Australasian Psychiatry最新文献_第8页

Changing patterns of treatment and prescribers of stimulants for children, adolescents and young adults with attention deficit hyperactivity disorder in New South Wales, Australia: evidence for a treatment bottleneck? - A database study. 澳大利亚新南威尔士州儿童、青少年和年轻人注意力缺陷多动障碍的治疗模式和兴奋剂处方的变化：治疗瓶颈的证据？-数据库研究。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-01-16 DOI: 10.1177/10398562251313697

Timothy C Nielsen, Ralph Nanan, Tony Butler, Natasha Nassar, Alison Poulton

{"title":"Changing patterns of treatment and prescribers of stimulants for children, adolescents and young adults with attention deficit hyperactivity disorder in New South Wales, Australia: evidence for a treatment bottleneck? - A database study.","authors":"Timothy C Nielsen, Ralph Nanan, Tony Butler, Natasha Nassar, Alison Poulton","doi":"10.1177/10398562251313697","DOIUrl":"10.1177/10398562251313697","url":null,"abstract":"ObjectiveInvestigate the treatment patterns and prescribers of stimulants for attention deficit hyperactivity disorder (ADHD) in young people in New South Wales (NSW).MethodLongitudinal cohort study of persons born after 1983 and prescribed stimulants for ADHD as per the NSW Ministry of Health Controlled Drugs Data Collection. Results were analyzed descriptively: a) treatment prevalence by year; age; sex; b) speciality of prescribers over time; c) rate of transition from paediatrics to adult psychiatry. The main analysis covered 2003-2015, with data on general practitioner prescribing to 2023.ResultsTreatment prevalence rates were highest at age 10 (22.8 per 1000 person years), declining among teenagers and stabilizing in adulthood at 2.5 per 1000. The childhood male treatment predominance (4:1) resolved to 1.6:1 in adulthood. Paediatricians were the main prescribers until age 20. The average annual percent increase in prescribers was: adult psychiatry - 13%, general practice - 20%, paediatrics - 2.6%. Only 6.3% of treated children had transitioned to adult psychiatrists by age 25; 50% starting treatment with adult psychiatrists had no previous treatment records.ConclusionsThe proportion on treatment and the male predominance declined substantially with age. Future studies may determine whether increased prescribing by general practitioners and psychiatrists reduces treatment attrition during adolescence.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"417-423"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999020","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

Understanding influences on psychiatry specialty selection in Victoria's Medical workforce. 了解对维多利亚州医务人员精神病学专业选择的影响。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-01-13 DOI: 10.1177/10398562251313685

Monica Roberts, Ru Dee Chung, Malcolm Forbes, Anthony Hew, Ar Kar Aung, Matthew Kang

{"title":"Understanding influences on psychiatry specialty selection in Victoria's Medical workforce.","authors":"Monica Roberts, Ru Dee Chung, Malcolm Forbes, Anthony Hew, Ar Kar Aung, Matthew Kang","doi":"10.1177/10398562251313685","DOIUrl":"10.1177/10398562251313685","url":null,"abstract":"ObjectiveAustralia faces a psychiatrist shortage, making it crucial to understand factors influencing specialty choice and workforce retention.MethodAn online cross-sectional survey was conducted among medical doctors in their prevocational and vocational stages working in Victoria, Australia. Participants were asked about various factors that influenced their choice of specialty. This study focused on those interested in or currently training in psychiatry. To explore differences in factors influencing specialty choice, prevocational doctors interested in psychiatry were compared to those undecided about their specialty.ResultsOf the 107 respondents, 56 expressed interest in or were training in psychiatry. The top five factors influencing psychiatry specialty choice were perceived ability, specialty culture, prior experience, work-life balance, and patient interactions. Both prevocational and vocational doctors shared similar views on these factors. Factors such as the cost of training, influence of family and friends, prestige, length of the training program, and salary were reported as less influential.ConclusionsThis study identified several factors that were important to junior doctors when selecting psychiatry as a specialty. Active consideration of these factors within service and training frameworks may facilitate improved junior doctor wellbeing and greater workforce retention.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"567-572"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969483","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

Dual jeopardy for Indian service users: Qualitative study of managing comorbid schizophrenia and diabetes mellitus. 印度服务使用者的双重危险：管理精神分裂症和糖尿病合并症的定性研究。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-02-01 DOI: 10.1177/10398562251316145

Rajendra Pavagada, Kitty Sw 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 Sw Ko, Simon Lai, Irene Zeng, Denisse Sanchez, Lillian Ng","doi":"10.1177/10398562251316145","DOIUrl":"10.1177/10398562251316145","url":null,"abstract":"ObjectiveDiabetes 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.MethodsIn 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.ResultsFour 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.ConclusionIndian 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":"394-400"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","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

Demographic and mental health characteristics of individuals in the NSW Housing and Accommodation Support Initiative (HASI), Community Living Supports and HASI Plus. 新南威尔士州住房和住宿支持倡议（HASI）、社区生活支持和HASI Plus中个人的人口和心理健康特征。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-01-30 DOI: 10.1177/10398562251316431

Gary Kk Low, Jason Li, Emily Hielscher, Veronica Sheanoda, Sumathi Govindasamy, Fadzi Marasha

{"title":"Demographic and mental health characteristics of individuals in the NSW Housing and Accommodation Support Initiative (HASI), Community Living Supports and HASI Plus.","authors":"Gary Kk Low, Jason Li, Emily Hielscher, Veronica Sheanoda, Sumathi Govindasamy, Fadzi Marasha","doi":"10.1177/10398562251316431","DOIUrl":"10.1177/10398562251316431","url":null,"abstract":"ObjectiveTo investigate the demographic characteristics associated with mental health recovery measures among individuals accessing the Housing and Accommodation Support Initiative (HASI) program over a 19-year period.MethodsThis was a retrospective cohort study conducted from January 2004 to October 2023. The Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) and Recovery Assessment Scale (RAS) were used as measures of mental health recovery.FindingsA total of 2350 people with an average age of 42 years old were included. Female accounts for 46.0% of the total. The proportion of unmet needs in the CANSAS reduced from a median of 33.3% of the first follow-up to 5.8% in the 20th follow-up. The average RAS scores were above three, indicating agree and strongly agree in all domains and improved in each follow-up. First Nations were associated with higher unmet needs in 'psychotic symptoms', 'safety to others' and 'transport' CANSAS domains, and LGBTI had reduced RAS scores in all domains.ConclusionHASI program engagement is associated with the reduction of unmet needs and improvement of the recovery of individuals with severe mental illness. Age, sex, gender, LGBTI, First Nations and country of birth were associated with changes in the CANSAS and RAS outcomes.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"493-504"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063413","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

Responding to vicarious trauma experienced by junior doctors during hospital-based rotations: A narrative review considering effective approaches that have been used in healthcare settings. 在医院轮转期间，应对初级医生所经历的替代性创伤：一项考虑在医疗保健环境中使用的有效方法的叙述性回顾。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-03-26 DOI: 10.1177/10398562251324840

Justin Wong, Stephen Parker, Gillian McIlwain, Nicole Tregoning, Stuart Carney, Brian Kelly, Andrew Teodorczuk

{"title":"Responding to vicarious trauma experienced by junior doctors during hospital-based rotations: A narrative review considering effective approaches that have been used in healthcare settings.","authors":"Justin Wong, Stephen Parker, Gillian McIlwain, Nicole Tregoning, Stuart Carney, Brian Kelly, Andrew Teodorczuk","doi":"10.1177/10398562251324840","DOIUrl":"10.1177/10398562251324840","url":null,"abstract":"Transitioning from being a medical student to a junior doctor is stressful. Junior doctors must find ways to cope with unfamiliar clinical work in rapidly changing environments. Hospital-based placements can also expose junior doctors to vicarious trauma which cumulatively and disproportionately impacts the less experienced.ObjectivesPsychological debriefing continues to be implemented and advocated as a reactive approach to limit the effects of vicarious trauma. However, the literature strongly suggests this approach does not reduce the risk of developing post-traumatic stress disorder and may worsen symptoms. To identify alternatives to supporting junior doctors, a narrative literature search was conducted across multiple databases to identify relevant information. Alternatives to psychological debriefing included resilience training, mindfulness-based intervention, Schwartz rounds and somatic experiencing. While these novel interventions are promising, caution must be exercised, the evidence base is limited.ConclusionsExposure to distressing events may be unavoidable for junior doctors. As hospitals look for better ways to address vicarious trauma, caution must be exercised to follow the evidence rather than implement a solution-focused ideology that may be harmful. Our findings suggest the need to focus on proactive rather than reactive approaches. Further research is needed.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"561-566"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727622","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

Policy levers for the NSW psychiatrists' workforce crisis: The implications of Perera's supply-side policy feedback model. 新南威尔士州精神科医生劳动力危机的政策杠杆：佩雷拉的供给侧政策反馈模型的含义。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-03-20 DOI: 10.1177/10398562251328464

Jeffrey Cl Looi, Sharon Reutens, Natasha Robinson, Steve Kisely, Tarun Bastiampillai, Stephen Allison, Stephen J Robson, Isabel M Perera

引用次数: 0

Upcoming RANZCP conferences. 即将召开的RANZCP会议。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1177/10398562251338110g

引用次数: 0

Failures in care - The value we place on being human - Part 1. 护理失败-我们作为人类的价值-第1部分。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI: 10.1177/10398562251326480

J D Little, M Burt, C Sanderson

引用次数: 0

The clinical use of dream content in modern psychiatry. 梦内容在现代精神病学中的临床应用。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-01-02 DOI: 10.1177/10398562241311926

David Plevin, Virginia Munro

引用次数: 0

TMS in major depression: A retrospective naturalistic study including two subjective tools. 经颅磁刺激治疗重度抑郁症：一项包括两种主观工具的回顾性自然主义研究。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2025-06-01 Epub Date: 2025-01-20 DOI: 10.1177/10398562251314301

Saxby Pridmore, Gregory M Peterson, Marzena Rybak, Karen Byrne, Tae Dillon, Yvonne Turnier-Shea, Ahmed Naguy

{"title":"TMS in major depression: A retrospective naturalistic study including two subjective tools.","authors":"Saxby Pridmore, Gregory M Peterson, Marzena Rybak, Karen Byrne, Tae Dillon, Yvonne Turnier-Shea, Ahmed Naguy","doi":"10.1177/10398562251314301","DOIUrl":"10.1177/10398562251314301","url":null,"abstract":"ObjectiveTo report the outcomes of transcranial magnetic stimulation (TMS) treatment of patients with acute major depressive disorder (MDD), with particular attention to the performance of the individual assessment tools, including two new subjective mood scales.MethodsPatients with MDD were treated with up to 35 daily TMS sessions. Objective quantification of mood utilised the Hamilton Depression Rating Scale (HAM-D6) and the Clinical Global Impression-Severity scale (CGI-S). Subjective quantification was made using the Subjective Depression Scale (SDS6) and a new Daily Emotion Score (DES) - a single question which is asked daily.ResultsNinety consecutive patients (58 females; 64.4%) with a mean age of 46.9 years were included. Using HAM-D6 criteria, 51 patients (56.7%) achieved remission. Scores obtained using the different tools correlated well at the same time point, especially at the conclusion of TMS therapy. The only statistically significant independent predictors of remission were the percentage improvement at session 10 (relative to baseline) in the SDS6 (p = .0026) and in the DES (p = .043).ConclusionThe SDS6 was confirmed as a valuable companion for the HAM-D6. The DES correlated with the other subjective tool (SDS6); the latter, in particular, may also have utility in predicting treatment outcome.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"475-480"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999186","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