BJPsych Bulletin最新文献

Do patient-reported outcomes and experiences differ among patient groups accessing community mental health services? Interrogating DIALOG data through the equity lens. 在接受社区精神卫生服务的患者群体中，患者报告的结果和经历是否有所不同？通过公平镜头询问DIALOG数据。

IF 2.9

BJPsych Bulletin Pub Date : 2026-08-25 DOI: 10.1192/bjb.2026.10268

Rahul Bhattacharya, Stuart G Spicer, Akshith Shetty, Katelyn Smalley, Paul Sharpe, Richard Byng

{"title":"Do patient-reported outcomes and experiences differ among patient groups accessing community mental health services? Interrogating DIALOG data through the equity lens.","authors":"Rahul Bhattacharya, Stuart G Spicer, Akshith Shetty, Katelyn Smalley, Paul Sharpe, Richard Byng","doi":"10.1192/bjb.2026.10268","DOIUrl":"https://doi.org/10.1192/bjb.2026.10268","url":null,"abstract":"Aims and method: We aimed to compare differences in DIALOG scale patient-reported experience measures and patient-reported outcome measures scores between different patient groups accessing adult mental health services. Pooled anonymised data of 11 198 DIALOG scores from 5007 unique patients were disaggregated (based on age, gender, ethnicity and socioeconomic deprivation) and analysed. We compared statistical differences between groups in their means scores, and carried out regression analysis converting data to a binomial for satisfaction to control for variables.Results: Asian and Black patients had greater levels of satisfaction across several domains compared with White British patients. Women, younger patients and those living in more deprived areas had poorer levels of satisfaction.Clinical implications: Disaggregated large routinely collected outcome data can offer useful intelligence on monitoring of health inequity. Overall health inequity assessment needs a nuanced interpretation and triangulation of outcome data with access experience, including coercion and physical health.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-10"},"PeriodicalIF":2.9,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811923","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

Modernising the Mental State Examination: embedding eating and nutritional assessment into the 21st-century MSE. 使精神状态检查现代化：将饮食和营养评估纳入21世纪的MSE。

IF 2.9

BJPsych Bulletin Pub Date : 2026-08-01 Epub Date: 2026-02-23 DOI: 10.1192/bjb.2026.10213

Edwin Birch, James Downs, Agnes Ayton

{"title":"Modernising the Mental State Examination: embedding eating and nutritional assessment into the 21st-century MSE.","authors":"Edwin Birch, James Downs, Agnes Ayton","doi":"10.1192/bjb.2026.10213","DOIUrl":"10.1192/bjb.2026.10213","url":null,"abstract":"Aims and method: The Mental State Examination (MSE) is a core component of psychiatric assessment and medical training, yet it was developed before feeding or eating disorders (FEDs) were widely recognised. FEDs are now common, clinically severe and frequently missed in routine assessments. We conducted a narrative review of the historical development of the MSE, current UK medical education standards and relevant literature, supplemented by a lived-experience perspective, to examine whether the MSE adequately captures eating behaviour, nutritional status and body image disturbance.Results: We identified no published studies examining the explicit inclusion of FED-related psychopathology within the MSE. Current frameworks lack systematic prompts for eating behaviours and nutrition, contributing to under-recognition. Contributing factors include historical MSE design, limited curriculum coverage, clinician uncertainty and patient non-disclosure.Clinical implications: Embedding brief, semi-structured prompts into the MSE is a feasible training-aligned approach to improve detection, support curriculum modernisation and enhance patient safety.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"355-359"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Increasing research capacity in an academically isolated mental health trust. 提高学术上孤立的精神卫生信托基金的研究能力。

IF 2.9

BJPsych Bulletin Pub Date : 2026-08-01 Epub Date: 2025-12-12 DOI: 10.1192/bjb.2025.10180

Adrian J Hayes, Alicia Long, Carinna Vickers

{"title":"Increasing research capacity in an academically isolated mental health trust.","authors":"Adrian J Hayes, Alicia Long, Carinna Vickers","doi":"10.1192/bjb.2025.10180","DOIUrl":"10.1192/bjb.2025.10180","url":null,"abstract":"Aims and method: Involvement in clinical mental health research can be a challenge for services isolated from academic institutions, limiting opportunities for patients to receive innovative interventions and for clinicians to explore interest in research. We aimed to increase mental health research capacity in Somerset NHS Foundation Trust via a range of initiatives from collaboration between a senior clinician and research and development colleagues.Results: Over the course of the project, the number of participants recruited to National Institute for Health and Care Research-adopted mental health and dementia research projects quadrupled over a 2-year period, from 57 to 232, and the number of projects hosted rose from 9 to 23. A total of 165 clinicians signed up to receive information about ongoing studies.Clinical implications: We found considerable appetite for becoming involved in research among mental health clinicians, and were able to provide opportunities for research experience as well as access to innovative studies for local patients.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"311-314"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145740761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical obituaries and compulsive reading. 医学讣告和强迫阅读。

IF 2.9

BJPsych Bulletin Pub Date : 2026-08-01 Epub Date: 2025-12-19 DOI: 10.1192/bjb.2025.10194

Claire Hilton

引用次数: 0

Questioning assumptions about the abuse potential of medical cannabis and cannabinoids: narrative review and commentary. 质疑关于医用大麻和大麻素滥用可能性的假设：叙述性审查和评论。

IF 2.9

BJPsych Bulletin Pub Date : 2026-08-01 Epub Date: 2025-12-01 DOI: 10.1192/bjb.2025.10183

Peter Pressman, Andrew Wallace Hayes

{"title":"Questioning assumptions about the abuse potential of medical cannabis and cannabinoids: narrative review and commentary.","authors":"Peter Pressman, Andrew Wallace Hayes","doi":"10.1192/bjb.2025.10183","DOIUrl":"10.1192/bjb.2025.10183","url":null,"abstract":"Aims and method: There is a pressing need for standardised and comprehensive research frameworks to evaluate both the therapeutic benefits and risks of dependency and misuse associated with medical cannabis. We address the issue of abuse potential or misuse liability by examining research data and what amounts to existing clinical dogma for validity and generalisability. We undertook a broad scoping approach to exploring recent literature, focusing on clinical studies that investigated abuse/misuse and dependence among users of medical and/or recreational cannabis and cannabinoids. The search provided over 350 articles, mostly (∼90%) dated post 2002. Abstract analysis narrowed the selection to under 50 papers, according to their relevance as judged by the authors, an experienced clinician and a public health toxicologist.Results: We identified and commented upon some broad assumptions within the abuse liability literature that included (a) a standard cannabis formulation; (b) standard routes of administration and standard potency dosing; (c) a standard pattern of use; (d) a standard user or patient; and (e) a standard vulnerability to misuse or dependence.Clinical implications: Unpacking and questioning these assumptions leads to the conclusion that far more rigorous language and research design are needed to address the question of cannabis abuse definitively but, based on the best available evidence, it appears that the abuse liability of medically supervised cannabis is comparable to any other class of widely used and well-regulated pharmaceutical agents.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"333-341"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unpacking neuropsychiatry and behavioural neurology training: scoping review of core syllabus components. 解压神经精神病学和行为神经学训练：核心教学大纲组成部分的范围审查。

IF 2.9

BJPsych Bulletin Pub Date : 2026-08-01 Epub Date: 2025-11-28 DOI: 10.1192/bjb.2025.10184

Keishema Kerr, Lauren Burns, Sheldon Benjamin, Eileen M Joyce, Jasvinder Singh, Jesús Ramírez-Bermúdez, Biba Stanton, Vaughan Bell

{"title":"Unpacking neuropsychiatry and behavioural neurology training: scoping review of core syllabus components.","authors":"Keishema Kerr, Lauren Burns, Sheldon Benjamin, Eileen M Joyce, Jasvinder Singh, Jesús Ramírez-Bermúdez, Biba Stanton, Vaughan Bell","doi":"10.1192/bjb.2025.10184","DOIUrl":"10.1192/bjb.2025.10184","url":null,"abstract":"Aims and method: There is no consensus on core curriculum content for neuropsychiatry and behavioural neurology training and the breadth of topic coverage is poorly understood. Using a scoping review, we identified 23 unique syllabuses from Australia, Argentina, Chile, Mexico, New Zealand, South Africa, the USA and the UK, and one explicitly international in scope.Results: Syllabuses addressed a wide range of neuropsychiatric conditions, encompassing not only overlapping psychiatric and neurological disorders, but also functional, behavioural and cognitive disorders. Training integrated knowledge from neuropsychology, philosophy, ethics and social sciences. Core elements included clinical assessment, intervention skills and case management in social and institutional settings. Neuropsychiatry and behavioural neurology training integrates a broad spectrum of knowledge and skills, is aimed at a range of professionals and is delivered as both specialist training and embedded components within core training.Clinical implications: The core components of neuropsychiatry curricula identified in this study provide a foundation for institutions to develop or enhance their neuropsychiatry training programs.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"325-332"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145628786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A service evaluation of Early Positive Approaches to Support (E-PAtS): Comparing online versus in-person group outcomes. 早期积极支持方法（E-PAtS）的服务评估：在线与面对面小组结果的比较。

IF 2.9

BJPsych Bulletin Pub Date : 2026-08-01 Epub Date: 2025-11-28 DOI: 10.1192/bjb.2025.10181

Hannah Newton, Emma Johnston, Nick Gore, Caitlin A Williams, Vaso Totsika, Jill Bradshaw

{"title":"A service evaluation of Early Positive Approaches to Support (E-PAtS): Comparing online versus in-person group outcomes.","authors":"Hannah Newton, Emma Johnston, Nick Gore, Caitlin A Williams, Vaso Totsika, Jill Bradshaw","doi":"10.1192/bjb.2025.10181","DOIUrl":"10.1192/bjb.2025.10181","url":null,"abstract":"Aims and method: Early Positive Approaches to Support (E-PAtS) is a co-produced group intervention supporting family carers of children (0-5 years) with additional developmental needs. This study compared online (n = 10) and in-person (n = 11) groups to investigate whether mode of delivery was associated with different outcomes. Participants were 98 family carers reporting on their mental well-being, self-efficacy, child symptoms and knowledge pre and post intervention. Generalised estimating equations compared outcomes between groups, controlling for group cluster effects.Results: Mental well-being improved significantly across both groups (d = 0.47, 95% CI: 0.30, 0.63), as did an in-session measure concerning mechanisms of change (d = 1.28, 95% CI: 0.97, 1.59) and all other assessed outcomes. There were no significant differences in measured outcomes between online and in-person groups.Clinical implications: Establishing the equivalence of in-person with online groups is an important first step for improving service reach and support access for families of children with additional developmental needs.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"315-318"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145628603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Socioeconomic barriers to psychotherapy engagement in treatment-resistant depression. 治疗难治性抑郁症的社会经济障碍。

IF 2.9

BJPsych Bulletin Pub Date : 2026-08-01 Epub Date: 2026-07-20 DOI: 10.1192/bjb.2026.10262

Verônica de Oliveira Reis, Antonio E Nardi, Stephanie Zakhour

引用次数: 0

Maternal ethnicity, severe perinatal mental illness and involuntary admission: mother and baby unit service evaluation. 产妇种族、严重围产期精神疾病和非自愿入院：母婴单位服务评价。

IF 2.9

BJPsych Bulletin Pub Date : 2026-08-01 Epub Date: 2025-11-27 DOI: 10.1192/bjb.2025.10182

Katie F M Marwick, Zia J Low, Kelly Fleetwood

{"title":"Maternal ethnicity, severe perinatal mental illness and involuntary admission: mother and baby unit service evaluation.","authors":"Katie F M Marwick, Zia J Low, Kelly Fleetwood","doi":"10.1192/bjb.2025.10182","DOIUrl":"10.1192/bjb.2025.10182","url":null,"abstract":"Aims and method: To investigate associations between maternal ethnicity and involuntary mother and baby unit (MBU) admission, adjusting for potential confounding variables. Data from electronic records in a Scottish MBU (July 2012 to January 2024) were analysed with logistic regression.Results: A total of 450 first admissions were analysed. The proportion of patients from Black, Asian, Mixed or other ethnic minorities who were admitted involuntarily (n = 8/48, 38%) was twice that of White British patients (n = 66/364, 18%) with White not British patients showing an intermediate proportion (n = 12/38, 32%). In the unadjusted model, being of Black, Asian, Mixed or other minority ethnicity was associated with involuntary admission (odds ratio 2.7, 95% CI 1.4-5.2; P = 0.002), as was being of White not British ethnicity (odds ratio 2.1, 95% CI 1.0-4.3; P = 0.04997). Association were attenuated after adjustment for potential confounders, including psychosis.Clinical implications: We identified racial inequalities in a perinatal mental health setting. The drivers of these differences are likely multifactorial.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"319-324"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145628734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advance directives as a care planning tool for patients with complex mental health needs: service evaluation. 预先指示作为复杂心理健康需求患者的护理计划工具：服务评估。

IF 2.9

BJPsych Bulletin Pub Date : 2026-08-01 Epub Date: 2026-01-08 DOI: 10.1192/bjb.2025.10172

Immanuel Amrita Rhema, Mohamed Ibrahim, Hajara Begum, Paul Binfield, Doris McMeel, Sophia Parveen, Lara O'Connell, Frank Röhricht

{"title":"Advance directives as a care planning tool for patients with complex mental health needs: service evaluation.","authors":"Immanuel Amrita Rhema, Mohamed Ibrahim, Hajara Begum, Paul Binfield, Doris McMeel, Sophia Parveen, Lara O'Connell, Frank Röhricht","doi":"10.1192/bjb.2025.10172","DOIUrl":"10.1192/bjb.2025.10172","url":null,"abstract":"Aims and method: This study investigated the prevalence of advance directives among patients receiving community care within the East London NHS Foundation Trust (ELFT), and to identify factors associated with their clinical application.We analysed data from electronic health records of 4807 patients (aged 18-75 years), managed under the Care Programme Approach (CPA) in ELFT during 2021-2022. Demographic, clinical, service-level and patient-reported measures were analysed (binomial logistic regression).Results: A total of 31.2% of patients on the CPA had an advance directive. Black ethnicity, treatment in the forensic service or Newham, Luton and Bedfordshire localities, housing in socio-therapeutic facilities, diagnosis of personality disorder, ten or more previous admissions and engagement with DIALOG+ were positively associated with having an advance directive. DIALOG+ is the first approach that has been specifically developed to make routine patient-clinician meetings therapeutically effective. It is based on quality of life research, utilising the DIALOG scale (a patient-reported outcome measure), concepts of patient-centred communication, IT developments and components of solution-focused therapy, and is supported by an app.Clinical implications: This study highlights a complex interplay of cultural, social and systemic factors that influence advance care plan status. Structured communication, stronger therapeutic relationships and staff facilitation are likely to encourage advance care planning.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"303-310"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0