Zi-han Zhang , Ke-xin Hu , Yi-chen Shi , Han-yu Zhou
{"title":"Aberrant predictive learning along the positive schizotypy - autistic traits continuum: evidence from ambiguous social information processing","authors":"Zi-han Zhang , Ke-xin Hu , Yi-chen Shi , Han-yu Zhou","doi":"10.1016/j.ajp.2025.104666","DOIUrl":"10.1016/j.ajp.2025.104666","url":null,"abstract":"<div><div>Deficits in social information processing have been observed in both schizophrenia spectrum disorders (SSD) and autism spectrum disorder (ASD), though the underlying mechanisms may differ. From a predictive coding perspective, such deficits are thought to arise from an overreliance on prior expectations in SSD, whereas individuals with ASD may exhibit difficulties in forming or using such expectations. However, very few studies have investigated the behavioral markers underlying social predictive learning along the ASD-SSD continuum. Using a novel cue–outcome associative learning task, this study examined how prior expectations influence the perception of ambiguous social information. A total of 121 healthy participants (aged 17–25) completed the task, along with self-report measures of positive schizotypal (Schizotypal Personality Questionnaire, SPQ; Community Assessment of Psychic Experiences, CAPE) and autistic traits (Autism Spectrum Quotient, AQ). Computational modeling using the Hierarchical Gaussian Filter (HGF) and correlational analyses revealed that higher levels of positive schizotypal traits were associated with greater reliance on prior beliefs and reduced flexibility in updating prediction errors. In contrast, expected inverse associations for autistic traits were not consistently observed. These results support the hyper-prior hypothesis of schizophrenia and highlight aberrant predictive mechanisms in positive schizotypy. The predictive coding framework might be useful for differentiating between SSD- and ASD-related social cognitive difficulties, with implications for targeted intervention strategies.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"111 ","pages":"Article 104666"},"PeriodicalIF":4.5,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863838","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":"Lost in translation: Bridging the gap between Indonesia’s National mental health plan and adolescent needs","authors":"Erma Pratiwi Nufi","doi":"10.1016/j.ajp.2025.104663","DOIUrl":"10.1016/j.ajp.2025.104663","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"112 ","pages":"Article 104663"},"PeriodicalIF":4.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144852203","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}
Seon-Cheol Park , Masoud Kamali , Andrew A. Nierenberg
{"title":"Mind the gap between natural phenomena and human constructs in psychiatric diagnostic frameworks","authors":"Seon-Cheol Park , Masoud Kamali , Andrew A. Nierenberg","doi":"10.1016/j.ajp.2025.104662","DOIUrl":"10.1016/j.ajp.2025.104662","url":null,"abstract":"<div><div>Debates over psychiatric diagnosis pivot on a tension between realism, which treats mental disorders as biologically grounded entities, and nominalism, which views them as human-defined categories. The Diagnostic and Statistical Manual of Mental Disorders (DSM) moved from early psychoanalytic typologies to structured, symptom-based criteria, yet robust biological markers remain elusive. The DSM-5 still relies on categorical diagnoses and therefore contends with high heterogeneity, frequent comorbidity, and blurred boundaries. Several complementary perspectives offer ways forward. Phenomenological psychopathology centers patients’ lived experiences. Network analysis models disorders as interacting symptom systems rather than discrete diseases. A pragmatic approach prioritizes clinical usefulness by integrating clinician expertise, patient narratives, and iterative refinement of assessment and treatment. Combining these perspectives can yield a more adaptable, patient-centered model that narrows the gap between natural phenomena and human-constructed categories.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"111 ","pages":"Article 104662"},"PeriodicalIF":4.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144880239","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}
Shijie Luo , Shunkai Lai , Xiaoxiao Liao , Ying Wang , Pan Chen , Yuran Pei , Jianzhao Zhang , Yiliang Zhang , Shuming Zhong , Yanbin Jia
{"title":"Neuroimaging biomarkers distinguishing medication-naïve adolescents with major depressive disorder and bipolar disorder during depressive episodes","authors":"Shijie Luo , Shunkai Lai , Xiaoxiao Liao , Ying Wang , Pan Chen , Yuran Pei , Jianzhao Zhang , Yiliang Zhang , Shuming Zhong , Yanbin Jia","doi":"10.1016/j.ajp.2025.104660","DOIUrl":"10.1016/j.ajp.2025.104660","url":null,"abstract":"<div><h3>Background</h3><div>The adolescent period represents a critical window of heightened vulnerability for the onset of major depressive disorder (MDD) and bipolar disorder (BD). Nevertheless, the neuro-metabolic abnormalities in adolescents with MDD and BD remain incompletely understood, and the early differentiation between MDD and BD in depressive episodes continues to pose significant clinical challenges.</div></div><div><h3>Method</h3><div>This study involved the recruitment of 60 adolescent MDD, 50 adolescent BD patients in depressed episodes, and 48 demographically matched healthy controls (HCs). Proton magnetic resonance spectroscopy (1H-MRS) was used to measure N-acetylaspartate (NAA), choline-containing compounds (Cho), and creatine (Cr) in the prefrontal white matter (PWM), putamen, and thalamus.</div></div><div><h3>Results</h3><div>The results showed that both MDD and BD in depressive episodes exhibited extensive neurometabolic differences compared to HCs, and post hoc comparisons between MDD and BD revealed that adolescent patients with BD had higher left Putamen NAA/Cr ratios (P = 0.002) and lower left Thalamus NAA/Cr ratios (P = 0.018) compared to MDD. By developing a multivariate logistic regression model based on the NAA/Cr ratios of these two brain regions, an ROC curve was constructed (AUC=0.735), which can to some extent distinguish BD in depressive episodes from MDD.</div></div><div><h3>Conclusion</h3><div>Adolescent MDD patients and BD patients exhibit both similarities and differences in neurometabolism. The neurometabolic differences in left Putamen NAA/Cr ratios and left Thalamus NAA/Cr ratios between adolescent MDD patients and BD patients in depressive episodes may help in identifying adolescent BD patients early through 1H-MRS.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"111 ","pages":"Article 104660"},"PeriodicalIF":4.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144840797","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":"Real-world signal detection of adverse events associated with Auvelity(bupropion-dextromethorphan): A pharmacovigilance study based on the FAERS database","authors":"Kaidi Zhao, Jiashu Liu","doi":"10.1016/j.ajp.2025.104657","DOIUrl":"10.1016/j.ajp.2025.104657","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"112 ","pages":"Article 104657"},"PeriodicalIF":4.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144842791","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":"Julius Caesar: A neuropsychological profile and lessons in power and personality","authors":"Jaikumar Velayudham","doi":"10.1016/j.ajp.2025.104659","DOIUrl":"10.1016/j.ajp.2025.104659","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"112 ","pages":"Article 104659"},"PeriodicalIF":4.5,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144829059","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":"Rethinking feasibility in digital psychiatric interventions: A cautionary appraisal of HOPE4Schizophrenia in Indonesia","authors":"Hartati Inaku, Edi Setiawan","doi":"10.1016/j.ajp.2025.104658","DOIUrl":"10.1016/j.ajp.2025.104658","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"112 ","pages":"Article 104658"},"PeriodicalIF":4.5,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144842792","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}
Yangpan Ou , Leyi Zhang , Xijia Xu , Hongxing Zhang , Yiqun He , Guojun Xie , Huabing Li , Feng Liu , Ping Li , Jingping Zhao , Wenbin Guo
{"title":"Functional brain networks predicting different symptoms of schizophrenia based on connectome-based predictive modeling: A multi-site fMRI study","authors":"Yangpan Ou , Leyi Zhang , Xijia Xu , Hongxing Zhang , Yiqun He , Guojun Xie , Huabing Li , Feng Liu , Ping Li , Jingping Zhao , Wenbin Guo","doi":"10.1016/j.ajp.2025.104656","DOIUrl":"10.1016/j.ajp.2025.104656","url":null,"abstract":"<div><div>Previous findings on brain functional alterations across different symptoms of schizophrenia (SCZ) patients had yielded inconsistent results. Small sample sizes could contribute to this inconsistency. To overcome this limitation, we conducted a multi-site study to explore the neural mechanisms underlying different symptoms in SCZ. This multi-site study included four datasets from three sites, comprising 258 SCZ patients and 222 healthy controls. A four-factor model based on the Positive and Negative Syndrome Scale (PANSS) was applied to identify four symptom dimensions of SCZ: negative, positive, emotional, and cognitive symptoms. Connectome-based predictive modeling (CPM) and node-based network analysis were conducted. Then, the support vector machine was used to classify SCZ patients and HCs. CPM models could successfully predict negative, positive, affective, and cognitive symptoms in SCZ patients, with correlation coefficients ranging from −0.339 to −0.057. Models for negative and affective symptom prediction were validated by two independent SCZ cohorts. Most predictive edges were connected between the Motor/Sensory (Mot), Fronto-Parietal, Default Mode, Salience, and other networks. The Mot network was involved in the CPM models across all symptom dimensions. Of the predictive edges, three edges exhibited increased FC, while six ones demonstrated decreased FC compared to HCs. These abnormal FCs could classify patients and HCs with an accuracy of 91.2 %. The predictive networks were primarily involved in sensory processing and high-level cognition, which could be a functional basis of SCZ. The Mot network may serve as a key hub across all symptom dimensions.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"111 ","pages":"Article 104656"},"PeriodicalIF":4.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144829512","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}
Fuminari Misawa , Mayu Ogihara, Hiroyoshi Takeuchi
{"title":"Barriers to transitioning from monthly to 3-monthly paliperidone palmitate formulation: Patient characteristics and physician intentions","authors":"Fuminari Misawa , Mayu Ogihara, Hiroyoshi Takeuchi","doi":"10.1016/j.ajp.2025.104646","DOIUrl":"10.1016/j.ajp.2025.104646","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"111 ","pages":"Article 104646"},"PeriodicalIF":4.5,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144780779","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}