Australian and New Zealand Journal of Psychiatry最新文献

{"title":"Early identification, trauma and stigma in mental health.","authors":"Steve Kisely","doi":"10.1177/00048674261474784","DOIUrl":"10.1177/00048674261474784","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"813-814"},"PeriodicalIF":4.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705377","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":"Author reply to Letter to the Editor regarding 'Middle childhood profiles of social-emotional competencies and difficulties differentiate risk of health service presentations with adolescent mental disorders'.","authors":"Kristin R Laurens, Emma J Carpendale","doi":"10.1177/00048674261462751","DOIUrl":"10.1177/00048674261462751","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"906-907"},"PeriodicalIF":4.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148381387","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":"Reported exposure to news portrayals about mental health problems and their impact: Findings from the 2025 National Survey of Stigma and Discrimination.","authors":"Anna M Ross, Amy J Morgan, Gayle McNaught, Rachel Green, Nicola J Reavley","doi":"10.1177/00048674261462377","DOIUrl":"10.1177/00048674261462377","url":null,"abstract":"<p><strong>Objective: </strong>Media portrayals of people with mental illness have the power to mitigate or perpetuate stigma related to mental health. This study aimed to investigate reported real-world exposure to news media portrayals about people with mental health problems in the past 12 months and the impact of these.</p><p><strong>Methods: </strong>Data were from a nationally representative survey of 6032 Australians exploring attitudes towards people with mental health problems. Participants were asked about their exposure to positive news stories about a person with a mental health problem, as well as negative portrayals, in which someone was harmed by a person with a mental health problem. Further questions covered the sources (traditional or social media) and impact of these exposures.</p><p><strong>Results: </strong>Regression models were used to explore sociodemographic predictors of impact. Most participants reported exposure to negative news portrayals (68.4%, 95% confidence interval = [66.9, 69.8]), while fewer reported exposure to positive news stories (33.7%, 95% confidence interval = [32.3, 35.2]). Most people exposed to the negative news stories reported a negative impact (69.0%, 95% confidence interval = [67.2, 70.7]), and most exposed to positive news stories reported a positive impact (80.2%, 95% confidence interval = [77.6, 82.5]). Age and gender were associated with reported impact but not lived experience of mental illness.</p><p><strong>Conclusions: </strong>Exposure to negative news stories about mental health problems was prevalent. Given their impact on news audiences broadly, negative news stories need to be accurate and responsible to mitigate negative impacts. A renewed focus on generating and promoting positive and stigma-challenging news stories is needed to increase subsequent positive impacts.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"894-904"},"PeriodicalIF":4.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148418302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining and measuring psychosocial disability in Australia: Assessment of national surveys and administrative datasets.","authors":"Firew Tekle Bobo, Joel Hollier, Kuo-Yi Jade Chang, George Disney, Bernie Mullin, Jennifer Smith-Merry","doi":"10.1177/00048674261450886","DOIUrl":"10.1177/00048674261450886","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to assess the alignment in defining and measuring psychosocial disability and/or mental health challenges across major Australian national mental health data sources.</p><p><strong>Methods: </strong>We reviewed the definition and measurement of psychosocial disability and mental health challenges in two stages. First, we examined the data items across five national data sources: the Survey of Disability, Ageing and Carers (SDAC), the National Health Survey (NHS), the National Study of Mental Health and Wellbeing (NSMHW), the Census and the National Disability Insurance Scheme (NDIS) administrative data. In the second stage, we analysed the prevalence of psychosocial disability and mental health challenges across the datasets.</p><p><strong>Results: </strong>The definition and measurement approaches for psychosocial disability and mental health challenges vary across data sources, reflecting differences in the conditions included and the purpose for which data were collected. Psychosocial disability is inconsistently defined: broad population surveys (SDAC, NHS) include neurodevelopmental and neurodegenerative conditions, whereas the NDIS captures only severe mental illnesses with substantial functional impairment. Prevalence across Australia varied widely from 42.9% for lifetime mental disorders (NSMHW) and 26.1% for long-term conditions (NHS), down to 6% when strictly defining psychosocial disability (SDAC).</p><p><strong>Conclusions: </strong>There are variations in definitions and measurement across major Australian mental health data sources with respect to conditions captured in the datasets and the definitions used. Researchers and policymakers should therefore critically appraise - and where possible adjust for - these variations when using these data to inform strategic decisions and resource allocation.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"859-869"},"PeriodicalIF":4.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148337585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to: \"Psilocybin in the real world: Regulatory, ethical, and operational challenges in Australia's clinical landscape\".","authors":"","doi":"10.1177/00048674261450797","DOIUrl":"10.1177/00048674261450797","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"908"},"PeriodicalIF":4.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147961889","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":"Feasibility and effectiveness of the Bergen 4-Day Treatment for obsessive-compulsive disorder in Australia: A pilot comparison with 3-week inpatient obsessive-compulsive disorder treatment.","authors":"Nathan L Dowling, Scott Blair-West, Keong Yap, Priscilla Yardley, Lachlan Cribb, Sophie Clement, Kerry Webster, Sebastian Wise, Thröstur Björgvinsson, Bjarne Hansen, Chee H Ng","doi":"10.1177/00048674261462748","DOIUrl":"10.1177/00048674261462748","url":null,"abstract":"<p><strong>Objectives: </strong>Obsessive-compulsive disorder is a debilitating and chronic condition that, when untreated or unresponsive to treatment, imposes a significant health and economic burden on individuals and families. This prospective non-randomised inpatient study compared the acceptability and clinical outcomes of the Bergen 4-Day Treatment programme with those of a standard 3-week specialised treatment programme for obsessive-compulsive disorder in Australia.</p><p><strong>Method: </strong>Twenty-five participants diagnosed with obsessive-compulsive disorder were non-randomly assigned to Bergen 4-Day Treatment (<i>n</i> = 12) or a 3-week standard (<i>n</i> = 13) inpatient programme. Independent assessments were completed at pre-treatment, 10 days post treatment and at 3-month follow-up. The Yale-Brown Obsessive-Compulsive Scale was rated to assess obsessive-compulsive disorder severity, while secondary measures of depression, anxiety, obsessive beliefs and wellbeing were self-rated by participants.</p><p><strong>Results: </strong>Baseline characteristics of both groups were comparable, with obsessive-compulsive disorder symptom severity within the moderate to severe range. After treatment, obsessive-compulsive disorder symptoms as well as secondary depression and anxiety symptoms were reduced in both treatment groups. Participants receiving Bergen 4-Day Treatment had significantly lower Yale-Brown Obsessive-Compulsive Scale scores at 10 days (M = 13.46) and 3 months (M = 11.84), compared to standard treatment (M = 19.04 and M = 19.15, respectively). Response (91.9%) and remission (45.8%) rates for the Bergen 4-Day Treatment group were significantly higher at both post-treatment timepoints, compared to the standard treatment group. No dropouts occurred in the Bergen 4-Day Treatment group, and participant satisfaction was high.</p><p><strong>Conclusion: </strong>The findings of this pilot open-label study suggest that Bergen 4-Day Treatment shows promise as an acceptable, efficient and effective treatment for obsessive-compulsive disorder, warranting further investigation as a scalable alternative for improving access to specialised obsessive-compulsive disorder treatment in Australia.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"882-893"},"PeriodicalIF":4.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor regarding 'Middle childhood profiles of social-emotional competencies and difficulties differentiate risk of health service presentations with adolescent mental disorders'.","authors":"Erma P Nufi","doi":"10.1177/00048674261462760","DOIUrl":"10.1177/00048674261462760","url":null,"abstract":"","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"905-906"},"PeriodicalIF":4.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148358985","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":"People with borderline personality disorder experiences of mental health services in an Australian context: Associated anxiety and structural stigma.","authors":"Pauline Klein, Shahid Ullah, Sharon Lawn, A Kate Fairweather","doi":"10.1177/00048674261452046","DOIUrl":"10.1177/00048674261452046","url":null,"abstract":"<p><strong>Objective: </strong>The objective is to investigate associations between anxiety accessing mental health services and structural stigma as self-reported by people with borderline personality disorder.</p><p><strong>Methods: </strong>A retrospective cohort design was used to investigate data from the 2017 National Consumer Survey undertaken in Australia between June and July 2017. Analyses were performed using multivariate binary logistic regression models.</p><p><strong>Results: </strong>Data comprised 423 people with borderline personality disorder aged 18 years and above, where 384 (93.7%) were females. Associations were found between anxiety and stigma in relation to mental health service access for borderline personality disorder. Strikingly, most people with borderline personality disorder reported experiencing anxiety accessing mental health services irrespective of having anxiety disorder/s, indicative of stigma leading to anxiety rather than a by-product of anxiety disorder/s. People with borderline personality disorder and anxiety disorder/s were 9.8 times more likely to feel very anxious about <i>not being taken seriously</i> in mental health services, than respondents with no anxiety disorder/s. Contrastingly, people with borderline personality disorder and anxiety disorder/s were 79% less likely to feel anxious about <i>cost of services</i>, than respondents with no anxiety disorder/s. People with borderline personality disorder previously refused public hospital admission were 8.7 times more likely to feel very anxious about <i>cost of services</i> and 5.3 times more likely to feel very anxious about <i>long wait lists for services</i> than people with borderline personality disorder not refused hospital admission.</p><p><strong>Conclusion: </strong>Associations were observed for people with borderline personality disorder experiencing anxiety accessing mental health services, attributed to stigma in health systems. Findings provide nuanced understanding of structural mechanisms and system-level problems affecting services and advances knowledge on the impact of borderline personality disorder-related stigma in healthcare.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"826-835"},"PeriodicalIF":4.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148203846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-traumatic stress disorder in Australia: Results from the 2020-2022 National Study of Mental Health and Wellbeing.","authors":"Cynthia M Kroeger, Sam Jones, Amy-Leigh Rowe, Lucinda Grummitt, Siobhan M O'Dean, Kirsty Rowlinson, Emma L Barrett, Cath Chapman, Katherine L Mills","doi":"10.1177/00048674261450374","DOIUrl":"10.1177/00048674261450374","url":null,"abstract":"<p><strong>Background: </strong>Post-traumatic stress disorder is a leading driver of distress and premature mortality.</p><p><strong>Objective: </strong>To provide contemporary, nationally representative estimates of post-traumatic stress disorder in Australia using data from the Australian population-based 2020-2022 National Study of Mental Health and Wellbeing, including sex-specific prevalence, remission and comparisons with the 2007 National Study of Mental Health and Wellbeing.</p><p><strong>Methods: </strong>Post-traumatic stress disorder and 14 other <i>Diagnostic and Statistical Manual of Mental Disorders</i> (4th ed.) disorders were assessed with the World Mental Health Composite International Diagnostic Interview 3.0. Kaplan-Meier survival analysis estimated projected lifetime risk and time to remission. Cox regression tested for projected lifetime remission. Logistic regression tested associations between post-traumatic stress disorder and demographic, mental health, and physical health variables, and prevalence changes between the 2007 and 2020-2022 surveys.</p><p><strong>Results: </strong>Lifetime post-traumatic stress disorder prevalence (<i>n</i> = 15,893) was 7.1%. Females had higher odds than males (odds ratio = 2.3, confidence interval = [2.0, 2.7]) of post-traumatic stress disorder diagnosis. Projected lifetime risk was 9.6% and higher for females (12.3%) than males (6.4%; hazard ratio = 2.2, standard error = 0.10). Projected lifetime remission was 63.3%, with higher remission for males than females (68.7% vs 61.2%; hazard ratio = 0.81; standard error = 0.10). Three quarters entered remission after 10 years for males and 20 years for females. Individuals with post-traumatic stress disorder had higher odds of experiencing any anxiety disorder (adjusted odds ratio = 6.0, confidence interval = [5.0, 7.3]), any mood disorder (adjusted odds ratio = 4.8, confidence interval = [3.9, 5.9]), sedative use disorder (adjusted odds ratio = 7.9, confidence interval = [3.9, 15.9]), suicidality (adjusted odds ratio = 5.0, confidence interval = [4.2, 5.9]), asthma (adjusted odds ratio = 2.0, confidence interval = [1.7, 2.4]) and diabetes (adjusted odds ratio = 1.8, confidence interval = [1.2, 2.6]). No differences in post-traumatic stress disorder diagnosis were observed between the 2007 and 2020-2022 surveys.</p><p><strong>Conclusion: </strong>Post-traumatic stress disorder remains a prevalent and chronic condition in Australia, frequently co-occurring with other mental and physical health conditions and characterised by significant sex differences in risk and remission.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"836-847"},"PeriodicalIF":4.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a perinatal trauma screening tool: Detecting the silent struggle of perinatal post-traumatic stress disorder.","authors":"Tracey Mackle, Lucia Colodro-Conde, Therese de Dassel, Tessa R Clarkson, Katrina L Grasby, Anastasia N Braun, Kylie Burke, Sarah E Medland","doi":"10.1177/00048674261434407","DOIUrl":"10.1177/00048674261434407","url":null,"abstract":"<p><strong>Background: </strong>Universal screening for perinatal mental illness is recommended in Australia; however, these tools do not screen for perinatal post-traumatic stress disorder (PTSD). While existing perinatal PTSD tools show validity, they vary in diagnostic agreement, and most are focused on PTSD following childbirth. Early detection of PTSD symptoms at any phase of perinatal care is critical to improve maternal/infant outcomes and engagement with effective treatment. Unfortunately, gaps remain in practice for identifying perinatal PTSD.</p><p><strong>Aim: </strong>The aim of the study was to develop a screening tool to detect current symptoms of perinatal PTSD or higher risk of developing the disorder, resulting from index perinatal event(s) or experience(s) during conception, pregnancy and the postpartum.</p><p><strong>Methods: </strong>If any perinatal trauma was endorsed, participants completed an online questionnaire and if consenting, a semi-structured clinical telephone interview during their current pregnancy.</p><p><strong>Findings: </strong>Twenty-five items were submitted for exploratory factor analysis, <i>n</i> = 114, and the results supported a two-factor solution. After removing items with poor loadings, a 17-item, two-factor solution explained 68.36% of the total variance. Each of the components had excellent internal consistency; component one α = .954 and component two α = .897. Following a receiver operating characteristic analysis <i>n</i> = 52, the optimal cutoff score of ⩾11 was identified with 90.9% sensitivity and 61% specificity.</p><p><strong>Conclusion: </strong>Moderate predictive validity of the tool shows promise for detecting those currently experiencing symptoms of perinatal PTSD and at higher risk of developing the disorder, supporting utility in clinical settings, pending future validation.</p>","PeriodicalId":8589,"journal":{"name":"Australian and New Zealand Journal of Psychiatry","volume":" ","pages":"815-825"},"PeriodicalIF":4.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147621636","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}