Australasian Psychiatry最新文献_第10页

High rainfall at birth is associated with raised inattention scores on the Conners adult ADHD rating scale among healthy participants in Japan. 在日本的健康参与者中，出生时的高降雨量与康纳斯成人多动症评定量表上的注意力不集中得分升高有关。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-03-02 DOI: 10.1177/10398562261431157

Keisuke Noto, Toshinori Shirata, Yusuke Saito, Haruka Muraosa, Konoka Nomura, Shohei Kawai, Toshiki Obata, Gaku Aboshi, Akihito Suzuki

{"title":"High rainfall at birth is associated with raised inattention scores on the Conners adult ADHD rating scale among healthy participants in Japan.","authors":"Keisuke Noto, Toshinori Shirata, Yusuke Saito, Haruka Muraosa, Konoka Nomura, Shohei Kawai, Toshiki Obata, Gaku Aboshi, Akihito Suzuki","doi":"10.1177/10398562261431157","DOIUrl":"10.1177/10398562261431157","url":null,"abstract":"IntroductionBirth during the 3 month period ending in August has been associated with increased risk of attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), especially in regions where the school year starts in September. Nevertheless, few studies have either examined these factors in Japan, where the academic year starts in April, or investigated the role of weather conditions at birth.MethodsWe enrolled 317 healthy adults from a population of medical students. Participants completed the Conners Adult ADHD Rating Scale (CAARS) and the Autism Spectrum Quotient (AQ). From local meteorological records, meteorological data corresponding to each participant's birth month and birth year, such as temperature, sunshine hours, vapor pressure, atmospheric pressure, rainfall, and snowfall were obtained.ResultsNo significant difference in CAARS or AQ scores was found between participants born during June-August versus other months, or between those born during January-March versus other months. Multiple regression analysis revealed higher rainfall at birth as associated with elevated scores on the CAARS.ConclusionsFindings of this study suggest that high rainfall at birth is associated with elevated scores of ADHD symptoms in healthy participants. To clarify the underlying mechanisms, further research with larger, more samples is warranted.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"372-378"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343416","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 experience of stage one psychiatry trainees in rural Australia: A qualitative study of a national sample. 澳大利亚农村第一阶段精神病学受训人员的经历：一项全国样本的定性研究。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-02-17 DOI: 10.1177/10398562261425523

Albert van Wyk, Mathew Coleman, Beatriz Cuesta-Briand, Michael Taran

{"title":"The experience of stage one psychiatry trainees in rural Australia: A qualitative study of a national sample.","authors":"Albert van Wyk, Mathew Coleman, Beatriz Cuesta-Briand, Michael Taran","doi":"10.1177/10398562261425523","DOIUrl":"10.1177/10398562261425523","url":null,"abstract":"ObjectiveDespite recent efforts to promote rural training opportunities, little is known about contemporary trainees' experiences. The study aimed to explore the experiences of stage one psychiatry trainees in rural Australia, focussing on development across CanMEDs competencies.MethodTwelve RANZCP trainees who completed stage one training in rural settings across Australia were recruited. The study used a qualitative, phenomenological approach. Data were collected through semi-structured interviews, which were analysed through thematic analysis.ResultsData revealed three primary themes. First, the interconnectedness of rural communities created an expanded sense of professional identity. Second, resource scarcity represented a duality of challenges and opportunities, which framed the development of generalist competencies. Third, progression through training highlighted challenges related to supervision and trainees' approach to their learning.ConclusionRural psychiatry training presents a unique interplay of challenges and opportunities that shape trainee development across multiple competency domains, providing a rich platform for professional education and growth. Our results may inform current efforts to enhance the quality of rural psychiatry training.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"379-386"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146212032","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

Mind the mouth: Are doctors doing inadvertent harm by not learning about dentistry and oral health? 注意口腔：医生不了解牙科和口腔健康是否会造成无意的伤害？

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-03-11 DOI: 10.1177/10398562261431180

Ava Elizabeth Carter, Alisha Johnson

{"title":"Mind the mouth: Are doctors doing inadvertent harm by not learning about dentistry and oral health?","authors":"Ava Elizabeth Carter, Alisha Johnson","doi":"10.1177/10398562261431180","DOIUrl":"10.1177/10398562261431180","url":null,"abstract":"Background: Oral and mental health are closely linked, yet Australia's healthcare system continues to treat them in silos - particularly to the detriment of its most vulnerable populations.Analysis: People living with mental illness face a significantly increased risk of oral diseases, including dental caries, periodontitis, and oral lesions, which concurrently worsen their mental health conditions. Despite strong evidence of this bidirectional relationship, oral health remains largely absent from mental health policy, psychiatric care pathways, and medical education frameworks. Equally, mental health remains largely absent from dental education frameworks. Current clinical training lacks sufficient integration across disciplines, limiting the capacity of clinicians to provide holistic, patient-centred care.Conclusions: To reduce health inequities and improve long-term outcomes, coordinated policy action is needed to embed oral health in mental healthcare delivery, promote interdisciplinary education, and prioritise oral health as a key component of the social determinants of health in Australia.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"328-331"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Reconsideration of the lifetime limit of 50 rebated TMS sessions. 重新考虑50次经颅磁刺激会话的寿命限制。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-08-01 Epub Date: 2026-02-26 DOI: 10.1177/10398562261431257

Saxby Pridmore, Yvonne Turnier-Shea, Marzena Rybak, Gregory M Peterson

引用次数: 0

Emergency department physical health assessment prior to acute inpatient psychiatric admission: A service evaluation. 急诊科在急性精神科住院病人入院前的身体健康评估：一项服务评估。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-07-29 DOI: 10.1177/10398562261474432

Jason L Zhang, Thomas Axnick, Jasmine Elliot

{"title":"Emergency department physical health assessment prior to acute inpatient psychiatric admission: A service evaluation.","authors":"Jason L Zhang, Thomas Axnick, Jasmine Elliot","doi":"10.1177/10398562261474432","DOIUrl":"https://doi.org/10.1177/10398562261474432","url":null,"abstract":"ObjectivesTo describe the current patterns of physical health assessment for patients admitted to the inpatient psychiatric unit via the emergency department (ED) and identify rates of acute medical concerns arising within the first 7 days of admission.MethodsA retrospective service evaluation based on electronic medical records was conducted for patients admitted to the inpatient psychiatric unit between 1 March 2025 and 31 May 2025.ResultsThere were 141 patients admitted to the inpatient psychiatric unit via the ED during the study period. Prior to admission, 88 (62%) had a documented physical health assessment, 124 (88%) had a complete set of vital signs, 48 (34%) received physical examination of at least one system, 49 (35%) underwent blood testing, 12 (9%) underwent imaging and 13 (9%) had urine dipstick testing. A total of 16 patients (11%) developed acute medical concerns within the first 7 days of admission with 3 patients (2%) requiring transfer out of the psychiatric unit for acute medical treatment.ConclusionsDespite variability in ED physical health assessments prior to admission, acute medical deterioration requiring transfer from the inpatient psychiatric unit was uncommon.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261474432"},"PeriodicalIF":1.7,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148618312","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

Remote supervision in rural psychiatry training: Theory and lived experience. 农村精神病学培训中的远程监督：理论与实践。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-07-27 DOI: 10.1177/10398562261471785

Jason Koutsodontis, David Burke

引用次数: 0

Systemic interventions to reduce child and youth mental health admissions and emergency department crisis presentations in a regional setting. 系统性干预措施，以减少儿童和青少年心理健康入院和急诊部门的危机呈现在区域设置。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-07-19 DOI: 10.1177/10398562261462855

Benjamin Hansen, Paul Sutton, Angela Bleasdale, Veronica Stanganelli, Sara Spillman, Lisa Stephson, Elizabeth Russell, Matthew Hiskens

{"title":"Systemic interventions to reduce child and youth mental health admissions and emergency department crisis presentations in a regional setting.","authors":"Benjamin Hansen, Paul Sutton, Angela Bleasdale, Veronica Stanganelli, Sara Spillman, Lisa Stephson, Elizabeth Russell, Matthew Hiskens","doi":"10.1177/10398562261462855","DOIUrl":"https://doi.org/10.1177/10398562261462855","url":null,"abstract":"ObjectiveThis paper reports on the response of the Child and Youth Mental Health Service (CYMHS) in Mackay, Queensland, to significant increases in emergency presentations and hospital admissions with young people in psychological distress.MethodWe implemented a multifactor response to meet community need and reduce reactive admissions. Specifically, by addressing patient needs, working with their families, responding to greater mental health services needs and the wider hospital system.ResultsEmergency Department (ED) referrals to CYMHS increased disproportionately over time, rising by 56.4% between 2017 and 2021. Following implementation of the model, admissions in matched 3-month comparison periods fell from 40 in 2021 to 20 in 2024, a 50.0% reduction. Relative to ED activity, admission rates declined from 12.52 to 5.98 per 1000 ED presentations, representing a 52.2% relative reduction. Using Australian inpatient benchmarks, this equated to an estimated 176 bed-days avoided and an indicative cost saving of AUD$449,328 over the observed 3-month period. Service evaluation feedback indicated perceived improvements in staff capability and admission appropriateness.ConclusionThis study suggests that the interventions provided better access to child and adolescent focussed assessment and treatment services and improved relationships between CYMHS and other units in the health service.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261462855"},"PeriodicalIF":1.7,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148519789","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 serum clozapine to N-desmethyclozapine ratio and cognitive performance among people with treatment-resistant schizophrenia. 难治性精神分裂症患者血清氯氮平与n -去甲基氯氮平比值与认知能力的关系

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-07-17 DOI: 10.1177/10398562261468928

Manshi Rai, Haileab Fekadu Wolde, Alexander Panickacheril John

{"title":"Relationship between serum clozapine to N-desmethyclozapine ratio and cognitive performance among people with treatment-resistant schizophrenia.","authors":"Manshi Rai, Haileab Fekadu Wolde, Alexander Panickacheril John","doi":"10.1177/10398562261468928","DOIUrl":"https://doi.org/10.1177/10398562261468928","url":null,"abstract":"ObjectiveWe evaluated the relationship of serum clozapine and N-desmethyl clozapine (NDMC) and their ratio and cognition among people with treatment-resistant schizophrenia (TRS), an area that has been sub-optimally researched.MethodsCognitive function and serum clozapine and NDMC levels of 91 patients who were treated with clozapine were collected retrospectively. The Brief Assessment of Cognition in Schizophrenia (BACS) was used to measure cognition. Associations between the variables were assessed using Pearson's correlation coefficients and multivariable linear regression models were constructed to determine whether serum clozapine, NDMC, or their ratio independently predicted cognition.ResultsThe mean age of the 91 participants was 33.8 (±10.3), and 70% were males. While cognitive deficits (CD) were prominent among the participants, the associations between the BACS z-scores and serum clozapine, NDMC, and their ratio were weak in magnitude. There was no evidence of a significant independent association between serum clozapine level (p = .3380, norclozapine level (p = .277), or their ratio (p = .909) and the BACS composite score.ConclusionThe lack of significant association between the serum clozapine to NDMC ratio observed in our and other studies suggest that severity of the illness and other clinical factors are likely to override any pro-cognitive effect of NDMC in TRS.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261468928"},"PeriodicalIF":1.7,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148468301","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

Extending EPDS screening in perinatal consultation-liaison care: A pragmatic framework for risk assessment. 在围产期咨询联络护理中扩展EPDS筛查：风险评估的实用框架。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-07-17 DOI: 10.1177/10398562261469339

Kyohei Otani

{"title":"Extending EPDS screening in perinatal consultation-liaison care: A pragmatic framework for risk assessment.","authors":"Kyohei Otani","doi":"10.1177/10398562261469339","DOIUrl":"https://doi.org/10.1177/10398562261469339","url":null,"abstract":"ObjectiveSymptom-based screening alone is insufficient for identifying perinatal mental health risk in general hospital settings. Although Edinburgh Postnatal Depression Scale (EPDS)-centred screening is embedded in Australian policy, psychosocial adversity and somatic illness may contribute to psychiatric morbidity that is not captured by symptom screening alone. This perspective proposes a consultation-liaison framework that augments, but does not replace, universal screening.Intimate partner violence and hyperemesis gravidarum are associated with substantial psychiatric morbidity that may not be fully reflected by EPDS scores, yet are inconsistently captured by symptom-based screening.ConclusionThe Triangulated Perinatal Risk Assessment (TPRA) framework is a hypothesis-generating consultation-liaison framework that builds on established psychosocial risk-assessment approaches, including the Antenatal Risk Questionnaire and Psychosocial Risk Assessment Model. TPRA operates after initial risk flagging and integrates symptom assessment, psychosocial risk, and somatic burden to support CL-stage formulation and care allocation. Where perinatal liaison nursing capacity exists, TPRA may provide a pragmatic structure for organising information already gathered in routine care.TPRA may be relatively low-burden and potentially sustainable within existing consultation-liaison structures, but its feasibility, workload, referral burden, false-positive burden, and clinical impact remain unevaluated and require prospective study.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261469339"},"PeriodicalIF":1.7,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148468655","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

Childhood trauma and post-traumatic stress symptoms in autoimmune and non-autoimmune hypothyroidism: Implications for clinical psychiatry. 自身免疫性和非自身免疫性甲状腺功能减退症的童年创伤和创伤后应激症状：对临床精神病学的影响

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-07-16 DOI: 10.1177/10398562261463853

Seda Aydın Ismayilzada, Efruz Pirdogan Aydin, Muhammed Masum Canat, Omer Akil Ozer

{"title":"Childhood trauma and post-traumatic stress symptoms in autoimmune and non-autoimmune hypothyroidism: Implications for clinical psychiatry.","authors":"Seda Aydın Ismayilzada, Efruz Pirdogan Aydin, Muhammed Masum Canat, Omer Akil Ozer","doi":"10.1177/10398562261463853","DOIUrl":"https://doi.org/10.1177/10398562261463853","url":null,"abstract":"ObjectiveThis study aimed to compare childhood trauma exposure, post-traumatic stress symptoms, and general psychopathology among patients with Hashimoto's thyroiditis (HT), non-autoimmune hypothyroidism (NAIH), and controls, and to explore whether thyroid autoimmunity plays a specific role in trauma-related psychopathology.MethodsA total of 120 participants were evaluated: 40 with HT, 41 with NAIH, and 39 controls. All completed standardized psychiatric assessments - the Clinician-Administered PTSD Scale, Childhood Trauma Questionnaire, and Brief Symptom Inventory. Thyroid function and anti-thyroid peroxidase (anti-TPO) levels were obtained from hospital records.ResultsBoth HT and NAIH showed significantly higher post-traumatic stress and general psychopathology scores than controls (p < .002). Childhood adversity was most pronounced in HT, followed by NAIH and controls. Emotional neglect was markedly higher in HT compared with both NAIH and controls (p < .05). In both patient groups, trauma scores correlated positively with post-traumatic stress and psychopathology measures (r = 0.35-0.65, p < .01), whereas no significant relationship was observed between anti-TPO levels and psychiatric scales.ConclusionsChildhood adversity, particularly emotional neglect, was most evident in HT, yet both hypothyroid groups exhibited increased trauma-related and psychopathological symptoms. As autoimmunity was assessed only by anti-TPO levels, these findings should be interpreted cautiously and examined in future studies using broader immunological markers.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261463853"},"PeriodicalIF":1.7,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148468689","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