Australasian Psychiatry最新文献_第8页

Gender-affirming care through the lens of abnormal illness behaviour and abnormal treatment behaviour. 从异常疾病行为和异常治疗行为的角度看性别平等护理。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-08-29 DOI: 10.1177/10398562241276978

Patrick Clarke, Andrew J Amos

引用次数: 0

Pharmacotherapy and electroconvulsive therapy prescription for women with depressive and anxiety disorders in a psychiatric mother-baby unit. 为精神科母婴病房中患有抑郁症和焦虑症的妇女开具药物疗法和电休克疗法处方。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-08-29 DOI: 10.1177/10398562241278856

Sushreya Saluja, Anna Cooter, Susan Roberts, Grace Branjerdporn

{"title":"Pharmacotherapy and electroconvulsive therapy prescription for women with depressive and anxiety disorders in a psychiatric mother-baby unit.","authors":"Sushreya Saluja, Anna Cooter, Susan Roberts, Grace Branjerdporn","doi":"10.1177/10398562241278856","DOIUrl":"https://doi.org/10.1177/10398562241278856","url":null,"abstract":"Objective: The purpose of this study was to understand the pharmacotherapy and electroconvulsive therapy (ECT) prescription of women with depression and anxiety admitted to an Australian inpatient psychiatric mother-baby unit (MBU) and compare prescription to national clinical practice guidelines.Method: A retrospective audit was conducted on women diagnosed with depression or anxiety admitted to a public psychiatric inpatient MBU from March 2017 to July 2019. Data was captured at three time points to assess demographic, clinical and pharmacotherapy treatment characteristics. Descriptive statistics were completed.Results: Of the 74 women, 57 women had depression, with 73% prescribed Selective Serotonin Reuptake Inhibitors (SSRIs) and 14% provided ECT during admission. For women with anxiety (n = 17), 23% were prescribed a benzodiazepine with concurrent antidepressant prescription. SSRI prescription increased, with other antidepressant prescription up trending through admission. Atypical antipsychotic prescription was increased initially and trended downwards at discharge.Conclusions: This study explored the therapeutic armamentarium employed for the treatment of mothers admitted to an inpatient psychiatric MBU with depression and anxiety. The results point to the intricate prescribing practices in a naturalistic setting and highlight that prescribing practices were in line with national guidelines.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103876","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 impact of psychiatric facility design on reducing aggressive behaviours in an adult population: a narrative literature review. 精神病院设计对减少成人攻击行为的影响：叙事性文献综述。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-08-27 DOI: 10.1177/10398562241278570

Alla Grynevych, Anthony Hew, James Olver

{"title":"The impact of psychiatric facility design on reducing aggressive behaviours in an adult population: a narrative literature review.","authors":"Alla Grynevych, Anthony Hew, James Olver","doi":"10.1177/10398562241278570","DOIUrl":"https://doi.org/10.1177/10398562241278570","url":null,"abstract":"Objectives: This review examines the literature to determine whether physical design features of psychiatric facilities can help reduce aggressive behaviours in an adult patient population.Methods: Using PRISMA's methodology, we conducted a narrative review of peer-reviewed primary studies on the physical design features and aggressive behaviours in psychiatric facilities. The Joanna Briggs Institute's (JBI) critical appraisal tool was used to assess the quality of included studies.Results: A total of eight studies were identified. The findings revealed underlying themes in physical design efforts to reduce the incidences of aggressive behaviours, which included changes in structural design (e.g. single rooms; visiting/living/recreational areas; views of outdoors/nature; and uncrowded spaces) and changes in interior design (e.g. art and home-like/comforting environment). There were varying measures of patient aggression.Conclusions: There was mixed evidence that superficial or structural design changes to psychiatric wards reduced patient aggression. Some studies found reduced aggression; others found no changes, while one study found increased aggression following the implementation of physical design changes. The methodological limitations of the available studies made it difficult to draw causative links and further research on the topic is needed.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079017","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

Addressing the misconceptions in gender-affirming care: Response to Amos (2024). 消除性别确认护理中的误解：回应阿莫斯（2024）。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-08-27 DOI: 10.1177/10398562241274341

Jaco Erasmus

引用次数: 0

Achieving gender equity in academic psychiatry - barriers to involvement and solutions for success. 在精神病学学术领域实现性别平等--参与的障碍和成功的解决方案。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-08-22 DOI: 10.1177/10398562241268362

Megan Galbally, Beth Kotze, Caroline Bell, Carolyn Quadrio, Cherrie Galletly, Helen Herrman, Helen Milroy, Jackie Curtis, Jessica Green, Josephine Power, Judy Hope, Katherine Sevar, Kimberlie Dean, Korinne Northwood, Lisa Lampe, Megan Kalucy, Nicole Korman, Nicola Lautenschlager, Nicola Warren, Phyllis Chua, Rebecca Anglin, Ruwanthi De Alwis Seneviratne, Samantha Loi, Sara Burton, Shalini Arunogiri, Shirlony Morgan

{"title":"Achieving gender equity in academic psychiatry - barriers to involvement and solutions for success.","authors":"Megan Galbally, Beth Kotze, Caroline Bell, Carolyn Quadrio, Cherrie Galletly, Helen Herrman, Helen Milroy, Jackie Curtis, Jessica Green, Josephine Power, Judy Hope, Katherine Sevar, Kimberlie Dean, Korinne Northwood, Lisa Lampe, Megan Kalucy, Nicole Korman, Nicola Lautenschlager, Nicola Warren, Phyllis Chua, Rebecca Anglin, Ruwanthi De Alwis Seneviratne, Samantha Loi, Sara Burton, Shalini Arunogiri, Shirlony Morgan","doi":"10.1177/10398562241268362","DOIUrl":"https://doi.org/10.1177/10398562241268362","url":null,"abstract":"Objective: Women face considerable barriers in pursuing careers in academic psychiatry.Methods: A group of Australian and New Zealand academic women psychiatrists convened in September 2022 to identify and propose solutions to increase opportunities for women in academic psychiatry.Results: Limiting factors were identified in pathways to academia including financial support, engagement and coordination between academia and clinical services, and flexible working conditions. Gender biases and the risk of burnout were additional and fundamental barriers. Potential solutions include offering advanced training certificates to enable trainees to commence a PhD and Fellowship contemporaneously; improved financial support; expanding opportunities for research involvement; establishing mentoring opportunities and communities of practice; and strategies to enhance safety at work and redress gender bias and imbalance in academia.Conclusions: Support for women in research careers will decrease gender disparity in academic psychiatry and may decrease problematic gender bias in research. Fellows and trainees, the RANZCP, universities, research institutes, governments, industry and health services should collaborate to develop and implement policies supporting changes in working conditions and training. Facilitating the entry and retention of women to careers in academic psychiatry requires mentoring and development of a community of practice to provide and enable support, role modelling, and inspiration.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016206","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 mediating effect of resilience between work fatigue and psychological distress among healthcare workers in Brazil, Lebanon, Nigeria, Pakistan, Poland, Qatar, Serbia, and Tunisia. 在巴西、黎巴嫩、尼日利亚、巴基斯坦、波兰、卡塔尔、塞尔维亚和突尼斯的医护人员中，抗压能力在工作疲劳和心理困扰之间的中介效应。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-08-22 DOI: 10.1177/10398562241268102

Feten Fekih-Romdhane, Souheil Hallit, Irfan Mohammed, Sarah El Khatib, Anna Brytek-Matera, Shadrach Chinecherem Eze, Kenneth Egwu, Rawshan Jabeen, Nebojša Pavlović, Pascale Salameh, Michelle Cherfane, Samar Younes, Marwan Akel, Chadia Haddad, Randa Choueiry, Katia Iskandar

{"title":"The mediating effect of resilience between work fatigue and psychological distress among healthcare workers in Brazil, Lebanon, Nigeria, Pakistan, Poland, Qatar, Serbia, and Tunisia.","authors":"Feten Fekih-Romdhane, Souheil Hallit, Irfan Mohammed, Sarah El Khatib, Anna Brytek-Matera, Shadrach Chinecherem Eze, Kenneth Egwu, Rawshan Jabeen, Nebojša Pavlović, Pascale Salameh, Michelle Cherfane, Samar Younes, Marwan Akel, Chadia Haddad, Randa Choueiry, Katia Iskandar","doi":"10.1177/10398562241268102","DOIUrl":"https://doi.org/10.1177/10398562241268102","url":null,"abstract":"Objectives: To test the hypothesis that resilience has a mediating effect on the association between work fatigue and psychological distress.Methods: A cross-sectional survey was conducted online in eight countries in 2021: Brazil, Lebanon, Nigeria, Pakistan, Poland, Qatar, Serbia, and Tunisia. A total of 1094 healthcare professionals specialized in medicine, pharmacy, and nurse practitioners that were exposed to/worked with COVID-19 patients were included (age: 33.89 ± 10.79 years; 59.6% females).Results: After adjusting for potential confounders (i.e., country, gender, primary work in emergency department, primary work in infectious disease, primary work in intensive care unit, working in a COVID-19 ward, and working voluntary hours), the results of the mediation analysis showed that resilience fully mediated the association between physical work fatigue and psychological distress and partially mediated the associations between mental and emotional work fatigue and psychological distress. Higher work fatigue was significantly associated with less resilience; higher resilience was significantly associated with less psychological distress. Finally, higher mental and emotional, but not physical, work fatigue, were directly and significantly associated with more psychological distress.Conclusion: Identifying resilience as an important mediator in the path from fatigue to distress helps elucidate underlying mechanisms and pathways leading to the mental health-alteration process among healthcare workers during COVID-19. New strategies targeting resilience may be developed to further improve mental health outcomes among healthcare workers.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016207","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

Should Mother Baby Units be renamed Parent Baby Units? A critical reflection on gendered language in perinatal psychiatry. 母婴病房是否应更名为亲子病房？对围产期精神病学中性别语言的批判性思考。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-08-19 DOI: 10.1177/10398562241273069

Sophie Isobel

引用次数: 0

Antipsychotic augmentation of clozapine. 氯氮平的抗精神病增效作用。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-08-14 DOI: 10.1177/10398562241271030

Cherrie Galletly

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 : 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

New Fellows 新研究员

IF 1.8 4区医学

Australasian Psychiatry Pub Date : 2024-08-12 DOI: 10.1177/10398562241263723d

引用次数: 0