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A new insomnia treatment service: the benefits and challenges of establishing a trainee-led service. 一项新的失眠症治疗服务：建立以受训者为主导的服务的益处与挑战。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.46
Lauren Z Waterman, Michael Creed
{"title":"A new insomnia treatment service: the benefits and challenges of establishing a trainee-led service.","authors":"Lauren Z Waterman, Michael Creed","doi":"10.1192/bjb.2023.46","DOIUrl":"10.1192/bjb.2023.46","url":null,"abstract":"<p><p>Chronic insomnia is undertreated in the UK despite being a common mental disorder that severely affects quality of life. The lead author, a psychiatry trainee, implemented a new group cognitive-behavioural therapy for insomnia (CBT-I) service for secondary care patients in London with chronic insomnia and comorbid mental illness. Expertise was propagated by trainees teaching other trainees. Nine patients completed all sessions, all with moderate-to-severe insomnia on the Insomnia Severity Index (ISI) at baseline assessment (mean score 21.6). All patients seen at follow-up had improved, scoring in the 'subthreshold' or 'no clinically significant insomnia' ranges on the ISI (mean 6.6), and all with improvements in comorbid psychiatric symptoms and functioning. This evaluation demonstrates that group CBT-I can be easily learned and delivered by those without formal CBT or sleep medicine training. This could increase the availability and accessibility of treatment. However, bureaucratic challenges were faced, and trainee-led innovations should be better facilitated.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"127-133"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9693287","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: Parity of esteem within the biopsychosocial model: is psychiatry still a psychological profession? RE：生物-心理-社会模式中的对等尊重：精神病学还是心理学专业吗？
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 Epub Date: 2024-03-25 DOI: 10.1192/bjb.2024.5
Mustafa Alachkar
{"title":"RE: Parity of esteem within the biopsychosocial model: is psychiatry still a psychological profession?","authors":"Mustafa Alachkar","doi":"10.1192/bjb.2024.5","DOIUrl":"10.1192/bjb.2024.5","url":null,"abstract":"","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":"48 2","pages":"145"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140206318","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
Evidence versus expectancy: the development of psilocybin therapy. 证据与期望：迷幻药疗法的发展。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.28
James J Rucker
{"title":"Evidence versus expectancy: the development of psilocybin therapy.","authors":"James J Rucker","doi":"10.1192/bjb.2023.28","DOIUrl":"10.1192/bjb.2023.28","url":null,"abstract":"<p><strong>Summary: </strong>Although the development of psilocybin therapy has come as a surprise to many, modern research with the drug has been ongoing for 25 years. Psilocybin therapy is composed of psilocybin dosing sessions embedded within a wider process of psychoeducation, psychological support and integration. Early phase clinical trial evidence is promising, particularly for treatment-resistant depression. However, masking probably fails and expectancy effects may be a part of the mechanism of change. Disambiguating between drug and expectancy effects is a necessary part of the development process, yet this is difficult if masking fails. Hitherto, masking and expectancy have not been routinely measured in psilocybin or other medication trials. Doing so represents an opportunity for research and may influence psychiatry more widely. In this opinion piece I summarise the clinical development process of psilocybin therapy thus far, discussing the hope, the hype, the challenges and the opportunities along the way.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"110-117"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9534953","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
Breaking down barriers: promoting journals beyond the page with open access journal clubs. 打破壁垒：通过开放获取期刊俱乐部促进期刊超越页面。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2024.3
Angharad N de Cates, Donncha Mullin, Lucy Stirland, Mariana Pinto da Costa, Derek Tracy
{"title":"Breaking down barriers: promoting journals beyond the page with open access journal clubs.","authors":"Angharad N de Cates, Donncha Mullin, Lucy Stirland, Mariana Pinto da Costa, Derek Tracy","doi":"10.1192/bjb.2024.3","DOIUrl":"https://doi.org/10.1192/bjb.2024.3","url":null,"abstract":"<p><p>In 2020, during the early days of the COVID-19 pandemic, the <i>British Journal of Psychiatry</i> (<i>BJPsych</i>) established a series of free online teaching sessions called <i>BJPsych</i> Journal Clubs. Their educational purpose is two-fold: (a) to provide junior psychiatrists with a friendly but large-scale platform to evaluate and critically appraise recent articles published in the <i>BJPsych</i> and (b) to present new research findings in an open and accessible manner. In this paper, we discuss our framework, the challenges we encountered, how the original model is evolving based on feedback from trainees, and tips for success when delivering international online journal clubs.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"1-4"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334611","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
Blame or discovery? Walter Benjamin's Jetztzeit, Purdue Pharma LP and 'our values and our historical understanding of psychiatrists'. 指责还是发现？瓦尔特-本雅明（Walter Benjamin）的《Jetztzeit》、普渡制药公司（Purdue Pharma LP）以及 "我们的价值观和我们对精神科医生的历史理解"。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.39
George Ikkos
{"title":"Blame or discovery? Walter Benjamin's <i>Jetztzeit,</i> Purdue Pharma LP and 'our values and our historical understanding of psychiatrists'.","authors":"George Ikkos","doi":"10.1192/bjb.2023.39","DOIUrl":"10.1192/bjb.2023.39","url":null,"abstract":"<p><p>This commentary explores issues of professional identity, fairness and discovery in the history of psychiatry in the light of Walter Benjamin's (1892-1940) philosophy of history, especially his concept of <i>Jetztzeit</i> (now-time) and the profession's relationship with the founder and owners of Purdue Pharma LP.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"121-122"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9639996","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
Falling on deaf ears: interpreters as cultural brokers in mental healthcare. 充耳不闻：口译员作为精神卫生保健中的文化经纪人。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.90
Jordan Bamford, Seri Abraham, Mustafa Alachkar, Adeola Akinola
{"title":"Falling on deaf ears: interpreters as cultural brokers in mental healthcare.","authors":"Jordan Bamford, Seri Abraham, Mustafa Alachkar, Adeola Akinola","doi":"10.1192/bjb.2023.90","DOIUrl":"10.1192/bjb.2023.90","url":null,"abstract":"<p><p>Communication is the cornerstone of mental healthcare. In the UK, many people who will need access to mental health services do not possess English as their first language. In this editorial, we seek to examine current policy and guidance with respect to interpreting in mental healthcare, and explore the benefits and challenges of interpretation and the ethical implications to consider. We focus on how mental health services could better engage with interpreters as cultural brokers to understand cultural expressions of distress. We conclude by suggesting an education and research agenda which could decrease ethnic disparities in mental healthcare.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"73-77"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139097223","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
Exploring foundation doctors' self-reported confidence in the assessment and management of mental health conditions. 探讨基础医生自我报告对精神健康状况评估和管理的信心。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.48
George Gillett, Owen Davis, Amarit Gill, Clare van Hamel
{"title":"Exploring foundation doctors' self-reported confidence in the assessment and management of mental health conditions.","authors":"George Gillett, Owen Davis, Amarit Gill, Clare van Hamel","doi":"10.1192/bjb.2023.48","DOIUrl":"10.1192/bjb.2023.48","url":null,"abstract":"<p><strong>Aims and method: </strong>This study assesses newly qualified doctors' confidence in practising clinical skills related to the assessment and management of mental health conditions and how this correlates with other areas of medicine. We conducted a national survey of 1311 Foundation Year 1 doctors in the UK. Survey items assessed confidence recognising mentally unwell patients, conducting a mental state examination, assessing cognition and mental capacity, formulating a psychiatric diagnosis and prescribing psychotropic medications.</p><p><strong>Results: </strong>A substantial proportion of surveyed doctors lacked confidence in their clinical skills related to mental health and prescribing psychotropic medications. Network analysis revealed that items corresponding to mental health were highly correlated, suggesting a potential generalised lack of confidence in mental healthcare.</p><p><strong>Clinical implications: </strong>We identify areas of lack of confidence in some newly qualified doctors' ability to assess and manage mental health conditions. Future research might explore how greater exposure to psychiatry, integrated teaching and clinical simulation might better support medical students for future clinical work.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"139-144"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752592","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
Spiritually significant hallucinations: a patient-centred approach to tackle epistemic injustice. 具有精神意义的幻觉：以病人为中心解决认识论不公正的方法。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.17
Rachel J Cullinan, Angela Woods, Joanna M P Barber, Christopher C H Cook
{"title":"Spiritually significant hallucinations: a patient-centred approach to tackle epistemic injustice.","authors":"Rachel J Cullinan, Angela Woods, Joanna M P Barber, Christopher C H Cook","doi":"10.1192/bjb.2023.17","DOIUrl":"10.1192/bjb.2023.17","url":null,"abstract":"<p><strong>Summary: </strong>This article uses three fictitious case vignettes to raise questions and educate on how clinicians can appropriately approach patients experiencing spiritually significant hallucinations. Religious hallucinations are common but are not pathognomonic of mental illness. They are often intimate experiences for the patient that raise complex questions about psychopathology for clinicians. When assessing a patient with religious hallucinations it is important that clinicians hold at the centre that person's personal experience and create a safe space in which they are listened to and epistemic injustices are avoided. Involvement of chaplaincy services is important not just to support the patient but also to ensure that as clinicians we seek support in understanding the religious nature of these experiences.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"133-138"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9284554","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
Sailing between Scylla and Charybdis: invited response to 'Blame or discovery?' 在 Scylla 和 Charybdis 之间航行：应邀对 "指责还是发现？
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.40
Claire Hilton
{"title":"Sailing between Scylla and Charybdis: invited response to 'Blame or discovery?'","authors":"Claire Hilton","doi":"10.1192/bjb.2023.40","DOIUrl":"10.1192/bjb.2023.40","url":null,"abstract":"<p><p>This brief commentary reflects on navigating two dangers of historical research into psychiatry: hagiographic representations of psychiatrists; and accusations of their self-interest and oppression of vulnerable people.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"122-123"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9639999","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
Psychological interventions for cancer-related post-traumatic stress disorder: narrative review. 针对癌症相关创伤后应激障碍的心理干预：叙述性综述。
IF 2.6
BJPsych Bulletin Pub Date : 2024-04-01 DOI: 10.1192/bjb.2023.42
Daniel Anderson, Victoria Jones
{"title":"Psychological interventions for cancer-related post-traumatic stress disorder: narrative review.","authors":"Daniel Anderson, Victoria Jones","doi":"10.1192/bjb.2023.42","DOIUrl":"10.1192/bjb.2023.42","url":null,"abstract":"<p><strong>Aims and method: </strong>This narrative review updates the evidence base for cancer-related post-traumatic stress disorder (PTSD). Databases were searched in December 2021, and included EMBASE, Medline, PsycINFO and PubMed. Adults diagnosed with cancer who had symptoms of PTSD were included.</p><p><strong>Results: </strong>The initial search identified 182 records, and 11 studies were included in the final review. Psychological interventions were varied, and cognitive-behavioural therapy and eye movement desensitisation and reprocessing were perceived to be most efficacious. The studies were also independently rated for methodological quality, which was found to be hugely variable.</p><p><strong>Clinical implications: </strong>There remains a lack of high-quality intervention studies for PTSD in cancer, and there is a wide range of approaches to managing these conditions, with a large heterogeneity in the cancer populations examined and methodologies used. Specific studies designed with patient and public engagement and that tailor the PTSD intervention to particular cancer populations under investigation are required.</p>","PeriodicalId":8883,"journal":{"name":"BJPsych Bulletin","volume":" ","pages":"100-109"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9584131","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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