Australasian Psychiatry最新文献_第4页

Dual jeopardy for Indian service users: Qualitative study of managing comorbid schizophrenia and diabetes mellitus.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 DOI: 10.1177/10398562251316145

Rajendra Pavagada, Kitty S W Ko, Simon Lai, Irene Zeng, Denisse Sanchez, Lillian Ng

{"title":"Dual jeopardy for Indian service users: Qualitative study of managing comorbid schizophrenia and diabetes mellitus.","authors":"Rajendra Pavagada, Kitty S W Ko, Simon Lai, Irene Zeng, Denisse Sanchez, Lillian Ng","doi":"10.1177/10398562251316145","DOIUrl":"https://doi.org/10.1177/10398562251316145","url":null,"abstract":"Objective: Diabetes mellitus is a sequelae of antipsychotic medication in people of Indian descent with schizophrenia. The Indian socio-cultural context amplifies challenges of managing chronic illness. The aim of this study was to explore Indian mental health service users' perspectives of managing comorbid psychosis and diabetes mellitus, specifically culture-related difficulties.Methods: In this exploratory study, people with an Indian cultural background recruited from community mental health clinics were interviewed by an Indian psychiatrist using a semi-structured questionnaire. Interviews were professionally transcribed. Reflexive thematic analysis was used to develop central organising concepts and identify themes.Results: Four themes were identified: culture-specific views on comorbidity, preferences for tailoring education to Indian language and culture, changes in interpersonal relationships within extended family and relationships with healthcare professionals. Advice from hospital services was not specific to Indian culture and there were wider impacts of illness for wider family.Conclusion: Indian New Zealanders have challenges in managing dual mental and physical illnesses. Further research is needed to develop approaches to care that emphasise service users' culture as core to understanding illness and treatment. This includes consideration of gender roles, families, communities, food, language, lifestyle and barriers to treatment.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251316145"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073555","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

Reflection on the RANZCP position on the adverse effects of psychotherapy. 反思新西兰心理学会关于心理治疗不良影响的立场。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-09-04 DOI: 10.1177/10398562241280362

Stephen Allison, Jeffrey Cl Looi, Steve Kisely, Tarun Bastiampillai

引用次数: 0

Will Rogers phenomenon and cosmetic psychiatry. 威尔-罗杰斯现象和美容精神病学。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-09-24 DOI: 10.1177/10398562241285527

Shuichi Suetani

引用次数: 0

A descriptive analysis of Aboriginal adolescents admitted to a regional inpatient mental health unit: Was culture considered? 对一个地区精神健康住院部收治的原住民青少年进行描述性分析：是否考虑了文化因素？

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-11-21 DOI: 10.1177/10398562241292967

Hilary Watt, Kali Morgan Kamilaroi, Donna Stanley Gunggari Umbie, Georgina Luscombe, Radha Srikanth

{"title":"A descriptive analysis of Aboriginal adolescents admitted to a regional inpatient mental health unit: Was culture considered?","authors":"Hilary Watt, Kali Morgan Kamilaroi, Donna Stanley Gunggari Umbie, Georgina Luscombe, Radha Srikanth","doi":"10.1177/10398562241292967","DOIUrl":"10.1177/10398562241292967","url":null,"abstract":"Objectives: To describe the characteristics of Aboriginal adolescents admitted to a Child and Adolescent Mental Health (CAMH) inpatient unit and assess if cultural identity was acknowledged, and what proportion received cultural support.Method: A retrospective chart review of adolescents who identified as Aboriginal and were admitted to a regional CAMH Unit over 10 years. Medical records were reviewed for demographics, diagnosis, details of admission, acknowledgement of Aboriginal identity, cultural information and cultural support provided.Results: A total of 172 patients who identified as Aboriginal were admitted during this period, comprising a total of 266 admissions. Most frequent admission reason was suicidal ideation or self-harm (66%), then psychosis (14%) and 49% were admitted involuntarily. Most frequent discharge diagnosis was a stress-related disorder (23%) followed by post-traumatic stress disorder (18%). A referral for Aboriginal clinician cultural support was made for 30%. Thirty patients (23%) had any detail regarding cultural identity documented.Conclusions: Amongst young Aboriginal people admitted to a psychiatric inpatient unit, the minority had cultural identity acknowledged or were provided cultural support. There is a need for increased access to Aboriginal Mental Health Clinicians and improved training for the broader workforce in the provision of culturally considered care.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"45-50"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680560","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

Potential promises and perils of artificial intelligence in psychotherapy -The AI Psychotherapist (APT). 人工智能在心理治疗中的潜在前景和危险--人工智能心理治疗师（APT）。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-09-29 DOI: 10.1177/10398562241286312

Marc Jurblum, Rob Selzer

{"title":"Potential promises and perils of artificial intelligence in psychotherapy -The AI Psychotherapist (APT).","authors":"Marc Jurblum, Rob Selzer","doi":"10.1177/10398562241286312","DOIUrl":"10.1177/10398562241286312","url":null,"abstract":"Objective: Since the release of ChatGPT, popular demand has driven the use of social chatbots as pseudo-AI psychotherapists. With time, it is inevitable that these technologies will be deployed in some form as dedicated psychotherapy interventions. Here, we attempt to forecast the implications for psychotherapy including the unique benefits to distributive justice as well as concerns for the quality of the therapy and its societal impact.Conclusion: An AI psychotherapist (APT) has the potential to provide engaging clinical interactions given its capacity for highly realistic interaction as well as its high level cognitive and emotional capabilities. Moreover, it can potentially address financial and workforce limitations on access to therapy. However, an APT may cause significant iatrogenic harm if released without adequate quality control and oversight by trained psychotherapists. If not appropriately designed and regulated, APTs have potential to mislead and reinforce maladaptive coping behaviours. Given societal drivers and possible benefits, these technologies will inevitably be deployed; thus, it is incumbent upon us as a professional body to consider their regulation.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"103-105"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142340195","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

Cybersecurity lessons from the Vastaamo psychotherapy data breach for psychiatrists and other mental healthcare providers. 从 Vastaamo 心理治疗数据泄露事件中，精神科医生和其他心理医疗机构应吸取的网络安全教训。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-10-14 DOI: 10.1177/10398562241291340

Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Paul A Maguire, Steve Kisely, Sharon Reutens, Richard Ch Looi

{"title":"Cybersecurity lessons from the Vastaamo psychotherapy data breach for psychiatrists and other mental healthcare providers.","authors":"Jeffrey Cl Looi, Stephen Allison, Tarun Bastiampillai, Paul A Maguire, Steve Kisely, Sharon Reutens, Richard Ch Looi","doi":"10.1177/10398562241291340","DOIUrl":"10.1177/10398562241291340","url":null,"abstract":"Objective: The Vastaamo psychotherapy data breach in Finland is perhaps the largest cybersecurity incident in mental healthcare to date, resulting in significant patient harm. There are specific lessons for mental healthcare providers from an analysis of the incident.Method: Case study of this specific electronic health record data breach, based on detailed media reporting.Results: The issues raised include: the importance of governance of the cybersecurity of sensitive personal patient data, such as compliance with legislative requirements on privacy and data security; specific security measures such as de-identification of data, data protection via passwords, multi-factor authentication, firewalls and encryption; and timely and effective communication, and support of those who have been affected.Conclusions: The implications for mental healthcare providers, including psychiatrists and trainees, are that, within their capability, providers need to assess the efficacy and robustness of cybersecurity of electronic health record systems they use, and carefully consider the information that is recorded to minimise exposures such as in the Vastaamo breach.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"106-110"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456917","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

The Royal Commission into Defence and Veteran Suicide - brief summary and commentary on the research findings in Volume 7. 皇家国防和退伍军人自杀问题委员会--第 7 卷研究成果的简要概述和评论。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-11-12 DOI: 10.1177/10398562241299336

Jeffrey C L Looi, Stephen Allison, Michelle Atchison, Tarun Bastiampillai, Steve Kisely, Stephen J Robson

引用次数: 0

Success in the Psychotherapy Written Case Submission: An Interview with Korinne Northwood and Stephen Parker - Part 2.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 DOI: 10.1177/10398562241282377b

引用次数: 0

Metabolic syndrome risk prediction in an Australian sample with first-episode psychosis using the psychosis metabolic risk calculator: A validation study. 使用精神病代谢风险计算器预测澳大利亚首发精神病样本的代谢综合征风险：验证研究。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 Epub Date: 2024-08-13 DOI: 10.1177/10398562241269171

Scott B Teasdale, Oliver Ardill-Young, Rachel Morell, Philip B Ward, Golam M Khandaker, Rachel Upthegrove, Jackie Curtis, Benjamin I Perry

{"title":"Metabolic syndrome risk prediction in an Australian sample with first-episode psychosis using the psychosis metabolic risk calculator: A validation study.","authors":"Scott B Teasdale, Oliver Ardill-Young, Rachel Morell, Philip B Ward, Golam M Khandaker, Rachel Upthegrove, Jackie Curtis, Benjamin I Perry","doi":"10.1177/10398562241269171","DOIUrl":"10.1177/10398562241269171","url":null,"abstract":"Objective: To examine the accuracy and likely clinical usefulness of the Psychosis Metabolic Risk Calculator (PsyMetRiC) in predicting up-to six-year risk of incident metabolic syndrome in an Australian sample of young people with first-episode psychosis.Method: We conducted a retrospective study at a secondary care early psychosis treatment service among people aged 16-35 years, extracting relevant data at the time of antipsychotic commencement and between one-to-six-years later. We assessed algorithm accuracy primarily via discrimination (C-statistic), calibration (calibration plots) and clinical usefulness (decision curve analysis). Model updating and recalibration generated a site-specific (Australian) PsyMetRiC version.Results: We included 116 people with baseline and follow-up data: 73% male, mean age 20.1 years, mean follow-up 2.6 years, metabolic syndrome prevalence 13%. C-statistics for both partial- (C = 0.71, 95% CI 0.64-0.75) and full-models (C = 0.72, 95% CI 0.65-0.77) were acceptable; however, calibration plots demonstrated consistent under-prediction of risk. Recalibration and updating led to slightly improved C-statistics, greatly improved agreement between observed and predicted risk, and a narrow window of likely clinical usefulness improved significantly.Conclusion: An updated and recalibrated PsyMetRiC model, PsyMetRiC-Australia, shows promise. Validation in a large sample is required to confirm its accuracy and clinical usefulness for the Australian population.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"120-127"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11804134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141974968","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.

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-02-01 DOI: 10.1177/10398562241308040e

引用次数: 0