Focus (American Psychiatric Publishing)最新文献_第4页

From Fear to Framework: Toward Understanding of Violence and Mental Illness. 从恐惧到框架：对暴力和精神疾病的理解。

Focus (American Psychiatric Publishing) Pub Date : 2026-01-01 Epub Date: 2026-01-15 DOI: 10.1176/appi.focus.20250038

Tyler Durns

引用次数: 0

High Stakes: Forming Rapport for Risk Assessment of a Radicalized Individual. 高风险：为激进个体的风险评估形成融洽关系。

Focus (American Psychiatric Publishing) Pub Date : 2026-01-01 Epub Date: 2026-01-15 DOI: 10.1176/appi.focus.20250039

Dorothy E Stubbe

引用次数: 0

Anabolic Androgenic Steroids: Emerging Use Disorder, Mechanisms of Action, and Clinical Considerations for Pharmacotherapy. 合成代谢雄激素类固醇：新出现的使用障碍、作用机制和药物治疗的临床考虑。

Focus (American Psychiatric Publishing) Pub Date : 2026-01-01 Epub Date: 2026-04-04 DOI: 10.1176/appi.focus.20250045

Eric Kutscher, Elena Silverman, Keren Bachi

{"title":"Anabolic Androgenic Steroids: Emerging Use Disorder, Mechanisms of Action, and Clinical Considerations for Pharmacotherapy.","authors":"Eric Kutscher, Elena Silverman, Keren Bachi","doi":"10.1176/appi.focus.20250045","DOIUrl":"10.1176/appi.focus.20250045","url":null,"abstract":"Anabolic androgenic steroids (AAS) are synthetic versions of testosterone that are frequently used as performance-enhancing drugs. Over the past few decades, these drugs have become more popular and readily available through online clinics and retail outlets. At the same time, increasing evidence has demonstrated their addictive potential and the likely emergence of an AAS use disorder. In addition to their impact on reward pathways, which is similar to that of other addictive substances, AAS have an addiction-related unique mechanism involving hormonal dysregulations of the hypothalamic-pituitary-gonadal axis that frequently result in long-term post-use hypogonadism, prompting patients to develop tolerance and continue to use AAS despite harms. In caring for patients with a likely AAS use disorder, a multidisciplinary care team is needed, including professionals in the fields of psychiatry, addiction medicine, and endocrinology, to screen for and treat body or muscle dysmorphia (if present) and hypogonadism, and to mitigate unwanted consequences of AAS use by using primary care and harm-reduction methods.","PeriodicalId":73036,"journal":{"name":"Focus (American Psychiatric Publishing)","volume":"24 2","pages":"168-178"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Extremism, Terrorism, and Mental Disorder. 极端主义、恐怖主义和精神障碍。

Focus (American Psychiatric Publishing) Pub Date : 2026-01-01 Epub Date: 2026-01-15 DOI: 10.1176/appi.focus.20250033

J Reid Meloy

引用次数: 0

Violence Risk Factors in Psychiatric Populations. 精神科人群中的暴力危险因素。

Focus (American Psychiatric Publishing) Pub Date : 2026-01-01 Epub Date: 2026-01-15 DOI: 10.1176/appi.focus.20250028

Ashley H VanDercar, Phillip J Resnick

引用次数: 0

Ethical and Legal Aspects of Forensic Psychiatry. 法医精神病学的伦理和法律方面。

Focus (American Psychiatric Publishing) Pub Date : 2026-01-01 Epub Date: 2026-01-15 DOI: 10.1176/appi.focus.20250034

Jacob M Appel

引用次数: 0

Use of Illicit Substances and Violent Behaviour in Psychotic Disorders: Two Nationwide Case-Control Studies and Meta-Analyses. 精神障碍患者使用非法药物和暴力行为：两项全国性病例对照研究和荟萃分析。

Focus (American Psychiatric Publishing) Pub Date : 2026-01-01 Epub Date: 2026-01-15 DOI: 10.1176/appi.focus.26024106

Jelle Lamsma, Wiepke Cahn, Seena Fazel

{"title":"Use of Illicit Substances and Violent Behaviour in Psychotic Disorders: Two Nationwide Case-Control Studies and Meta-Analyses.","authors":"Jelle Lamsma, Wiepke Cahn, Seena Fazel","doi":"10.1176/appi.focus.26024106","DOIUrl":"10.1176/appi.focus.26024106","url":null,"abstract":"Background: Substance use disorder explains much of the excess risk of violent behaviour in psychotic disorders. However, it is unclear to what extent the pharmacological properties and subthreshold use of illicit substances are associated with violence.Methods: Individuals with psychotic disorders were recruited for two nationwide projects: GROUP (N = 871) in the Netherlands and NEDEN (N = 921) in the United Kingdom. Substance use and violent behaviour were assessed with standardized instruments and multiple sources of information. First, we used logistic regression models to estimate the associations of daily and nondaily use with violence for cannabis, stimulants, depressants and hallucinogens in the GROUP and NEDEN samples separately. Adjustments were made for age, sex and educational level. We then combined the results in random-effects meta-analyses.Results: Daily use, compared with nondaily or no use, and nondaily use, compared with no use, increased the pooled odds of violence in people with psychotic disorders for all substance categories. The increases were significant for daily use of cannabis [pooled odds ratio (pOR) 1.6, 95% confidence interval (CI) 1.2-2.0), stimulants (pOR 2.8, 95% CI 1.7-4.5) and depressants (pOR 2.2, 95% CI 1.1-4.5), and nondaily use of stimulants (pOR 1.6, 95% CI 1.2-2.0) and hallucinogens (pOR 1.5, 95% CI 1.1-2.1). Daily use of hallucinogens, which could only be analysed in the NEDEN sample, significantly increased the risk of violence (adjusted odds ratio 3.3, 95% CI 1.2-9.3).Conclusions: Strategies to prevent violent behaviour in psychotic disorders should target any substance use.","PeriodicalId":73036,"journal":{"name":"Focus (American Psychiatric Publishing)","volume":"24 1","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13003234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contextualizing Violence Risk Associated With Hallucinogens. 情境化与致幻剂相关的暴力风险。

Focus (American Psychiatric Publishing) Pub Date : 2026-01-01 Epub Date: 2026-01-15 DOI: 10.1176/appi.focus.20250027

Tyler Durns, Greg Iannuzzi

引用次数: 0

Opportunities for Sexual Violence Prevention: Mitigating the Likelihood to Perpetrate. 预防性暴力的机会：减少犯罪的可能性。

Focus (American Psychiatric Publishing) Pub Date : 2026-01-01 Epub Date: 2026-01-15 DOI: 10.1176/appi.focus.20250024

Andra Teten Tharp

{"title":"Opportunities for Sexual Violence Prevention: Mitigating the Likelihood to Perpetrate.","authors":"Andra Teten Tharp","doi":"10.1176/appi.focus.20250024","DOIUrl":"10.1176/appi.focus.20250024","url":null,"abstract":"Sexual violence among adolescents and adults is a significant health and safety issue. Identifying and mitigating risk factors for sexual violence perpetration is central to preventing these acts before they occur. Substantial work has examined the risk for recidivism among known sexual offenders. To complement that work, this literature synthesis focuses on risk indicators among nonadjudicated and first-time adolescent and adult perpetrators. This synthesis is intended to support clinical practice by providing an overview of the magnitude, burden, and developmental course of sexual violence victimization and perpetration. Across rigorous studies, strong support suggests that adversity or abuse during childhood, perpetration during adolescence, fraternity membership, unhealthy peer norms, and peer approval for sexual violence during college-paired with impulsivity and/or a hostile view of women-are associated with a higher likelihood of sexual violence perpetration. Risk for perpetration can be offset by providing social support and parental monitoring and by increasing empathy during adolescence. In addition, variation in perpetration patterns over time exists, suggesting the need for developmentally focused prevention approaches.","PeriodicalId":73036,"journal":{"name":"Focus (American Psychiatric Publishing)","volume":"24 1","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13003237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Child Homicide, Child Maltreatment, and Maternal Mental Illness: A Review. 儿童凶杀、儿童虐待与母亲精神疾病：综述。

Focus (American Psychiatric Publishing) Pub Date : 2026-01-01 Epub Date: 2026-01-15 DOI: 10.1176/appi.focus.20250036

Susan Hatters Friedman, Joshua B Friedman, Renee M Sorrentino

引用次数: 0