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Factors associated with domestic violence in pregnant women during the COVID-19 pandemic: Araraquara Cohort study. COVID-19 大流行期间孕妇遭受家庭暴力的相关因素：阿拉瓜拉队列研究。
IF 2
BJPsych Bulletin Pub Date : 2025-08-01 DOI: 10.1192/bjb.2024.43
Leonardo Domingos Biagio, Delanjathan Devakumar, Leticia Falcão de Carvalho, Natália Pinheiro de Castro, Rossana Verónica Mendoza López, Liania Alves Luzia, Perla Pizzi Argentato, Patrícia Helen Carvalho Rondó
{"title":"Factors associated with domestic violence in pregnant women during the COVID-19 pandemic: Araraquara Cohort study.","authors":"Leonardo Domingos Biagio, Delanjathan Devakumar, Leticia Falcão de Carvalho, Natália Pinheiro de Castro, Rossana Verónica Mendoza López, Liania Alves Luzia, Perla Pizzi Argentato, Patrícia Helen Carvalho Rondó","doi":"10.1192/bjb.2024.43","DOIUrl":"10.1192/bjb.2024.43","url":null,"abstract":"<p><strong>Aims and method: </strong>This cross-sectional study, carried out from 2021 to 2022, investigated the factors associated with domestic violence in 400 Brazilian pregnant women during the COVID-19 pandemic. Violence was assessed with the World Health Organization's Violence Against Women questionnaire and the Abuse Assessment Screen. Demographic, socioeconomic, obstetric, lifestyle and mental health data were collected.</p><p><strong>Results: </strong>Violence at any time in their lives was reported by 52.2% of the women, and psychological violence was the most prevalent type (19.5%). Violence was associated with being single and mental health changes. Pregnant women exposed to any lifetime violence and psychological violence were, respectively, 4.67 and 5.93 times more likely to show mental health changes compared with women with no reported violence.</p><p><strong>Clinical implications: </strong>Training health professionals involved in prenatal care in the early detection of single women and women with mental health changes could be important in preventing domestic violence.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"235-241"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140955633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and evaluation of a personalised sleep care plan on child and adolescent in-patient mental health wards. 儿童和青少年精神疾病住院病房个性化睡眠护理计划的开发和评估。
IF 2
BJPsych Bulletin Pub Date : 2025-08-01 DOI: 10.1192/bjb.2024.41
Kirstie N Anderson, Rod Bowles, Christine Fyfe, Ron Weddle, Patrick Keown
{"title":"Development and evaluation of a personalised sleep care plan on child and adolescent in-patient mental health wards.","authors":"Kirstie N Anderson, Rod Bowles, Christine Fyfe, Ron Weddle, Patrick Keown","doi":"10.1192/bjb.2024.41","DOIUrl":"10.1192/bjb.2024.41","url":null,"abstract":"<p><strong>Aims and method: </strong>The study evaluated a package of measures to improve sleep on psychiatric wards admitting patients from children and young people's services (CYPS). Sleep disturbance has significant impact on adolescent mental health, and in-patient wards can directly cause sleep disturbance, independent of the problem that led to admission. We developed a CYPS-specific package (TeenSleepWell) that promoted a better sleep environment, enhanced staff education about sleep, screened for sleep disorders, and raised awareness of benefits and side-effects of hypnotics. This included personalised sleep care plans that allowed a protected 8 h sleep period when safe.</p><p><strong>Results: </strong>Evaluation over 2 years showed enhanced in-patient care: 57% of patients were able to have a protected sleep period. There was no increase in adverse events and there was a decrease in hypnotics issued.</p><p><strong>Clinical implications: </strong>Improving sleep during in-patient CYPS admissions is possible and personalised sleep care plan should be a care standard.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"223-227"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dementia in-patient units in psychiatric hospitals: research priority setting. 精神病医院的痴呆症住院部：确定研究重点。
IF 2
BJPsych Bulletin Pub Date : 2025-08-01 DOI: 10.1192/bjb.2024.42
George Crowther, Rebecca Dunning, Gregor Russell, Emma Wolverson, Benjamin R Underwood
{"title":"Dementia in-patient units in psychiatric hospitals: research priority setting.","authors":"George Crowther, Rebecca Dunning, Gregor Russell, Emma Wolverson, Benjamin R Underwood","doi":"10.1192/bjb.2024.42","DOIUrl":"10.1192/bjb.2024.42","url":null,"abstract":"<p><strong>Aims and method: </strong>Dementia in-patient units (DIU) are mental health wards that care for people living with dementia (PLWD) whose symptoms are causing severe distress or potential risk. DIUs look after some of the most vulnerable and unwell people in society, yet they are environments that are underresearched: a recent systematic review revealed only 36 articles worldwide relating to DIUs. To better understand research priorities in DIUs, we undertook a two-round online Delphi survey of PLWD with experience of DIUs, their carers and professionals who work in DIUs.</p><p><strong>Results: </strong>Ten research priorities were described and ranked. The top three were how to use non-pharmacological techniques to manage non-cognitive symptoms of dementia, supporting families and better understanding of how to discharge PLWD safely and healthily.</p><p><strong>Clinical implications: </strong>This is the first Delphi consensus to describe DIU research priorities. This paper will help researchers focus on the areas that matter most to people who use DIUs.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"228-234"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eating Disorder and Autism Collaborative project outline: promoting eating disorder research embedded in a neurodiversity-affirming culture. 饮食失调症与自闭症合作项目纲要：促进饮食失调症研究与神经多样性文化的结合。
IF 2
BJPsych Bulletin Pub Date : 2025-08-01 DOI: 10.1192/bjb.2024.61
Fiona Duffy, Karri Gillespie-Smith, Helen Sharpe, Kyle Buchan, Emy Nimbley, Ellen Maloney, Michelle Sader, Sarah Kettley, Jess Kerr-Gaffney, Gordon Waiter, Kate Tchanturia
{"title":"Eating Disorder and Autism Collaborative project outline: promoting eating disorder research embedded in a neurodiversity-affirming culture.","authors":"Fiona Duffy, Karri Gillespie-Smith, Helen Sharpe, Kyle Buchan, Emy Nimbley, Ellen Maloney, Michelle Sader, Sarah Kettley, Jess Kerr-Gaffney, Gordon Waiter, Kate Tchanturia","doi":"10.1192/bjb.2024.61","DOIUrl":"10.1192/bjb.2024.61","url":null,"abstract":"<p><p>EDAC (Eating Disorders and Autism Collaborative) is an innovative project aiming to increase research capacity by supporting collaboration in the fields of eating disorders and autism. EDAC comprises four integrated workstreams to co-produce interdisciplinary research, directed by Autistic individuals with lived experience of eating disorders. Workstream 1 will outline best collaborative practices, informing the research network. Workstream 2 will use arts-based methodologies to set research priorities, with emphasis on the perspectives of underrepresented groups. Workstream 3 will support interdisciplinary collaborations to develop innovative research. Finally, workstream 4 will maximise knowledge mobilisation with the aim of reducing barriers to rapid incorporation of research into policy and clinical practice. A core aim of EDAC is to embed a neurodiversity-affirming culture within eating disorder research and to support the development of a new generation of researchers conducting innovative and meaningful research with the potential to improve clinical outcomes.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"272-277"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Attachment-informed mental healthcare systems as 'organisational caregivers': ideas for the future. 作为 "组织看护者 "的心理健康护理系统：对未来的设想。
IF 2
BJPsych Bulletin Pub Date : 2025-08-01 DOI: 10.1192/bjb.2024.94
Alberto Salmoiraghi, Nicolò Zarotti
{"title":"Attachment-informed mental healthcare systems as 'organisational caregivers': ideas for the future.","authors":"Alberto Salmoiraghi, Nicolò Zarotti","doi":"10.1192/bjb.2024.94","DOIUrl":"10.1192/bjb.2024.94","url":null,"abstract":"<p><p>Over the past 50 years, mental health services have evolved significantly, influenced by shifts in theoretical and practical approaches to mental disorders. Key among these changes are the biopsychosocial and recovery models, which highlight resilience and quality of life in treatment. However, traditional psychiatry has often struggled to embrace these changes because of reductionist perspectives that overlook psychosocial factors, resulting in fragmented care and reduced accessibility. Proposed solutions have faced implementation barriers in absence of a coherent theoretical framework. Here, we outline how attachment theory may offer a promising framework to drive systemic change in mental health by emphasising secure emotional bonds at both the organisational and individual level. Within an attachment-informed culture, services may act as 'organisational caregivers' that promote continuity of care, independence and stronger clinical relationships. In turn, this may foster more inclusive, responsive and resilient mental healthcare systems that prioritise patients' needs and empowerment.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"259-264"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142494068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving representation of ethnic minorities in psychiatric research. 提高少数民族在精神病学研究中的代表性。
IF 2
BJPsych Bulletin Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.1192/bjb.2025.10118
Rithik Gaikwad
{"title":"Improving representation of ethnic minorities in psychiatric research.","authors":"Rithik Gaikwad","doi":"10.1192/bjb.2025.10118","DOIUrl":"https://doi.org/10.1192/bjb.2025.10118","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"49 4","pages":"285"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Whose trauma is it anyway? Creating more equitable mental healthcare in a system that harms. 到底是谁的创伤？在伤害人的系统中创造更公平的心理医疗保健。
IF 2
BJPsych Bulletin Pub Date : 2025-08-01 DOI: 10.1192/bjb.2024.103
James Downs
{"title":"Whose trauma is it anyway? Creating more equitable mental healthcare in a system that harms.","authors":"James Downs","doi":"10.1192/bjb.2024.103","DOIUrl":"10.1192/bjb.2024.103","url":null,"abstract":"<p><p>Past experiences of mental healthcare which have been perceived as harmful can present significant barriers to accessing treatment again. This article draws upon research and lived experience to consider the ways in which conceptualisations of 'trauma-informed care' may better incorporate the role of iatrogenic harm, thus providing more acceptable and equitable treatment for those who have previously found treatment to be harmful. A more restorative approach is offered, founded in shared responsibility and compassionate relationships, to help minimise harms and create a more healing system for patients and clinicians alike.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"265-268"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The duality of self-harm and aggression: implications for research and practice. 自我伤害与攻击的两重性：研究与实践的启示。
IF 2
BJPsych Bulletin Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.1192/bjb.2025.10088
Matina Shafti, Daniel Pratt, Peter Taylor, Andrew Forrester
{"title":"The duality of self-harm and aggression: implications for research and practice.","authors":"Matina Shafti, Daniel Pratt, Peter Taylor, Andrew Forrester","doi":"10.1192/bjb.2025.10088","DOIUrl":"https://doi.org/10.1192/bjb.2025.10088","url":null,"abstract":"<p><p>This editorial explores dual harm - the co-occurrence of self-harm and aggression - particularly among forensic populations. Historically approached as two separate and even opposing behaviours, emerging evidence shows that those who engage in self-harm and aggression experience greater adversity and poorer outcomes. This underscores the importance of enhancing our understanding of dual harm. We review key developments within the field, including how dual harm may be best conceptualised and managed, and identify critical gaps in the literature. In order to improve the care and outcomes of those who engage in self-harm and aggression, emphasis is placed on adopting more integrated approaches that consider the duality of these behaviours, as well as the complex needs of this high-risk group, within research and practice.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"49 4","pages":"219-222"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reimagining care: effectiveness of modifying an adolescent eating disorder intensive service. 重新认识护理：修改青少年饮食失调强化服务的有效性。
IF 2
BJPsych Bulletin Pub Date : 2025-08-01 DOI: 10.1192/bjb.2024.45
Ellen Hayes, Nicola Tweedy, Victoria Chapman
{"title":"Reimagining care: effectiveness of modifying an adolescent eating disorder intensive service.","authors":"Ellen Hayes, Nicola Tweedy, Victoria Chapman","doi":"10.1192/bjb.2024.45","DOIUrl":"10.1192/bjb.2024.45","url":null,"abstract":"<p><strong>Aims and method: </strong>The COVID-19 pandemic prompted a surge in adolescent eating disorders and rapid changes in the delivery of intensive community treatments. This study investigates the modification from a group-based day programme to an intensive family treatment approach. A retrospective chart review was performed on data from 190 patients who accessed the intensive service for anorexia nervosa in the past 6 years. Outcomes from the traditional model were compared with the new intensive family model, namely length of admission, percentage median body mass index difference and transfers to in-patient services.</p><p><strong>Results: </strong>There was a significant reduction in the length of intensive treatment (from 143.19 to 97.20 days). The number of transfers to specialist eating disorder in-patient services also significantly reduced, and is decreasing year on year.</p><p><strong>Clinical implications: </strong>The findings hold particular relevance as intensive services for adolescent eating disorders continue to be established within health services, with no clear unified approach to treatment.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"242-248"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140943901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Royal College of Psychiatrists should become British, not Royal. 英国皇家精神病学院应该变成英国的，而不是皇家的。
IF 2
BJPsych Bulletin Pub Date : 2025-08-01 DOI: 10.1192/bjb.2024.97
David Curtis
{"title":"The Royal College of Psychiatrists should become British, not Royal.","authors":"David Curtis","doi":"10.1192/bjb.2024.97","DOIUrl":"10.1192/bjb.2024.97","url":null,"abstract":"<p><p>The royal charter of the Royal College of Psychiatrists is generally taken to enhance its status. However, the concept of a hereditary monarchy is intellectually indefensible and the realities of the British monarchy exacerbate inequalities in the UK. The connection is particularly problematic for psychiatrists because of their role in the compulsory detention and treatment of patients. The Royal affiliation can only serve to emphasise the power inequalities in society associated with these activities. College members should feel free to discuss whether this situation should continue or whether we should be British rather than Royal.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"269-271"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142614154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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