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Child mental health problems and poverty. 儿童心理健康问题与贫困。
IF 2.9
BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2024.111
Philip Graham, Barbara Maughan
{"title":"Child mental health problems and poverty.","authors":"Philip Graham, Barbara Maughan","doi":"10.1192/bjb.2024.111","DOIUrl":"10.1192/bjb.2024.111","url":null,"abstract":"<p><p>Waiting lists for children and young people with mental health problems are at an all-time high. Almost the only policies proposed to deal with this situation involve increasing the number of mental health professionals. Little attention is given to dealing with the underlying causative stresses, of which poverty is easily the most pervasive. It is suggested that unless levels of poverty are reduced, the rates of psychiatric disorders will not change. As psychiatrists, we need to become much more active in pressing for action over child poverty.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"427-429"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999501","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
Limited evidence and ethical considerations in rTMS trials for adolescents with obsessive-compulsive disorder. 青少年强迫症的rTMS试验的有限证据和伦理考虑。
IF 2.9
BJPsych Bulletin Pub Date : 2025-12-01 Epub Date: 2025-08-22 DOI: 10.1192/bjb.2025.10138
Raphael J Leo, Brandon L Mariotti
{"title":"Limited evidence and ethical considerations in rTMS trials for adolescents with obsessive-compulsive disorder.","authors":"Raphael J Leo, Brandon L Mariotti","doi":"10.1192/bjb.2025.10138","DOIUrl":"10.1192/bjb.2025.10138","url":null,"abstract":"<p><p>Repetitive transcranial magnetic stimulation (rTMS) has gained regulatory approval as an adjunctive treatment for obsessive-compulsive disorder (OCD) in adults. However, its application in adolescents remains largely untested. This editorial examines the limited evidence available, focusing on choice of target, stimulation depth and methodological variation. Ethical challenges surrounding the use of rTMS in vulnerable populations, including informed consent and the unknown long-term effects on neurodevelopment, are also discussed. Although rTMS holds promise for treatment-resistant adolescent OCD, a cautious and ethically rigorous approach is essential before wider clinical adoption can be considered.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"359-361"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940919","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
RE: The Rumpelstiltskin effect: therapeutic repercussions of clinical diagnosis. 摘要：Rumpelstiltskin效应：临床诊断的治疗效果。
IF 2.9
BJPsych Bulletin Pub Date : 2025-12-01 Epub Date: 2025-11-27 DOI: 10.1192/bjb.2025.10170
Ronald W Pies
{"title":"RE: The Rumpelstiltskin effect: therapeutic repercussions of clinical diagnosis.","authors":"Ronald W Pies","doi":"10.1192/bjb.2025.10170","DOIUrl":"10.1192/bjb.2025.10170","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"49 6","pages":"434"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145628782","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
Quantifying the experiences of Black and Dual Heritage young people in a forensic child and adolescent mental health service. 量化黑人和双重遗产青少年在法医儿童和青少年心理健康服务中的经历。
IF 2.9
BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2024.74
Michelle A Sandiford, David Moran, Jared G Smith, Heidi Hales
{"title":"Quantifying the experiences of Black and Dual Heritage young people in a forensic child and adolescent mental health service.","authors":"Michelle A Sandiford, David Moran, Jared G Smith, Heidi Hales","doi":"10.1192/bjb.2024.74","DOIUrl":"10.1192/bjb.2024.74","url":null,"abstract":"<p><strong>Background: </strong>Young people from racialised backgrounds are overrepresented in justice services. This study explored differences in community support offered to young people from racialised groups referred to a forensic child and adolescent mental health service.</p><p><strong>Method: </strong>We compared support offered to 427 young people, according to five ethnic groups.</p><p><strong>Results: </strong>Over 20% of young people referred were Black (compared with 14% of the local population) and 15.8% were Dual White and Black Heritage (compared with 4% of the local population). Odds ratios showed that Black and Dual Heritage groups were more frequently involved with youth offending services (Black: 2.59, Dual Heritage: 2.88), gangs services (Black: 4.31, Dual Heritage: 7.13) and have a national referral mechanism (Black: 3.61, Dual Heritage: 4.01) than their White peers, but were less often in mainstream education compared with their Asian peers (Black: 0.26, Dual Heritage: 0.29). Black (odds ratio 0.35) and Dual Heritage (odds ratio 0.40) young people were less frequently diagnosed with a neurodevelopmental disorder than their White peers.</p><p><strong>Conclusions: </strong>Those from Black and Dual Heritage backgrounds were disproportionately disadvantaged.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"362-370"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387583","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
Functional neurological disorder in pregnancy, labour and the postpartum period: systematic review. 妊娠、分娩和产后功能性神经紊乱：系统性综述。
IF 2.9
BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2024.70
Verónica Cabreira, Caoimhe McLoughlin, Natasha Shivji, Alexandra Lodge, Sanne Van Rhijn, Roxanne C Keynejad, Jan Coebergh, Alan Carson, Jon Stone, Alex Lehn, Ingrid Hoeritzauer
{"title":"Functional neurological disorder in pregnancy, labour and the postpartum period: systematic review.","authors":"Verónica Cabreira, Caoimhe McLoughlin, Natasha Shivji, Alexandra Lodge, Sanne Van Rhijn, Roxanne C Keynejad, Jan Coebergh, Alan Carson, Jon Stone, Alex Lehn, Ingrid Hoeritzauer","doi":"10.1192/bjb.2024.70","DOIUrl":"10.1192/bjb.2024.70","url":null,"abstract":"<p><strong>Aims and method: </strong>Functional neurological disorder (FND) most often presents in women of childbearing age, but little is known about its course and outcomes during pregnancy, labour and postpartum (the perinatal period). We searched MEDLINE, PsycInfo and Embase combining search terms for FND and the perinatal period. We extracted data on patient demographics, subtype of FND, timing of symptom onset, comorbidities, medications, type of delivery, investigations, treatment, pregnancy outcomes and FND symptoms at follow-up.</p><p><strong>Results: </strong>We included 36 studies (34 case reports and 2 case series) describing 43 patients. Six subtypes of FND were identified: functional (dissociative) seizures, motor weakness, movement disorder, dissociative amnesia, speech disorders and visual symptoms. New onset of perinatal FND was more common in the third trimester and onwards. Some women with functional seizures were exposed to unnecessary anti-seizure prescriptions and intensive care admissions.</p><p><strong>Clinical implications: </strong>Prospective studies are urgently needed to explore how FND interacts with women's health in the perinatal period.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"401-411"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399225","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
Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services. 异丙嗪不是提高睡眠质量的好选择，尤其是对那些接受精神治疗的人来说。
IF 2.9
BJPsych Bulletin Pub Date : 2025-12-01 DOI: 10.1192/bjb.2024.108
Jacob D King
{"title":"Promethazine is not a good option to aid sleep quality, especially for people using psychiatric services.","authors":"Jacob D King","doi":"10.1192/bjb.2024.108","DOIUrl":"10.1192/bjb.2024.108","url":null,"abstract":"<p><p>Promethazine, a sedating antihistamine, is widely and increasingly prescribed for patients reporting problems sleeping. In this Against the Stream article, the case is made that promethazine is not suitable as a sleep aid for people using mental health services, because it has no good evidence base, impedes with psychological and behavioural techniques that do improve sleep in the medium-long term, has underappreciated addictive and recreational-use potential, and an unacceptable side-effect profile. Alternatives to promethazine are described, notably the NICE first-line recommendation, cognitive-behavioural therapy for insomnia.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"424-426"},"PeriodicalIF":2.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12676235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930522","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
The contribution of transference-focused psychotherapy in general adult psychiatry training: improving trainees' technical confidence and attitude towards people with personality disorders. 移情心理治疗在普通成人精神病学培训中的贡献：提高学员对人格障碍患者的技术信心和态度。
IF 2
BJPsych Bulletin Pub Date : 2025-11-27 DOI: 10.1192/bjb.2025.10185
Arianna Sinisi, Mattia Marchi, Luca Pingani, Luca Ghirotto, Giusy Iorio, Gian Maria Galeazzi, Tennyson Lee
{"title":"The contribution of transference-focused psychotherapy in general adult psychiatry training: improving trainees' technical confidence and attitude towards people with personality disorders.","authors":"Arianna Sinisi, Mattia Marchi, Luca Pingani, Luca Ghirotto, Giusy Iorio, Gian Maria Galeazzi, Tennyson Lee","doi":"10.1192/bjb.2025.10185","DOIUrl":"https://doi.org/10.1192/bjb.2025.10185","url":null,"abstract":"<p><strong>Aims and method: </strong>This study evaluated whether brief teaching sessions on transference-focused psychotherapy (TFP) could improve psychiatric trainees' attitudes and clinical confidence in managing patients with personality disorders. A mixed-methods design was used, combining pre- and post-training validated questionnaires with a focus group discussion. Two 4-h workshops covered TFP theory and techniques, and case discussions.</p><p><strong>Results: </strong>Twenty-six participants completed paired questionnaires. Statistically significant improvements were observed in overall attitudes (Attitudes to Personality Disorder Questionnaire total score, <i>P</i> = 0.022) and enthusiasm towards patients with personality disorders (<i>P</i> = 0.003). Clinical confidence (Clinical Confidence with Personality Disorder Questionnaire) improved markedly (<i>P</i> < 0.001). Qualitative analysis identified high acceptability, valuing TFP concepts and enhanced emotional awareness, although participants desired more practical components.</p><p><strong>Clinical implications: </strong>Even brief TFP training can positively influence trainees' attitudes and confidence in treating personality disorders. Incorporating TFP-informed training into psychiatric education may reduce clinician frustration and improve therapeutic engagement with this complex patient group.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.0,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145628704","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
Between protest and perpetuation: exploring psychotic disorders through the lens of popular music. 在抗议和永恒之间：通过流行音乐的镜头探索精神障碍。
IF 2.9
BJPsych Bulletin Pub Date : 2025-11-11 DOI: 10.1192/bjb.2025.10175
Fabian Pavez, Erika Saura
{"title":"Between protest and perpetuation: exploring psychotic disorders through the lens of popular music.","authors":"Fabian Pavez, Erika Saura","doi":"10.1192/bjb.2025.10175","DOIUrl":"10.1192/bjb.2025.10175","url":null,"abstract":"<p><p>This study examines the representation of psychotic disorders in Spanish punk music over three decades, analysing 5647 songs from 177 bands. Content related to psychotic disorders appeared in 2.28% of the corpus, divided into songs with psychosis as a central theme and those using psychopathological terms incidentally. Schizophrenia and paranoia were the most referenced diagnoses, although frequently applied in ways that lacked clinical accuracy. Thematic analysis revealed two main dimensions: a clinical-therapeutic one, typically negative in tone, centred on symptoms, suffering, treatments, hospital admission and substance use; and a social dimension, highlighting stigma, rejection, loneliness and incomprehension. Although many songs linked psychosis to violence and crime, others framed it as a source of wisdom, freedom or creativity. Overall, punk music offers a complex and polarised discourse on mental illness, reflecting societal perceptions that oscillate between empathy and the reinforcement of stereotypes.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-8"},"PeriodicalIF":2.9,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145487500","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
Potential impact of social media and COVID-19 restrictions on adult attention-deficit rates. 社交媒体和COVID-19限制对成人注意力缺乏率的潜在影响。
IF 2.9
BJPsych Bulletin Pub Date : 2025-11-10 DOI: 10.1192/bjb.2025.10162
Premal Shah, Marios Adamou, Alison Cape, Martina Carboni, Dietmar Hank, Raja Anindya Sekhar Mukherjee, Chandrarajan Shah, Michael Smith
{"title":"Potential impact of social media and COVID-19 restrictions on adult attention-deficit rates.","authors":"Premal Shah, Marios Adamou, Alison Cape, Martina Carboni, Dietmar Hank, Raja Anindya Sekhar Mukherjee, Chandrarajan Shah, Michael Smith","doi":"10.1192/bjb.2025.10162","DOIUrl":"10.1192/bjb.2025.10162","url":null,"abstract":"<p><strong>Aims and method: </strong>We aimed to quantify attention-deficit hyperactivity disorder (ADHD) and autism assessment requests, and explore correlations with public interest and COVID-19 restrictions. We collected data on referrals to adult ADHD or autism services, Google searches for 'autism' or 'ADHD', birth gender ratios, ADHD prescriptions in England and COVID-19 restriction measures in four countries.</p><p><strong>Results: </strong>ADHD assessment demand tripled from July 2020 to January 2023, with Google searches for ADHD rising in parallel. Autism referrals and searches saw smaller, similarly timed rises. Female referrals outstripped males. ADHD prescriptions rose particularly in those aged 30-34 years. Google searches for ADHD unexpectedly rose from July 2020 in four countries, correlating with sustained intensity of national COVID-19 restrictions.</p><p><strong>Clinical implications: </strong>Public interest may have driven demand for ADHD assessments, with COVID-19 restrictions encouraging social media use facilitated by easy electronic information access. The public has decided that ADHD is important, independent of professional views. It is now critical that a consensus is reached to determine who benefits most from an ADHD diagnosis and medication.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.9,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145480539","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 'borderline' doctor: can you study medicine with a diagnosis of personality disorder? 一个“边缘”医生：你能在诊断为人格障碍的情况下学习医学吗？
IF 2.9
BJPsych Bulletin Pub Date : 2025-10-28 DOI: 10.1192/bjb.2025.10173
Erin McCabe, Paul A Tiffin
{"title":"A 'borderline' doctor: can you study medicine with a diagnosis of personality disorder?","authors":"Erin McCabe, Paul A Tiffin","doi":"10.1192/bjb.2025.10173","DOIUrl":"10.1192/bjb.2025.10173","url":null,"abstract":"<p><p>Little has been written regarding the experience of training in medicine with a diagnosis of a personality disorder. The stigma of personality disorders, evidenced even within psychiatry, potentially marginalises affected students and resident doctors. This article provides a first-hand account of the lead author's (E.M.) lived experience of being a medical student with a diagnosis of emotionally unstable personality disorder (EUPD). Challenges that have been faced include a lack of understanding, limited literature about medical students and doctors with personality disorders, and derogatory attitudes. Despite this, the positive aspects of the diagnosis are recognised, through enhanced resilience and heightened emotional sensitivity, which can benefit patients.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.9,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145375452","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
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