Australian and New Zealand Journal of Psychiatry最新文献

{"title":"Truth-telling about suicide: Empowering Aboriginal and Torres Strait Islander people to engage with the media.","authors":"Pat Dudgeon, Jemma Collova, Gerry Georgatos, Ee Pin Chang, Elizabeth Paton, Mel Benson, Megan Krakouer","doi":"10.1177/00048674251328542","DOIUrl":"https://doi.org/10.1177/00048674251328542","url":null,"abstract":"<p><strong>Objective: </strong>Aboriginal and Torres Strait Islander voices are crucial when reporting on key issues facing Aboriginal and Torres Strait Islander peoples. To date, there has been very little representation of Aboriginal and Torres Strait Islander community members speaking to the media about suicide and mental health challenges, but this is changing. This paper outlines the process and outcomes of co-creating resources which aim to increase the confidence and capacity of Aboriginal and Torres Strait Islander peoples to talk to media about mental health challenges and/or suicide.</p><p><strong>Methods: </strong>Following an Aboriginal Participatory Action Research approach, this paper elevates the voices of 18 Aboriginal (Noongar) community members with lived experience of suicide and mental health challenges. This group took part in media training, led by a respected Aboriginal social justice advocate. Following the training, the group gifted stories about experiences engaging with the media, through research topic yarning.</p><p><strong>Results and conclusions: </strong>The results from a thematic analysis identified a justified mistrust towards the media, a desire to speak up to the media, and the need for a range of resources to support truth-telling to the media. These results informed the co-creation of a guide to support truth-telling to the media, with the aim of building the capability of Aboriginal and Torres Strait Islander peoples to share their truth in a way which is safe for them.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251328542"},"PeriodicalIF":4.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing body dysmorphic disorder through mindfulness: A new therapeutic frontier.","authors":"Iris R He, Alexandra Gaillard, Susan Rossell","doi":"10.1177/00048674251328557","DOIUrl":"https://doi.org/10.1177/00048674251328557","url":null,"abstract":"<p><p>Body dysmorphic disorder presents in up to 2% of the general population, yet less than half seek psychological support. Some treatment barriers include poor illness insight, low body dysmorphic disorder awareness among mental health professionals and a lack of accessibility to body dysmorphic disorder-specific treatments. Currently available treatments for body dysmorphic disorder, including psychopharmacology and psychotherapy, show modest results in improving body dysmorphic disorder symptoms. With the reduced quality of life and increased risks of suicide among individuals with body dysmorphic disorder, there is a need for new and easily accessible therapeutic approaches specific to body dysmorphic disorder. Emerging research has suggested that mindfulness-based interventions show promise as an addition to available body dysmorphic disorder treatments. Clinical evidence of mindfulness-based interventions demonstrates efficacy in improving symptoms in eating disorders, social anxiety disorder and obsessive-compulsive disorder, conditions that have similar clinical presentations as body dysmorphic disorder. Mindfulness strategies, such as increasing interoceptive awareness, non-judgement and non-reactivity, are also suggested to reduce body image disturbances, anxiety and repetitive thoughts, and cognitive rigidity, clinical characteristics of body dysmorphic disorder. This perspective piece aims to provide evidences for integrating mindfulness into treatment protocols to support mental health professionals better address the challenges faced by individuals with body dysmorphic disorder.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251328557"},"PeriodicalIF":4.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of psychiatric conditions in people with intellectual disability: A record linkage study in New South Wales, Australia.","authors":"Samuel Rc Arnold, Yunhe Huang, Preeyaporn Srasuebkul, Rachael C Cvejic, Stefan C Michalski, Julian N Trollor","doi":"10.1177/00048674251324824","DOIUrl":"https://doi.org/10.1177/00048674251324824","url":null,"abstract":"<p><strong>Objective: </strong>To compare the prevalence of psychiatric conditions in a population-based cohort of people with intellectual disability and matched comparators in New South Wales, Australia.</p><p><strong>Method: </strong>The study cohort included 97,644 people with intellectual disability and 451,502 comparators aged ⩾ 5 between 1 July 2001 to 30 June 2018. We used linked records of hospital admissions, emergency department presentations, ambulatory mental health service contacts, and Medicare rebates to identify any, serious, and specific psychiatric conditions.</p><p><strong>Results: </strong>People with intellectual disability showed greatly elevated period prevalence of any psychiatric condition (76.0% vs 38.3%), serious mental illness (16.2% vs 5.1%), and all specific psychiatric conditions compared to comparators. Among people with intellectual disability and congenital/developmental conditions, people with Down syndrome showed reduced risk of most psychiatric conditions while people with attention-deficit hyperactivity disorder and people with learning disorders showed increased risk. Age-specific analysis showed earlier onset of dementia and heightened prevalence of self-injury/suicidality in adulthood among people with intellectual disability. Annualised prevalence trends showed increases in 2006-2007 for most psychiatric conditions and decreases in 2014-2015 to 2017-2018.</p><p><strong>Conclusions: </strong>The higher prevalence of psychiatric conditions in people with intellectual disability indicates the importance of systemic responses to address the mental health needs of this population. Our findings highlight the importance of considering the psychiatric profiles of specific congenital/developmental conditions among people with intellectual disability, and the need to provide targeted services to high-risk groups such as those with co-occurring attention-deficit hyperactivity disorder.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251324824"},"PeriodicalIF":4.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"It is time to reassess reporting of electroconvulsive therapy data in New Zealand: A 17-year retrospective analysis of treatment data from Waikato.","authors":"Robert M Lundin, Savani Kannangara, Matthew Jenkins, Teresa Carroll, Kathrine Wakefield, Colin Patrick, Moloud Abdar, Abbas Khosravi, Colleen Loo, Michael Berk","doi":"10.1177/00048674251324795","DOIUrl":"https://doi.org/10.1177/00048674251324795","url":null,"abstract":"<p><strong>Objective: </strong>The New Zealand Government has provided brief annual reports on electroconvulsive therapy treatment since 2004. Despite this, only limited information is made available to clinicians to guide clinical improvement and refine guidelines. Beyond an audit from Otago detailing 10 years of electroconvulsive therapy treatments, limited information is available about electroconvulsive therapy treatments in New Zealand. This paper reports on the use of electroconvulsive therapy over the past 17 years in one New Zealand District Health Board.</p><p><strong>Methods: </strong>It covers 7126 treatments for 333 patients between 2004 and 2020.</p><p><strong>Results: </strong>Despite an increasing number of treatments, there has been no per capita growth when corrected for the population. Despite criticism for the disproportionate use of electroconvulsive therapy in women, treatment equity for men and women has been evidenced over the latter 3 years. The majority of treatments were given under voluntary consent, even among patients admitted under the Mental Health Act. Clinical practice is moving towards bifrontal treatment over other electrode placements in response to clinical guidance.</p><p><strong>Conclusion: </strong>While COVID-19 had broad impacts across healthcare services, it has not led to an overall change in treatments. There was, however, a noticeable shift towards more psychotic disorders treated during the pandemic. This study also provides data that Māori and Pacific Islanders are accessing electroconvulsive therapy, though rates of electroconvulsive therapy usage are still lesser on a proportional population basis. Conclusions are provided to improve national data collection and reporting standards.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251324795"},"PeriodicalIF":4.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma exposure, post-traumatic stress disorder and alcohol and other drug use among Australian public safety personnel.","authors":"Jayden Sercombe, Amelia Henry, Coleen Leung, Matthew Sunderland, Christina Marel, Emma Barrett, Ashleigh K Morse, Mina Askovic, Alana Fisher, Mary-Lou Chatterton, Logan Harvey, Natalie Peach, Maree Teesson, Katherine L Mills","doi":"10.1177/00048674251324814","DOIUrl":"https://doi.org/10.1177/00048674251324814","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the rates of workplace trauma exposure, probable post-traumatic stress disorder (PTSD) and alcohol and other drug use among Australian public safety personnel (PSP). It also identified factors associated with hazardous or harmful alcohol and other drug use.</p><p><strong>Method: </strong>Data were collected through an online survey distributed to PSP in three Australian agencies between May and October 2021. A total of 539 PSP completed the survey. The survey included questions about demographic and work-based characteristics, trauma exposure, PTSD and alcohol and other drug use.</p><p><strong>Results: </strong>Most participants (86.8%) had experienced at least one type of traumatic event at work. Probable PTSD was identified in 39.4% of respondents. Hazardous or harmful alcohol use was reported by 33.1% of participants, while 13.3% reported harmful drug use. Analyses revealed that probable PTSD and higher numbers of workplace traumatic event types were significantly associated with greater odds of hazardous or harmful alcohol use (ORs 1.88 and 1.04, respectively). Identifying as female and meeting criteria for probable PTSD was associated with greater odds of harmful drug use (OR = 1.86) and identifying as male with lower odds of harmful drug use (OR = 0.23).</p><p><strong>Conclusion: </strong>The study highlights the high prevalence of trauma exposure, probable PTSD and hazardous or harmful substance use among Australian PSP. The findings suggest a need for targeted interventions to address the mental health and substance use challenges in this population, particularly those aimed at mitigating the effects of workplace trauma and providing support for PTSD and substance use disorders.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251324814"},"PeriodicalIF":4.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent trajectories of mental health service use in an Australian state population cohort of children.","authors":"Oliver J Watkeys, Stacy Tzoumakis, Kimberlie Dean, Kristin R Laurens, Felicity Harrisi, Kirstie O'Hare, Vaughan J Carr, Melissa J Green","doi":"10.1177/00048674251324805","DOIUrl":"https://doi.org/10.1177/00048674251324805","url":null,"abstract":"<p><strong>Objectives: </strong>Mental health service use among young people is increasing, and small groups within the population disproportionately account for the majority of mental health service use. The aims of this study were to identify population-based trajectories of mental health service use across childhood and adolescence and associated sociodemographic/other risk factors.</p><p><strong>Methods: </strong>Mental health trajectories between birth and 17 years of age were identified using zero-inflated Poisson latent-class growth mixture modelling, in a New South Wales cohort of 9510 children (born between 2002 and 2005) who had at least one primary diagnosis of a mental disorder recorded in 'Emergency Department', 'Admitted Patients' and/or 'Mental Health Ambulatory' data collections.</p><p><strong>Results: </strong>A two-trajectory solution provided the optimal fit to the data: One trajectory displayed <i>high</i> increasing service use (<i>n</i> = 1861, 19.6%) and accounting for more than 68% of the days treated for mental disorder among the entire cohort. The other trajectory (<i>n</i> = 7649, 80.4%) was distinguished by a consistently <i>low</i> level of service use. Membership in the <i>high</i> mental health service use trajectory was associated with parental mental disorder, child maltreatment exposure and diagnoses of psychosis spectrum and personality disorders.</p><p><strong>Conclusion: </strong>Less than one-fifth of children account for more than 68% of hospital and ambulatory services used up to age 17 years; these children are more likely to have parents with mental disorder and to have been exposed to child maltreatment, pointing towards multi-disciplinary supports as a basis for early intervention.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251324805"},"PeriodicalIF":4.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-reported prevalence of long-term mental health conditions highest in the oldest old: Data from the 2021 Australian Census.","authors":"Chanaka Wijeratne, Eyal Karin, Brian Draper","doi":"10.1177/00048674251324818","DOIUrl":"https://doi.org/10.1177/00048674251324818","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251324818"},"PeriodicalIF":4.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor: Serious concerns about 'Concerns over the process and outcomes of the review by the Royal Australian and New Zealand College of Psychiatrists into long-term psychodynamic psychotherapy'.","authors":"Patrick Luyten, Max Moser, Peter Fonagy","doi":"10.1177/00048674251321761","DOIUrl":"https://doi.org/10.1177/00048674251321761","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251321761"},"PeriodicalIF":4.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transforming mental health facilities: Current trends and considerations.","authors":"Vlasios Brakoulias, Vinay Lakra, David Copolov","doi":"10.1177/00048674251326486","DOIUrl":"https://doi.org/10.1177/00048674251326486","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"48674251326486"},"PeriodicalIF":4.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Letter to the Editor regarding 'The physical health and premature mortality of Indigenous Māori following first-episode psychosis diagnosis: A 15-year follow-up study'.","authors":"Pablo Richly","doi":"10.1177/00048674251315646","DOIUrl":"10.1177/00048674251315646","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"293"},"PeriodicalIF":4.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}