Asian journal of psychiatry最新文献

{"title":"Advancing digital inclusion and cognitive monitoring for older adults","authors":"Li Qi , Jiayi Liu","doi":"10.1016/j.ajp.2026.104839","DOIUrl":"10.1016/j.ajp.2026.104839","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104839"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145923868","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 Healthcare Act 2017: Implications for rehabilitation of persons with mental illness in India","authors":"Amrita Roy ,&nbsp;Hareesh Angothu","doi":"10.1016/j.ajp.2026.104869","DOIUrl":"10.1016/j.ajp.2026.104869","url":null,"abstract":"<div><div>The mental health legislation in India has evolved over the years from its emphasis on custodial care to community-based care. The Mental HealthCare Act (MHCA) 2017 significantly transformed the conceptualization of mental healthcare, adopting a rights-based stance and incorporating rehabilitation as an integral part of mental healthcare services. MHCA provides a legal framework that supports and reinforces rehabilitation for Persons with Mental Illness (PwMI), assisting them to achieve their full potential and integrating them into the community. MHCA mandates the provision of residential rehabilitation facilities such as halfway homes and supported and sheltered accommodations, and it endorses community-based rehabilitation services. Additionally, the Act mandates the involvement of families and stakeholders in the mental health review boards and state mental health authorities, which can help safeguard the rights and interests of PwMI. This article critically analyzes the implications of various MHCA provisions on the rehabilitation of PwMI.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104869"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146074748","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":"Outcome of first episode and relapsing patients with schizophrenia presenting to a tertiary care hospital in Sri Lanka: A prospective one year follow up study","authors":"Madhubhashinee Dayabandara ,&nbsp;Prasad Liyanage ,&nbsp;Eric Tian ,&nbsp;Gary Remington ,&nbsp;Varuni De Silva ,&nbsp;Raveen Hanwella","doi":"10.1016/j.ajp.2026.104842","DOIUrl":"10.1016/j.ajp.2026.104842","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to describe symptomatic and functional outcomes over 12 months for two cohorts of patients with schizophrenia in Sri Lanka.</div></div><div><h3>Methodology</h3><div>A prospective observational study was conducted among two cohorts of patients (first episode/FEC=122, relapsing/REC=118) aged 15–60 years diagnosed with schizophrenia in the University Psychiatry Unit, National Hospital of Sri Lanka. Patients with schizoaffective, other psychotic or organic disorders were excluded. Assessments conducted at baseline, 6 and 12 months included sociodemographic and clinical details, Positive and Negative Syndrome Scale, Centre for Epidemiological Studies Depression Scale, and WHO Psychiatric Disability Assessment Schedule. Remission followed the Remission in Schizophrenia Working Group criteria. Recovery included remission, independent living and employment.</div></div><div><h3>Results</h3><div>Cohorts were similar except in age distribution and substance use. Mortality was 0.8 % over 12 months. Relapse rates were similar for both cohorts (21–25 %). The FEC showed significantly higher remission (60–65 %) and recovery (45–47 %) compared with REC (remission: 38–48 %, recovery: 21–27 %) at 6- and 12-months. Sustained recovery over 12 months ranged from 13 % to 33 %. FEC presented with more severe symptoms and functional impairment at baseline but showed steeper improvement. Depression prevalence was 83 % in both cohorts at baseline. Employment significantly increased from 43 % to 53 % in FEC remaining stable for REC at 42 %. Medication non-adherence was higher in FEC (20–38 %), main reasons being forgetfulness and beliefs of non-necessity.</div></div><div><h3>Conclusions</h3><div>Schizophrenia outcomes remain favourable in Sri Lanka. First episode patients achieve better symptom improvement and functional gains. Early use of long-acting injectable antipsychotics, legislative reforms, psychoeducation, and family involvement may help sustain these favourable outcomes.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104842"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975455","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":"Safe and effective use of domiciliary oral ketamine for recurrent agitated depression in an older adult: A case report","authors":"Titir Surai,&nbsp;Abhiram Purohith Narasimhan,&nbsp;Meha Sharma,&nbsp;Sonia Shenoy,&nbsp;PSVN Sharma","doi":"10.1016/j.ajp.2026.104868","DOIUrl":"10.1016/j.ajp.2026.104868","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104868"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024176","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":"Successful use of adjunctive oral racemic ketamine in a woman with treatment-resistant major depressive disorder and marked hypercortisolemia","authors":"Vikas Menon ,&nbsp;Subashree Kathatharan,&nbsp;Malavika Pradeep,&nbsp;Natarajan Varadharajan,&nbsp;Ravi Philip Rajkumar,&nbsp;Chittaranjan Andrade","doi":"10.1016/j.ajp.2026.104867","DOIUrl":"10.1016/j.ajp.2026.104867","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104867"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024177","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":"Leveraging digital innovation and indigenous knowledge: The next frontier for climate-mental health justice in Asia","authors":"Styo Mahendra Wasita Aji,&nbsp;Vivi Astuti Nurlaily,&nbsp;Mujahidin Farid,&nbsp;Nanda Veruna Enun Kharisma,&nbsp;Eva Amalia,&nbsp;Herti Prastitasari,&nbsp;Aldy Ferdiyansyah","doi":"10.1016/j.ajp.2026.104858","DOIUrl":"10.1016/j.ajp.2026.104858","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104858"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146008610","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":"Psychosomatic Symptoms in Singaporean children and adolescents: A retrospective case series","authors":"Shirley Pat Fong,&nbsp;Simmi Kumari ,&nbsp;Vicknesan Marimuttu","doi":"10.1016/j.ajp.2026.104874","DOIUrl":"10.1016/j.ajp.2026.104874","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104874"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111946","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":"Psychiatric nosology needs a new paradigm","authors":"Rajiv Tandon","doi":"10.1016/j.ajp.2026.104892","DOIUrl":"10.1016/j.ajp.2026.104892","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104892"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146177693","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":"Psychobiotics as adjuncts in depression management: Mechanistic insights and clinical perspectives","authors":"Sabbu Rahul,&nbsp;Radhakrishnan Rahul,&nbsp;Vaishnavi Gudupalli","doi":"10.1016/j.ajp.2026.104840","DOIUrl":"10.1016/j.ajp.2026.104840","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104840"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145923863","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":"From “Looking” to “Deciding”: Making POV-glasses–based autism signals clinically actionable in the gray zone","authors":"Jie Pang,&nbsp;Xinyan Sun","doi":"10.1016/j.ajp.2026.104871","DOIUrl":"10.1016/j.ajp.2026.104871","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104871"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146074673","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}