Valeria I Zakurazhnaya, Anna M Tsurina, Polina A Zimina, Alina R Khamidova, Daria A Riabinina, Tatiana E Vasilishena, Denis S Andreyuk, Alexandr M Reznik, Georgiy P Kostyuk, Julia Fedotova
{"title":"The perspectives of personalizing therapy for PTSD based on coping strategies.","authors":"Valeria I Zakurazhnaya, Anna M Tsurina, Polina A Zimina, Alina R Khamidova, Daria A Riabinina, Tatiana E Vasilishena, Denis S Andreyuk, Alexandr M Reznik, Georgiy P Kostyuk, Julia Fedotova","doi":"10.1080/09540261.2026.2645597","DOIUrl":"https://doi.org/10.1080/09540261.2026.2645597","url":null,"abstract":"<p><p>Post-traumatic stress disorder (PTSD) is a mental health condition that can arise following exposure to deeply upsetting events, such as violence, natural disasters, military conflicts, or situations posing a threat to one's life. Although our knowledge of PTSD mechanisms has expanded, therapeutic approaches remain challenging, due to the diverse symptoms profile and the limited benefit of current treatment strategies of PTSD. Recent studies have documented an interaction between coping strategies and the development of PTSD. The current review aims to provide the available evidence for the impact of coping strategies in the development and treatment of PTSD. The present results indicate that coping strategies have an important role in the pathogenesis and treatment of PTSD. Adaptive strategies increase resilience and facilitate recovery, while maladaptive strategies contribute to chronicity and treatment resistance. However, the relationships observed between cognitive coping strategies and PTSD outcomes have remained under discussion. The next investigations with focus on a combination of pharmacotherapy with different coping strategies could be a beneficial for personalized therapy of PTSD.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-11"},"PeriodicalIF":3.4,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730644","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}
Jessica H Helphrey, John Hart, Shawn M McClintock, Matthew E Peters, Vishal J Thakkar, Christian LoBue
{"title":"A scoping review of frontal cortex tDCS on neuropsychological functioning in older adults with mild cognitive impairment and Alzheimer's Clinical Syndrome.","authors":"Jessica H Helphrey, John Hart, Shawn M McClintock, Matthew E Peters, Vishal J Thakkar, Christian LoBue","doi":"10.1080/09540261.2026.2647921","DOIUrl":"https://doi.org/10.1080/09540261.2026.2647921","url":null,"abstract":"<p><p>Mild cognitive impairment (MCI) and Alzheimer's Clinical Syndrome (ACS) are prevalent, incurable, and are expected to increase in incidence over the next 30 years. Finding new treatments to address the cognitive and behavioral problems in MCI and ACS represent an urgent need. Brain circuitry disruption can cause cognitive dysfunction and neuropsychiatric symptoms (NPS) in both MCI and ACS. Therefore, one promising avenue of treatment is non-invasive brain stimulation through transcranial direct current stimulation (tDCS). This scoping review examined the current knowledge base for the potential neuropsychological and neuropsychiatric effects of frontal cortex tDCS in older adults with MCI and ACS. Of the 17 randomized controlled trials reviewed, treatment parameters such as session length, current intensity, number of treatments, and time between treatments varied widely across studies, which restricted identification of optimal tDCS treatment protocols. Mixed findings on neuropsychological outcomes were observed, though significant improvements were most commonly seen in studies measuring global cognition (10) followed by executive function (6). Only three studies yielded clinically significant cognitive improvement, and few studies assessed NPS outcomes. Additional rigorous research is indicated to enhance our understanding of tDCS as a treatment for cognitive and neuropsychiatric symptoms in older adults with MCI and ACS.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-17"},"PeriodicalIF":3.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624601","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 institutional work of scholar activism as collective healing in creeping crises.","authors":"Lina Daouk-Öyry, Charlotte M Karam, Carmen Geha","doi":"10.1080/09540261.2026.2645619","DOIUrl":"https://doi.org/10.1080/09540261.2026.2645619","url":null,"abstract":"<p><p>Academic communities situated in protracted crisis experience material, emotional, and relational ruptures that shape their collective capacity to respond and recover. This paper examines how collective healing unfolds in such environments through scholar activism, which we theorize as a form of institutional work that reshapes academic norms, relationships, and practices under conditions of creeping crisis. Drawing on a critical reflexive analysis of our experiences as scholar-activists working amid Lebanon's overlapping crises, we examine how purposive and relational forms of institutional action generate psychosocial outcomes within an academic community. Our analysis identifies five interconnected subprocesses. <i>Recognizing and Witnessing creates conditions for</i> shared acknowledgment of suffering and mutual visibility; <i>Flattening Hierarchies</i> disrupts status-based boundaries and fosters inclusive participation; <i>Building Relational Solidarity</i> cultivates trust and mutual care; <i>Mobilizing Knowledge</i> as <i>a Tool</i> leverages academic expertise to understand and address collective challenges; and <i>Regaining Agency</i> reflects how individuals and groups reclaim a sense of efficacy and purpose. By extending institutional work theory into the psychosocial domain, this study shows how scholar activism not only supports institutional change but also functions as a vehicle for collective healing in academic communities facing enduring crisis. In doing so, the paper contributes to debates on collective trauma, mental health, and scholar activism in protracted crisis contexts.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-13"},"PeriodicalIF":3.4,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464157","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}
Andres Barkil-Oteo, Diana Rayes, Aala El-Khani, Nadim Almoshmosh
{"title":"Literature review: Obstacles to substance use disorder prevention and treatment in Syria: Lessons from neighboring countries.","authors":"Andres Barkil-Oteo, Diana Rayes, Aala El-Khani, Nadim Almoshmosh","doi":"10.1080/09540261.2026.2628306","DOIUrl":"https://doi.org/10.1080/09540261.2026.2628306","url":null,"abstract":"<p><p>This literature review examines the significant barriers to effective Substance Use Disorder (SUD) prevention and treatment in conflict-affected Syria. The analysis identifies a punitive legal framework, a decimated healthcare system, and profound social stigma as primary obstacles. In contrast, the review highlights progressive policy adaptations in neighboring countries-including Lebanon, Turkey, and Iran-that have shifted toward public health-oriented models. By synthesizing these comparative lessons, this review offers evidence-based recommendations for reforming Syria's approach to SUD, advocating a transition from criminalization to a health-centered strategy that prioritizes human rights, public health outcomes, harm reduction reforms, and resilience-building interventions to reduce substance use initiation in conflict-affected settings.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-9"},"PeriodicalIF":3.4,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367168","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":"Reconstructing professional identity in cross-cultural clinical practice: a Dialogical Autoethnography of a Korean counselor in Japan.","authors":"Yuni Eeh, Masahiro Nochi, Miho Takahashi","doi":"10.1080/09540261.2026.2617456","DOIUrl":"https://doi.org/10.1080/09540261.2026.2617456","url":null,"abstract":"<p><p>This study employs Dialogical Autoethnography (DAE) to examine the professional identity reconstruction of a Korean clinician practicing in Japan. Grounded in Intercultural Positive Autoethnography (IcPosAE), the study reframes experiences of cultural and linguistic dissonance not as deficits but as resources for professional growth. Reflexive thematic analysis of dialogical exchanges with Japanese clinicians identified three interrelated themes: (1) destabilization of interpersonal practice across linguistic and cultural boundaries, (2) reorientation of the professional self through dialogical inquiry, and (3) integration into practice and professional development. These processes are conceptualized through the \"Anchor and Tuning\" model, which describes professional growth as a dynamic balance between maintaining an authentic professional core and flexibly adapting to relational and institutional contexts. Rather than treating cross-cultural competence as a fixed skill, the findings highlight professional maturity as an ongoing, dialogical process grounded in cultural humility. This study offers a process-oriented understanding of how transnational mental health professionals navigate and develop within complex cultural environments.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-12"},"PeriodicalIF":3.4,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322709","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}
Julio Torales, Iván Barrios, Liz Mariela Benegas-Franco, Victoria Chavela Garófalo-Díaz, Leila Marisol González-Morel, Erika Nahara Lindström-Miranda, Marcelo O'Higgins, Tomás Caycho-Rodríguez, João Mauricio Castaldelli-Maia, Antonio Ventriglio
{"title":"Body-focused repetitive behaviours at the crossroads of medicine and psychiatry: prevalence and clinical characteristics in Paraguayan adults.","authors":"Julio Torales, Iván Barrios, Liz Mariela Benegas-Franco, Victoria Chavela Garófalo-Díaz, Leila Marisol González-Morel, Erika Nahara Lindström-Miranda, Marcelo O'Higgins, Tomás Caycho-Rodríguez, João Mauricio Castaldelli-Maia, Antonio Ventriglio","doi":"10.1080/09540261.2026.2637533","DOIUrl":"https://doi.org/10.1080/09540261.2026.2637533","url":null,"abstract":"<p><p>Body-focused repetitive behaviours (BFRBs), including hair pulling and skin picking, occupy a clinically complex space at the intersection of medicine and psychiatry. Despite their association with psychological distress, functional impairment, and dermatological consequences, they remain under-recognised in many healthcare settings. This cross-sectional study aimed to estimate the prevalence and clinical characteristics of BFRBs in Paraguayan adults and to examine their relationship with perceived stress. A total of 301 participants completed an online survey, and severity was assessed using the Spanish-adapted <i>Generic Body-Focused Repetitive Behavior Scale-8</i> (GBS-8). At least one self-reported body-focused repetitive behaviour (including subclinical manifestations) was reported by 59.1% of participants, although only 7.3% reported a prior clinical diagnosis. Among individuals endorsing a BFRB, 80.9% had never sought professional consultation. Greater BFRB severity was weakly but significantly associated with higher perceived stress. Confirmatory factor analysis supported a two-factor structure comprising symptom severity and impairment dimensions, and internal consistency was good. These findings highlight both the prevalence and relative invisibility of BFRBs and underscore their relevance within integrated models of care addressing the interdependence of mental and physical health.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-11"},"PeriodicalIF":3.4,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318982","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":"Barriers and facilitators to mental health care access among asylum seekers: a narrative review using the levesque framework.","authors":"Mohamad Wehbe, Dahlia Shadid, Farid Talih","doi":"10.1080/09540261.2026.2634073","DOIUrl":"https://doi.org/10.1080/09540261.2026.2634073","url":null,"abstract":"<p><p>This narrative review examines how asylum seekers navigate access to mental health care and identifies where barriers most consistently emerge. We synthesized peer-reviewed literature from high-income host countries and interpreted it using the Levesque patient-centered access framework. Included studies were read qualitatively and mapped across dimensions of approachability, availability, affordability, acceptability, and appropriateness, alongside corresponding abilities to perceive, reach, pay for, and engage with care. Across contexts, several patterns appear repeatedly. Fragmented service structures, heavy reliance on frontline gatekeeping, and administratively complex enrollment processes often delay or prevent entry into care. Limited interpreter availability and time-pressured clinical encounters further constrain communication and therapeutic fit. Legal uncertainty and financial precarity appear to shape whether individuals remain engaged once care is initiated. Taken together, the literature suggests that the presence of services does not guarantee meaningful access. Policy responses may be most effective when they reduce administrative friction, clarify referral pathways, strengthen interpretation support, and better equip providers to work within trauma-informed and culturally responsive models of care.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-14"},"PeriodicalIF":3.4,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318938","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":"Mental health in Bosnia-Herzegovina: Navigating Recovery in a 'Frozen Conflict'.","authors":"Haneefa Merchant, Amina Fazlić, Esma Fazlić, Ebrahim Sader","doi":"10.1080/09540261.2026.2625872","DOIUrl":"https://doi.org/10.1080/09540261.2026.2625872","url":null,"abstract":"<p><p>Bosnia-Herzegovina (BiH), a country with beautiful landscapes, rich history and cultural interconnection, still continues to feel the psychological and social effects of the 1992-1995 war. Thirty years after the Dayton Peace Agreement, the country can be described as a 'frozen conflict' shaped by ethnic divisions, political fragmentation, economic instability and unresolved trauma. These conditions collectively shape Bosnian mental health, revealing that trauma in post-war BiH cannot be understood solely through a biomedical perspective. Psychological distress within such a context is embedded in ongoing political volatility, socio-economic stressors, intergenerational loss, and ethno-nationalistic narratives that affect the lives of Bosnians. This article explains how the socio-political landscape of BiH has shaped post-war psychological experiences, highlights the limitations of universal trauma frameworks, and reviews the development and limitations of the current mental health care system, including post-war community based reforms, institutional fragmentation across entities and cantons, as well as coordination challenges. By situating mental health within social, political, economic and communal realities, this article argues for a more comprehensive and grounded understanding of trauma and recovery in post-war societies like BiH.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-10"},"PeriodicalIF":3.4,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229746","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":"Targeting active forgetting with non-invasive stimulation: toward novel treatments for intrusive memories in PTSD.","authors":"Elva Arulchelvan, Sven Vanneste","doi":"10.1080/09540261.2026.2631028","DOIUrl":"https://doi.org/10.1080/09540261.2026.2631028","url":null,"abstract":"<p><p>PTSD is characterized by persistent and intrusive recollections of traumatic events, often due to the failure of natural forgetting processes. Recent neuroscientific advances have identified active forgetting as a dynamic and regulated process involving specific brain circuits and molecular pathways, particularly within the hippocampus and prefrontal cortex. By leveraging targeted neurostimulation methods, such as transcranial magnetic stimulation (TMS), transcranial direct current stimulation (tDCS), transcranial ultrasound stimulation (TUS), or peripheral nerve stimulation, we explore how modulating these circuits may enhance adaptive forgetting and reduce pathological memory persistence. This review aims to: (1) map the neural correlates of active forgetting in individuals with PTSD; (2) explore the neurotransmitters implicated in active forgetting; (3) review the research on non-invasive neurostimulation aimed at enhancing forgetting of maladaptive memories; and (4) identify outstanding questions and future directions of such interventions. By bridging cognitive neuroscience, clinical psychology, and neurotechnology, this work seeks to establish a novel framework for PTSD treatment that moves beyond symptom management to address the core memory mechanisms underlying the disorder.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-23"},"PeriodicalIF":3.4,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221844","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}
Rudy Abi-Habib, Michella Chahine, Joseph El-Khoury, Nataly Choucair, Elissa Badr, Mirdza Abele, Jessica El Moujabber, Jana Mansour Jamaleddin
{"title":"Cumulative war-related trauma in the MENA region: a systematic review.","authors":"Rudy Abi-Habib, Michella Chahine, Joseph El-Khoury, Nataly Choucair, Elissa Badr, Mirdza Abele, Jessica El Moujabber, Jana Mansour Jamaleddin","doi":"10.1080/09540261.2026.2629463","DOIUrl":"https://doi.org/10.1080/09540261.2026.2629463","url":null,"abstract":"<p><p>The Middle East and North Africa (MENA) region has endured decades of conflicts, civil wars, political instability, and socio-economic challenges. This study systematically reviews qualitative and quantitative evidence on cumulative and war-related trauma among MENA populations. We systematically searched for relevant literature through multiple databases and regional resources for studies and reports on civilians and refugees from MENA countries with multiple or chronic traumatic experiences. We included quantitative, qualitative, and mixed-methods studies reporting psychological outcomes (e.g. post-traumatic stress, depression, anxiety) related to cumulative trauma exposure. Evidence was synthesized narratively, and integration mapped with a joint-display logic. Sixty-seven studies met inclusion criteria across multiple MENA contexts including Lebanon, Palestine, Syria, and Iraq. Quantitative findings consistently associated multiple or chronic exposure to traumatic events with higher rates of post-traumatic stress disorder, depression, and anxiety, with clear exposure-response gradients. Qualitative findings yielded seven analytical themes: perpetual threat, family fragmentation and bereavement, intergenerational trauma, moral injury and humiliation, coping through faith and collective meaning, community erosion and reconstruction and barriers to care. This review revealed that psychological distress in the MENA region is widespread and enduring, with its severity and persistence closely linked to the cumulative and repeated nature of traumatic exposures. This review consolidates evidence on the complexity and chronicity of cumulative trauma outcomes across diverse MENA populations, contexts, and research methodologies. It provides a foundation for advancing research, assessment approaches, and culturally and contextually grounded psychosocial and mental health interventions, while also identifying key gaps for future research.</p>","PeriodicalId":51391,"journal":{"name":"International Review of Psychiatry","volume":" ","pages":"1-21"},"PeriodicalIF":3.4,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203774","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}