Australasian Psychiatry最新文献_第9页

Transcranial magnetic stimulation (TMS) and veteran status. 经颅磁刺激（TMS）与退伍军人状况。

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-11 DOI: 10.1177/10398562261458896

Saxby Pridmore, Yvonne Turnier-Shea, Marzena Rybak

引用次数: 0

Telehealth-supported ketamine for depression and anxiety: A systematic review. 远程医疗支持氯胺酮治疗抑郁和焦虑：一项系统综述。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-11 DOI: 10.1177/10398562261458880

Eden Mane, Saras Mane

{"title":"Telehealth-supported ketamine for depression and anxiety: A systematic review.","authors":"Eden Mane, Saras Mane","doi":"10.1177/10398562261458880","DOIUrl":"https://doi.org/10.1177/10398562261458880","url":null,"abstract":"ObjectivesTo systematically review the effectiveness, safety, and care models of telehealth-supported ketamine for depression and/or anxiety in adults and consider implications for Australasian clinical practice.MethodsFollowing PRISMA 2020, we searched for randomised or observational studies of adults receiving at-home telehealth-supported ketamine for depression and/or anxiety, to August 2025. Primary outcomes were ≥50% symptom reduction and remission. Programme characteristics were synthesised narratively. Risk of bias and certainty of evidence were assessed. Protocol was not registered, and the study was not funded.ResultsOf 3,857 records screened, three met criteria, all from US commercial providers. Programmes differed in dosing schedules, clinical staffing, supervision, and safety monitoring. Across up to 16,876 patients, follow-up outcome data were available for a minority. Response ranged 49.5-62.8% (PHQ-9) and 47.6-62.9% (GAD-7), and remission 20.7-32.6% and 23.9-31.3%, respectively. All studies were at critical overall risk of bias. GRADE certainty for effectiveness and safety was very low.ConclusionsTelehealth-supported sublingual racemic ketamine was associated with symptom improvements in selected populations. Yet, the evidence base is provider generated, and at critical risk of bias. Its main contribution to Australasia is to inform consideration of model components for a future hybrid service design.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261458880"},"PeriodicalIF":1.2,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148222772","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

Recognising and treating ADHD in adults in public mental health services: A scoping review of key concepts. 在公共精神卫生服务中识别和治疗成人多动症：对关键概念的范围审查。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-09 DOI: 10.1177/10398562261455841

Tom Callaly, Hatem Elshazly, Robert Lundin, Melissa Mulraney, Merryl Whyte, Scott Hall

{"title":"Recognising and treating ADHD in adults in public mental health services: A scoping review of key concepts.","authors":"Tom Callaly, Hatem Elshazly, Robert Lundin, Melissa Mulraney, Merryl Whyte, Scott Hall","doi":"10.1177/10398562261455841","DOIUrl":"https://doi.org/10.1177/10398562261455841","url":null,"abstract":"ObjectivesTo summarise service models, facilitators and barriers relevant to recognising and treating attention deficit/hyperactivity disorder (ADHD) within adult public mental health services.MethodsA scoping review following PRISMA-ScR guidelines examined international literature describing adult ADHD care delivered within public mental health systems. Data were charted on models of care, implementation facilitators and barriers, and evidence gaps were identified.ResultsThirteen sources met inclusion criteria. The literature was limited and largely conceptual, consisting predominantly of editorials, commentaries and clinical guidance, with minimal empirical evaluation of implementation or outcomes. Three broad approaches to service delivery were described: embedding ADHD assessment and treatment within existing adult mental health teams; establishing specialist adult ADHD or neurodevelopmental services; and shared-care and primary-care-led models supported by specialist input. Facilitators included targeted workforce training and collaboration with primary care services. Barriers related to diagnostic complexity, clinician confidence, service capacity and concerns regarding prioritisation within public systems.ConclusionsThe literature consistently supports embedding ADHD care within routine adult public mental health teams, supported by targeted registrar and psychiatrist training and structured collaboration with general practitioners. Empirical evaluation of service models is needed to inform sustainable and equitable implementation within publicly funded mental health services.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261455841"},"PeriodicalIF":1.2,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148209913","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

Prazosin for post-traumatic nightmares: A clinical audit in acute public psychiatric unit patients. 普唑嗪治疗创伤后噩梦：急性公共精神科患者的临床审计。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-09 DOI: 10.1177/10398562261458938

Conor Heeney, Samuel Rainbow, Anton Neville Isaacs, Nicholas A Keks

{"title":"Prazosin for post-traumatic nightmares: A clinical audit in acute public psychiatric unit patients.","authors":"Conor Heeney, Samuel Rainbow, Anton Neville Isaacs, Nicholas A Keks","doi":"10.1177/10398562261458938","DOIUrl":"https://doi.org/10.1177/10398562261458938","url":null,"abstract":"ObjectivePost-traumatic nightmares (PTNs) are a debilitating symptom of post-traumatic stress disorder (PTSD), yet evidence for pharmacological treatment remains inconsistent. This audit examined the effectiveness and tolerability of prazosin for PTNs in an Australian inpatient psychiatric population.MethodA clinical audit with pre-test post-test analysis was conducted using records from Monash Health wards. Adult patients (n = 50) prescribed prazosin for PTNs for ≥7 days were included. Symptom severity was measured using the Clinical Global Impression-Severity (CGI-S) scale at treatment initiation and discharge, and clinical response using the Clinical Global Impression-Improvement (CGI-I) scale. Demographics, trauma histories, comorbidities, dosing, and adverse effects were also recorded.ResultsParticipants were predominantly female (74%) and aged 18-34 years. The median CGI-S improved from 5 (\"markedly ill\") to 2 (\"borderline mentally ill\"), representing a 3-point reduction (p < .01). CGI-I ratings indicated patients were \"much improved\" (median = 2). Prazosin was discontinued in 12 of 114 patients, most commonly due to dizziness or hypotension.ConclusionsPrazosin was associated with clinically and statistically significant improvements in PTNs in this cohort, noting confounding variables and subjective assessment with no control group. Findings support clinical use while underscoring the need for larger, prospective Australian trials.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261458938"},"PeriodicalIF":1.2,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148203933","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

Impact of air pollution on mental health: The missing element in psychiatric assessment. 空气污染对心理健康的影响：精神病学评估中缺失的因素。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-08 DOI: 10.1177/10398562261458972

Omar Afroz, Raja Babu Ramawat, Siddharth Sarkar

引用次数: 0

Return of the sacred: Psychiatry's evolving relationship with spirituality. 神圣的回归：精神病学与灵性的演变关系。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-05 DOI: 10.1177/10398562261457011

Osama Bhatti, Mohammad Qasim Latifi

引用次数: 0

Time in motion study of an emergency department mental health clinician's activity before and after the introduction of an emergency department team leader. 急诊科心理健康临床医生在引进急诊科组长前后活动的动态时间研究

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-04 DOI: 10.1177/10398562261455833

Euan Donley

{"title":"Time in motion study of an emergency department mental health clinician's activity before and after the introduction of an emergency department team leader.","authors":"Euan Donley","doi":"10.1177/10398562261455833","DOIUrl":"https://doi.org/10.1177/10398562261455833","url":null,"abstract":"Purpose of the researchEmergency Departments (ED) continue to get busier internationally and across Australia with mental health presentations rising who typically experience increased length of stays in EDs. A pilot Time in Motion study was implemented to examine how ED mental health clinicians spend their time and explore tasks which could be diverted to an existing team leader. The study examined these tasks both before and after the movement of an existing team leader to the ED. Limited research has been conducted into how the ED mental health clinician utilises their time and the multiple non-clinical tasks they are required to complete.Major findingsPre- and post-invention results indicated considerable improvements in clinical service delivery. For initial assessments, the wait times were reduced by over 2 hours, and the number of initial assessments doubled. Operational requirements were cut by two thirds, and individual tasks by the ED clinician were reduced by one quarter. Documentation and other administrative tasks still take up a considerable portion of the clinician's time.ConclusionsThis study has provided a valuable insight into daily clinical, administrative and organisational tasks the clinician balances, and highlights alternatives that may free up the clinician to focus more on clinical work.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261455833"},"PeriodicalIF":1.2,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148161469","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

"Does assessment method influence the prevalence of constipation in patients receiving long-term clozapine?" “评估方法是否影响长期服用氯氮平的患者便秘的发生率？”

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-04 DOI: 10.1177/10398562261455823

Rika Rijal, Sandeep Grover, Subho Chakrabarti, Swapnajeet Sahoo

{"title":"\"Does assessment method influence the prevalence of constipation in patients receiving long-term clozapine?\"","authors":"Rika Rijal, Sandeep Grover, Subho Chakrabarti, Swapnajeet Sahoo","doi":"10.1177/10398562261455823","DOIUrl":"https://doi.org/10.1177/10398562261455823","url":null,"abstract":"BackgroundNone of the studies has evaluated the prevalence of constipation among patients receiving clozapine using different assessment measures.Methods200 patients receiving clozapine for ≥1 year were assessed cross-sectionally for constipation using different assessment methods.ResultsAccording to Rome-III/IV criteria, 62% of participants met criteria for constipation. According to the Bristol Stool Chart, 28% of participants had constipation. The mean total score on the Constipation Assessment Scale was 3.06 (SD: 3.22). In 37.7% of the study sample, the cut-off for the Bowel Function index was met for constipation, with a mean score of 25.01 (SD: 22.64). Higher residual psychopathology was associated with higher severity of constipation as assessed by the Constipation Assessment Scale and Bowel Function Index. A higher severity of constipation, as evaluated by the Constipation Assessment Scale, was associated with higher disability. A higher level of constipation, as assessed using the Constipation Assessment Scale and the Bowel Function Index, was associated with poorer quality of life (QoL).ConclusionThe present study suggests that the prevalence of constipation among patients receiving clozapine varies from 28% to 62%, based on the assessment measure. Additionally, the present study suggests that the presence of constipation has a negative impact on QoL and disability.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261455823"},"PeriodicalIF":1.2,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148154907","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

Improving mental and physical health through belly dance - Evidence from a pilot study. 通过肚皮舞改善身心健康——来自一项初步研究的证据。

IF 1.2 4区医学

Australasian Psychiatry Pub Date : 2026-06-04 DOI: 10.1177/10398562261457057

Giulietta M Valuri, Anna Waterreus

{"title":"Improving mental and physical health through belly dance - Evidence from a pilot study.","authors":"Giulietta M Valuri, Anna Waterreus","doi":"10.1177/10398562261457057","DOIUrl":"https://doi.org/10.1177/10398562261457057","url":null,"abstract":"ObjectivesPeople with mental illness can experience low levels of physical activity, low self-esteem, loneliness and social disconnection. This pilot study examined short-term benefits of participating in belly dance classes on mental and physical health.MethodsParticipants were recruited into one of two dance groups; each had a maximum of 12 people. They attended four weekly one-hour classes, completed questionnaires at baseline and after 4 weeks and participated in group discussions after each class.ResultsTwenty-one women participated, aged 19 to 87 years. At baseline, 52.4% rated their current mental health and wellbeing as very good or excellent increasing to 66.7% after 4 weeks and eight participants (38.1%) were receiving treatment for mental illness. After 4 weeks, 81% reported improved physical health and 76% noticed social improvements. All participants (100%) reported classes had a positive impact on their mental health and wellbeing and commented they felt more connected, less anxious, less self-conscious, happy and relaxed.ConclusionsThese findings suggest a brief series of belly dance classes may increase self-confidence, social connectedness, and overall mental and physical health. Belly dance could be a novel approach to address challenges such as social isolation, self-stigma and inactivity experienced by people with mental health conditions.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261457057"},"PeriodicalIF":1.2,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148154961","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

What is the role of formulation in contemporary mental health practice? 提法在当代心理健康实践中的作用是什么？

IF 1.7 4区医学

Australasian Psychiatry Pub Date : 2026-06-04 DOI: 10.1177/10398562261457055

Alex Holmes, Simon Jones, Tamara Yuen, Beatrice Huang, Hamish Gunn, John Koutsogiannis

{"title":"What is the role of formulation in contemporary mental health practice?","authors":"Alex Holmes, Simon Jones, Tamara Yuen, Beatrice Huang, Hamish Gunn, John Koutsogiannis","doi":"10.1177/10398562261457055","DOIUrl":"10.1177/10398562261457055","url":null,"abstract":"ObjectiveThis paper reviews the role of formulation in contemporary mental health practice. It traces the historical and conceptual development of formulation to its current use across multiple therapeutic models. Formulation is presented as an essential integrative clinical skill that supports patient-centred care, multidisciplinary collaboration, and real-time decision-making. The paper contrasts formulation with diagnosis, highlighting its individualised explanatory power, epistemological diversity, and capacity to organise clinical uncertainty. It also examines the role of the hypothesis-driven interview and relational awareness in generating meaningful formulations. ConclusionsFormulation is a core clinical competency. Although less easily operationalised than making a diagnosis and vulnerable to critiques of subjectivity, its validity is grounded in disciplined observation, iterative reasoning, and the development of a shared understanding with the patient. Formulation enhances therapeutic alliance and underscores defensible decision-making. The re-emergence of formulation as an assessable competency in psychiatric training represents an opportunity to reinforce formulation as central to our professional identity.","PeriodicalId":8630,"journal":{"name":"Australasian Psychiatry","volume":" ","pages":"10398562261457055"},"PeriodicalIF":1.7,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148154895","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