Australasian Psychiatry最新文献_第4页

The neurophenomenology of basic self-disturbance in early psychosis: Association with clinical outcome in an ultra-high risk sample. 早期精神病基本自我障碍的神经现象学：与超高风险样本的临床结果的关联。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-04 DOI: 10.1177/10398562251346619

Vera A Barata, Suzie Lavoie, Łukasz Gawęda, Emily Li, Louis A Sass, Danny Koren, Patrick D McGorry, Bradley N Jack, Josef Parnas, Andrea Polari, Kelly Allott, Jessica A Hartmann, Marija Krcmar, Andreas R Rasmussen, Thomas J Whitford, Cassandra Mj Wannan, Barnaby Nelson

{"title":"The neurophenomenology of basic self-disturbance in early psychosis: Association with clinical outcome in an ultra-high risk sample.","authors":"Vera A Barata, Suzie Lavoie, Łukasz Gawęda, Emily Li, Louis A Sass, Danny Koren, Patrick D McGorry, Bradley N Jack, Josef Parnas, Andrea Polari, Kelly Allott, Jessica A Hartmann, Marija Krcmar, Andreas R Rasmussen, Thomas J Whitford, Cassandra Mj Wannan, Barnaby Nelson","doi":"10.1177/10398562251346619","DOIUrl":"https://doi.org/10.1177/10398562251346619","url":null,"abstract":"IntroductionWe previously proposed a neurophenomenological model of schizophrenia, linking basic self-disturbance with neural deficits of source monitoring and aberrant salience. Baseline comparisons in ultra-high risk (UHR) and first-episode psychosis (FEP) samples indicated a relationship between basic self-disturbance and source monitoring deficits, but not aberrant salience. The current paper reports on the 12-month follow-up results in the UHR group (n = 43), focusing on the association between baseline variables and clinical outcomes.MethodsOne-way ANOVA compared UHR-remitters (n = 18), UHR-persistent/transitioned to psychosis cases (n = 25) and FEP (n = 38) groups on baseline clinical and neuro-measures. Logistic regression assessed the baseline variables' predictive power for UHR outcomes.ResultsHigher baseline self-disturbance scores (EASE total) were found in the UHR persistence/transition and FEP groups compared to the UHR-remission group, and predicted worse UHR clinical outcomes. Source monitoring deficits were higher in FEP individuals compared to those with UHR persistence/transition.ConclusionHigh levels of basic self-disturbance may be a useful predictor marker of poor prognosis in UHR patients.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251346619"},"PeriodicalIF":1.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214720","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

A lived experience transformation of mental illness to mental health: Inspiring a movement of hope. 精神疾病转化为精神健康的生活经验：激发希望的运动。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-02 DOI: 10.1177/10398562251346609

James McLure

{"title":"A lived experience transformation of mental illness to mental health: Inspiring a movement of hope.","authors":"James McLure","doi":"10.1177/10398562251346609","DOIUrl":"https://doi.org/10.1177/10398562251346609","url":null,"abstract":"ObjectiveThe objective is to reflect on my own lived experience to affirm the importance of hope in fuelling personal growth after an experience of mental illness. My personal testimony describes mental illness ultimately as a blessing as it precludes a humbling and exquisite transformation and healing process. Secondly, to provide a narrative review of the ways hope may spread through mental health systems, identifying peer support as a current example. Finally, to illustrate the importance of people with lived experience leading research in mental health as it may guide the field to areas of greatest impact.ConclusionsA narrative of lived experience testimony of mental illness and subsequent transformation can inspire hope and sustained growth in individuals and communities. One of the most important drivers of profound healing comes in the form of hope. Currently, peer support workers employed in mental health systems embrace companionship with the people accessing services while simultaneously growing to sounder mental health together through hopeful, healing relationships. Lived experience leadership in research also continues to grow and drives specific and unique insights into grant, protocol, and policy development.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562251346609"},"PeriodicalIF":1.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198180","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 RANZCP should reconsider its political position on sex and gender. 越南共产党应该重新考虑其在性别和社会性别问题上的政治立场。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-02 DOI: 10.1177/10398562251346699

Andrew James Amos

引用次数: 0

Silencing psychiatry. 沉默精神病学。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-03-03 DOI: 10.1177/10398562251324815

John Tiller

引用次数: 0

RANZCP Position Statement 46: A missed opportunity to provide sophisticated guidance on asylum seeker and refugee policy. RANZCP立场声明46：错失了为寻求庇护者和难民政策提供复杂指导的机会。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2024-12-02 DOI: 10.1177/10398562241304929

Jillian Spencer

{"title":"RANZCP Position Statement 46: A missed opportunity to provide sophisticated guidance on asylum seeker and refugee policy.","authors":"Jillian Spencer","doi":"10.1177/10398562241304929","DOIUrl":"10.1177/10398562241304929","url":null,"abstract":"ObjectiveTo stimulate discussion on how the RANZCP can contribute more constructively to the debate over Australia's immigration policies.ConclusionsUpdated in March 2024, RANZCP Position Statement 46, titled: 'The provision of mental health services for asylum seekers and refugees', continues the College's advocacy for a compassionate stance towards asylum seekers and refugees on the grounds of preventing or improving their mental health. College statements over the last decade have raised concerns about policies that are designed to deter boat arrivals; and recently, have endorsed the High Court's NZYQ decision to mandate community release of detained non-Australian citizens deemed to have failed 'the character test' under the Migration Act 1958 (Cth). The College appears to have avoided addressing public concern about how a high asylum seeker and refugee inflow may impact community cohesion and prosperity. RANZCP's reputation will be enhanced by ensuring more extensive explication of reasoning and rebuttal of counter arguments for the position it has taken on this complex political issue.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"389-393"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765596","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

Relationship between perceived social support, mental adjustment to cancer, and depression among patients with breast cancer. 乳腺癌患者感知社会支持、癌症心理适应与抑郁的关系

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub 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":"10.1177/10398562241306950","url":null,"abstract":"ObjectivePsychological 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.MethodsA 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.Results26.3% 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.ConclusionThe 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":"401-408"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","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

Exploring care of persons with dementia and significant violence risk in Victoria: A Delphi study. 探索维多利亚州痴呆症患者的护理和显著暴力风险：德尔菲研究。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-02-07 DOI: 10.1177/10398562251317342

Zoe Cousins, Sam Pang, Thomas Rego

{"title":"Exploring care of persons with dementia and significant violence risk in Victoria: A Delphi study.","authors":"Zoe Cousins, Sam Pang, Thomas Rego","doi":"10.1177/10398562251317342","DOIUrl":"10.1177/10398562251317342","url":null,"abstract":"BackgroundSignificant violence associated with dementia is uncommon, though care for these people is an important issue. This group is heterogeneous and encompasses people with no forensic history to those living in forensic and custodial settings. It is expected that over the next 40 years, the Australian population aged over 65 years will double, and persons over 85 years will increase threefold. This ageing population will likely mean increased persons living with dementia who may enact significant violence and place increased pressure on services to provide care. To date, there is no research on their specific care needs in Victoria.ObjectivesThis study aimed to explore the current service landscape for persons with dementia and significant violence risk in Victoria through a small group of medical practitioners with expertise in dementia, psychiatry of old age, and forensic psychiatry.MethodsA modified Policy Delphi study was used to interview 12 medical practitioners with backgrounds including Forensic Psychiatry, Psychiatry of Old Age, General Practice, and Geriatric Medicine.FindingsThe research identified five key recommendations to enhance service provision for this population in Victoria, including recommendations for specific care pathways, service agreements, physical environment considerations, educational needs, and consideration of a specialised service.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"457-462"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363444","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

Difficulties in data harmonisation: An examination of Amos (2024). 数据协调的困难：对阿莫斯（2024 年）的研究。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2024-10-08 DOI: 10.1177/10398562241290028

Blake S Cavve

引用次数: 0

Psychiatry Training amidst the New South Wales Workforce Crisis: A Panel Discussion at Congress 2025. 精神病学培训在新南威尔士州劳动力危机：在国会2025小组讨论。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1177/10398562251328464a

引用次数: 0

Government subsidies for GLP-1 agonists in mental health patients with metabolic syndrome: A call for quality-of-life improvement and cost reduction. 政府对GLP-1激动剂在代谢综合征精神健康患者中的补贴：呼吁改善生活质量和降低成本

IF 1.2 4区医学