Academic Psychiatry最新文献

{"title":"Medical Student Reflections on a Prison Psychiatric Experience: A Qualitative Analysis.","authors":"Rachel Hianik, Katelyn Einloth, Paul Mihas, Theodore Zarzar","doi":"10.1007/s40596-026-02388-8","DOIUrl":"https://doi.org/10.1007/s40596-026-02388-8","url":null,"abstract":"<p><strong>Objective: </strong>Large numbers of people with psychiatric illness receive treatment in jails and prisons, yet the experience of medical learners in carceral settings is underexplored. This study analyzed medical student reflections following a carceral psychiatry rotation to understand students' pre-rotation beliefs and whether these ideas were changed by the clinical experience. The authors sought to understand whether the clinical experience motivated students or deterred them from pursuing work in carceral medicine.</p><p><strong>Methods: </strong>Two independent coders reviewed deidentified student reflections (n = 19) from July 2022 to October 2025 and developed a codebook of themes using an inductive approach. Reflections were qualitatively coded in ATLAS.ti software using the agreed-upon codebook. Codes were revised as further themes emerged and discrepancies were resolved by consensus.</p><p><strong>Results: </strong>Five main categories were identified in student reflections: (1) preconceived notions; (2) perceptions of the prison environment; (3) perceptions of the people in prisons; (4) perceptions of the prison system; and (5) insights gained. Most students found that their clinical experience did not align with their preconceived beliefs, specifically concerning safety or the perceived aggressiveness of incarcerated people. Many recognized the shortcomings of the carceral system while simultaneously acknowledging the rewarding elements of their experience, including how many clinical interactions humanized incarcerated individuals.</p><p><strong>Conclusions: </strong>Students' preconceived notions were challenged most during direct student-patient interactions, suggesting that clinical rotations involving direct patient care may hold unique value as compared to lecture-based curricula about carceral health care. Ultimately, the elective led many students to consider working with incarcerated people in the future.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148337265","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":"Projected Deficiencies in the Child and Adolescent Psychiatrist Workforce in the USA: A Call to Action.","authors":"Jason Silvestre, Sydney Seeger, Charles A Reitman, Benoit Dube","doi":"10.1007/s40596-026-02386-w","DOIUrl":"https://doi.org/10.1007/s40596-026-02386-w","url":null,"abstract":"<p><strong>Objective: </strong>Studies have highlighted deficiencies in the emerging child and adolescent psychiatry (CAP) workforce. The primary objectives of this study were to analyze the supply, demand, and adequacy of the CAP workforce in the United States (US).</p><p><strong>Methods: </strong>This was a cross-sectional analysis of full-time equivalent physicians in the CAP workforce utilizing the Health Workforce Simulation Model. Annual supply was defined as the number of CAP physicians working each year. Annual demand was defined as the number of CAP physicians needed each year under status quo and improved access scenarios. Workforce adequacy was defined as the ratio of supply over demand. Linear regression was used to analyze CAP workforce trends from 2024 to 2037.</p><p><strong>Results: </strong>The national supply of CAP physicians was projected to increase from 2024 to 2037 (10,990 to 12,500, 13.7% increase, P < 0.001) and was outpaced by status quo demand (14,440 to 19,280, 33.5% increase, P < 0.001) and improved access demand (20,610 to 27,960, 35.7% increase, P < 0.001) for CAP physicians. As a result, CAP workforce adequacy was projected to significantly decrease under the status quo (76.1% to 64.8%, P < 0.001) and improved access scenarios (53.3% to 44.7%, P < 0.001). By 2037, the states with the lowest CAP workforce adequacy were Indiana (27.1%), Tennessee (26.5%), and Idaho (14.3%). CAP ranked towards the worst among all specialties under the improved access scenario in 2024 and 2037.</p><p><strong>Conclusions: </strong>Critical workforce shortages are anticipated in CAP, which were greatest in certain states. Accelerated efforts are needed to improve the adequacy of the US CAP workforce.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148337256","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":"Beyond Words.","authors":"O Aung","doi":"10.1007/s40596-026-02385-x","DOIUrl":"https://doi.org/10.1007/s40596-026-02385-x","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148337275","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":"ClassPass Memberships to Improve Well-Being Among Psychiatry Residents: A Pilot Randomized Controlled Trial","authors":"Kevin H. Yang,&nbsp;Letitia A. Mueller,&nbsp;Lauren D’Andrea,&nbsp;Kush V. Bhatt,&nbsp;Anaheed Shirazi,&nbsp;Desiree Shapiro,&nbsp;Neal Doran,&nbsp;Michael J. McCarthy,&nbsp;Sidney Zisook","doi":"10.1007/s40596-026-02384-y","DOIUrl":"10.1007/s40596-026-02384-y","url":null,"abstract":"<div><h3>Objective</h3><p>Resident physicians experience high rates of depression, anxiety, burnout, and loneliness, yet few evidence-based interventions have been evaluated in this population. This randomized controlled pilot trial examined the feasibility, acceptability, and preliminary effectiveness of ClassPass, a flexible fitness and wellness platform, to improve mental health outcomes among psychiatry residents.</p><h3>Methods</h3><p>Twenty-eight psychiatry residents were randomized to receive a 16-week ClassPass membership (<i>n</i> = 14) or waitlist control (<i>n</i> = 14). Intervention participants received 20 ClassPass credits/month (equivalent to $45/month) to book activities of their choosing. Outcomes included measures of depression, anxiety, burnout, and loneliness, assessed at baseline and 16 weeks. Multivariable linear regression models evaluated intervention effects on change scores relative to the waitlist control, adjusting for baseline scores and demographics. Participant feedback was assessed post-intervention.</p><h3>Results</h3><p>Twenty-eight of 56 eligible residents (50.0%) enrolled and were randomized; 26 (92.9%) completed the 16-week assessment. Participant engagement was high, with 76.9% reporting use of most or all credits, and 100% recommended program expansion. Qualitative themes highlighted appreciation for variety and flexibility, improved exercise habits, and enhanced social connection. The intervention was associated with a statistically significant reduction in anxiety (<i>p</i> = 0.012, <i>d</i> = 1.07), while improvements in depression (<i>p</i> = 0.059, <i>d</i> = 1.06) and loneliness (<i>p</i> = 0.062, <i>d</i> = 1.12) were not statistically significant. No significant difference was observed for burnout (<i>p</i> = 0.224).</p><h3>Conclusions</h3><p>These findings suggest a flexible fitness platform is feasible, acceptable, and may reduce anxiety symptoms among psychiatry residents. High engagement and satisfaction suggest such platforms may overcome barriers common to traditional wellness interventions. Larger studies are needed to confirm these findings.</p></div>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":"50 4","pages":"411 - 416"},"PeriodicalIF":2.6,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40596-026-02384-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148337227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning to Pass the Ball.","authors":"Jiranut Jjay Sukomol","doi":"10.1007/s40596-026-02379-9","DOIUrl":"https://doi.org/10.1007/s40596-026-02379-9","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262755","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 Manila Envelope: Grieving a Child's Former Self.","authors":"Kian Waddell","doi":"10.1007/s40596-026-02382-0","DOIUrl":"https://doi.org/10.1007/s40596-026-02382-0","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262748","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":"ADMSEP Milestones: Why Frameworks Don't Necessarily Translate to Adoption.","authors":"Pascale Chrisphonte, Nicole Danaher-Garcia, Abigail Konopasky, Anne W Thompson","doi":"10.1007/s40596-026-02381-1","DOIUrl":"https://doi.org/10.1007/s40596-026-02381-1","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262786","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":"Educational Outcomes of a Longitudinal Women's Reproductive Mental Health Elective in Psychiatry Residency Training.","authors":"Ashley Clark, Alison Reminick","doi":"10.1007/s40596-026-02378-w","DOIUrl":"https://doi.org/10.1007/s40596-026-02378-w","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148256963","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":"Designing a Physician Identity Through Disruption, Loss, and Care.","authors":"Filza Hussain","doi":"10.1007/s40596-026-02375-z","DOIUrl":"https://doi.org/10.1007/s40596-026-02375-z","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148215863","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":"Seeing Medicine Clearly: Mentorship and Transparency in Preparing Future Physicians.","authors":"Taylor James","doi":"10.1007/s40596-026-02372-2","DOIUrl":"https://doi.org/10.1007/s40596-026-02372-2","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148215860","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}