Australasian Psychiatry最新文献_第8页

Subclinical hypothyroidism and metabolic syndrome in psychiatric patients: A systematic literature review and meta-analysis. 精神病患者亚临床甲状腺功能减退症和代谢综合征：系统性文献综述和荟萃分析。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-01 Epub Date: 2024-07-24 DOI: 10.1177/10398562241267149

The The Aung, Win Wah, Arnob Chakraborti, Vikas Garg

{"title":"Subclinical hypothyroidism and metabolic syndrome in psychiatric patients: A systematic literature review and meta-analysis.","authors":"The The Aung, Win Wah, Arnob Chakraborti, Vikas Garg","doi":"10.1177/10398562241267149","DOIUrl":"10.1177/10398562241267149","url":null,"abstract":"Objective: The systematic review evaluated the association of subclinical hypothyroidism (SCH) with metabolic syndrome (MetS) and specific MetS components in people with major psychiatric disorders.Methods: A systematic review and meta-analysis was conducted to evaluate the association of SCH with MetS and its components in people with major psychiatric conditions.Results: Five studies incorporating 24,158 participants met the inclusion criteria. All five studies comprised patients with depression and/or anxiety. Three studies incorporating 3365 participants were suitable for the meta-analysis. The pooled Odds Ratio (OR) of MetS was 3.46 (95% Confidence Interval/CI = 1.39-8.62) in major depressive disorder (MDD) and anxiety disorders patients with concurrent SCH compared to those without SCH. Meta-analysis showed a significant positive association between SCH and high body mass index (OR = 2.58, 95%CI = 1.33-5.01), high fasting plasma glucose (OR = 3.05, 95%CI = 1.79-5.18) and low high-density lipoprotein cholesterol (OR = 2.30, 95%CI = 1.82-2.92).Conclusions: These findings suggest a significant positive association between MetS and SCH in people with MDD and anxiety disorders. This review informed the clinical implications of MetS in MDD with comorbid SCH and the importance of early diagnosis and treatment for SCH and MetS in psychiatric patients.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"470-476"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141750972","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

From the President. 总统致辞

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-01 DOI: 10.1177/10398562241276593

引用次数: 0

Bioethical implications of cosmetic psychiatry: Distributive justice versus utilitarianism. 美容精神病学的生物伦理意义：分配正义与功利主义。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-01 Epub Date: 2024-06-21 DOI: 10.1177/10398562241264422

Michael James Weightman, Andrew James Amos

引用次数: 0

Behind the curtain of Australasian Psychiatry: The practice of a medical journal and a call for reviewers. 澳大利亚精神病学》的幕后故事：医学期刊的实践与审稿人征集。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-01 Epub Date: 2024-07-22 DOI: 10.1177/10398562241265261

Jeffrey Cl Looi, Andrew Amos, Tarun Bastiampillai, Samantha Loi, Edward Miller, Sharon Reutens

引用次数: 0

Trainee matters. 学员事务。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-01 DOI: 10.1177/10398562241276593a

引用次数: 0

The Pathways to Community Living Initiative (PCLI) for older adults: implementation and outcomes. 老年人社区生活之路倡议（PCLI）：实施与成果。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-01 Epub Date: 2024-07-25 DOI: 10.1177/10398562241268139

Rowena Kellett, Lillian Findlay, Sean Lubbe, Anne Pf Wand

{"title":"The Pathways to Community Living Initiative (PCLI) for older adults: implementation and outcomes.","authors":"Rowena Kellett, Lillian Findlay, Sean Lubbe, Anne Pf Wand","doi":"10.1177/10398562241268139","DOIUrl":"10.1177/10398562241268139","url":null,"abstract":"Objective: To describe implementation of the Pathways to Community Living Initiative (PCLI) within an Older People's Mental Health (OPMH) service.Method: A retrospective observational study was conducted. Implementation comprised partnership with a specialist Residential Aged Care Facility (RACF). Data were obtained from Clinical Advisory Committee (CAC) discussion and minutes, the PCLI database, and consumer medical records.Results: Eighteen consumers were accepted onto the program between April 2019 and March 2023. Their PCLI and rating scale outcomes alongside interventions facilitating placements are described. Interventions included OPMH case management, wide-reaching liaison, and inservices. Challenges included communication, confusion regarding roles, and differing views on capacity to accommodate complex consumers. Solutions included streamlining communication, including clinical updates in the CAC, facility appointment of a lead PCLI-nurse, and targeted RACF education.Conclusions: Considered interventions strengthened the OPMH and specialist RACF partnership over time. Clarification of professional roles and intersection with other services was crucial. Successful placement for PCLI consumers required consideration of personalised needs and existing resident mix, liaison with stakeholders, and targeted staff training. These strategies may apply to other health services implementing similar initiatives supporting community placements for OPMH consumers with complex needs.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"423-430"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756835","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

Assen Jablensky and the history of psychiatry. 阿森-雅布连斯基与精神病学史。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-01 DOI: 10.1177/10398562241276593c

引用次数: 0

Psychiatrists and general practitioners perspectives on sexual wellbeing: Why it matters? 精神科医生和全科医生对性健康的看法：为什么这很重要？

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-01 Epub Date: 2024-07-19 DOI: 10.1177/10398562241261247

Gin S Malhi, Uyen Le, Erica Bell

{"title":"Psychiatrists and general practitioners perspectives on sexual wellbeing: Why it matters?","authors":"Gin S Malhi, Uyen Le, Erica Bell","doi":"10.1177/10398562241261247","DOIUrl":"10.1177/10398562241261247","url":null,"abstract":"Objective: Sexual wellbeing is a fundamental component of overall wellbeing and is often impacted by common psychiatric disorders such as depression. Despite this, research suggests it is underexplored in clinical practice. This preliminary study aimed to examine whether this is the case in both psychiatrists and general practitioners (GPs).Method: GPs and psychiatrists completed a survey examining the exploration of various sexual wellbeing domains with patients. It included open-ended questions regarding factors that influence this exploration, whether clinicians felt this was their responsibility, and their level of training in this area.Results: Clinicians who felt it was their responsibility to enquire about sexual wellbeing reported exploring it in more patients than those who did not endorse this perspective. Overall, clinicians from both specialties demonstrated a reluctance to explore most sexual wellbeing topics, and this appeared to be due to many factors including views held by clinicians themselves. Most clinicians felt they had not received adequate training in this area.Conclusions: Domains of sexual wellbeing are largely underexplored by clinicians from both specialties. Educational materials and training for clinicians are needed to facilitate the exploration of this important area with patients, specifically in the context of mental health.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"454-458"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141726816","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 RANZCP Workforce Report: Action is needed, now. 新西兰皇家医学会医师协会劳动力报告：现在就需要采取行动。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-01 Epub Date: 2024-07-21 DOI: 10.1177/10398562241265592

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

{"title":"The RANZCP Workforce Report: Action is needed, now.","authors":"Jeffrey C L Looi, Fiona Wilkes, Stephen Allison, Paul A Maguire, Steve Kisely, Tarun Bastiampillai","doi":"10.1177/10398562241265592","DOIUrl":"10.1177/10398562241265592","url":null,"abstract":"Objective: The RANZCP conducted an anonymous survey of 7200 members (trainees and psychiatrists) in December 2023, receiving 1269 responses, representing the views of roughly 1 in 6 members, and of the respondents, three quarters reported experiencing burnout in the last 3 years. We provide a commentary, citing evidence from relevant previous research, discussing the implications and proposing potential interventions.Conclusions: Members of the RANZCP reported worsening workforce shortages, with 9 in 10 respondents stating that these negatively impacted patient care, and 7 in 10 experiencing symptoms of burnout. Eighty per cent identified workforce shortages as the top contributing factor to such burnout. The aetiology of workforce shortages and burnout is likely due to operational and structural shortfalls in psychiatric services. However, public and private sector employment information was not included in the report. There are a range of strategic, evidence-based interventions to address the psychiatrist and trainee workforce challenges, comprising general healthcare service as well as specific initiatives. Based on the findings of the report, such interventions are needed, now.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"450-453"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733456","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 travails of women with severe mental illness and pregnancy. 患有严重精神疾病的妇女在怀孕期间所遭受的痛苦。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2024-10-01 Epub Date: 2024-07-26 DOI: 10.1177/10398562241267875

Michelle Atchison, Jeffrey Cl Looi, Stephen J Robson

引用次数: 0