BJPsych Bulletin最新文献_第3页

The Rumpelstiltskin effect: therapeutic repercussions of clinical diagnosis. Rumpelstiltskin效应：临床诊断的治疗效果。

IF 2

BJPsych Bulletin Pub Date : 2025-08-22 DOI: 10.1192/bjb.2025.10137

Alan Levinovitz, Awais Aftab

引用次数: 0

What do general adult psychiatry patients think we should call borderline personality disorder? A cross-sectional study to find the most acceptable diagnostic term. 一般成年精神病患者认为我们应该如何称呼边缘型人格障碍？横断面研究，以寻找最可接受的诊断术语。

IF 2

BJPsych Bulletin Pub Date : 2025-08-19 DOI: 10.1192/bjb.2025.10128

David Hayward, Amy Fourie, Donald MacIntyre, Douglas Steele

{"title":"What do general adult psychiatry patients think we should call borderline personality disorder? A cross-sectional study to find the most acceptable diagnostic term.","authors":"David Hayward, Amy Fourie, Donald MacIntyre, Douglas Steele","doi":"10.1192/bjb.2025.10128","DOIUrl":"10.1192/bjb.2025.10128","url":null,"abstract":"Aims and method: To determine the most acceptable term for borderline personality disorder (BPD). We conducted a cross-sectional study of patients who know what it feels like to be diagnosed with a mental disorder. The main outcome measures were the proportion of participants offended and confused by alternative terms for BPD.Results: Seventy-two people participated in the study. Being diagnosed with a condition was more offensive than being diagnosed with a disorder (χ2 = 41.18, d.f. = 1, P < 0.01). Fluxithymia offended the fewest participants (13%), but was the most confusing term (31%). Emotionally unstable personality disorder was the most offensive term (63%). After fluxithymia, emotional intensity disorder was the least offensive term, and not especially confusing (11%). Changing BPD to emotional intensity disorder would avoid an offensive event every 3.6 diagnostic announcements.Clinical implications: The diagnostic term BPD should be replaced with emotional intensity disorder, because this term provides a balance of clarity and inoffensiveness.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-5"},"PeriodicalIF":2.0,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144871253","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

Gut microbiota and alcohol use disorder: a new frontier in treatment and recovery. 肠道微生物群与酒精使用障碍：治疗和康复的新前沿。

IF 2

BJPsych Bulletin Pub Date : 2025-08-15 DOI: 10.1192/bjb.2025.10129

Valentin Skryabin

{"title":"Gut microbiota and alcohol use disorder: a new frontier in treatment and recovery.","authors":"Valentin Skryabin","doi":"10.1192/bjb.2025.10129","DOIUrl":"https://doi.org/10.1192/bjb.2025.10129","url":null,"abstract":"Aims and method: Alcohol use disorder (AUD) is a major global health concern associated with limited treatment efficacy and high relapse rates. Recent research highlights the gut microbiota as a critical modulator of AUD pathophysiology through its influence on the gut-brain axis. Chronic alcohol consumption induces gut dysbiosis, characterised by reduced microbial diversity, impaired gut barrier function and systemic inflammation, which perpetuate neuroinflammation, stress dysregulation and neurotransmitter imbalances. These disruptions exacerbate addiction-related behaviours, contributing to the cycle of dependence and relapse. This critical review synthesises current evidence on the role of gut microbiota in AUD, examining the mechanisms linking dysbiosis to addiction and evaluating therapeutic interventions such as probiotics, prebiotics, faecal microbiota transplantation (FMT), psychobiotics and dietary modifications.Results: The strategies evaluated show significant potential in restoring microbial homeostasis and improving AUD outcomes, but challenges remain, including gaps in mechanistic understanding, variability in methodologies, and barriers to clinical translation.Clinical implications: There is a need for multi-omics research, personalised medicine approaches and integrated treatment models to advance microbiota-based therapies. Gut microbiota-targeted strategies might then transform AUD management, offering innovative and personalised solutions for addiction recovery.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-8"},"PeriodicalIF":2.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854384","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

Clinical Reach into the Cognitive Space (CRITiCS): outline conceptual framework for safe use of generative artificial intelligence in mental health decision-making. 临床进入认知空间：概述在心理健康决策中安全使用生成人工智能的概念框架。

IF 2

BJPsych Bulletin Pub Date : 2025-08-13 DOI: 10.1192/bjb.2025.36

Andrew Hider, Lesa Wright, Jacob Needle

{"title":"Clinical Reach into the Cognitive Space (CRITiCS): outline conceptual framework for safe use of generative artificial intelligence in mental health decision-making.","authors":"Andrew Hider, Lesa Wright, Jacob Needle","doi":"10.1192/bjb.2025.36","DOIUrl":"https://doi.org/10.1192/bjb.2025.36","url":null,"abstract":"Aims and method: Advances in generative artificial intelligence, particularly through large language models, like GPT-4, have opened opportunities to develop cognitive agents to enhance clinical productivity, especially in complex secondary and tertiary care settings. However, as artificial intelligence begins to occupy the cognitive space traditionally held by human clinical reasoning, transparency becomes a significant concern. Unlike human decision-making, artificial intelligence-generated outputs may not be traceable to a transparent chain of clinical reasoning, potentially impacting safety if used without adequate 'clinician reach' into the reasoning space of artificial intelligence.Results: We highlight the need for a consensus framework to guide the responsible use of generative artificial intelligence in mental healthcare, which, it is argued, has cognitive demands and features distinct from physical medicine. We propose such a framework, Clinical Reach into the Cognitive Space (CRITiCS), to support clinician involvement in the deployment of these technologies.Clinical implications: This paper aims to spark dialogue and interest in both the clinical and artificial intelligence development communities.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-6"},"PeriodicalIF":2.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144833894","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

Content of attention-deficit hyperactivity disorder psychoeducation packages: scoping review. 注意缺陷多动障碍心理教育包的内容：范围综述。

IF 2

BJPsych Bulletin Pub Date : 2025-08-12 DOI: 10.1192/bjb.2025.10121

David Morris, Sharifah Shameem Agha, Miriam Cooper, Kate Langley

{"title":"Content of attention-deficit hyperactivity disorder psychoeducation packages: scoping review.","authors":"David Morris, Sharifah Shameem Agha, Miriam Cooper, Kate Langley","doi":"10.1192/bjb.2025.10121","DOIUrl":"https://doi.org/10.1192/bjb.2025.10121","url":null,"abstract":"Aims and method: To truly understand the efficacy of attention-deficit hyperactivity disorder (ADHD) psychoeducation, we need to know what is commonly included in it. This scoping review aims to describe the content of psychoeducation interventions for ADHD in published research. A literature search was conducted to identify relevant papers. Descriptions of psychoeducation aimed at children, parents/carers, adults and teachers were identified and compared narratively.Results: After screening, 57 papers were identified for data extraction and coding. Content themes included 'information about ADHD'; 'practical advice'; 'impact of ADHD'; 'treatment of ADHD'; 'co-occurrence'; and 'self-image/self-esteem'. 'Information about ADHD' and 'practical advice' were the most common themes, with variance on inclusion of other themes. Most of the identified research involved psychoeducation for parents of children with ADHD.Clinical implications: This review provides greater understanding of the content and delivery of ADHD psychoeducation. Further research could use this understanding to ascertain the efficacy of different content themes in supporting those with ADHD.","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144820380","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

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":"Aims and method: 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.Results: 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.Clinical implications: Improving sleep during in-patient CYPS admissions is possible and personalised sleep care plan should be a care standard.","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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064260","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

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":"Aims and method: 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.Results: 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.Clinical implications: 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.","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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140955633","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

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

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":"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.","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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900851","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