Asia‐Pacific Psychiatry最新文献

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Phenylephrine- and Pseudoephedrine-Associated Psychotic Relapse in Stable Schizophrenia on Long-Acting Injectables: A Case Series and Clinical Caution 长效注射剂与苯肾上腺素和伪麻黄碱相关的稳定型精神分裂症精神病性复发:一个病例系列和临床注意事项
IF 3.4 3区 医学
Asia‐Pacific Psychiatry Pub Date : 2026-04-13 DOI: 10.1111/appy.70020
Tsung-Lin Liu, Kuan-Lin Lee, Huang-Chi Lin
{"title":"Phenylephrine- and Pseudoephedrine-Associated Psychotic Relapse in Stable Schizophrenia on Long-Acting Injectables: A Case Series and Clinical Caution","authors":"Tsung-Lin Liu, Kuan-Lin Lee, Huang-Chi Lin","doi":"10.1111/appy.70020","DOIUrl":"10.1111/appy.70020","url":null,"abstract":"","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 2","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147670070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Factors Influencing Improvement in Disorganization in Clinical High-Risk for Psychosis: Preliminary Findings From a 2-Year Follow-Up 影响精神病高危患者组织紊乱改善的临床因素:2年随访的初步结果
IF 3.4 3区 医学
Asia‐Pacific Psychiatry Pub Date : 2026-04-08 DOI: 10.1111/appy.70021
Lorenzo Pelizza, Emanuela Leuci, Emanuela Quattrone, Michele Occhionero, Arianna Biancalani, Derna Palmisano, Simona Pupo, Giuseppina Paulillo, Clara Pellegrini, Pietro Pellegrini, Marco Menchetti
{"title":"Clinical Factors Influencing Improvement in Disorganization in Clinical High-Risk for Psychosis: Preliminary Findings From a 2-Year Follow-Up","authors":"Lorenzo Pelizza,&nbsp;Emanuela Leuci,&nbsp;Emanuela Quattrone,&nbsp;Michele Occhionero,&nbsp;Arianna Biancalani,&nbsp;Derna Palmisano,&nbsp;Simona Pupo,&nbsp;Giuseppina Paulillo,&nbsp;Clara Pellegrini,&nbsp;Pietro Pellegrini,&nbsp;Marco Menchetti","doi":"10.1111/appy.70021","DOIUrl":"10.1111/appy.70021","url":null,"abstract":"<p>Disorganization is under-treated in early psychosis. We aimed at exploring clinical factors potentially improving disorganization in individuals at Clinical High Risk for Psychosis (CHR-P) across 2 years of follow-up. About 180 participants completed the GAF and the PANSS. Longitudinally, 111 (61.7%) individuals had a decrease in disorganization. Significant associations of this improvement were with shorter duration of untreated illness, higher improvement in negative symptoms, and antipsychotic prescription.</p>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 2","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13060276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shared Commitment and Distinct Innovations in Dementia Policy Development and Implementation in China, Japan, and South Korea 中国、日本和韩国痴呆政策制定和实施中的共同承诺和独特创新。
IF 3.4 3区 医学
Asia‐Pacific Psychiatry Pub Date : 2026-03-29 DOI: 10.1111/appy.70018
Huali Wang, Narei Hong, Jin Narumoto
{"title":"Shared Commitment and Distinct Innovations in Dementia Policy Development and Implementation in China, Japan, and South Korea","authors":"Huali Wang,&nbsp;Narei Hong,&nbsp;Jin Narumoto","doi":"10.1111/appy.70018","DOIUrl":"10.1111/appy.70018","url":null,"abstract":"","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 2","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147571890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pharmacoepidemiologic Trends and Factors Associated With Use and Dosing of Newer Antidepressants in 8357 Patients Across Asia: A Two-Decade Perspective 亚洲8357例新型抗抑郁药使用和剂量相关的药物流行病学趋势和因素:20年的观察
IF 3.4 3区 医学
Asia‐Pacific Psychiatry Pub Date : 2026-03-19 DOI: 10.1111/appy.70017
Jiangbo Ying, Qian Hui Chew, Tian-Mei Si, Roy Abraham Kallivayalil, Andi J. Tanra, Amir Hossein Jalali Nadoushan, Kok Yoon Chee, Afzal Javed, Pornjira Pariwatcharakul, Seon-Cheol Park, Shih-Ku Lin, Kuan-Lun Huang, Toshiya Inada, Sandeep Grover, Yu-Tao Xiang, Norman Sartorius, Naotaka Shinfuku, Takahiro A. Kato, Ross J. Baldessarini, Kang Sim
{"title":"Pharmacoepidemiologic Trends and Factors Associated With Use and Dosing of Newer Antidepressants in 8357 Patients Across Asia: A Two-Decade Perspective","authors":"Jiangbo Ying,&nbsp;Qian Hui Chew,&nbsp;Tian-Mei Si,&nbsp;Roy Abraham Kallivayalil,&nbsp;Andi J. Tanra,&nbsp;Amir Hossein Jalali Nadoushan,&nbsp;Kok Yoon Chee,&nbsp;Afzal Javed,&nbsp;Pornjira Pariwatcharakul,&nbsp;Seon-Cheol Park,&nbsp;Shih-Ku Lin,&nbsp;Kuan-Lun Huang,&nbsp;Toshiya Inada,&nbsp;Sandeep Grover,&nbsp;Yu-Tao Xiang,&nbsp;Norman Sartorius,&nbsp;Naotaka Shinfuku,&nbsp;Takahiro A. Kato,&nbsp;Ross J. Baldessarini,&nbsp;Kang Sim","doi":"10.1111/appy.70017","DOIUrl":"10.1111/appy.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Previous studies of antidepressant prescribing patterns largely were limited to a single location or time, and very few involved Asia. This Asian Psychotropic Prescription Patterns Consortium study investigated pharmacoepidemiologic trends and factors associated with use and dosing of newer antidepressants across 12 Asian sites in 2003, 2013, and 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from each site included demographic, treatment setting, clinical features, and type and dosage of antidepressants prescribed. Sociodemographic and clinical variables were examined using univariate methods, followed by multivariable logistic and linear modeling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 8357 adult participants (59.8% female), 82.8% received at least one modern antidepressant. Use of these drugs was strongly associated with more recent year, younger age, inpatient status, and affective or anxiety-related disorders. Higher daily antidepressant doses were associated with inpatient status, male gender, more recent year, and younger age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This large, multisite study provides a two-decade overview of evolving antidepressant-prescribing patterns in 12 Asian sites and highlights patient characteristics associated with prescription of newer antidepressants and their dosage. Needed are further studies of psychotropic prescribing practices related to specific illness subtypes and their impact on psychosocial functioning over time among Asian patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding Autonomy in End-Of-Life Dementia Care: Cultural and Ethical Perspectives From Japan 理解临终痴呆护理中的自主性:来自日本的文化和伦理观点。
IF 3.4 3区 医学
Asia‐Pacific Psychiatry Pub Date : 2026-03-08 DOI: 10.1111/appy.70015
Kae Ito, Narei Hong, Huali Wang
{"title":"Understanding Autonomy in End-Of-Life Dementia Care: Cultural and Ethical Perspectives From Japan","authors":"Kae Ito,&nbsp;Narei Hong,&nbsp;Huali Wang","doi":"10.1111/appy.70015","DOIUrl":"10.1111/appy.70015","url":null,"abstract":"&lt;p&gt;End-of-life care is deeply shaped by culturally embedded conceptions of life and death, and this is especially relevant for persons living with dementia, whose decision-making capacity tends to decline toward the end of life. In Japan, these challenges are shaped by a sociocultural context in which family involvement in healthcare decisions is both expected and institutionally embedded. While recent policy initiatives have promoted advance care planning (ACP) to support patient preferences, its implementation in dementia care remains complex (Ito et al. &lt;span&gt;2026&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Despite these policy advances, ethical understanding has not always kept pace, creating confusion among both professionals and the public.&lt;/p&gt;&lt;p&gt;A 2024 national survey revealed that 70% of Japanese people endorsed advance directives and proxy designations, yet most resisted making such arrangements legally binding. Many preferred to let family members make final decisions without formal designation. This pattern reflects the Japanese cultural norm that “If our hearts are in sync, we understand without words.” The cultural preference for implicit understanding clashes with modern medicine's demand for explicit, documented decision-making intended to preserve autonomy even after capacity is lost.&lt;/p&gt;&lt;p&gt;Surveys illustrate how this preference operates in end-of-life decision-making. Sixty percent of older adults have never discussed end-of-life wishes, though many believe their families know them. In contrast, 77% of adult children report never hearing their parents' wishes; nevertheless, nearly half believe they know what their parents wanted (Shimada &lt;span&gt;2015&lt;/span&gt;). When silence replaces conversation, is autonomy preserved through trust—or lost through assumption?&lt;/p&gt;&lt;p&gt;Professional understanding lags as well. In our survey of 549 healthcare professionals, 86% believed families had legal authority to consent on behalf of adult patients, though no such authority exists in Japanese law. About 30% regarded a DNAR order issued after family consultation as ACP, about half regarded ACP as a process for forgoing active treatment, while 81% considered family-only discussions as “shared decision-making.” These findings suggest that both conceptual and practical confusion remain pervasive across professional groups. Notably, equating ACP with treatment withdrawal, when combined with ambiguous legal frameworks, risks undermining patients' fundamental rights to receive care. Clearer ethical and legal guidance is urgently needed in clinical practice.&lt;/p&gt;&lt;p&gt;The Japanese experience may reflect broader ethical challenges observed across parts of Asia. First, there is no shared conceptual framework for autonomy in Asia. Western bioethics prioritizes self-determination, emphasizing independence, informed consent, and legal safeguards. In contrast, many Asian societies value harmony, filial duty, and collective responsibility (Shirahama &lt;span&gt;2001&lt;/span&gt;). These differing moral foundat","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147375893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ACONAMI: A Case for Asian Mental Health Transformation ACONAMI:亚洲心理健康转型案例
IF 3.4 3区 医学
Asia‐Pacific Psychiatry Pub Date : 2026-03-08 DOI: 10.1111/appy.70016
Daniel Shuen Sheng Fung, Yoshinori Cho, Young-Sook Kwak
{"title":"ACONAMI: A Case for Asian Mental Health Transformation","authors":"Daniel Shuen Sheng Fung,&nbsp;Yoshinori Cho,&nbsp;Young-Sook Kwak","doi":"10.1111/appy.70016","DOIUrl":"10.1111/appy.70016","url":null,"abstract":"","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147375913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Excess Body Weight and Mental Health Disorders Among Reproductive-Aged Women in Bangladesh 孟加拉国育龄妇女体重过重与心理健康障碍之间的关系
IF 3.4 3区 医学
Asia‐Pacific Psychiatry Pub Date : 2026-01-30 DOI: 10.1111/appy.70014
Mst Sabrina Moonajilin, Borun Chandraaroy, Rajib Ul Islam, Labina Taher, Fariha Noshin, Tabeen Taher, Sabkat kamal
{"title":"Association Between Excess Body Weight and Mental Health Disorders Among Reproductive-Aged Women in Bangladesh","authors":"Mst Sabrina Moonajilin,&nbsp;Borun Chandraaroy,&nbsp;Rajib Ul Islam,&nbsp;Labina Taher,&nbsp;Fariha Noshin,&nbsp;Tabeen Taher,&nbsp;Sabkat kamal","doi":"10.1111/appy.70014","DOIUrl":"10.1111/appy.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research on the association between excess body weight (EBW) and mental health among Bangladeshi women is limited. The present study investigated the relationship between EBW and symptoms of anxiety and depression among reproductive-aged women in Bangladesh.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used data from the 2022 Bangladesh Demographic and Health Survey (BDHS), which included 19 407 ever-married women aged 18 to 49 years. A body mass index (BMI) of 25 kg per square meter or higher indicates EBW. Anxiety and depressive symptoms were measured using the Generalized Anxiety Disorder 7-item (GAD-7) and the Patient Health Questionnaire 9-item (PHQ-9). Weighted bivariate analyses and multivariable survey-adjusted ordered logistic regression models estimated associations between EBW and mental health outcomes, adjusting for sociodemographic, reproductive, and economic variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 18.7% of participants were classified as overweight or obese. Mild anxiety was reported by 22.6%, and mild depression by 24.2%. In unadjusted analyses, EBW showed a significant association with anxiety. However, after adjusting for covariates, this association was no longer significant. Instead, age, marital disruption, lower educational attainment, and lower household wealth emerged as important predictors of both anxiety and depression. No significant independent association was observed between EBW and the severity of anxiety or depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results indicate that psychological distress is more likely to result from socioeconomic and marital disruptions than from EBW alone. Policy initiatives should prioritize mental health screening and psychosocial support, especially for women facing marital instability or economic hardship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patient and Public Involvement</h3>\u0000 \u0000 <p>Patients and/or the public were not involved in the design, conduct, reporting, or dissemination plans of this research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146083972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Symptom Complexity Subtypes Show Distinct Individualism–Collectivism Orientations in Adolescents With Depressive Episodes, With Loneliness Mediating Their Relationship 青少年抑郁症状复杂性亚型表现出明显的个人主义-集体主义倾向,孤独感在其关系中起中介作用。
IF 3.4 3区 医学
Asia‐Pacific Psychiatry Pub Date : 2026-01-06 DOI: 10.1111/appy.70011
Rui Zhou, Yi-Hui Liu, Yong-Yi He, Jia-Rong Liang, Mu-Tong Chen, Nan Chen, Fu-Jun Jia, Cai-Lan Hou
{"title":"Symptom Complexity Subtypes Show Distinct Individualism–Collectivism Orientations in Adolescents With Depressive Episodes, With Loneliness Mediating Their Relationship","authors":"Rui Zhou,&nbsp;Yi-Hui Liu,&nbsp;Yong-Yi He,&nbsp;Jia-Rong Liang,&nbsp;Mu-Tong Chen,&nbsp;Nan Chen,&nbsp;Fu-Jun Jia,&nbsp;Cai-Lan Hou","doi":"10.1111/appy.70011","DOIUrl":"10.1111/appy.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adolescent depressive episodes exhibit significant symptom complexity and heterogeneity, necessitating an integrated approach to identify distinct subtypes. Cultural orientations (individualism and collectivism) and loneliness are crucial factors impacting adolescent mental health. This study identifies symptom complexity subtypes in Chinese adolescents with depressive episodes, investigates cultural orientation differences between these subtypes, and explores the role of loneliness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 110 adolescents were included. K-means clustering was used to generate symptom complexity subtypes based on disease duration, self-injury, mood disorder, depressive, and anxiety symptoms. Cultural orientations were assessed using the Individualism–Collectivism Scale, loneliness using the UCLA Loneliness Scale, and other relevant variables were collected via self-report. Structural equation modeling (SEM) was used to explore associations among cultural orientations, loneliness, and symptom complexity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two subtypes were identified: low-complexity and high-complexity. The high-complexity subtype exhibited elevated loneliness levels (t = −6.16, <i>p</i> &lt; 0.001), more severe childhood trauma and bullying, and greater social media addiction. This group also reported higher vertical individualism (t = −2.02, <i>p</i> = 0.046) and lower vertical collectivism (t = 2.05, <i>p</i> = 0.043). SEM revealed a significant indirect association between higher individualism tendency and increased symptom complexity mediated by loneliness (β = 0.21, <i>p</i> &lt; 0.001 and β = 0.53, <i>p</i> &lt; 0.001, respectively).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Incorporating cultural orientation assessments into clinical practice may improve treatment outcomes for adolescents with depressive episodes by identifying those at risk for complex symptom presentations and informing subsequent culturally-tailored therapeutic interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Major Depressive Disorder With Psychiatric Emergency in Hong Kong: A Review and Practice Recommendation of the Asian Association of Neuropsychopharmacology 香港重度抑郁症伴精神急症:亚洲神经精神药理学协会回顾与实践建议。
IF 3.4 3区 医学
Asia‐Pacific Psychiatry Pub Date : 2025-11-20 DOI: 10.1111/appy.70010
Ho Bun Lam, Tak Lam Lo, Kwok Leung Au Yeung, Ngo Cheung, Eric Yat-Wo Cheung, Chi Kin Fu, Chun Lam, Yiu Ki Lee, Ronnie Sze-Yuan Pao, Wing Kuen Sung, Sik Chuen Ting, Fan Kwong Tsang, Chi Keung Wong, Ting-Chi Vanessa Wong, Ming Cheuk Wong, Pui-Lam Isaac Yip, Ki Yan Mak
{"title":"Major Depressive Disorder With Psychiatric Emergency in Hong Kong: A Review and Practice Recommendation of the Asian Association of Neuropsychopharmacology","authors":"Ho Bun Lam,&nbsp;Tak Lam Lo,&nbsp;Kwok Leung Au Yeung,&nbsp;Ngo Cheung,&nbsp;Eric Yat-Wo Cheung,&nbsp;Chi Kin Fu,&nbsp;Chun Lam,&nbsp;Yiu Ki Lee,&nbsp;Ronnie Sze-Yuan Pao,&nbsp;Wing Kuen Sung,&nbsp;Sik Chuen Ting,&nbsp;Fan Kwong Tsang,&nbsp;Chi Keung Wong,&nbsp;Ting-Chi Vanessa Wong,&nbsp;Ming Cheuk Wong,&nbsp;Pui-Lam Isaac Yip,&nbsp;Ki Yan Mak","doi":"10.1111/appy.70010","DOIUrl":"10.1111/appy.70010","url":null,"abstract":"<div>\u0000 \u0000 <p>Psychiatric emergency (PE) as related to major depressive disorder (MDD) is most commonly understood as the presentation of suicidality or a risk of violence to others. However, MDD-PE can have a wide variety of clinical presentations. The challenges in treating PE arise from the difficulty in fully defining and diagnosing this condition, especially by emergency department and non-psychiatric medical personnel. Additionally, determining the appropriate level of care, as well as resource and other constraints, further complicates the management of MDD-PE. This manuscript reviews the definition, diagnosis, and management of MDD-PE globally, and provides recommendations for clinicians in the context of Hong Kong clinical practice. It reflects the outcomes of a meeting of psychiatrists in Hong Kong convened by the Asian Association of Neuropsychopharmacology. The primary goal of the diagnostic process is to determine a patient's level of risk to themselves and others. The main recommendations include educating clinicians on the diverse presentation of MDD-PE and non-clinical factors that may contribute to risk assessment—emphasizing contextual factors during history-taking. The recommendations also include the stratification of patients into three categories depending on (1) whether hospitalization is warranted and (2) the urgency and intensity of required intervention, with the aim of optimizing resources. Finally, the role of novel interventions, such as fast-acting or non-invasive ones, is discussed.</p>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 4","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Hope on Functional Recovery in Patients With Schizophrenia: A Cross-Sectional Study 希望对精神分裂症患者功能恢复的影响:一项横断面研究
IF 3.4 3区 医学
Asia‐Pacific Psychiatry Pub Date : 2025-11-10 DOI: 10.1111/appy.70009
Eda Ay, Hatice Polat
{"title":"The Effect of Hope on Functional Recovery in Patients With Schizophrenia: A Cross-Sectional Study","authors":"Eda Ay,&nbsp;Hatice Polat","doi":"10.1111/appy.70009","DOIUrl":"https://doi.org/10.1111/appy.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine the effect of hope on functional recovery in individuals diagnosed with schizophrenia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This correlational, cross-sectional study was conducted at the Psychiatry Outpatient Clinic of a hospital in eastern Türkiye between June 2022 and January 2023. Data were collected using a personal information form, the Herth Hope Index (HHI), and the Functional Remission of General Schizophrenia (FROGS) scale. The study included 136 patients diagnosed with schizophrenia according to the DSM-5 diagnostic criteria. Data were analyzed using percentage distributions and mean values, as well as Pearson correlation and regression analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean total FROGS score of the patients was found to be 47.25 ± 15.2, while the mean total HHS score was 45.22 ± 22.63. A statistically significant positive correlation was identified between the mean scores of all subscales of the FROGS and HHS, as well as between their total scores (<i>p</i> &lt; 0.05). Regression analysis revealed that the level of hope in patients with schizophrenia had a 60% effect on functional recovery (<i>F</i> = 203.61; <i>R</i><sup>2</sup> = 0.603; <i>p</i> ≤ 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings of this study indicated that patients diagnosed with schizophrenia had moderate levels of hope but low functional recovery scores. Additionally, a significant and positive relationship was observed between hope and functional recovery, demonstrating that hope is an influential factor in enhancing functional recovery. Therefore, it is recommended that interventions aimed at increasing levels of hope be planned and implemented within treatment and rehabilitation programs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 4","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145479971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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