Australasian Psychiatry最新文献_第3页

Clinical aspects of impulsive-compulsive behaviors under dopaminergic treatment-A scoping review. 多巴胺能治疗下冲动强迫行为的临床研究综述。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-03-28 DOI: 10.1177/10398562261439053

Mirjam Wolfschlag, Darya Ståhl, Anders Håkansson, Per Odin

{"title":"Clinical aspects of impulsive-compulsive behaviors under dopaminergic treatment-A scoping review.","authors":"Mirjam Wolfschlag, Darya Ståhl, Anders Håkansson, Per Odin","doi":"10.1177/10398562261439053","DOIUrl":"10.1177/10398562261439053","url":null,"abstract":"ObjectiveDopaminergic medications are commonly prescribed for Parkinson's disease (PD), restless legs syndrome, pituitary and psychotic disorders. Accumulating evidence indicates that dopaminergic treatment triggers impulsive-compulsive behaviors (ICBs), yet systematic synthesis of clinical evidence remains limited.MethodThis scoping review summarizes original research directly clinically relevant to ICBs under dopaminergic treatment, selected through systematic searches of MEDLINE PubMed, Web of Science, Embase and PsycInfo.ResultsOf 349 included studies, most focused on PD, with limited evidence from other populations. Reported ICB prevalences ranged between 15 and 35%. ICBs were associated with impaired daily functioning, depression, anxiety and significant family and financial burden. Younger age, male sex and dopamine agonist treatment, especially with pramipexole and ropinirole, were ICB risk factors. Management mainly involved tapering or discontinuing dopamine agonist treatment.ConclusionICBs in PD patients are well characterized, but under-recognition in health care and limited treatment strategies persist. Iatrogenic ICBs in other patient populations remain poorly studied.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"432-436"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147571925","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}

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A major cause of school refusal, social anxiety disorder in children and adolescents is neglected. 儿童和青少年的社交焦虑障碍是拒绝上学的主要原因，但却被忽视了。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-04-13 DOI: 10.1177/10398562261442431

Joan Haliburn

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The risk of psychosis associated with cannabis use by people with attention-deficit hyperactivity disorder: A systematic review. 注意缺陷多动障碍患者与大麻使用相关的精神病风险：系统回顾。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-03-31 DOI: 10.1177/10398562261439662

Shuichi Suetani, Faraz Honarparvar, Peter Muller, James P Kesby, Stephen Parker

{"title":"The risk of psychosis associated with cannabis use by people with attention-deficit hyperactivity disorder: A systematic review.","authors":"Shuichi Suetani, Faraz Honarparvar, Peter Muller, James P Kesby, Stephen Parker","doi":"10.1177/10398562261439662","DOIUrl":"10.1177/10398562261439662","url":null,"abstract":"BackgroundGiven that both attention-deficit hyperactivity disorder (ADHD) and cannabis use are known independent risk factors for psychosis, people with ADHD who consume cannabis may be especially vulnerable. The main objective of the current study was to explore the links between ADHD, cannabis use and psychosis outcomes.MethodsA systematic review was conducted to examine the risk of psychosis among people with ADHD who are exposed to cannabis. Literature searches were conducted using four electronic bibliographic databases. The findings were synthesised following the synthesis without meta-analysis reporting guideline.ResultsThree studies meeting the inclusion criteria were identified. These studies were heterogeneous in design, and the assessment of the risk of bias found one study to be fair quality and two to be good quality. Two included studies indirectly suggested that cannabis use does not impact the risk of psychosis among people with ADHD, and one study supported cannabis having a similar impact on the risk of psychosis for people with and without ADHD.ConclusionThere have been very few studies examining the relationship between ADHD, cannabis use, and psychosis. Currently, there is very little evidence to suggest that the risk of psychosis associated with cannabis use is heightened for people diagnosed with ADHD. However, limitations in existing evidence highlight the need for further research on this topic.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"527-535"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589589","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}

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A Chat With the Editor-in-chief - Conversations with A/Prof Jeffrey Looi. 与总编辑对话-与A/Prof Jeffrey Looi对话。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-10-09 DOI: 10.1177/10398562261474429a

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Can clinical complexity or early response differentiate outcomes in child and adolescent mental health? 临床复杂性或早期反应能否区分儿童和青少年心理健康的结局？

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-04-20 DOI: 10.1177/10398562261436356

Peter Brann, Lachlan Angus, Stanley Innes, Paul Robertson

{"title":"Can clinical complexity or early response differentiate outcomes in child and adolescent mental health?","authors":"Peter Brann, Lachlan Angus, Stanley Innes, Paul Robertson","doi":"10.1177/10398562261436356","DOIUrl":"10.1177/10398562261436356","url":null,"abstract":"BackgroundThis study examined relationships between clinical complexity, early response, and outcomes in a Child and Adolescent Mental Health Service (CAMHS) using the Paddington Complexity Scale (PCS) and Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA). Associations with treatment dose were also explored.MethodsData from consumers aged 4-17 years discharged from a metropolitan CAMHS over 5 years were analysed. Baseline PCS scores measured clinical complexity. Early response was defined as a reduction in HoNOSCA total score at 3 months post-intake. A three-way mixed ANOVA tested effects of complexity, early response, and time (assessment vs discharge) on HoNOSCA outcomes and on treatment dose (total contact hours).ResultsNeither complexity nor early response influenced treatment dose or contact hours. Early response was significantly related to better treatment outcome at discharge. Complexity was not related to treatment outcome.ConclusionsEarly response was more useful in predicting long-term outcomes in CAMHS than clinical complexity. Further research should consider the impact of systematically attending to early response, as well as potential moderating factors, alternative complexity measures, and the generalisability of these findings.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"512-519"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728152","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}

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How do I remove my clinical glasses? A qualitative study with mental healthcare professionals about patient experience film. 如何摘掉临床眼镜？心理保健专业人员对病人体验影片的质性研究。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-02-13 DOI: 10.1177/10398562261425554

Elisabeth A Hoekman, Barbara C Groot-Sluijsmans

{"title":"How do I remove my clinical glasses? A qualitative study with mental healthcare professionals about patient experience film.","authors":"Elisabeth A Hoekman, Barbara C Groot-Sluijsmans","doi":"10.1177/10398562261425554","DOIUrl":"10.1177/10398562261425554","url":null,"abstract":"ObjectivesGlobally, mental health disorders represent a significant public health challenge. There is growing interest in patient-centered care within psychiatric practice, emphasizing the need to understand patients' lived experiences. Films illustrating patient perspectives have been proposed as a means to foster empathy among mental health professionals. MethodsThis qualitative study investigates how mental health professionals experience patient experience films.Data Collection and AnalysisThis study uses reflexive thematic analysis of interviews and focus groups.. with 23 Dutch healthcare professionals (psychiatrists, nurses, general practitioners, and medical interns). ResultsThis study shows: (1) Patient-experience Films Aren't on Our Radar, (2) Our take on the film: from moved to mystified, (3) We See Big Value Here-Especially for Those Just Starting Out, and (4) Making It Work: Ideas and Obstacles for Using Films in Training. Patient-experience films are seen as potentially valuable for trainees, but institutional resistance presented significant barriers to integration. ConclusionSystemic and structural modifications are recommended to optimize film efficacy as training tools.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"447-455"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193942","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

Commentary on the Australian Institute of Health and Welfare overview of statistical indicators for specialised mental healthcare facilities across Australian states and territories 1992-2022. 对澳大利亚卫生和福利研究所1992-2022年澳大利亚各州和地区专门精神保健设施统计指标概述的评论。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-04-22 DOI: 10.1177/10398562261444987

Jeffrey C L Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely, Paul A Maguire

{"title":"Commentary on the Australian Institute of Health and Welfare overview of statistical indicators for specialised mental healthcare facilities across Australian states and territories 1992-2022.","authors":"Jeffrey C L Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely, Paul A Maguire","doi":"10.1177/10398562261444987","DOIUrl":"10.1177/10398562261444987","url":null,"abstract":"ObjectiveThe Australian Institute of Health and Welfare regularly reports on specialised mental health facilities. Data are available from 1992 to 2022 on public mental health hospital and residential mental health service beds, as well as supported housing and staffing of specialised mental healthcare facilities. We provide a clinical commentary on these reports, reflecting upon the implications for psychiatric practice and patient care.ConclusionsThere are overall trends in public specialised mental health bed numbers. There were substantial declines in public mental health beds that slowed around 2000 and subsequently plateaued in 2015-16 in most jurisdictions with two exceptions, South Australia and the ACT. By contrast, residential mental health service beds increased from 1999 onwards, though since 2015 there have been declines for the ACT, Victoria and Tasmania. For supported housing, most states and territories showed declines in the reported levels since 2002, although there were increases in the Northern Territory, South Australia and Western Australia. From 2009 supported housing rates were relatively stable, with declines in all states and territories from 2015 onwards.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"441-446"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760683","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

Upcoming RANZCP conferences. 即将召开的RANZCP会议。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-10-09 DOI: 10.1177/10398562261486993e

引用次数: 0

Systemic regulation of the private healthcare sector is needed to ensure patient accessibility is not limited by out-of-pocket costs. 需要对私营医疗保健部门进行系统监管，以确保患者的可及性不受自付费用的限制。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-08-02 DOI: 10.1177/10398562261474429

Jeffrey C L Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely, Wai-Man Liu

{"title":"Systemic regulation of the private healthcare sector is needed to ensure patient accessibility is not limited by out-of-pocket costs.","authors":"Jeffrey C L Looi, Stephen Allison, Tarun Bastiampillai, Steve Kisely, Wai-Man Liu","doi":"10.1177/10398562261474429","DOIUrl":"10.1177/10398562261474429","url":null,"abstract":"The viability of the Australian private healthcare sector, and hence, private psychiatric care, is determined by a range of complex, inter-related factors. The private health insurance industry and Medicare reimbursement partially underwrite the costs of procedures, private hospital care and some allied healthcare. Psychiatric hospital cover sits almost entirely within the most expensive private health insurance Gold tier cover. Private outpatient fees are set by medical specialists, and patients receive a Medicare reimbursement for these consultations. There has been increasing concern regarding out-of-pocket costs for patients accessing private psychiatric hospital and outpatient care. A substantial 15% of all health expenditure in Australia is paid directly by individuals as out-of-pocket costs - almost double the share contributed by private health insurers. It is estimated that 72% of these out-of-pocket costs is attributable to individual-physician fee variation. Instead of focussing on providers or payors, a systemic private healthcare regulatory approach is needed to address the overall costs issue.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"423-427"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663343","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

Changing attitudes and enhancing competency: personality disorder initiative. 改变态度，增强能力：人格障碍的主动性。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-03-17 DOI: 10.1177/10398562261431625

Parvaneh Heidari, Jillian H Broadbear, David Huppert, Sathya Rao

{"title":"Changing attitudes and enhancing competency: personality disorder initiative.","authors":"Parvaneh Heidari, Jillian H Broadbear, David Huppert, Sathya Rao","doi":"10.1177/10398562261431625","DOIUrl":"10.1177/10398562261431625","url":null,"abstract":"BackgroundMental health clinicians often hold negative perceptions of people living with personality disorder, particularly borderline personality disorder (BPD), contributing to stigma and reduced access to effective care. The Personality Disorder Initiative (PDI) was a Victorian government-funded program to improve workforce capacity through sustained training and clinical supervision.AimsTo evaluate the impact of the PDI on clinician attitudes and self-perceived competence when working with people diagnosed with personality disorders, particularly BPD.MethodsA statewide pre-post survey was conducted in July 2020 (pre-implementation) and March 2023 (post-implementation). Public mental health clinicians across Victoria were invited to report their attitudes (optimism, enthusiasm, confidence, willingness) and competence (knowledge, skills, experience) using a five-point Likert scale. Independent samples t-tests were used to assess change pre- and post-implementation.ResultsClinicians estimated that, on average, 41% of their caseload comprised individuals with a confirmed personality disorder diagnosis. Attitudes and competence scores improved; statistically significant improvements were observed in all domains (p < .01) apart from experience.ConclusionsSustained, embedded training delivered through the PDI significantly improved clinician-reported attitudes and competencies when working with people with personality disorders. This model demonstrates a scalable approach to enhancing the mental health workforce's capacity in complex care settings.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"428-431"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147472684","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