Australasian Psychiatry最新文献_第2页

Comparison of clinical outcomes of delirium with and without consultation liaison psychiatry services: Case-controlled retrospective study. 有和没有咨询精神病学联络服务的谵妄临床结果的比较：病例对照回顾性研究。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-04-09 DOI: 10.1177/10398562261439650

Alvin Laiman, Alby Elias, Soumitra Das

{"title":"Comparison of clinical outcomes of delirium with and without consultation liaison psychiatry services: Case-controlled retrospective study.","authors":"Alvin Laiman, Alby Elias, Soumitra Das","doi":"10.1177/10398562261439650","DOIUrl":"10.1177/10398562261439650","url":null,"abstract":"BackgroundDelirium is a common neuropsychiatric syndrome associated with significant morbidity and healthcare burden. Consultation-liaison psychiatry (CLP) is frequently involved in delirium management, though evidence regarding outcomes of CLP referral remains limited.MethodsThis retrospective case-control study examined delirium outcomes over 6 months. Delirium patients referred to CLP were matched by age and gender with those not referred to CLP. Outcomes included length-of-stay (LoS), psychotropics prescribed (PP), mechanical restraint (MR), and Code Greys (CG). Within-group comparisons before and after CLP were also conducted.ResultsOf 1365 delirium cases, 20 CLP referrals were found and matched with 20 controls. The CLP group had a significantly longer LoS than controls (median 20.5 vs 9, p = .024). More psychotropics were prescribed for the CLP group than for the control group (median 1 vs 0.5, p = .33). Mechanical restraint occurred only in the CLP group, while CG rates were similar. The CLP involvement was associated with a non-significant increase in PP, alongside reductions in MR and CG.ConclusionsThe CLP involvement in delirium was associated with longer LoS and higher PP, likely reflecting referral of more complex cases. Modest reductions in MR and CG were observed. Larger prospective studies are required to clarify the impact of CLP on delirium outcomes.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"506-511"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147643820","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

Stimulant prescription for ADHD in people with a past history of anorexia nervosa. 有神经性厌食症病史的人的ADHD兴奋剂处方。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-04-12 DOI: 10.1177/10398562261441536

Romi Goldschlager, Karen Goldschlager, Lucia Porta Cubas, Jayashri Kulkarni

{"title":"Stimulant prescription for ADHD in people with a past history of anorexia nervosa.","authors":"Romi Goldschlager, Karen Goldschlager, Lucia Porta Cubas, Jayashri Kulkarni","doi":"10.1177/10398562261441536","DOIUrl":"10.1177/10398562261441536","url":null,"abstract":"BackgroundADHD is a common neurodevelopmental disorder. Stimulants are the gold standard treatment resulting in measurable improvements in associated functional impairment. However, people with a history of comorbid anorexia nervosa (AN), an illness characterised by restricted intake and malnutrition, find it challenging to access stimulant treatment. In our clinical experience, amidst a scarce safety-profile for this population, stimulants are ceased or withheld due to concerns about appetite suppression, weight loss, and cardiac risks. We responded to the paucity of literature by reviewing the cases of people with ADHD and a history of AN who have received stimulant-treatment.MethodWe reviewed the medical records and personal experiences of six community patients with ADHD and a history of AN, to assess the safety and acceptability of stimulants.ResultsSide-effects included appetite suppression and stimulant induced weight loss. This did not appear to exacerbate AN-pathology. Patients experienced subjective improvement in ADHD pathology, attenuation of the negative impacts of ADHD on AN, and subjective improvements in anxiety, depression, and suicidality.ConclusionThese preliminary findings indicate safety and acceptability for the careful use of stimulants in people with ADHD and a history of AN and paves the way for larger studies to demonstrate clinical benefit.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"464-472"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147670060","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

Knowing where we work: The value of psychiatric unit histories. 知道我们在哪里工作：精神科单位历史的价值。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-08-06 DOI: 10.1177/10398562261477363

Edward Miller

引用次数: 0

The predictive role of alexithymia in the development of students' maladaptation during the first year of the Russian-Ukrainian war. 俄乌战争第一年述情障碍对学生适应不良发展的预测作用。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-04-07 DOI: 10.1177/10398562261440787

Dmytro I Boiko, Oksana V Mats, Artem A Chernov, Nina M Atamanchuk, Svitlana P Yalanska, Valentyna M Sokolenko, Anastasiia D Shkodina

{"title":"The predictive role of alexithymia in the development of students' maladaptation during the first year of the Russian-Ukrainian war.","authors":"Dmytro I Boiko, Oksana V Mats, Artem A Chernov, Nina M Atamanchuk, Svitlana P Yalanska, Valentyna M Sokolenko, Anastasiia D Shkodina","doi":"10.1177/10398562261440787","DOIUrl":"10.1177/10398562261440787","url":null,"abstract":"ObjectiveTo assess the predictive significance of alexithymia regarding the risk of developing adjustment disorder among students continuing face-to-face education under conditions of full-scale war.MethodsA cross-sectional online survey of 445 Ukrainian university students was conducted between April and December 2022. Participants completed the Toronto Alexithymia Scale-20 (TAS-20) and Adjustment Disorder New Module-8 (ADNM-8). Based on ADNM-8 scores, students were categorised into an adjustment disorder group (n = 228) and a control group (n = 217). Two logistic regression models were constructed to assess the predictive significance of total alexithymia score and individual subscale scores.ResultsAlexithymia was identified in 41.3% of participants and was significantly more prevalent among females (44.9% vs 25.6%; p < .001) and in the adjustment disorder group (54.4% vs 27.6%; p < .001). Difficulty identifying feelings (DIF) demonstrated the strongest correlation with adjustment disorder indicators (r = 0.460; p < .001) and was the sole significant predictor in the multivariate model (OR = 1.14; 95% CI: 1.097-1.19).ConclusionsDIF is the strongest alexithymic predictor of adjustment disorder in wartime students. Findings support implementing targeted alexithymia screening in student mental health programmes and developing interventions focused on emotional literacy as a protective factor for psychological adaptation under extreme conditions.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"491-497"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627070","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

Evaluating antipsychotic prescribing trends and patient outcomes in schizophrenia and schizoaffective disorder: Insights from a year-long observational study across two tertiary mental health treatment centres in South Australia. 评估精神分裂症和分裂情感性障碍的抗精神病药物处方趋势和患者预后：来自南澳大利亚两个三级精神卫生治疗中心为期一年的观察性研究的见解

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-03-18 DOI: 10.1177/10398562261431614

Dennis Liu, Anna Nowak, Deb Hobbs, Sam Colman, Klaus Oliver Schubert, Mihalina Georgallis, Mel Noke, Simon Graham

{"title":"Evaluating antipsychotic prescribing trends and patient outcomes in schizophrenia and schizoaffective disorder: Insights from a year-long observational study across two tertiary mental health treatment centres in South Australia.","authors":"Dennis Liu, Anna Nowak, Deb Hobbs, Sam Colman, Klaus Oliver Schubert, Mihalina Georgallis, Mel Noke, Simon Graham","doi":"10.1177/10398562261431614","DOIUrl":"10.1177/10398562261431614","url":null,"abstract":"BackgroundSchizophrenia and schizoaffective disorder are complex, lifelong disorders. This study evaluates antipsychotic medication use and the management of inpatients diagnosed with these conditions to better inform health service providers about patient characteristics and prescribing patterns.MethodsRetrospective chart review of electronic medical records (EMRs) of a randomly chosen subset of inpatients diagnosed with schizophrenia or schizoaffective disorder at Lyell McEwin Hospital (LMH) and Modbury Hospital in Adelaide, South Australia, from 01 January-31 December 2022, inclusive.ResultsThe study included 101 patients with eligible inpatient admissions. Of 123 admissions during the 12-month observation period, 22 were readmissions. Worsening of positive symptoms (91.1%) was the most frequently reported primary reason for admission. During the first inpatient stay, 97.0% were prescribed maintenance antipsychotics and 92.1% at least one oral antipsychotic (OA). Polypharmacy occurred in 29.7% and antipsychotic switching in 22.8%. Oral second-generation antipsychotics (SGAs) had the highest discontinuation rate (49.5%).ConclusionSeveral hospital patient management practices at LMH and Modbury Hospital aligned with Australian guidelines and published evidence. However, it is important to highlight any notable deviations, such as a lack of metabolic screening prior to and during treatment, as it may help other providers improve their standard of care for patients with schizophrenia or schizoaffective disorder.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"473-482"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479962","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

Impact of air pollution on mental health: The missing element in psychiatric assessment. 空气污染对心理健康的影响：精神病学评估中缺失的因素。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-06-08 DOI: 10.1177/10398562261458972

Omar Afroz, Raja Babu Ramawat, Siddharth Sarkar

引用次数: 0

Corrigendum to "AI psychotherapy: rethinking connection (faculty of psychotherapy essay prize winning entry)". “人工智能心理治疗：重新思考连接（心理治疗学院论文获奖作品）”的勘误表。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-09-17 DOI: 10.1177/10398562261488431

引用次数: 0

Wise Moments: A four-session Acceptance and Commitment Therapy for Borderline Personality Disorder. 明智的时刻：边缘型人格障碍的四期接受和承诺治疗。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-04-26 DOI: 10.1177/10398562261444297

Fiona Donald, Clive Collins, Jillian H Broadbear, Xinyu He, Tania Wittleton, Sathya Rao

{"title":"Wise Moments: A four-session Acceptance and Commitment Therapy for Borderline Personality Disorder.","authors":"Fiona Donald, Clive Collins, Jillian H Broadbear, Xinyu He, Tania Wittleton, Sathya Rao","doi":"10.1177/10398562261444297","DOIUrl":"10.1177/10398562261444297","url":null,"abstract":"BackgroundBorderline Personality Disorder (BPD) is a complex mental health condition. Wise Moments is a four-session Acceptance and Commitment Therapy (ACT)-themed intervention for the preliminary treatment of BPD. It focuses on the ACT concept of the 'self-as-context' (the 'observing self'), encouraging the person diagnosed with BPD to notice and observe their internal mental states without judgement. This study assessed the acceptability and efficacy of an ultra-brief, individual intervention based on ACT principles, designed for clients experiencing symptoms of BPD.MethodSelf-administered paper-based questionnaires were used to assess BPD symptom severity, psychological flexibility, mindfulness, self-compassion, and psychological wellbeing. Outcomes were analysed using a within subjects design, with clients assessed at admission and discharge.ResultsFifty-one participants completed Wise Moments. The majority were female (76%) with a mean age of 35.25 years (range 18-63 years). Statistically significant improvements on all clinical outcomes were evident following completion of the Wise Moments program.ConclusionsThe results suggest that placing an early emphasis on the self-as-context within an ultra-brief intervention program has important clinical utility and supports psychological change.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"520-526"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760761","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

Trial tribulations: Lessons learned from an unsuccessful pilot trial of Behavioural Activation in young people with early or emerging psychosis at a regional mental health service. 试验磨难：从区域精神卫生服务机构对患有早期或新出现精神病的年轻人进行行为激活试验失败的经验教训。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-04-02 DOI: 10.1177/10398562261436366

Janina Catalao Dionisio Murta, Bróna Nic Giolla Easpaig, Mitchell K Byrne, Richard Gray, Martin Jones, David Mitchell, Rebecca Creek, Ellie Brown, Jing-Yu Benjamin Tan, Shaun Dennis, Daniel Bressington

{"title":"Trial tribulations: Lessons learned from an unsuccessful pilot trial of Behavioural Activation in young people with early or emerging psychosis at a regional mental health service.","authors":"Janina Catalao Dionisio Murta, Bróna Nic Giolla Easpaig, Mitchell K Byrne, Richard Gray, Martin Jones, David Mitchell, Rebecca Creek, Ellie Brown, Jing-Yu Benjamin Tan, Shaun Dennis, Daniel Bressington","doi":"10.1177/10398562261436366","DOIUrl":"10.1177/10398562261436366","url":null,"abstract":"AimThe experience of conducting an unsuccessful pilot trial of behavioural activation (BA) to improve depressive symptoms in young clients with early or emerging psychosis is reported on. We aimed to identify barriers and enablers to inform the conduct of future trials with this client group.MethodsClinicians completed BA training with the aim of delivering this to suitable clients. Feasibility outcomes were calculated as proportions of feasibility targets. The various stages of the pilot randomised trial were examined, informed by interviews with five young people with early or emerging psychosis and four clinicians. Interviews were content analysed.ResultsClient recruitment and retention targets were not met, with proportions of 10% and 50%, respectively. Barriers included 'clinician self-efficacy in recruitment', 'staff turnover', the 'fragility of young people's engagement with the service', and 'workload incurred from study involvement'. The enablers were 'clients' and clinicians' perceived potential to contribute to new evidence', 'the clinician-client relationship', and 'opportunities to provide feedback to the research team'.ConclusionsRecommendations for future similar studies include pre-trial stakeholder consultation; offering multiple cycles of training; support to grow clinician confidence for recruitment; accounting for increased workload; and ongoing service-research team meetings to identify solutions to emerging issues.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"483-490"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589527","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

Antipsychotic prescribing patterns in a Tasmanian mental health inpatient unit (MHIU): Primary findings and comparison with RANZCP guidelines for schizophrenia and bipolar affective disorder (BPAD). 塔斯马尼亚精神卫生住院病房（MHIU）的抗精神病药物处方模式：精神分裂症和双相情感障碍（BPAD）的RANZCP指南的初步发现和比较

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-04-13 DOI: 10.1177/10398562261441506

Jie Ming Joshua Yeoh, Antonio Mendoza Diaz, Sharad Tamrakar, Arnob Chakraborti, Alexandra Blackfield, David Castle

{"title":"Antipsychotic prescribing patterns in a Tasmanian mental health inpatient unit (MHIU): Primary findings and comparison with RANZCP guidelines for schizophrenia and bipolar affective disorder (BPAD).","authors":"Jie Ming Joshua Yeoh, Antonio Mendoza Diaz, Sharad Tamrakar, Arnob Chakraborti, Alexandra Blackfield, David Castle","doi":"10.1177/10398562261441506","DOIUrl":"10.1177/10398562261441506","url":null,"abstract":"ObjectiveThis study analysed antipsychotic prescribing patterns at discharge from an acute Tasmanian MHIU, and evaluated prescribing practice alignment with RANZCP clinical practice guidelines (CPG) for schizophrenia and BPAD.MethodsDescriptive cross-sectional analysis of discharge prescriptions was conducted for 202 patients extracted from routinely collected data. Diagnoses, prescribed antipsychotics, and doses (converted to olanzapine equivalents) were reviewed. Polypharmacy, as well as the use of depot and PRN doses, were also analysed.ResultsOverall, 66% of patients were prescribed antipsychotics at discharge, with 33% of this group receiving polypharmacy. Schizophrenia was the most common indication (35%), followed by off-label prescriptions (34%) and mood disorders (20%). Quetiapine IR and olanzapine were the most prescribed, with high rates of off-label use and polypharmacy. In around 10% of patients, doses exceeded 20 mg/day olanzapine equivalents. Depot formulations were prescribed to 24% of patients, with aripiprazole being most common. Schizophrenia spectrum diagnoses were significantly associated with polypharmacy.ConclusionsThis study highlights high rates of antipsychotic off-label prescribing and polypharmacy. The findings underscore the need for individualized prescribing, enhanced monitoring, and regular medication reviews. They also raise questions about the applicability of CPGs. Further research should investigate factors influencing off-label prescribing and strategies for safer prescribing.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"498-505"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147670097","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