BJPsych Bulletin最新文献_第2页

The value of person-first language in forensic mental health services. 以人为本的语言在法医精神卫生服务中的价值。

IF 2

BJPsych Bulletin Pub Date : 2026-04-21 DOI: 10.1192/bjb.2026.10230

Jack Tomlin, Asya Mitisheva, Sarah Kilbane, Sarah Markham, John Tully

引用次数: 0

Advancing medical education in a mental health trust: residents' and medical students' perspectives: qualitative study. 在心理健康信托中推进医学教育：住院医师和医学生的观点：定性研究。

IF 2

BJPsych Bulletin Pub Date : 2026-04-16 DOI: 10.1192/bjb.2026.10232

Bruce Tamilson, Michelle Keag

引用次数: 0

Sex differences in mental health disorders among autistic men and women: retrospective service audit of a random cohort. 自闭症男性和女性心理健康障碍的性别差异：随机队列的回顾性服务审计。

IF 2

BJPsych Bulletin Pub Date : 2026-04-07 DOI: 10.1192/bjb.2026.10217

Charlotte Cliffe, Henrietta Rees, Howard Childs, Rebecca Day, Elizabeth Shade, Luke Simmond, Jo Jennison, Clare Allely, Raja Anindya Sekhar Mukherjee

{"title":"Sex differences in mental health disorders among autistic men and women: retrospective service audit of a random cohort.","authors":"Charlotte Cliffe, Henrietta Rees, Howard Childs, Rebecca Day, Elizabeth Shade, Luke Simmond, Jo Jennison, Clare Allely, Raja Anindya Sekhar Mukherjee","doi":"10.1192/bjb.2026.10217","DOIUrl":"https://doi.org/10.1192/bjb.2026.10217","url":null,"abstract":"Aims and method: This study investigated mental health diagnoses in autistic adults to determine whether there were any sex differences in presentation. Autistic adults attending the neurodevelopmental service at Surrey and Borders Partnership NHS Foundation Trust were included.Results: As part of a service audit, 150 random adults (75 males and females) were selected and their case notes were reviewed. Mental health diagnoses were common: 36% had current suicidal ideation, 20% had attempted suicide, 40% had a past or current diagnosis of anxiety and 62% had a past or current diagnosis of depression. There were more women diagnosed with an eating disorder (9% female, 0% male) and with a historical suicide attempt (21% female, 9% male). However, using a Holm-Bonferroni correction, there were no statistically significant sex differences between mental health diagnoses. Among both sexes, a significant number had been exposed to prenatal and early childhood trauma, nearly 10% had experienced physical trauma, abuse, neglect or assault, and nearly a third had been through parental separation.Clinical implications: This demonstrates that autistic people presenting to a National Health Service diagnostic clinic are more at risk of experiencing trauma, which subsequently increases their risk of mental illness, alongside any neurological predisposition.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627103","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

Functional neurological disorder: a gap in the psychiatry curriculum. 功能性神经障碍：精神病学课程的空白。

IF 2

BJPsych Bulletin Pub Date : 2026-04-07 DOI: 10.1192/bjb.2026.10237

Vinay Mandagere, Osheen Fatima, Jordan Bamford

引用次数: 0

Evaluating the patient journey through integrated mental health services using routinely collected data: utility of the DIALOG patient-reported outcome and experience measure. 使用常规收集的数据评估患者通过综合精神卫生服务的旅程：DIALOG患者报告的结果和经验测量的效用。

IF 2

BJPsych Bulletin Pub Date : 2026-04-01 DOI: 10.1192/bjb.2026.10215

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

{"title":"Evaluating the patient journey through integrated mental health services using routinely collected data: utility of the DIALOG patient-reported outcome and experience measure.","authors":"Stuart G Spicer, Rahul Bhattacharya, Katelyn Smalley, Akshith Shetty, Paul Sharpe, Richard Byng","doi":"10.1192/bjb.2026.10215","DOIUrl":"https://doi.org/10.1192/bjb.2026.10215","url":null,"abstract":"Aims and method: DIALOG is a patient-reported outcome and experience measure. We analysed anonymised DIALOG scores routinely collected from East London NHS Foundation Trust. We aimed to (a) examine changes in DIALOG scores through the patient journey ('assessment', 'review' and 'discharge'); and (b) assess the impact of community mental health (CMH) transformation by comparing pre- and post-DIALOG scores. We analysed 11 198 DIALOG scores from 5007 patients in 2018-2019 and 2021-2022.Results: DIALOG scores improved across treatment stages in both years. There was no clear difference pre- and post-CMH transformation, although in 2021-2022 there were lower satisfaction scores at referral.Clinical implications: DIALOG showed sensitivity to change, supporting the utility of this scale in the evaluation of mental health services. The impact of CMH transformation was difficult to assess, due to potential confounders such as the COVID-19 pandemic. Routinely collected DIALOG data can help evaluate patient outcomes over time and inform service improvements.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589755","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

Fluency without understanding: risks of large language models in mental healthcare. 没有理解的流利：大型语言模型在精神卫生保健中的风险

IF 2

BJPsych Bulletin Pub Date : 2026-03-30 DOI: 10.1192/bjb.2026.10227

Bahaa Hassan, Abedelrahman Ahmed

引用次数: 0

Evaluation of components of non-pharmacological interventions for weight management in early antipsychotic therapy: 6-month systematic review and meta-analysis. 评估早期抗精神病治疗中体重管理的非药物干预成分：6个月的系统回顾和荟萃分析。

IF 2

BJPsych Bulletin Pub Date : 2026-03-10 DOI: 10.1192/bjb.2026.10216

Shahbaz Abdullah, Elizabeta Mukaetova-Ladinska, Samreen Samad, Hari Subramaniam

{"title":"Evaluation of components of non-pharmacological interventions for weight management in early antipsychotic therapy: 6-month systematic review and meta-analysis.","authors":"Shahbaz Abdullah, Elizabeta Mukaetova-Ladinska, Samreen Samad, Hari Subramaniam","doi":"10.1192/bjb.2026.10216","DOIUrl":"https://doi.org/10.1192/bjb.2026.10216","url":null,"abstract":"Aims and method: Antipsychotics used to treat severe mental illness (SMI) markedly raise the risk of metabolic syndrome. Early weight gain predicts worse outcomes, making timely intervention vital, particularly within the first 6 months, when the most weight loss is achievable. This meta-analysis evaluated non-pharmacological weight/body mass index (BMI) management interventions during the first 6 months of their use in people receiving antipsychotics for SMI, to identify effective components with the aim of preventing long-term metabolic complications. Systematic searches of five databases (to October 2024) yielded 1483 studies; 8 (643 participants) met inclusion criteria. Interventions included exercise, nutrition, education, monitoring and psychological input, delivered individually or in groups.Results: Meta-analysis showed significant weight (-1.93 kg) and BMI (-1.12 kg/m2) reductions. Group-based, multi-component programmes with psychological input were most effective.Clinical implications: Group-based, multi-component interventions that include a psychological element produced the greatest reductions in weight and BMI. Future research should focus on refining and embedding psychologically informed, multi-component group programmes into routine psychiatric care to optimise long-term physical health outcomes.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-11"},"PeriodicalIF":2.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147389070","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

Language matters: discourses of therapeutic optimism and recovery in the treatment of eating disorders. 语言的问题：话语治疗乐观主义和恢复在治疗饮食失调。

IF 2

BJPsych Bulletin Pub Date : 2026-03-09 DOI: 10.1192/bjb.2026.10214

James Downs, Marissa Adams, Anna Carnegie

{"title":"Language matters: discourses of therapeutic optimism and recovery in the treatment of eating disorders.","authors":"James Downs, Marissa Adams, Anna Carnegie","doi":"10.1192/bjb.2026.10214","DOIUrl":"https://doi.org/10.1192/bjb.2026.10214","url":null,"abstract":"Aims and method: This article explores how clinical language used to describe long-standing and severe eating disorders shapes treatment experiences and outcomes. Drawing on critical discourse theory and the authors' lived experiences, the paper analyses the impacts of language through intrapersonal, interpersonal and systemic lenses.Results: The analysis highlights how the language used to describe illness can foster therapeutic nihilism, internalised hopelessness and disengagement from treatment for both clinicians and patients, reducing the impetus for developing or accessing better care. These labels may obscure systemic shortcomings in treatment provision and can become self-fulfilling, undermining clinician motivation and patient recovery.Clinical implications: The authors propose a paradigm shift toward recovery-oriented, co-created language that centres epistemic justice. Clinical discourse should promote therapeutic optimism and support inclusive, patient-centred care. Recovery-focused language can strengthen engagement, improve outcomes and support a treatment culture grounded in mutual respect and hope.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-7"},"PeriodicalIF":2.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147376078","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

Prevalence and correlates of post-traumatic stress symptoms among war-displaced Palestinian children and adolescents: pioneering cross-sectional study from Qatar. 战争流离失所的巴勒斯坦儿童和青少年中创伤后应激症状的患病率及其相关因素：卡塔尔开创性的横断面研究。

IF 2

BJPsych Bulletin Pub Date : 2026-03-09 DOI: 10.1192/bjb.2026.10219

Yasser Saeed Khan, Abdul Waheed Khan, Mohamed Adil Shah Khoodoruth, Olfa Selmi, Sami Ouanes, Yahia Albobali, Marwan Abdelkarim Ali Abdelkarim, Areeg Hassan Mohamed Elhassan, Menatalla Abdelkader, Taieb Turki, Ahmed Abdelhakim Ahmed Elzok, Majid Alabdulla

{"title":"Prevalence and correlates of post-traumatic stress symptoms among war-displaced Palestinian children and adolescents: pioneering cross-sectional study from Qatar.","authors":"Yasser Saeed Khan, Abdul Waheed Khan, Mohamed Adil Shah Khoodoruth, Olfa Selmi, Sami Ouanes, Yahia Albobali, Marwan Abdelkarim Ali Abdelkarim, Areeg Hassan Mohamed Elhassan, Menatalla Abdelkader, Taieb Turki, Ahmed Abdelhakim Ahmed Elzok, Majid Alabdulla","doi":"10.1192/bjb.2026.10219","DOIUrl":"https://doi.org/10.1192/bjb.2026.10219","url":null,"abstract":"Aims and method: Prolonged armed conflict profoundly impacts children’s mental health. This study investigated elevated rates of post-traumatic stress disorder (PTSD) symptoms among displaced Palestinian youth residing in Qatar. A cross-sectional study included 350 Palestinian children and adolescents aged 8–18 years displaced from Gaza. The Child PTSD Symptom Scale – Self-Report Version for DSM-5 (CPSS-5) and a Demographic and Resilience Questionnaire were used. Descriptive statistics and multiple linear regression identified factors associated with PTSD symptoms.Results: It was found that 54.9% of participants met the threshold for probable PTSD (CPSS-5 score ≥31). Intrusion and arousal symptoms had the highest average severity scores. Factors associated with higher PTSD severity included formal education, physical injury during the war and witnessing death, particularly that of close relatives.Clinical implications: The findings emphasise the urgent need for accessible, culturally appropriate and sustained mental health interventions. Longitudinal research is needed to understand long-term trajectories and inform comprehensive support systems.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-8"},"PeriodicalIF":2.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147376139","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

Prevalence of neurodivergence in neuropsychiatric conditions: cross-sectional study. 神经精神疾病中神经分化的患病率：横断面研究。

IF 2

BJPsych Bulletin Pub Date : 2026-03-06 DOI: 10.1192/bjb.2025.10204

Andrea De Angelis, Grace Fearnehough, Niruj Agrawal, Bruce Tamilson

{"title":"Prevalence of neurodivergence in neuropsychiatric conditions: cross-sectional study.","authors":"Andrea De Angelis, Grace Fearnehough, Niruj Agrawal, Bruce Tamilson","doi":"10.1192/bjb.2025.10204","DOIUrl":"https://doi.org/10.1192/bjb.2025.10204","url":null,"abstract":"Aims and method: The increasing recognition of neurodivergent conditions in healthcare settings in general highlights the necessity for better understanding and management in neuropsychiatric settings. This study aims to investigate the prevalence and co-occurrence of neurodivergent conditions and traits among patients with neuropsychiatric conditions. A descriptive quantitative cross-sectional study was conducted at a tertiary neuropsychiatric clinic. Participants included 166 consecutive patients, assessed using the Comprehensive Autistic Trait Inventory (CATI) and the Adult ADHD Self-Report Scale (ASRS, version 1.1), with demographic characteristics considered.Results: In our final analysed cohort (n = 79), among patients with functional neurological disorder (FND) 11% had a confirmed diagnosis of adult spectrum disorder (ASD), 17% were believed to have undiagnosed ASD and 55% exhibited clinically significant ASD traits on the CATI tool. Additionally, 13% had a confirmed diagnosis of attention-deficit hyperactivity disorder (ADHD), 25% were believed to have undiagnosed ADHD and 67% exhibited clinically significant ADHD traits on the ASRS tool.Clinical implications: The findings indicate a higher than expected prevalence of neurodivergent conditions in people with FND. Enhanced early identification and tailored treatment approaches are likely to be crucial for improving clinical outcomes and patient experiences in neuropsychiatric settings.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147363956","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