Asian journal of psychiatry最新文献

{"title":"Is loneliness related to greater use of DeepSeek as an AI companion? A study from China","authors":"Christian Montag, Wang Yao, Zhiying Zhao, Jon D. Elhai, Shujun Liu, Haibo Yang","doi":"10.1016/j.ajp.2026.104845","DOIUrl":"10.1016/j.ajp.2026.104845","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104845"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146008564","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":"Trichotillomania and skin picking disorder in Asian adults","authors":"Megha Neelapu, Jon E. Grant","doi":"10.1016/j.ajp.2026.104857","DOIUrl":"10.1016/j.ajp.2026.104857","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104857"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975416","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":"Using network analysis to provide new insight of the relationship between childhood trauma, family environment and depressive symptoms in adolescents with major depressive disorder","authors":"Xinyu Fang ,&nbsp;Ruru Tang ,&nbsp;Chaoran Wu ,&nbsp;Hongyang Liu ,&nbsp;Yaoyao Zhang ,&nbsp;Wei Tang ,&nbsp;Lingling Yuan ,&nbsp;Renliang Cai ,&nbsp;Yi Li ,&nbsp;Xiangrong Zhang","doi":"10.1016/j.ajp.2026.104853","DOIUrl":"10.1016/j.ajp.2026.104853","url":null,"abstract":"<div><h3>Background</h3><div>Ample evidence supported that childhood trauma and family environment are closely linked to adolescent depression. This study aimed to establish a network of childhood trauma, family environment and depressive symptoms among adolescents with major depressive disorder (MDD), and to identify the central and bridge symptoms in the network.</div></div><div><h3>Methods</h3><div>A total of 560 adolescents diagnosed with MDD were included in the present study. The Children's Depression Inventory (CDI), the Chinese version of the Childhood Trauma Questionnaire—Short Form (CTQ-SF), and the Family Environment Scale-Chinese Version (FES-CV) were evaluated. Network analysis based on these assessments was performed using R.</div></div><div><h3>Results</h3><div>A total of 140 non-zero edges in the network were revealed. Among them, 86 (61.4 %) of these edges spanned the communities, whilst 54 (38.6 %) were inside their respective communities. In the network, the emotional abuse (CTQ0), emotional neglect (CTQ3), family cohesion (FES0), family control (FES9), anhedonia (CDI0) and ineffectiveness (CDI3) were regarded as the most central symptoms. The nodes with the strongest bridge were CTQ3, CTQ0 and CDI3. The Network Comparison Test showed no significant differences in network structure invariance and global strength invariance between male and female adolescents and between younger and older adolescents.</div></div><div><h3>Conclusion</h3><div>The findings demonstrate that childhood trauma and family environment interacted with each other and were collectively associated with the depressive symptoms in adolescents with MDD. The findings provide a theoretical basis for targeted interventions to prevent and alleviate depression in adolescents.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104853"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975454","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, cultural adaptation, and validation of the Cebuano version of the Montreal Cognitive Assessment (MoCA) tool among patients with dementia","authors":"Alicia Rose T. Autentico ,&nbsp;Gilbert Cabataña Jr ,&nbsp;Clark Kendrick Go ,&nbsp;Gerard Saranza","doi":"10.1016/j.ajp.2026.104850","DOIUrl":"10.1016/j.ajp.2026.104850","url":null,"abstract":"<div><h3>Background</h3><div>The Montreal Cognitive Assessment (MoCA) is a validated tool for identifying mild cognitive impairment and early-stage dementia. Cebuano is the second-most-spoken language in the Philippines; however, there are no validated cognitive evaluation tools to detect early dementia among Cebuano speakers. This study aimed to translate, culturally adapt, and validate the MoCA for Cebuano-speaking patients.</div></div><div><h3>Methods</h3><div>The MoCA-Cebuano version was translated forward and reverse. The final version was administered to 51 Cebuano-speaking persons living with dementia (PLWD) and 47 healthy controls. Internal consistency was computed using Cronbach's alpha, and test-retest reliability was assessed using the intraclass correlation coefficient (ICC).</div></div><div><h3>Results</h3><div>The PLWD group was older than controls (70.4 ± 5.6 vs. 65.3 ± 5.7 years, p &lt; 0.001), but groups were similar in female representation (35 vs. 28, p = 0.35) and years of formal education (11.8 ± 2.9 vs. 12.0 ± 3.5 years, p = 0.37). The mean MoCA-Cebuano score was significantly lower in the PLWD group (16.7 ± 3.8) than in controls (25.1 ± 2.1, p &lt; 0.001). The MoCA-Cebuano demonstrated acceptable internal consistency (Cronbach's alpha 0.72 at baseline, 0.70 after 4–8 weeks) and high test-retest reliability (ICC=0.98, 95 % CI: 0.95–0.99, p &lt; 0.001). The PLWD group showed marked difficulty in visuospatial/executive skills (2.4 <u>+</u> 1.3), language (0.9 <u>+</u> 0.7), attention (3.5 <u>+</u> 1.5), and delayed recall (1.4 <u>+</u> 1.6) subscale tests.</div></div><div><h3>Conclusion and recommendations</h3><div>The MoCA-Cebuano version is a valid and reliable tool for cognitive assessment in Cebuano-speaking populations and is recommended for clinical and research use.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104850"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975456","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 ecologies of despair: Understanding momentary triggers of suicidal ideation in youth through ecological momentary assessment","authors":"Putu Ari Dharmayanti,&nbsp;Luh Putu Sri Lestari,&nbsp;Kadek Suhardita,&nbsp;Rikas Saputra,&nbsp;Erfan Ramadhani","doi":"10.1016/j.ajp.2026.104856","DOIUrl":"10.1016/j.ajp.2026.104856","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104856"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022871","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":"National-, institutional-, and individual-level determinants of psychiatric research excellence: Analysis of Stanford-Elsevier lists of the top 2 % scholars worldwide (2017–2023)","authors":"Abanoub Riad ,&nbsp;Muhammad Alkasaby ,&nbsp;Nisarat Changchroenkul ,&nbsp;Michal Koščík","doi":"10.1016/j.ajp.2025.104826","DOIUrl":"10.1016/j.ajp.2025.104826","url":null,"abstract":"<div><h3>Background</h3><div>Research excellence is increasingly used as a benchmark for academic evaluation in medical sciences, including psychiatry. However, bibliometric analyses often prioritize productivity over quality. This study examined national, institutional, and individual determinants of psychiatric research excellence using a multi-level ecological framework.</div></div><div><h3>Methods</h3><div>We analyzed the Stanford–Elsevier Lists of the top 2 % scholars (2017–2023), incorporating 51 independent variables. These included: (a) national determinants grouped into five domains (mental healthcare, gender equity, socioeconomic development, budgetary policies, and disease burden), (b) institutional factors derived from global and discipline-specific rankings, and (c) individual factors of gender and academic age. The primary outcome was the number of excellent psychiatric scholars (EPS), with secondary indicators including citation counts, modified H-index, composite score, and self-citation share.</div></div><div><h3>Results</h3><div>Psychiatric research excellence was concentrated in high-income, English-speaking countries, with significant institutional elitism. A small number of institutions hosted a disproportionate share of EPS. Gender disparities persisted, with female representation negatively associated with national gender gaps in employment and education, but positively linked to government spending on education. Academic age positively correlated with citation-based performance metrics. Multivariable models confirmed the explanatory roles of gender, academic age, official language, gender equity, and human development.</div></div><div><h3>Conclusion</h3><div>Psychiatric research excellence reflects systemic advantages related to income, language, institutional prestige, and gender equity. Equitable funding, support for emerging research environments, and expanded international collaboration are essential to fostering broader participation in high-impact psychiatric research.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104826"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922134","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":"Pre-treatment brain morphology predicts symptom-specific outcomes in paediatric emotional disorders","authors":"Chengrong Hua ,&nbsp;Wenjing Liu ,&nbsp;Zhen Liu ,&nbsp;Changminghao Ma ,&nbsp;Zhishan Hu ,&nbsp;Yue Ding ,&nbsp;Kelun Yaoma ,&nbsp;Jiayi Song ,&nbsp;Yang Sun ,&nbsp;Fang Zhang ,&nbsp;Yue Liu ,&nbsp;Yi Huang ,&nbsp;Yingying Tang ,&nbsp;Xiaochen Zhang ,&nbsp;Wenhong Cheng","doi":"10.1016/j.ajp.2025.104797","DOIUrl":"10.1016/j.ajp.2025.104797","url":null,"abstract":"<div><h3>Background</h3><div>Depressive and anxiety disorders commonly co-occur in paediatric patients, but treatment response varies widely. Brain morphometric features may provide prognostic markers for symptom-specific outcomes and guide personalised interventions. This study examined whether pre-treatment brain morphology predicts improvement after inpatient treatment in adolescents with emotional disorders.</div></div><div><h3>Methods</h3><div>Adolescents with major depressive disorder and/or anxiety disorders admitted to a specialised psychiatric hospital underwent magnetic resonance imaging (MRI) before comprehensive inpatient treatment, including pharmacotherapy and psychotherapy (approximately 4–6 weeks, n = 66). Treatment response was assessed by percentage reductions in the Children’s Depression Inventory (CDI) and Screen for Child Anxiety Related Emotional Disorders (SCARED) total scores. Backward stepwise regression was performed separately for depressive and anxiety symptom improvement, focusing on predefined morphometric features associated with depressive or anxiety disorder derived from prior large-scale neuroanatomical findings.</div></div><div><h3>Results</h3><div>Among 66 adolescents, significant reductions in CDI and SCARED scores were observed over inpatient treatment. Regression analyses showed that larger pre-treatment surface area of the right postcentral gyrus was associated with greater improvement in depressive symptoms (slope=0.022; 95 % CI, 0.004–0.040; β=0.319; p = 0.016; n = 57), while smaller surface area of the left temporal pole (slope=–0.179; 95 % CI, –0.314 to –0.044; β=–0.304; p = 0.010; n = 64) and larger surface` area of the right frontal pole (slope=0.245; 95 % CI, 0.013–0.477; β=0.238; p = 0.039; n = 64) was associated with greater improvement in anxiety symptoms.</div></div><div><h3>Conclusion</h3><div>Pre-treatment morphometric features may serve as distinct neuroanatomical markers predicting symptom-specific response to inpatient treatment in paediatric emotional disorders, supporting the role of brain-based biomarkers in improving therapeutic outcomes.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104797"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145814181","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":"Effectiveness of technology-assisted nonpharmacological interventions for cognitive impairment in older adults: A systematic review and network meta-analysis","authors":"Yifan Wu ,&nbsp;Xiaohui Ning ,&nbsp;Qiqing Zhong ,&nbsp;Jiaxin Li ,&nbsp;Huizhen Zhang ,&nbsp;Mengyuan Li ,&nbsp;Jianing Lang ,&nbsp;Baiqi Jing ,&nbsp;Jiao Sun","doi":"10.1016/j.ajp.2025.104815","DOIUrl":"10.1016/j.ajp.2025.104815","url":null,"abstract":"<div><h3>Background</h3><div>Technology-assisted nonpharmacological interventions (TANPIs) are increasingly used to support cognitive and emotional health in older adults with cognitive impairment. Previous studies suggest that different technological modalities may influence outcomes through diverse neuroscientific and psychological pathways, such as enhancing attentional engagement, stimulating neuroplasticity, reducing loneliness, and promoting behavioral activation. However, the relative effectiveness of different TANPI modalities remains unclear.</div></div><div><h3>Methods</h3><div>A comprehensive search of five databases was conducted to identify randomized controlled trials (RCTs) evaluating TANPIs in older adults with cognitive impairment. Pairwise and network meta-analyses were performed using a frequentist approach. Risk of bias was assessed with the Cochrane tool, and certainty of evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework.</div></div><div><h3>Results</h3><div>A total of 66 RCTs were included, with most studies judged to be at low to moderate risk of bias. Pairwise analyses showed significant benefits of TANPIs for global cognition (SMD = 0.563, 95 % CI [0.358–0.769], I² = 88.9 %), depressive symptoms (SMD = −0.237, 95 % CI [−0.440 to −0.035], I² = 74.5 %), and quality of life (QOL: SMD = 0.279, 95 % CI [0.013–0.544], I² = 80.7 %). In the network meta-analysis, virtual reality–based cognitive training (VR_CT) demonstrated the strongest effect on cognitive function, while robot-based cognitive and social training (Robot_CST) appeared most beneficial for alleviating depressive symptoms. Although no intervention showed statistically significant superiority in improving QOL, computer-based cognitive training (Comp_CT) indicated promising potential in this domain. The certainty of evidence was generally moderate to high. Sensitivity analyses confirmed the robustness of results.</div></div><div><h3>Conclusions</h3><div>This study provides a comprehensive evidence base for guiding the selection and optimization of TANPIs in cognitively impaired older adults. Findings highlight the potential of immersive and interactive technologies, while underscoring the need for high-quality trials with standardized outcomes and longer follow-up.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104815"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881737","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 and safety of continuous theta burst stimulation for auditory hallucinations: A GRADE-assessed meta-analysis of randomized sham-controlled trials","authors":"Omar Kassar ,&nbsp;Abdullah Selim ,&nbsp;Shrabon Insan ,&nbsp;Osama Hassan ,&nbsp;Alexander Sartorius","doi":"10.1016/j.ajp.2025.104822","DOIUrl":"10.1016/j.ajp.2025.104822","url":null,"abstract":"<div><h3>Background</h3><div>Auditory hallucinations (AHs) represent a clinical burden and are refractory to antipsychotics in approximately 25 % of cases. Continuous theta burst stimulation (cTBS) has been explored as a neuromodulation option in treating AHs. However, the current evidence regarding its efficacy is inconclusive. This is the first meta-analysis to synthesize evidence exclusively from sham-controlled trials.</div></div><div><h3>Methods</h3><div>We conducted comprehensive search until September 2025 to include randomized controlled trials (RCTs) that compared cTBS versus sham stimulation in patients experiencing AHs. The primary outcome was the change in AHs measured by validated scales, pooled using standardized mean difference (SMD).</div></div><div><h3>Results</h3><div>Five RCTs, including 326 patients with schizophrenia spectrum disorders, were included. cTBS demonstrated a statistically significant superiority over sham stimulation in reducing AHs (SMD = −0.34, 95 % CI [-0.57, −0.12], P = 0.002), with no heterogeneity (P = 0.92, I² = 0 %), and moderate certainty of the current evidence. Sensitivity analysis and the Galbraith plot confirmed results robustness. No publication bias was observed. Subgroup analyses showed greater efficacy in patients with bilateral temporoparietal junctions stimulation, refractory AHs, and delivering 18,000 total pulses. cTBS and sham stimulation did not differ in discontinuation rates, serious adverse events, headache, dizziness, or gastrointestinal symptoms.</div></div><div><h3>Conclusion</h3><div>The findings of our study suggest that cTBS can be safely applied and may be effective in reducing auditory hallucinations in patients with schizophrenia spectrum disorders, particularly in patients with limited response to antipsychotic medication. Further RCTs are needed to confirm our results and identify the optimal treatment parameters.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104822"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881735","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":"Acceptance of communication robots among patients undergoing maintenance hemodialysis with psychological stress","authors":"Hirokazu Kumazaki,&nbsp;Hiroko Kamide,&nbsp;Megumi Kawata,&nbsp;Yuka Nakazawa,&nbsp;Shun Shimoguchi,&nbsp;Kenta Torigoe,&nbsp;Tomoya Nishino,&nbsp;Yuichiro Yoshikawa,&nbsp;Hiroshi Ishiguro","doi":"10.1016/j.ajp.2025.104811","DOIUrl":"10.1016/j.ajp.2025.104811","url":null,"abstract":"<div><h3>Objective</h3><div>Although several psychotherapeutic interventions have been introduced for patients receiving maintenance hemodialysis (MHD), challenges such as feelings of shame persist. Prior studies indicate that robot-assisted interviews evoke less shame than human interactions. The Technology Acceptance Model (TAM) provides a robust framework for examining factors influencing technology adoption. This study applied TAM to evaluate the use of a communication robot (Sota-100) in psychotherapeutic interventions for patients with MHD.</div></div><div><h3>Methods</h3><div>Twenty-six outpatients with MHD participated. Each completed an interaction session with Sota-100 and a self-report questionnaire using a 5-point Likert scale.</div></div><div><h3>Results</h3><div>The intention to use Sota-100 counseling was significantly higher than that for human counseling (p = 0.003). A Wilcoxon signed-rank test confirmed that Sota-100 was easy to use (p = 0.023). Spearman’s correlation showed significant associations between ease of use and perceived usefulness in reducing anxiety and stress (p = 0.028), decreasing boredom and loneliness (p &lt; 0.001), enhancing motivation for self-administration (p = 0.004), and intention to use Sota-100 (p = 0.005).</div></div><div><h3>Conclusion</h3><div>Most patients with MHD were receptive to Sota-100, supporting the applicability of TAM. Improving robot usability could further alleviate anxiety, stress, boredom, and loneliness, enhance self-management motivation, and strengthen patients’ willingness to engage with robotic support in psychosocial care.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104811"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916650","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}