Australasian Psychiatry最新文献

Assessing the prevalence of personality pathology in Australian psychiatric emergency care centres: A feasibility study.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-12-23 DOI: 10.1177/10398562241308711

Yvonne Nguyen, Nick Glozier, Jacqueline Huber

{"title":"Assessing the prevalence of personality pathology in Australian psychiatric emergency care centres: A feasibility study.","authors":"Yvonne Nguyen, Nick Glozier, Jacqueline Huber","doi":"10.1177/10398562241308711","DOIUrl":"https://doi.org/10.1177/10398562241308711","url":null,"abstract":"Objectives: To assess feasibility and acceptability of self-report measures in estimating prevalence of measurable personality disorder (PD) pathology in a Psychiatric Emergency Care Centre (PECC) unit.Method: Patients meeting eligibility criteria admitted to an inner-city PECC unit were invited to complete the (1) Standardised Assessment of Personality - Abbreviated Scale (SAPAS), (2) Personality Inventory of DSM-5 Brief Form (PID-5-BF), and (3) Level of Personality Functioning Scale - Brief Form 2.0 (LPFS-BF-2.0).Results: There were 24 participants - 80% of invited patients but only 51% of eligible patients and 21% of total PECC inpatients. Barriers to recruitment included: not meeting eligibility criteria, rapid discharge, and high workload. All participants completed the self-report measures. There was a very high prevalence of likely PD (87.5%) (SAPAS), personality trait dysfunction (87.5%) (PID-5-BF) and impaired personality functioning (91.7%) (LPFS-BF 2.0) but there was a low rate of agreement between discharge summary diagnoses and self-report measures.Conclusions: Using self-report measures to assess PD pathology in a PECC unit was acceptable and may improve discharge summary diagnosis accuracy. Logistical challenges may limit this approach unless it can be embedded in routine care measures. Having accurate prevalence estimates would enable appropriate research, treatment and resourcing in PECCs.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562241308711"},"PeriodicalIF":1.2,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876052","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}

引用次数: 0

The multiple 'faces' of burnout in clinical psychiatric practice.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-12-22 DOI: 10.1177/10398562241308695

Gordon Parker

引用次数: 0

Deprescribing antidepressants: An integral and neglected component of high-quality prescribing practice.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-12-22 DOI: 10.1177/10398562241308437

Mark Abie Horowitz, David Taylor

引用次数: 0

Augmenting clozapine with antipsychotics-Correspondence.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-12-20 DOI: 10.1177/10398562241306611

Hindol Mukherjee, Vladimir Sazhin, Jae Hee Cho

引用次数: 0

A suicide in a Russian novel.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-12-17 DOI: 10.1177/10398562241307801

Saxby Pridmore

引用次数: 0

High parental self-efficacy and young adults' reduced emotion dysregulation: A moderated mediating analysis from China.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-12-13 DOI: 10.1177/10398562241306687

Qiong Wang

{"title":"High parental self-efficacy and young adults' reduced emotion dysregulation: A moderated mediating analysis from China.","authors":"Qiong Wang","doi":"10.1177/10398562241306687","DOIUrl":"https://doi.org/10.1177/10398562241306687","url":null,"abstract":"Purpose: Emotion dysregulation in young adults has become an important issue in the literature. By building a moderated mediating model, this study tested the underlying mechanism of young adults' emotion dysregulation by examining the indirect effect of parental self-efficacy (PSE) on family cohesion and the moderating effect of parents' affective involvement.Methods: Two complementary approaches were adopted to validate our hypotheses using three-stage longitudinal data from 537 Chinese families.Findings: PSE significantly affected young adults' emotion dysregulation and that family cohesion mediated the relationship between PSE and young adults' emotion dysregulation. Moreover, parents' affective involvement moderated this indirect relationship.Conclusions: Parental and family factors play important roles in addressing young adults' emotion dysregulation. Our findings provide empirical evidence of the effects of family atmosphere and affective support by elucidating the mediating and moderating roles of family cohesion and affective involvement.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562241306687"},"PeriodicalIF":1.2,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142816825","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}

引用次数: 0

Electroconvulsive therapy use in New South Wales between 1944 and 1949.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-12-12 DOI: 10.1177/10398562241306899

Brian Draper, Chanaka Wijeratne

{"title":"Electroconvulsive therapy use in New South Wales between 1944 and 1949.","authors":"Brian Draper, Chanaka Wijeratne","doi":"10.1177/10398562241306899","DOIUrl":"https://doi.org/10.1177/10398562241306899","url":null,"abstract":"Aims: To identify clinical and other factors associated with the use of electroconvulsive therapy (ECT) in New South Wales for the period 1944-1949 and to compare with contemporaneous practice.Method: Annual reports of the Inspector-General of Mental Hospitals in NSW (1944/45 to 1948/49) were examined.Main findings: Seven hospitals reported a total of 8964 courses of treatment during the period. Demographically, 60.6% of patients who received ECT were female, and rural hospitals reported 13.6% of courses. ECT was as likely to be given for non-affective psychoses (37.7%), as for affective psychoses (35.0%). ECT was also administered for confusional states and non-psychotic disorders. Better outcomes were observed for depression, anxiety and confusional states than non-affective psychoses. Recovery rates declined over the study period. Mortality was <1%.Conclusions: The clinical indications for ECT in the mid-twentieth century in NSW were much broader than currently. There has been no change in the sex ratio of patients administered ECT or reported mortality.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562241306899"},"PeriodicalIF":1.2,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812100","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}

引用次数: 0

Trends in access to clinical mental healthcare by very old people in Australia since 'Better Access' commenced in 2006.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-12-12 DOI: 10.1177/10398562241290031

Roderick McKay, Shirlony Morgan, Sharon Lawn, Janne McMahon Oam

{"title":"Trends in access to clinical mental healthcare by very old people in Australia since 'Better Access' commenced in 2006.","authors":"Roderick McKay, Shirlony Morgan, Sharon Lawn, Janne McMahon Oam","doi":"10.1177/10398562241290031","DOIUrl":"https://doi.org/10.1177/10398562241290031","url":null,"abstract":"Objectives: To examine trends in access to mental healthcare by old and very old people since the commencement of Australia's Better Access Initiative in 2006.Methods: Descriptive analysis of changes in access by people aged 75-84 and over 85 using data analysed and published by the AIHW.Results: Since the introduction of Better Access, rates of access to specialist inpatient and community mental healthcare have reduced for those aged 75 years and older. The reduction is greatest for those aged 85 and over; with a 21% fall in community care access, 54% fall in inpatient access, and Medicare-funded psychologists and clinical psychologists access failing to rise above 1%. Rates of admissions by those 85 and older to inpatient care without specialised mental healthcare have increased by 92%, with emergency department presentations with mental health problems increasing by 33% since 2014-2015.Conclusions: The oldest people in Australia have missed most benefits from mental healthcare reforms. The contribution of these changes to high rates of mental illness on entering residential aged care, persistent high suicide rates in older men, and increased use of emergency departments and general hospital beds demands further inquiry and action.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562241290031"},"PeriodicalIF":1.2,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812101","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}

引用次数: 0

Relationship between perceived social support, mental adjustment to cancer, and depression among patients with breast cancer.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-12-11 DOI: 10.1177/10398562241306950

Tushar Kanta Panda, Mukesh Kumar Swami, Navratan Suthar, Puneet Pareek, Jeewan Ram Vishnoi, Kuldeep Singh

{"title":"Relationship between perceived social support, mental adjustment to cancer, and depression among patients with breast cancer.","authors":"Tushar Kanta Panda, Mukesh Kumar Swami, Navratan Suthar, Puneet Pareek, Jeewan Ram Vishnoi, Kuldeep Singh","doi":"10.1177/10398562241306950","DOIUrl":"https://doi.org/10.1177/10398562241306950","url":null,"abstract":"Objective: Psychological morbidity is common among patients with breast cancer. The present study aimed to find the relationship between modifiable determinants, that is, perceived social support (PSS) and mental adjustment to cancer (reflecting coping) with depression in patients with breast cancer.Methods: A total of 76 adult patients with breast cancer undergoing treatment at a tertiary care hospital were recruited in this cross-sectional study. Patients were diagnosed for depression as per ICD-10 criteria. Hamilton Depression Rating Scale was used for assessing the severity of depression. PSS and coping style were assessed using the Multidimensional Scale for Perceived Social Support and Mini-Mental Adjustment to Cancer scale. We analyzed the data using Fisher exact test, Mann-Whitney U test, Spearman's correlation, logistic regression, and mediation analysis.Results: 26.3% patients had depression. The logistic regression showed that PSS is a significant predictor of the occurrence of depression in patients with breast cancer (OR = 0.793, 95% CI: 0.634-0.992). The mediation analysis showed that hopelessness-helplessness (a maladaptive subscale) mediates the effects of PSS on depression.Conclusion: The effect of PSS on the occurrence of depression is mediated through maladaptive coping (hopelessness-helplessness). Accessing these factors can provide an important avenue for psychological intervention in breast cancer patients.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562241306950"},"PeriodicalIF":1.2,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806069","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}

引用次数: 0

Demographic and clinical characteristics of rural, regional, and metropolitan inpatients during psychiatric inpatient eating disorders treatment.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-12-05 DOI: 10.1177/10398562241306647

Natalie Seiler, Benjamin Ziegeler, Mikayla Stukel, Karen Gwee

{"title":"Demographic and clinical characteristics of rural, regional, and metropolitan inpatients during psychiatric inpatient eating disorders treatment.","authors":"Natalie Seiler, Benjamin Ziegeler, Mikayla Stukel, Karen Gwee","doi":"10.1177/10398562241306647","DOIUrl":"https://doi.org/10.1177/10398562241306647","url":null,"abstract":"Objective: Eating disorders were previously considered less common in rural/regional areas. However, emerging research suggests that eating disorders may be more prevalent in these populations than initially recognized. We aimed to describe demographic/clinical characteristics of metropolitan compared to rural/regional inpatients during psychiatric inpatient eating disorder treatment at the Eating Disorders Unit (EDU), Austin Health in Melbourne, Australia.Methods: Retrospective review of patient files was undertaken for inpatients aged 18-65 years who resided within the Body Image & Eating Disorders Treatment & Recovery Service (BETRS) catchment area and were admitted to EDU between 01/01/21 and 30/10/23.Results: Regional/rural patients were on average 2.7 years older and first diagnosed 3.5 years later compared to metropolitan inpatients. These groups showed otherwise similar characteristics in relation to psychiatric/medical history.Conclusion: Available and accessible speciality eating disorders services in rural and regional areas are needed for early detection, prevention, and multidisciplinary management.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562241306647"},"PeriodicalIF":1.2,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784022","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}

引用次数: 0