Asian journal of psychiatry最新文献

{"title":"WPA global survey on psychiatry in WPA member societies","authors":"João Mauricio Castaldelli-Maia , Roger M.K. Ng , Helen Herrman , Afzal Javed","doi":"10.1016/j.ajp.2025.104559","DOIUrl":"10.1016/j.ajp.2025.104559","url":null,"abstract":"<div><h3>Background</h3><div>Psychiatrists play a pivotal role in raising mental health awareness and reducing stigma, yet their recruitment, work and competency requirements vary significantly across the globe. Diverse training systems, entry requirements and competencies are tailored to meet specific local needs. The World Psychiatric Association (WPA) outlines essential attributes for competent psychiatrists, encompassing clinical expertise, communication skills, research capacity, and advocacy. Despite a global shortage of psychiatrists, comprehensive data on their demographics and professional roles remain scarce.</div></div><div><h3>Methods</h3><div>In 2019, a survey instrument was designed and made available in English and five additional languages. The survey explored key aspects, including the number of psychiatrists and trainees, their gender and age, psychiatrist-to-population ratios, work settings, involvement in national emergencies, and support for women in adversity. Invitations to participate were extended to all 145 WPA Member Societies spanning 121 countries. Responses were grouped by WHO region and World Bank income level. Data collection was conducted via an online form, with submissions reviewed for outliers and validated in consultation with national representatives. Statistical analyses were performed using Epidat 4.2.2, employing descriptive statistics to present proportions and frequency distributions of variables.</div></div><div><h3>Results</h3><div>The psychiatrist-to-population ratio ranged from 0.3 per 100,000 inhabitants in low-income countries to 3.5 and 12.9 in middle- and high-income countries, respectively, with a global average of 5.9 per 100,000. Gender disparities were observed globally, with male predominance most pronounced in the Eastern Mediterranean region. However, feminisation of the profession was noted in Europe and high-income countries. Age distribution revealed that nearly half of psychiatrists were aged 41–60, while younger and older age groups were underrepresented, particularly in low-income countries where fewer senior psychiatrists were recorded. Many WPA Member Societies reported active involvement in mental health emergency responses, including efforts to support women and girls facing adversity.</div></div><div><h3>Conclusion</h3><div>The survey captured data representing a substantial proportion of the global population, encompassing nations across all world regions and income levels. Addressing disparities requires innovative and creative strategies to support underprivileged communities and enhance responses to mental health challenges in low- and middle-income countries (LMICs). The WPA and national professional leaders should consider focusing on initiatives to inspire early-career female doctors and psychiatrists, particularly in low-income settings, to pursue careers in mental health. Reports detailing mental health emergency responses can serve as valuable resources for global diss","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"109 ","pages":"Article 104559"},"PeriodicalIF":3.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223108","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 association between fertility gap and depression among Chinese women in the three-child policy era: A national cross-sectional study","authors":"Xuanjun Li, Lu Gram, Yeqing Zhang, Jie Deng, Yaping Wang, Wenxin Yan, Liyuan Tao, Jue Liu","doi":"10.1016/j.ajp.2025.104566","DOIUrl":"10.1016/j.ajp.2025.104566","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"109 ","pages":"Article 104566"},"PeriodicalIF":3.8,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184917","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":"Data alone is not enough: Strengthening mental health interventions and workforce capacity amid climate change challenges in the Philippines","authors":"Andika Ari Saputra, Umar Alfaruq A. Hasyim, M. Zainal Arifin","doi":"10.1016/j.ajp.2025.104558","DOIUrl":"10.1016/j.ajp.2025.104558","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"109 ","pages":"Article 104558"},"PeriodicalIF":3.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194462","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":"Translation and psychometric evaluation of the Chinese version of The Prediction-Related Experiences Questionnaire (PRE-Q-C)","authors":"Shuang Ma ,&nbsp;Xinyi He ,&nbsp;Xuehua Xu ,&nbsp;He He ,&nbsp;Wendian Shi ,&nbsp;Xudong Zhao","doi":"10.1016/j.ajp.2025.104556","DOIUrl":"10.1016/j.ajp.2025.104556","url":null,"abstract":"<div><h3>Objective</h3><div>Prediction is a fundamental cognitive process that facilitates adaptive interactions with the environment. The Prediction-Related Experiences Questionnaire (PRE-Q), a 19-item measure, assesses individuals' everyday predictive abilities. This study aimed to develop and validate a Chinese version (PRE-Q-C) by translating and adapting the original scale and examining its psychometric properties in a large Chinese sample.</div></div><div><h3>Methods</h3><div>The PRE-Q was translated and back-translated according to standard guidelines, followed by expert review and a comprehensibility test. A total of 2595 participants completed the PRE-Q-C and other related measures. Exploratory graph analysis (EGA) was used to identify the factor structure, confirmed via confirmatory factor analysis (CFA). Item response theory (IRT), internal consistency, test-retest reliability, and convergent validity were also evaluated.</div></div><div><h3>Results</h3><div>EGA suggested a 2-factor structure, comprising Sensory-Social prediction (7 items) and Motor prediction (6 items), which was subsequently supported by CFA. IRT analyses demonstrated that the PRE-Q-C items exhibited appropriate discrimination parameters. The scale showed high internal consistency (Cronbach’s α = 0.85) and good test-retest reliability (r = 0.51, p &lt; .001). Additionally, significant correlations with related psychological constructs supported the scale’s convergent validity.</div></div><div><h3>Conclusion</h3><div>The PRE-Q-C demonstrated strong psychometric properties, supporting its use as a reliable and valid instrument for assessing predictive processing in Chinese-speaking populations. These findings contribute to the understanding of individual differences in predictive abilities and their implications for mental health research.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"109 ","pages":"Article 104556"},"PeriodicalIF":3.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223109","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":"Prediction of treatment efficacy in the suanzaoren decoction and estazolam for chronic insomnia disorder, along with brain function and cognitive changes before and after treatment, and potential gene expression profiles","authors":"Tingting Li ,&nbsp;Yiding Han ,&nbsp;Haohao Yan ,&nbsp;Dongsheng Lv ,&nbsp;Ping Yao ,&nbsp;Lixia Chen ,&nbsp;Yonggui Yuan ,&nbsp;Jingping Zhao ,&nbsp;Wenbin Guo ,&nbsp;Zhiguo Guo ,&nbsp;Bing Lang","doi":"10.1016/j.ajp.2025.104563","DOIUrl":"10.1016/j.ajp.2025.104563","url":null,"abstract":"<div><h3>Objective</h3><div>This study compared the brain function changes in chronic insomnia disorder (CID) before and after treatment by suanzaoren decoction (SZRD) and estazolam, to reveal their effects in cognition improvement, and to explore the potential genetic basis underpinning the ReHo changes in CID.</div></div><div><h3>Methods</h3><div>We recruited 54 healthy controls (HCs) and 82 patients diagnosed with CID. All patients conducted clinical evaluation and fMRI scanning at baseline and after SZRD or estazolam treatment for six weeks. We used the mixed-effects model analysis to assess the pharmacological treatment response. Machine learning and transcriptome-neuroimaging spatial correlation analysis based on ReHo were presented to forecast therapeutic response and gene profiles.</div></div><div><h3>Results</h3><div>Compared to HCs, CID patients exhibited altered ReHo values in the right inferior parietal gyrus, left posterior cingulate cortex, left superior parietal gyrus, and left precuneus. Both the SZRD and estazolam groups demonstrated improvement in sleep duration and efficiency. Compared to the baseline, the SZRD group presented decreased ReHo value in the left supramarginal gyrus, increased ReHo value in the right middle occipital gyrus (MOG) and increased CoHe-ReHo value in the left MOG. The estazolam group showed no changes. The machine learning model fit the samples well, with predicted changes in PSQI and ISI scores positively correlated with actual changes. Additionally, genes associated with the imaging results were identified.</div></div><div><h3>Conclusions</h3><div>SZRD can improve CID symptoms and present advantages to cognitive function. Abnormal ReHo changes may serve as imaging markers for CID and predict drug efficacy and gene expression profiles related to CID.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"110 ","pages":"Article 104563"},"PeriodicalIF":3.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222261","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":"“Nothing about us, without us”: Translation and cultural adaptation of the Thinking Healthy Programme for perinatal depression to Sri Lankan context using a co-designing approach","authors":"Oshini Sri Jayasinghe (also known as ‘V P K Krishani Jayasinghe’) ,&nbsp;Asiri Hewamalage ,&nbsp;Athula Sumathipala ,&nbsp;Siham Sikander ,&nbsp;Atif Rahman","doi":"10.1016/j.ajp.2025.104564","DOIUrl":"10.1016/j.ajp.2025.104564","url":null,"abstract":"<div><h3>Introduction</h3><div>‘Thinking Healthy Program’ (THP) is an evidence-based psychosocial intervention endorsed by the World Health Organization as the first line of treatment for perinatal depression (PND), especially in low &amp; middle-income countries. Sri Lanka, a low &amp; middle-income country in Southeast Asia, is yet to introduce an intervention to the existing national maternal and child health programme to address PND. The THP is required to be adapted to the Sri Lankan context before implementation.</div></div><div><h3>Objectives</h3><div>We adapted the THP to the Sri Lankan context. In this article, the process and outcomes of the adaptation of THP is reported.</div></div><div><h3>Methods</h3><div>The THP materials were adapted using a co-designing approach. Adaptation was carried out in steps including translation &amp; back translation and cultural adaptation of the manual, checking the manual for its face validity, and pre-testing the documents. The adaptation was guided by the Bernal Framework of Translation and Adaptation of Interventions.</div></div><div><h3>Results</h3><div>Key adaptations were made in the THP in the areas of language, concepts, contexts, individuals, and delivery methods. No significant changes were made to the structure and the content. A supplementary document including metaphors that can be used to describe mental health-related concepts in the local context was prepared. It was identified that the translation and the adaptations were relevant, understandable, and acceptable to stakeholders.</div></div><div><h3>Conclusions</h3><div>The adapted version of the THP is relevant within the Sri Lankan cultural and healthcare context and might be suitable to be introduced to the existing Sri Lankan maternal and child health programme.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"110 ","pages":"Article 104564"},"PeriodicalIF":3.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222260","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":"Crisis help line and suicide prevention in Bangladesh: Challenges and ways ahead","authors":"S.M. Yasir Arafat ,&nbsp;Chandrima Mourin,&nbsp;Rubina Jahan","doi":"10.1016/j.ajp.2025.104565","DOIUrl":"10.1016/j.ajp.2025.104565","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"109 ","pages":"Article 104565"},"PeriodicalIF":3.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167860","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":"Minor physical anomalies in patients with bipolar disorder – A cross-sectional study done in a tertiary psychiatric institute","authors":"S. D’silva,&nbsp;P. Jayaprakash","doi":"10.1016/j.ajp.2025.104562","DOIUrl":"10.1016/j.ajp.2025.104562","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"109 ","pages":"Article 104562"},"PeriodicalIF":3.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212355","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":"Gender differences in resilience among patients with schizophrenia","authors":"Sri Padma Sari ,&nbsp;Halimah Wenny Yulina Astuti,&nbsp;Haipeng Liu,&nbsp;Andy Turner,&nbsp;Faith Martin","doi":"10.1016/j.ajp.2025.104557","DOIUrl":"10.1016/j.ajp.2025.104557","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"109 ","pages":"Article 104557"},"PeriodicalIF":3.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194463","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":"Efficacy of a localized caregiver gatekeeper training program for suicide prevention among Chinese adolescents: A pilot study","authors":"Yajing Sun ,&nbsp;Quan Zhang ,&nbsp;Weijian Wu ,&nbsp;Junkang Lin ,&nbsp;Shufang Sun ,&nbsp;Jing An ,&nbsp;Diyang Qu ,&nbsp;Runsen Chen","doi":"10.1016/j.ajp.2025.104555","DOIUrl":"10.1016/j.ajp.2025.104555","url":null,"abstract":"<div><div>Gatekeeper programmes seldom focus on caregivers, even though they are on the frontline of adolescent suicide prevention. In this pilot, caregivers completed the Chinese Life Gatekeeper Training Programme, which covered risk recognition, suicide communication, safety planning and referral skills. Suicide literacy (LOSS), stigma (SOSS), perceived competence and willingness to intervene (WIS) were assessed at baseline, immediately after training and at one month follow-up. Linear mixed-effects models adjusted for sex, socioeconomic status and marital status showed significant post-training gains in suicide literacy (β = 2.833, p &lt;.001) and reductions in stigma (β = −4.50, p &lt;.001); literacy remained higher at follow‑up (β = 2.199, p &lt;.001). Caregivers also successfully identified and referred at‑risk adolescents, and overall training satisfaction was high. These results indicate that a culturally adapted, gatekeeper programme is feasible, acceptable and effective for enhancing key caregiver competencies in suicide prevention among Chinese adolescents. Larger controlled studies with extended follow-up are needed to confirm and extend these findings.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"109 ","pages":"Article 104555"},"PeriodicalIF":3.8,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167859","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}