Asian journal of psychiatry最新文献

{"title":"Neuroscience in pictures: Neuroscience of fear","authors":"Yelu Zhang ,&nbsp;Matcheri Keshavan","doi":"10.1016/j.ajp.2026.104876","DOIUrl":"10.1016/j.ajp.2026.104876","url":null,"abstract":"<div><div>Fear is an evolutionarily adaptive mechanism that enables organisms to detect and respond to potential threats. Over the past century, theories of fear have evolved from Pavlovian and behavioral frameworks to neuroscientific models that emphasize specific neural circuits, neurotransmission, and plasticity. This pictorial review synthesizes key concepts underlying the neuroscience of fear, starting with a historical narrative of fear as conceptualized by conditioning and behaviorism theories, to the roles of different neurobiology structures, networks, to concepts of memory consolidation, reconsolidation, and plasticity. We highlight how pathological fear is implicated in disease, integrating evidence from conditioning theories, neuroscience, and additional considerations (ie. Culture and psychosocial context). Finally, we outline therapeutic approaches that leverage neuroscience to target maladaptive fear circuits. Understanding these mechanisms provides a foundation for advancing personalized treatments for fear-related psychopathology.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104876"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123745","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 decompensation following AI chatbot use in autism spectrum disorder","authors":"Idris Altinisik,&nbsp;Hamiyet Ipek,&nbsp;Zubeyde Sisman,&nbsp;Murat Emul","doi":"10.1016/j.ajp.2026.104889","DOIUrl":"10.1016/j.ajp.2026.104889","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104889"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146155764","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":"Re-evaluating the implementation of Indonesia’s adolescent mental health policy: A critical response to “Bridging Policy and Lived Realities”","authors":"Ulfah,&nbsp;Kadek Suhardita,&nbsp;I. Wayan Widana,&nbsp;I. Made Suarta,&nbsp;Rikas Saputra","doi":"10.1016/j.ajp.2026.104860","DOIUrl":"10.1016/j.ajp.2026.104860","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104860"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024175","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 letter to editor regarding “National-, institutional-, and individual-level determinants of psychiatric research excellence: Analysis of Stanford–Elsevier lists of the top 2 % scholars worldwide (2017–2023)”","authors":"Jiayi Chen","doi":"10.1016/j.ajp.2026.104883","DOIUrl":"10.1016/j.ajp.2026.104883","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104883"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146117671","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":"An adaptive machine learning framework integrating large language models to assess and enhance emotional intelligence in adolescents","authors":"Iram Aziz,&nbsp;Shazia Arshad ,&nbsp;Muhammad Awais Hussan","doi":"10.1016/j.ajp.2026.104851","DOIUrl":"10.1016/j.ajp.2026.104851","url":null,"abstract":"<div><h3>Background</h3><div>Emotional intelligence (EI) is a critical determinant of children’s socio-emotional and neurocognitive development, and deficits in EI dimensions are associated with long-term psychological and behavioral risks. Existing interventions are often static, resource-intensive, and lack personalization, interpretability and reasoning beneath the suggestions. Scalable, explainable AI approaches may help to deliver individualized and effective EI-enhancing activities.</div></div><div><h3>Methods</h3><div>A total of 120 children (aged 3–16 years) were recruited from the Asian region with informed consent and PGRC ethical approval (CS-00411). EI was systematically assessed using the Strengths and Difficulties Questionnaire (SDQ) to identify weaker dimensions. A stacked ensemble machine learning framework then predicted suitable accurate EI-enhancing activities by incorporating child age, personal interests, and identified weak dimensions. Before generating the final recommendation, the system cross-checked highly rated activities from children with similar profiles to ensure relevance. The activity repository combined validated sources with expert-verified, LLM-generated activities, each mapped to underlying neurocognitive functions. SHAP explained predictive contributions, while LLMs translated outputs into family-friendly narratives. A reassessment module recalculated post-intervention EI scores and integrated parental feedback to dynamically refine subsequent recommendations.</div></div><div><h3>Results</h3><div>Children in the experimental group demonstrated significant improvement in EI scores (p &lt; 0.001, d = 2.58), with empathy and self-regulation showing the largest gains. Parental satisfaction was also significantly higher (p &lt; 0.001, d = 1.88). Weak EI dimension, Interest, and Age Group emerged as the most influential predictors of activity effectiveness.</div></div><div><h3>Conclusion</h3><div>This framework directly enhances children’s emotional intelligence while ensuring personalization, transparency, and neurocognitive relevance, offering a sustainable and scalable pathway for precision socio-emotional interventions with potential applications in neuropsychiatric prevention and care.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104851"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024139","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 paradox in suicidal behavior: Possible reasons and implications for suicide prevention in the South-East Asian region","authors":"Sujita Kumar Kar,&nbsp;Vikas Menon","doi":"10.1016/j.ajp.2026.104833","DOIUrl":"10.1016/j.ajp.2026.104833","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104833"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145923867","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":"Utilizing short experiential teaching methods for school mental health awareness among adolescents from Rural India – A Quasi experimental pilot study","authors":"Velprashanth Venkatesan,&nbsp;Barath Ramanathan,&nbsp;Souganya Vijayan,&nbsp;Perarul Sivakumar,&nbsp;Arun Selvaraj,&nbsp;Harish Kumar Jaikumar,&nbsp;Parvathy Valalan","doi":"10.1016/j.ajp.2026.104872","DOIUrl":"10.1016/j.ajp.2026.104872","url":null,"abstract":"<div><h3>Introduction</h3><div>School-based mental health programs in India predominantly employ didactic approaches. While effective for knowledge transfer, these methods rarely reduce stigma. This pilot study evaluated whether short-duration experiential methods could induce attitudinal change among adolescents in a resource-constrained rural setting.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted in two comparable rural schools in Tamil Nadu (9th–10th grade). School 1 received a two-hour didactic session, while School 2 received a two-hour experiential session. Pre- and post-session attitudes were assessed using a 10-item Likert questionnaire. Within-group changes were analysed using the Wilcoxon signed-rank test.</div></div><div><h3>Results</h3><div>Significant attitudinal improvements were observed exclusively in girls receiving experiential teaching. Specifically, stigma-related perceptions regarding \"unfair treatment\" (Z = -2.970, p = 0.003) and \"fear of seeking help\" (Z = -2.034, p = 0.042) showed significant positive shifts. Didactic groups showed minimal change.</div></div><div><h3>Conclusion</h3><div>Brief experiential modules are feasible and superior to didactic methods for reducing stigma among rural adolescent girls. Integrating participatory activities into school mental health curricula may be essential for behavioural change.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104872"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146111965","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":"Atypical neuropsychiatric withdrawal syndrome following abrupt cessation of chronic nitrous oxide use: A case report","authors":"Chung Nguyen Viet ,&nbsp;Bruce Boman ,&nbsp;Chien Nguyen Huu ,&nbsp;Quan Nguyen Trong","doi":"10.1016/j.ajp.2026.104882","DOIUrl":"10.1016/j.ajp.2026.104882","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104882"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146140972","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":"A policy perspective on suicide prevention: Gaps in Indonesia’s educational and public health systems","authors":"Muhammad Farid Ma’ruf,&nbsp;Ajie Hanif Muzaqi,&nbsp;Nuh Krama Hadianto","doi":"10.1016/j.ajp.2026.104847","DOIUrl":"10.1016/j.ajp.2026.104847","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104847"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975417","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":"Psychotherapy teaching and training for Indian medical undergraduates: Needs and challenges","authors":"Sujita Kumar Kar,&nbsp;Swapnajeet Sahoo","doi":"10.1016/j.ajp.2026.104849","DOIUrl":"10.1016/j.ajp.2026.104849","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104849"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975418","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}