{"title":"Fountain House Lahore: An innovative community-based facility in the field of Treatment & Psychosocial Rehabilitation in Pakistan","authors":"Afzal Javed, Rehmeena Iqbal, Maryam Afzal, Syed Imran Murtaza, Aeysha Murtaza","doi":"10.1016/j.ajp.2025.104358","DOIUrl":"10.1016/j.ajp.2025.104358","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"104 ","pages":"Article 104358"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998893","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}
Zihua Pan , Liang Zhou , Yanan Chen , Jinghua Su , Xiaoling Duan , Shaoling Zhong
{"title":"Clinical factors for all-cause mortality in people with schizophrenia: A retrospective cohort study between 2013 and 2021","authors":"Zihua Pan , Liang Zhou , Yanan Chen , Jinghua Su , Xiaoling Duan , Shaoling Zhong","doi":"10.1016/j.ajp.2024.104357","DOIUrl":"10.1016/j.ajp.2024.104357","url":null,"abstract":"<div><h3>Background</h3><div>Schizophrenia is a severe mental illness associated with significantly elevated mortality rates. However, factors related to the mortality risk among people with schizophrenia in low and middle-income countries remain to be examined. This study aims to explore the clinical factors for all-cause mortality in people with schizophrenia.</div></div><div><h3>Methods</h3><div>We conducted a 9-year retrospective cohort study on people with schizophrenia in Guangzhou, China. Cox proportional hazards regression analysis and competing risk analysis was used to identify clinical factors associated with all-cause mortality and specific-cause mortality. A propensity score matching method was performed to minimize the impact of confounding factors.</div></div><div><h3>Results</h3><div>The overall age-standardized mortality rate in people with schizophrenia between 2013 and 2021 was 1606.04 per 100,000 person-years. We found that medical expenses not covered by medical insurance (adjusted hazard ratio [aHR]: 2.49 [95 % CI: 2.21–2.82]), relatively-stable (aHR: 1.18 [95 % CI: 1.01–1.38]) and unstable illness (aHR: 2.65 [95 % CI: 1.90–3.68]), history of non-continuous treatment (aHR: 1.35 [95 % CI: 1.25–1.46]), and no treatment history (aHR: 1.41 [95 % CI: 1.29–1.55]) were associated with a higher risk of all-cause mortality. Frequent hospital stays (once: aHR: 0.46 [95 % CI: 0.42–0.50], more than once: aHR: 0.23 [95 % CI: 0.21–0.26]) and a family history of mental disorders (aHR: 0.50 [95 % CI: 0.40–0.64]) were associated with a lower risk of mortality.</div></div><div><h3>Conclusion</h3><div>We identified clinical factors associated with all-cause mortality. Targeted interventions should be developed to reduce the mortality risk in people with schizophrenia.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"104 ","pages":"Article 104357"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142963696","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":"Digital companionship or psychological risk? The role of AI characters in shaping youth mental health","authors":"Ritesh Bhat, Suhas Kowshik, Shilpa Suresh, Garudappan Alamelu, Shilpa Gite, Ahmad Albattat","doi":"10.1016/j.ajp.2024.104356","DOIUrl":"10.1016/j.ajp.2024.104356","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"104 ","pages":"Article 104356"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969511","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}
Congchong Wu , Qingli Mu , Yuwei Xu , Yue Chen , Peng Zhang , Dong Cui , Shaojia Lu
{"title":"Altered local spontaneous activity and functional connectivity density in major depressive disorder patients with anhedonia","authors":"Congchong Wu , Qingli Mu , Yuwei Xu , Yue Chen , Peng Zhang , Dong Cui , Shaojia Lu","doi":"10.1016/j.ajp.2025.104380","DOIUrl":"10.1016/j.ajp.2025.104380","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study was to investigate the alterations of intrinsic brain function in major depressive disorder (MDD) patients with and without anhedonia based on whole-brain level by using two novel measures, four-dimensional spatial-temporal consistency of local neural activity (FOCA) and local functional connectivity density (lFCD).</div></div><div><h3>Methods</h3><div>A total of 26 MDD patients with anhedonia (MDD-WA), 29 MDD patients without anhedonia (MDD-WoA), and 30 healthy controls (HCs) were recruited and underwent resting-state functional magnetic resonance imaging (rs-fMRI) scanning and intrinsic brain function was explored by FOCA and lFCD. A two-sample <em>t</em>-test was conducted to explore FOCA and lFCD differences between MDD patients and HCs, then analysis of covariance (ANCOVA) and <em>post hoc</em> tests were performed to obtain brain regions with significant differences among three groups. Finally, the diagnostic performance of FOCA and lFCD values with significant inter-group difference was evaluated using receiver operating characteristic (ROC) curves.</div></div><div><h3>Results</h3><div>Compared to HCs, MDD patients showed decreased FOCA in the right cuneus (CUN) and left postcentral gyrus (PoCG), as well as diminished lFCD in the right CUN and left calcarine fissure and surrounding cortex (CAL). Interestingly, the MDD-WA group was more likely to exhibit decreased FOCA in the left PoCG and reduced lFCD in the left CAL after consideration for the effect of anhedonia in MDD patients. The MDD-WA group further showed increased FOCA in the bilateral caudate (CAU) and right ventral anterior nucleus (VA) when comparing to HCs. Additionally, as compared with MDD-WoA group, the MDD-WA group presented decreased FOCA in the right middle occipital gyrus (MOG), which was also negatively associated with the severity of anhedonia in MDD patients. Finally, FOCA values of the right MOG exhibited excellent discriminant validity in differentiating MDD-WA from MDD-WoA, and the other individual or combined indices of FOCA or lFCD values in the aforementioned distinct brain regions presented significant utility in distinguishing between MDD or MDD-WA and HCs.</div></div><div><h3>Conclusions</h3><div>The present findings suggest that aberrant intrinsic brain function in the left CAL, left PoCG, bilateral CAU, right VA, and, especially the right MOG may be associated with anhedonia in patients with MDD. Altered FOCA in the right MOG may have the potential to be a diagnostic neuroimaging biomarker for MDD patients with anhedonia.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"104 ","pages":"Article 104380"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073552","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":"Improving the quality of community mental health services for schizophrenia patients in China","authors":"Rikas Saputra , Isnaria Rizki Hayati, Yenni Lidyawati, Rizky Andana Pohan, Erfan Ramadhani, Sesilianus Fau","doi":"10.1016/j.ajp.2025.104378","DOIUrl":"10.1016/j.ajp.2025.104378","url":null,"abstract":"<div><div>This article responds to the study by Zhou et al. (2025) that showed high functional disability in schizophrenia patients in the Management and Treatment Services for Psychosis (MTSP) programme in China. To improve service quality, this article proposes integrating social skills training, adopting app-based technology, and developing community-based rehabilitation. These approaches aim to reduce social isolation, increase support flexibility, and strengthen social inclusion, thereby accelerating the recovery of schizophrenia patients in the community.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"104 ","pages":"Article 104378"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073553","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":"Deep brain stimulation – A primer for psychiatrists","authors":"Lavanya P. Sharma , Uma Maheswari Ganesh , Shyam Sundar Arumugham , Dwarakanath Srinivas , Ganesan Venkatasubramanian , YC Janardhan Reddy","doi":"10.1016/j.ajp.2024.104354","DOIUrl":"10.1016/j.ajp.2024.104354","url":null,"abstract":"<div><div>Deep Brain Stimulation is a form of neurostimulation where electrical stimulation is delivered via intracranial electrodes over specific subcortical targets. It has been increasingly used as an alternative to ablative procedures for psychiatric disorders refractory to standard treatments. This review describes the common psychiatric indications for DBS, the current evidence base, putative mechanisms, and future directions.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"104 ","pages":"Article 104354"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943431","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}
Yu Cheng Hsu, Ingrid D. Lui, Tsz Mei Lam, Paul Siu Fai Yip
{"title":"Development of a suicide early warning system for Hong Kong using statistical process control and nowcasting based on media reported suicide deaths","authors":"Yu Cheng Hsu, Ingrid D. Lui, Tsz Mei Lam, Paul Siu Fai Yip","doi":"10.1016/j.ajp.2025.104362","DOIUrl":"10.1016/j.ajp.2025.104362","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"104 ","pages":"Article 104362"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143036307","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":"Addressing compassion fatigue in nursing: Strategies for enhancing well-being and care quality","authors":"Huanchong Ji , Zhibin Wang, Mengjie Xia","doi":"10.1016/j.ajp.2025.104379","DOIUrl":"10.1016/j.ajp.2025.104379","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"104 ","pages":"Article 104379"},"PeriodicalIF":3.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073549","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}
B. Suhavana, Vijaya Raghavan, Simon Rosenbaum, R. Padmavati
{"title":"Barriers, attitudes, confidence, and knowledge among psychiatrists and psychologists in India to provide physical health interventions for metabolic health to persons with mental disorders: A cross-sectional survey","authors":"B. Suhavana, Vijaya Raghavan, Simon Rosenbaum, R. Padmavati","doi":"10.1016/j.ajp.2024.104337","DOIUrl":"10.1016/j.ajp.2024.104337","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"103 ","pages":"Article 104337"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827163","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":"Effects of mini-meditation-based breathing exercise as intervention on induced mental stress: An EEG power spectrum evidence-based study","authors":"Amit Kumar, Deepak Joshi","doi":"10.1016/j.ajp.2024.104341","DOIUrl":"10.1016/j.ajp.2024.104341","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"103 ","pages":"Article 104341"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863032","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}