Asia‐Pacific Psychiatry最新文献

{"title":"Free Communication 1","authors":"","doi":"10.1111/appy.12461","DOIUrl":"10.1111/appy.12461","url":null,"abstract":"","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"13 S1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/appy.12461","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74526556","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}

{"title":"A descriptive mapping review of suicide in vulnerable populations in low and middle countries","authors":"Lakshmi Vijayakumar,&nbsp;Somidha Ray,&nbsp;Tanya Nicole Fernandes,&nbsp;Soumitra Pathare","doi":"10.1111/appy.12472","DOIUrl":"10.1111/appy.12472","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In 2016, low-and-middle income countries (LMICs) accounted for 79% of the global suicide deaths. In LMICs, vulnerable groups—women, sexual minorities and refugees, and internally displaced persons (IDPs)—are at high risk of suicidal ideation, attempts and deaths by suicide, but information for designing targeted interventions for them is fragmented and missing, making it difficult to address gaps in the existing system. This review highlights these gaps by mapping: (a) risk factors associated with suicides and suicidal behavior including challenges in implementing targeted programmes for vulnerable groups; and (b) recommendations for effective suicide prevention interventions and strategies in LMICs as documented in the literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive mapping review of literature was conducted. Three electronic databases—PubMed, Google Scholar, and Refworld—were searched for specific keywords. The researchers mapped and reviewed 34 studies on suicide and suicide prevention across three main vulnerable groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This review highlighted the need for gender-specific interventions for women and sexual minorities, addressing gender-based discrimination, access to healthcare, abuse and violence, while for refugees and IDPs, critical concerns are monitoring and understanding suicidal behaviors and to address psychological and emotional responses to resettlement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In LMICs, specific and unique socio-cultural and environmental factors may increase the risk of vulnerable groups to suicidal behaviors. In order to develop effective and comprehensive suicide prevention strategies, it is crucial to evaluate these differential risk factors and develop culturally appropriate and sensitive interventions and strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"13 3","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/appy.12472","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25560835","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}

{"title":"PRCP 2021 Invited Lecture, Young Psychiatrist Session & Free Communication","authors":"","doi":"10.1111/appy.12457","DOIUrl":"https://doi.org/10.1111/appy.12457","url":null,"abstract":"","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"99 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81430022","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}

{"title":"PRCP 2021 E‐Poster Exhibition","authors":"S. Bhang","doi":"10.1111/appy.12458","DOIUrl":"https://doi.org/10.1111/appy.12458","url":null,"abstract":"EP-1185 Altered gut microbiota in youth with autism spectrum disorder associated with the attention problems Susan Shur-Fen Gau (Taiwan) EP-1187 Crisis response and intervention in the schools: A survey of psychiatrist's experiences and perceptions Soo-Young Bhang (Korea) OE-1021 Depression among adolescents living in orphanage Nway Nway Ei (Myanmar) EP-1038 Cerebellar gray matter volume and its role in executive function, and attention: Gender differences by age in adolescents Hayeon Kim (Korea) DOI: 10.1111/appy.12458","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"51 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76068736","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}

{"title":"Suicide prevention in Japan: Government and community measures, and high-risk interventions","authors":"Kazuya Okamura MD,&nbsp;Katsumi Ikeshita MD, PhD,&nbsp;Sohei Kimoto MD, PhD,&nbsp;Manabu Makinodan MD, PhD,&nbsp;Toshifumi Kishimoto MD, PhD","doi":"10.1111/appy.12471","DOIUrl":"10.1111/appy.12471","url":null,"abstract":"<p>Suicide is one of the most critical issues worldwide. In Japan, more than 30 000 people died by suicide every year between 1998 and 2011, and the Japanese government, local governments, and various other agencies have been working on suicide prevention programs to reduce the suicide rate. While the number of suicides is still high (more than 20 000 per year), many specialists are striving to further reduce the number of suicides in Japan. The Japanese government has played a central role in suicide prevention through the enactment of several laws, and in recent years, suicide prevention has shifted from government to community-specific measures. This review discusses the suicide prevention measures that have been taken so far: (1) policy strategies for suicide prevention by the Japanese government, (2) community suicide prevention, and (3) strategic studies for suicide prevention. Finally, as shown in the ACTION-J study, we conclude that cooperation among related organizations in the community, not just one institution, is important for future suicide prevention, especially youth suicide prevention.</p>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"13 3","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/appy.12471","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25533213","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}

{"title":"Occurrence of macroprolactinemia in schizophrenia patients treated with risperidone or amisulpride","authors":"Wang Zhenhua,&nbsp;Chen Haizhi,&nbsp;Li Jing,&nbsp;Fei Xiaocong,&nbsp;Li Jianhua,&nbsp;Liu Jianjun,&nbsp;Lei Lilei,&nbsp;Jin Haiying","doi":"10.1111/appy.12469","DOIUrl":"10.1111/appy.12469","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To investigate macroprolactinemia caused by antipsychotics and its clinical significance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 133 patients with schizophrenia were selected, all of whom were treated with either risperidone or amisulpride alone. The levels of total prolactin (T-PRL) and macroprolactin (MPRL) were measured before treatment as well as the second, fourth, and sixth weeks of treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After 2 weeks of treatment, 75.09% (100/133) of the patients met the diagnostic criteria for hyperprolactinemia, the incidence of macroprolactinemia was 43% (43/100), and MPRL levels were positively correlated T-PRL levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Risperidone and amisulpride caused hyperprolactinemia and macroprolactinemia; thus, detection of MPRL in the clinical setting should be performed as this phenomenon appears early in treatment (the second week) and continues, that can avoid unnecessary examination and treatment for asymptomatic patients with macroprolactinemia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"14 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/appy.12469","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25507092","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}

{"title":"Association of FKBP5 gene variants with depression susceptibility: A comprehensive meta-analysis","authors":"Beifang Fan,&nbsp;Jianping Ma,&nbsp;Huimin Zhang,&nbsp;Yuhua Liao,&nbsp;Wanxin Wang,&nbsp;Sheng Zhang,&nbsp;Ciyong Lu,&nbsp;Lan Guo","doi":"10.1111/appy.12464","DOIUrl":"10.1111/appy.12464","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This comprehensive meta-analysis aimed to combine data from different studies and to estimate the association between FKBP5 polymorphisms and depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed a meta-analysis of observational studies. An electronic search was conducted on four databases for articles published before July 1, 2020.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 5125 patients with depression and 8399 controls from 16 independent studies were included in the analysis. The results showed that FKBP5 rs1360780 was associated with the risk of depression in the codominant model (CT vs. CC; OR = 1.10, 95% CI = 1.00–1.20, <i>P</i> = .04); rs4713916 polymorphism was associated with depression in the codominant model (AG vs. GG; OR = 1.19, 95% CI = 1.05–1.34, <i>P</i> = .008) and recessive model (AA vs. AG + GG; OR = 0.74, 95% CI = 0.56–0.99, <i>P</i> = .04); a significant association between rs3800373 and depression was found in the codominant genetic model (AC vs. AA; OR = 1.18, 95% CI = 1.05–1.34, <i>P</i> = .007) and dominant model (CC + AC vs. AA; OR = 1.15, 95% CI = 1.03–1.30, <i>P</i> = .02); there was no significant association of FKBP5 rs9470080 or rs9296158 with depression in any genetic model (<i>P</i> &gt; .05). No publication bias was observed in our analysis. Moreover, sensitivity analyses demonstrated the Zobel's study significantly affected the heterogeneity for rs4713916 and rs3800373.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>FKBP5 rs1360780 was associated with an increased risk of depression in the codominant model. We also found that rs4713916 and rs3800373 were involved in depression, rs4713916 was positively associated with depression in the codominant model and recessive model, and rs3800373 was related to an elevated risk of depression in the codominant model and dominant model.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"13 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/appy.12464","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25497542","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}

{"title":"Quality of life, mental health, and family functioning of schizophrenia caregivers: A community-based cross-sectional study","authors":"Cut Husnul Khatimah SKM, MKM,&nbsp;Aulina Adami ST, MSc,&nbsp;Asnawi Abdullah BSc.PH, MHSM, MSc.HPPF, DLSHTM, PhD,&nbsp;Dr Marthoenis MSc, MPH","doi":"10.1111/appy.12467","DOIUrl":"10.1111/appy.12467","url":null,"abstract":"<p>The caregivers of people with schizophrenia might suffer from various problems. We investigated the prevalence of depression, anxiety, and stress among them, and factors associated with their quality of life. A cross-sectional study in communities of rural areas was conducted. We found that the prevalence of depression, anxiety, and stress were 14.2%, 25.5%, and 6.6%, respectively. Their quality of life was independently associated with family functioning (affective responsiveness, problem solving, communication) and the presence of depressive symptoms (<i>p</i> &lt; .05). Schizophrenia caregivers need more supports from health care professionals to improve their skills in problem solving.</p>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"14 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/appy.12467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25507186","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}

{"title":"Thyroid function in postpartum psychosis: An exploratory study","authors":"Rati Ranjan Sethy M.D., D.P.M.,&nbsp;Shobit Garg M.D., D.P.M.,&nbsp;Daya Ram M.D.,&nbsp;Sai Krishna Tikka M.D., D.P.M.","doi":"10.1111/appy.12465","DOIUrl":"10.1111/appy.12465","url":null,"abstract":"<p>The study aimed to compare thyroid function between psychosis with postpartum onset (PPO), psychosis without postpartum onset (PWPO), and normal postpartum females (HC). Twenty women were recruited in each of the three groups. The PPO group had significantly greater psychopathology and shorter episodes compared to the PWPO group. The PPO group was found to have significantly greater right lobe volume than the other groups. The PPO group also had significantly higher FT4 levels than the HC group. We conclude that isolated increase in FT4 and thyroid lobe volumetric changes could be more specifically associated with psychosis of post-partum onset.</p>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"13 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/appy.12465","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25497329","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}

{"title":"Reflective practice: An invaluable learning tool for young psychiatrists and trainees","authors":"Joel Philip MD, MRCPsych,&nbsp;Vinu Cherian MD, DNB","doi":"10.1111/appy.12463","DOIUrl":"10.1111/appy.12463","url":null,"abstract":"The 3 years spent in residency are arguably some of the most important in the professional life of a psychiatrist. This is the time when valuable skills are learned at the bedside by observing more experienced clinicians take histories and perform mental status examinations. It is undeniable that two of the most common means of acquiring skill and knowledge at this time are by reading textbooks and learning by modeling senior staff. Reflective practice is an equally important modality that involves learning from one's own experiences, yet it is often overlooked and relatively under-utilized in post-graduate programs around the globe. Reflective practice has been used in several fields apart from medicine, such as teaching and journalism, as a method of constantly self-calibrating oneself toward improvement. The concept was first propounded by the American psychologist and philosopher John Dewey (Rolfe, 2014). Dewey was a prolific thinker and teacher who believed that the existing principles of teaching at the time were didactic and outdated. He made several observations about the process of reflective thinking in his treatise “How we think.” He wrote that reflective thinking, in its truest sense, was the ordering of thoughts in a specific sequence, with one thought seamlessly leading onto the next, helping the owner arrive at a well-reasoned conclusion. He opined that the doctor-scientist must inculcate the habit of critical thinking, wherein ideas are not simply accepted at face value. Instead, each suggestion must be carefully examined for its merits and drawbacks before arriving at a conclusion; this is indeed the cornerstone of reflective thinking. Ultimately, such thinking must lead to significant action, thereby setting a precedent for future behavior when confronted with a similar scenario (Dewey & Graubner, 1985). By applying these principles, reflective practice can become an invaluable tool for residents and young psychiatrists to develop and hone the necessary skills to become competent clinicians. In this article, we lay out an overview of “reflective practice” and provide lucid examples of how to apply it in day-to-day clinical life. 2 | STAGES OF REFLECTION","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"13 2","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/appy.12463","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25456772","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}