essential for truly person-centered care. The future of addiction psychiatry lies in integrating science, technology, humanism and values to deliver ethically grounded, patient-centered and socially responsive care.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-14"},"PeriodicalIF":3.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240415","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

The 'virtual emptiness': The interplay role of boredom and loneliness in youth problematic smartphone use. “虚拟空虚”：无聊和孤独在青少年问题智能手机使用中的相互作用。

IF 3.4 4区医学

International Review of Psychiatry Pub Date : 2025-10-07 DOI: 10.1080/09540261.2025.2570445

Laura Orsolini, Giulio Longo, Umberto Volpe

{"title":"The 'virtual emptiness': The interplay role of boredom and loneliness in youth problematic smartphone use.","authors":"Laura Orsolini, Giulio Longo, Umberto Volpe","doi":"10.1080/09540261.2025.2570445","DOIUrl":"https://doi.org/10.1080/09540261.2025.2570445","url":null,"abstract":"Problematic smartphone use (PSU) among youths has emerged as a significant public health concern. PSU is defined as a pattern of smartphone use characterized by loss of control, preoccupation, and continued use despite negative consequences, often resembling behavioral addiction in its impact on daily functioning and well-being. A nationwide case-control study explored the prevalence and predictive role of boredom and loneliness in a cohort of Italian university students aged 18-24 years, as assessed by Smartphone Addiction Scale-short version (SAS-SV) for the presence/absence of PSU. Among enrolled 1,660 participants, PSU was identified in 31.7% of the sample. Multivariate regression model (sex weighted) revealed that SAS-SV levels were positively predicted by boredom inattention (p < 0.001) and disengagement (p = 0.007), emotional loneliness (p = 0.002) and general loneliness (p < 0.001). Logistic binomial regression analysis documented that PSU is significantly predicted only by higher levels of emotional loneliness and boredom state. Our findings underline the need for early preventive strategies and tailored therapeutic interventions targeting emotional regulation and coping strategies to manage boredom state, in order to reduce the risk of PSU in youths. Both boredom and emotional loneliness seem to be essential psychopathological targets for promoting youth psychological well-being in the digital era.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-13"},"PeriodicalIF":3.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245689","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

Current challenges in psychiatry issues on equity in mental health care in the light of the WHO health for all. 根据世卫组织人人享有卫生保健原则，精神病学目前面临的挑战是精神卫生保健的公平性问题。

IF 3.4 4区医学

International Review of Psychiatry Pub Date : 2025-09-30 DOI: 10.1080/09540261.2025.2566206

Marianne C Kastrup

{"title":"Current challenges in psychiatry issues on equity in mental health care in the light of the WHO health for all.","authors":"Marianne C Kastrup","doi":"10.1080/09540261.2025.2566206","DOIUrl":"https://doi.org/10.1080/09540261.2025.2566206","url":null,"abstract":"The problem of global inequity in access to health care - including mental health care - remains a persistent challenge worldwide. The disparities are largely the product of social, economic, and political structures. If we are to address health inequity, targeted medical interventions are not sufficient. It calls for a transformation of the systems and policies that shape daily life. Bridging these gaps demands both local leadership and international solidarity. Marginalized groups-whether defined by ethnicity, gender identity, poverty or migratory status-face systemic barriers that demand more than superficial reforms but empowerment and provision of culturally competent care, without institutional biases. We need to integrate equity into all layers of health and social policy. International professional organizations may play an important role but the crucial role of UN agencies needs support and recognition when they bring forward actions like safeguarding the human rights of all marginalized groups regardless of their legal status and strengthening access to mental health care. Marginalized people remain marginalized if governments disregard responsibility and let them stay at the edge of society.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-9"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201903","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

Psychiatry of intellectual disability in the UK: looking back, moving forward. 英国智障精神病学：回顾与前进。

IF 3.4 4区医学

International Review of Psychiatry Pub Date : 2025-09-29 DOI: 10.1080/09540261.2025.2564166

Rohit Shankar, Samuel J Tromans, Richard Laugharne, Ken Courtenay, Inder Sawhney, Ashok Roy, Regi Alexander

{"title":"Psychiatry of intellectual disability in the UK: looking back, moving forward.","authors":"Rohit Shankar, Samuel J Tromans, Richard Laugharne, Ken Courtenay, Inder Sawhney, Ashok Roy, Regi Alexander","doi":"10.1080/09540261.2025.2564166","DOIUrl":"https://doi.org/10.1080/09540261.2025.2564166","url":null,"abstract":"In this century, psychiatry for people with intellectual disability in the United Kingdom has undergone profound shifts, shaped by deinstitutionalization, legislative reform, a focus on psychotropic reduction, an increasing recognition of the premature mortality, and a growing recognition of rights-based, person-centred approaches. Despite progress, entrenched challenges remain, including fragmented services, inconsistent outcome measures, inappropriate psychotropic prescribing, and health inequalities. The coming decades promise transformative opportunities through genomics, digital health, and personalized interventions, through integrated management of co-occurring conditions, but risk deepening inequities if inclusion is not intentional. This paper synthesizes past developments, including the impact of abuse scandals, legal reforms, medication optimization initiatives, recognition of premature mortality, outcome measurement advances, and evolving care models. It explores future trajectories, focusing on genomic medicine, technology, holistic care, and patient and carer co-production, emphasizing the role of shared genetic vulnerabilities and digital phenotyping in early detection and integrated care. By reflecting on past shortcomings and future potential, we propose an agenda that centres rights, equity, and evidence, ensuring that people with intellectual disability are not left behind in the next era of psychiatric innovation and equally that psychiatry remains integral to the welfare of people with intellectual disability.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-12"},"PeriodicalIF":3.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187317","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

When imagination turns into disorder: the case of maladaptive daydreaming. 当想象变成障碍：不适应白日梦的案例。

IF 3.4 4区医学

International Review of Psychiatry Pub Date : 2025-09-18 DOI: 10.1080/09540261.2025.2562185

Fabiana Ricci, Chiara Pia Valentini, Julio Torales, Tomás Caycho-Rodríguez, Luis Hualparuca-Olivera, João Mauricio Castaldelli-Maia, Antonio Ventriglio

{"title":"When imagination turns into disorder: the case of maladaptive daydreaming.","authors":"Fabiana Ricci, Chiara Pia Valentini, Julio Torales, Tomás Caycho-Rodríguez, Luis Hualparuca-Olivera, João Mauricio Castaldelli-Maia, Antonio Ventriglio","doi":"10.1080/09540261.2025.2562185","DOIUrl":"https://doi.org/10.1080/09540261.2025.2562185","url":null,"abstract":"Maladaptive daydreaming (MD) is defined as a psychological condition characterized by immersive, narrative-based fantasies that dominate waking consciousness and interfere with daily functioning. While daydreaming is an adaptive cognitive activity, above all in adolescents, MD represents an extreme and compulsive variant associated with significant emotional distress, social withdrawal, academic and occupational impairment. This narrative review offers a comprehensive synthesis of the current literature on MD, with particular emphasis on its clinical manifestations, neurobiological underpinnings, epidemiology, comorbidities, differential diagnosis, and therapeutic perspectives. The review highlights the role of dissociation, trauma history, attention dysregulation, and obsessive-compulsive traits in the pathogenesis of MD, while also distinguishing it from normative mind-wandering, fantasy-prone personality, and psychotic disorders. Despite increasing evidence, MD is not included in the diagnostic systems, and this leads to underdiagnosis and a lack of targeted treatments. Assessment tools such as the Maladaptive Daydreaming Scale (MDS) and the Structured Clinical Interview for Maladaptive Daydreaming (SCIMD) will be explored as useful tools for clinical identification. Finally, treatment options will be discussed even if still not validated. We aim to underscore the nosological significance of this clinical entity, advocating for its recognition in the future landscape of psychiatric classification.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-13"},"PeriodicalIF":3.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082548","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

British academic psychiatry at a crossroads: lessons from the past 20 years and priorities for the next 20 years. 十字路口的英国学术精神病学：过去20年的教训和未来20年的重点。

IF 3.4 4区医学

International Review of Psychiatry Pub Date : 2025-09-15 DOI: 10.1080/09540261.2025.2560038

Rohit Shankar, Laura Bowater, Richard Laugharne, Derek K Tracy, Hugo Critchley, Allan H Young, John R Terry, Dinesh Bhugra, Regi Alexander

{"title":"British academic psychiatry at a crossroads: lessons from the past 20 years and priorities for the next 20 years.","authors":"Rohit Shankar, Laura Bowater, Richard Laugharne, Derek K Tracy, Hugo Critchley, Allan H Young, John R Terry, Dinesh Bhugra, Regi Alexander","doi":"10.1080/09540261.2025.2560038","DOIUrl":"https://doi.org/10.1080/09540261.2025.2560038","url":null,"abstract":"The past twenty years, British academic psychiatry has made significant scientific advances in neurosciences, psychopharmacology, imaging and genetics with patients increasingly being involved as research partners. However, this progress has coincided with marked structural deterioration. Despite a 50% expansion in medical school places and rising mental health needs, full-time academic psychiatrists numbers fell from 330 in 2004 to 206 in 2023. This reduction has constrained research capacity, limited educational opportunities, and exacerbated regional disparities. The current academic landscape is precarious. While research-active services deliver demonstrably better patient outcomes and service outcomes (productivity/efficiency), the research workforce remains small and unevenly distributed. Recent calls to action have emphasised how academic psychiatry must be seen as 'everyone's business,' and highlighted its role in fostering critical thinking, high-quality teaching, and impactful research. In future, sustained investment in workforce development, diversity, and infrastructure is essential. Emerging technologies including digital health, artificial intelligence and precision psychiatry offer transformative possibilities. Regional, networked and virtual academic units can democratise participation and broaden engagement. Academic psychiatry must adopt an entrepreneurial mindset, collaborating with diverse stakeholders, including the private sector. This specialty is indispensable for innovation, clinician development and evidence-based compassionate care for our patients but needs to justify it.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-11"},"PeriodicalIF":3.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066397","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

Psychoeducation improves emotion regulation, body image and eating patterns in school-aged adolescents. 心理教育可以改善学龄青少年的情绪调节、身体形象和饮食模式。

IF 3.4 4区医学

International Review of Psychiatry Pub Date : 2025-09-11 DOI: 10.1080/09540261.2025.2558091

Adriana Leccese, Nadia Genzano, Antonio Ventriglio, Nicoletta Trotta, Melania Severo, Melania Rita Difino, Antonella Calvio, Lucia Monacis, Annamaria Petito

{"title":"Psychoeducation improves emotion regulation, body image and eating patterns in school-aged adolescents.","authors":"Adriana Leccese, Nadia Genzano, Antonio Ventriglio, Nicoletta Trotta, Melania Severo, Melania Rita Difino, Antonella Calvio, Lucia Monacis, Annamaria Petito","doi":"10.1080/09540261.2025.2558091","DOIUrl":"https://doi.org/10.1080/09540261.2025.2558091","url":null,"abstract":"Adolescents face a critical developmental stage marked by physical, psychological, and social changes, and may show increased vulnerability to difficulties in body comfort, self-perception, and eating behaviours, particularly under the influence of sociocultural appearance ideals. This study evaluated the effects of a structured psychoeducational intervention on 65 second-year secondary school students. Assessments targeted binge-eating behaviours, orthorexia nervosa, body image, body compassion, and alexithymia, with pre- (T0) and post-intervention (T1) comparisons. Post-intervention, Orthorexia Nervosa (TOS) scores, Body Uneasiness Test (BUT) Avoidance and Depersonalization significantly decreased by 14.8%, 34.5%, and 33.3% (all p ≤ 0.0045), respectively. Body Compassion Scale (BCS) total and Defusion scores increased by 6.36% and 6.35% (all p ≤ 0.0428), indicating enhanced self-compassion. Binge Eating Scale (BES) scores showed a downward trend (p = 0.0508). Overweight/obese adolescents had higher baseline Externally-Oriented Thinking and retained elevated BES, TOS, and BUT scores post-intervention. Underweight participants showed higher BCS scores. Finally, females exhibited higher baseline binge-eating severity, alexithymia, and body image disturbance, whereas males showed larger reductions in Weight Phobia and Avoidance after intervention. Psychoeducational interventions may reduce orthorexic tendencies, improve body-related emotional processing and body compassion in adolescents. These preliminary findings support the potential development of psychoeducational strategies within school settings.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-15"},"PeriodicalIF":3.4,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034665","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

The ethics of Artificial Intelligence-based psychotherapy and the future of psychiatry. 基于人工智能的心理治疗伦理与精神病学的未来。

IF 3.4 4区医学

International Review of Psychiatry Pub Date : 2025-09-10 DOI: 10.1080/09540261.2025.2559108

Neil Krishan Aggarwal, Dinesh Bhugra

引用次数: 0

Shaping the future of mental health: three decades of reform in the Arab world. 塑造心理健康的未来：阿拉伯世界三十年的改革。

IF 3.4 4区医学

International Review of Psychiatry Pub Date : 2025-09-09 DOI: 10.1080/09540261.2025.2550616

Tarek Okasha, Karim Abdel Aziz, Dina Aly El-Gabry

{"title":"Shaping the future of mental health: three decades of reform in the Arab world.","authors":"Tarek Okasha, Karim Abdel Aziz, Dina Aly El-Gabry","doi":"10.1080/09540261.2025.2550616","DOIUrl":"https://doi.org/10.1080/09540261.2025.2550616","url":null,"abstract":"This review traces the evolution of psychiatry in Egypt and the broader Arab region from 1994 to 2024, offering a comprehensive analysis of reforms in mental health policy, clinical infrastructure, education, legislation and workforce development. This paper examines key challenges, including service fragmentation, sociocultural stigma, refugee mental health and underinvestment. It highlights current contradictions in the field, such as increased demand, limited access and the dominance of imported psychiatric models with insufficient cultural adaptation. Looking ahead to 2050, the review identifies emerging threats, including climate-related stressors, ethical dilemmas in digital psychiatry and persistent workforce shortages, while outlining strategic opportunities in research, digital innovation and culturally responsive care. The article calls for reimagining Arab psychiatry grounded in epistemic sovereignty, interdisciplinary collaboration and decolonial ethics. It advocates for the revitalization of indigenous knowledge systems, the expansion of community-based models and the development of care frameworks that are both globally informed and locally rooted. The review concludes with a vision of an Arab mental health renaissance: a future where psychiatry is equitable, context-sensitive and led by regional voices. This paper serves as a resource for clinicians, policymakers and educators committed to transforming mental health across the Arab world.","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-12"},"PeriodicalIF":3.4,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024742","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