BJPsych Open最新文献

{"title":"A coach-assisted, online parenting programme to support parents of adolescents who refuse school: evidence of acceptability and feasibility.","authors":"Anna Smout, Glenn Melvin, Mairead Cardamone-Breen, Anthony Jorm, Jue Xie, Tom Bartindale, Patrick Olivier, Joshua Seguin, Ling Wu, Marie B H Yap","doi":"10.1192/bjo.2025.61","DOIUrl":"https://doi.org/10.1192/bjo.2025.61","url":null,"abstract":"<p><strong>Background: </strong>There is a need for developmentally tailored intervention approaches that empower parents to respond to adolescent school refusal in the context of internalising disorders. Partners in Parenting Plus-Education (PiP-Ed+) is a manualised coach-assisted online parenting programme that has been co-designed with parents, youth and education-sector experts to fill this gap. It addresses multiple parenting factors associated with adolescent school refusal and internalising disorders.</p><p><strong>Aims: </strong>This study aimed to evaluate the acceptability, feasibility and preliminary indications of efficacy of PiP-Ed+.</p><p><strong>Method: </strong>An open-label, uncontrolled trial was conducted using a mixed-methods design. Participants were 14 Australian parents of adolescents (12-18 years) who had refused school in the context of internalising disorders.</p><p><strong>Results: </strong>PiP-Ed+ was viewed as highly acceptable and feasible. Coaching sessions in particular were perceived as valuable and appropriate to the parents' level of need, although longer-term support was suggested to sustain progress. Between baseline and post-intervention, there were significant increases in parents' self-efficacy to respond to adolescent school refusal and internalising problems, and concordance with evidence-based parenting strategies to reduce adolescent anxiety and depression. Days of school refused and carer burden did not change.</p><p><strong>Conclusions: </strong>Findings support the value of proceeding to evaluate the efficacy of PiP-Ed+ in a randomised-controlled trial. Results are interpreted in the context of study limitations.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 4","pages":"e115"},"PeriodicalIF":3.9,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychopathology in Dutch women with terrorist behaviours: empirical case series study - CORRIGENDUM.","authors":"Sadaf Rakhshandehroo, Nils Duits, Lieke van Emmerik, Elise Pullen, Robbert-Jan Verkes, Maaike Kempes","doi":"10.1192/bjo.2025.10064","DOIUrl":"https://doi.org/10.1192/bjo.2025.10064","url":null,"abstract":"","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 3","pages":"e114"},"PeriodicalIF":3.9,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of discharge letters concerning readmissions to mental healthcare: case-control study.","authors":"Miriam Hartveit, Harald Bjarne Hellesen, Jostein Helgeland, Olav Thorsen, Jörg Assmus, Eva Biringer","doi":"10.1192/bjo.2025.56","DOIUrl":"https://doi.org/10.1192/bjo.2025.56","url":null,"abstract":"<p><p>We investigated the quality of 100 discharge letters from mental health specialists to better understand the role of cross-sectoral communication in patients' readmissions or other unplanned recontacts with mental health specialist care. Using a case-control design, we compared 50 letters for patients readmitted or for whom a formal request for additional specialist mental healthcare was made by the patient's GP (recontact) within 30 days of discharge, and 50 letters for those without readmission or recontact. The 26-item checklist Quality of Discharge letters - Mental Health was used to assess discharge letter quality. No significant differences in total checklist scores were found, suggesting that discharge letter quality does not influence the rates of readmission or unplanned recontact in mental healthcare.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 3","pages":"e113"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship of a public mental health campaign with health service use and association with symptom management knowledge.","authors":"Paul McCrone, Claire Henderson","doi":"10.1192/bjo.2025.55","DOIUrl":"https://doi.org/10.1192/bjo.2025.55","url":null,"abstract":"<p><strong>Background: </strong>Mental health literacy can potentially be improved through a public mental health campaign. The aim of the campaign Every Mind Matters (EMM) was to support adults to help address common subclinical mental health problems and improve their mental well-being and literacy, by using its National Health Service-endorsed digital resources.</p><p><strong>Aims: </strong>Although not an objective of the campaign itself, this study aims to (a) address the relationship of EMM through the use of general practitioners and mental health therapists and (b) explore the association of EMM with symptom management knowledge.</p><p><strong>Method: </strong>Health Survey for England 2019 data were obtained on campaign awareness, uptake of campaign materials and the use of general practitioners and therapists. Logistic regression models were used to explore the impact of the campaign on whether services were used, and ordered logistic models explored the impact on the number of contacts. Campaign costs were viewed alongside symptom management outcomes.</p><p><strong>Results: </strong>The analyses included 2023 individuals. Of those campaign aware, 16% had contact with a general practitioner for mental health reasons compared with 9% of those who were campaign unaware. Those who were campaign aware were also significantly more likely to have seen a mental health therapist. The campaign cost per unit improvement in symptom management knowledge was below £20.</p><p><strong>Conclusions: </strong>Contact with general practitioners and therapists was associated with campaign awareness. If even a small proportion of symptom management knowledge improvement is due to the campaign, then it has the potential to be cost-effective. Further work is required to establish this.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 3","pages":"e112"},"PeriodicalIF":3.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secondary stressors and their psychosocial impacts on healthcare staff: lessons from a qualitative systematic review from the COVID-19 pandemic in the UK.","authors":"Evangelos Ntontis, Richard Williams, Katarzyna Luzynska, Abigail Wright, Anastasia Rousaki","doi":"10.1192/bjo.2025.51","DOIUrl":"10.1192/bjo.2025.51","url":null,"abstract":"<p><strong>Background: </strong>Extreme events (e.g. floods and disease outbreaks) can overwhelm healthcare workers (HCWs) and healthcare systems. During the COVID-19 pandemic, high levels of distress and mental ill health were reported by HCWs.</p><p><strong>Aims: </strong>To examine and synthesise research findings reported in the qualitative literature regarding the stressors, and their psychosocial impacts, faced by HCWs in the UK during the COVID-19 pandemic, and to provide lessons for future support.</p><p><strong>Method: </strong>Qualitative articles were identified in EMBASE and OVID (preregistered on PROSPERO: CRD42022304235). Studies were required to have been published between January 2021 and January 2022 and to have examined the impact of COVID-19 on UK HCWs. We included 27 articles that represented the experiences of 2640 HCWs, assessed their quality using National Institute for Health and Care Excellence criteria and integrated their findings using thematic synthesis.</p><p><strong>Results: </strong>Several secondary stressors were identified, including lack of personal protective equipment, ineffective leadership and communication, high workloads and problems stemming from uncertainty and a lack of knowledge. Stressors were related to adverse psychosocial outcomes including worry, fatigue, lack of confidence in oneself and senior managers, impacts on teamwork and feeling unappreciated or that one's needs are not recognised.</p><p><strong>Conclusions: </strong>Our thematic synthesis moves beyond simply mapping stressors faced by HCWs by considering their antecedents, origins and psychosocial impacts. Utilising a theoretical framework that points towards systemic deficiencies, we argue that secondary stressors can be modified to remove their negative effects. Consequently, workforce planning should shift from focusing on individual change towards amending psychosocial environments in which HCWs work.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 3","pages":"e110"},"PeriodicalIF":3.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144092693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incentivising participation in mental health app research: lessons learned from a mixed methods randomised controlled trial.","authors":"Holly Alice Bear, Catherine Money, Edward Watkins, Mina Fazel","doi":"10.1192/bjo.2025.48","DOIUrl":"10.1192/bjo.2025.48","url":null,"abstract":"<p><strong>Background: </strong>User engagement is recognised as a critical and pervasive challenge that has limited the potential evidence base being developed for mental health apps.</p><p><strong>Aim: </strong>To understand young people's motivations for participating in a randomised controlled trial for a mental health app and the role of intrinsic (e.g. improving well-being) and extrinsic (e.g. financial incentives) drivers in engagement.</p><p><strong>Method: </strong>Emotional Competence for Well-Being (ECoWeB) was a superiority parallel three-arm randomised cohort trial recruiting a cohort of 16-22 year-olds across the UK, Germany, Spain and Belgium, who, depending on risk, were allocated respectively to the PREVENT (<i>n</i> = 1262) versus PROMOTE (<i>n</i> = 2532) trials. We conducted in-depth semi-structured interviews in the UK (<i>n</i> = 18, mean age = 17.7, s.d. = 1.5) and Spain (<i>n</i> = 11, mean age 20.6, s.d. = 1.7) to explore participants' self-reported motivations and engagement. The trial was registered at ClinicalTrials.gov: NCT04148508.</p><p><strong>Results: </strong>Across arms, 21% of participants never set up an account to access the app and approximately 50% did not complete the 3-month follow-up assessment. Engagement was not significantly higher in the intervention arm compared to the control arms across metrics. Qualitative findings demonstrated that although extrinsic factors alone may be enough to prompt someone to sign up to research, intrinsic drivers (e.g. finding the app useful) are needed to ensure longer-term engagement.</p><p><strong>Conclusions: </strong>Incentivising participation in clinical trials needs to be consistent with incentives that might be utilised at the point of dissemination and implementation to ensure that findings are replicated if that intervention is adopted at scale.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 3","pages":"e111"},"PeriodicalIF":3.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144092691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CBT for depression and anxiety adapted for psychosis risk in primary care: controlled trial to assess feasibility, acceptability and signals of efficacy.","authors":"Katherine Newman-Taylor, Tess Maguire, Tanya Smart, Emma Bayford, Emily Gosden, Grace Addyman, Jessica Grange, Pete Bullard, Miriam Simmons-Dauvin, Morad Margoum, Ben Smart, Keith Das, Sophie Hardy, Catherine Hiscutt, Charlotte Hodges, Adam Holleyman, Hettie Jones, Kate Spurr, Jessica Trickett, Elizabeth Graves","doi":"10.1192/bjo.2025.27","DOIUrl":"10.1192/bjo.2025.27","url":null,"abstract":"<p><strong>Background: </strong>People at high risk for psychosis access primary care mental health services for depression and anxiety and are unlikely to recover from these affective symptoms. We report the first controlled trial of cognitive-behavioural therapy (CBT) for depression and anxiety, minimally adapted for psychosis risk, in primary care.</p><p><strong>Aims: </strong>To evaluate feasibility, acceptability and signals of efficacy for CBT for depression and anxiety adapted for psychosis risk, designed in collaboration with people with psychosis.</p><p><strong>Method: </strong>A longitudinal controlled trial comparing best practice CBT for depression and anxiety (CBT-BP) with CBT adapted for psychosis risk (CBT-PR), in patients meeting criteria for UK primary care services and who are also clinically high risk for psychosis (trial registration no. ISRCTN40678).</p><p><strong>Results: </strong>Rates of recruitment (55 to CBT-BP, 44 to CBT-PR), completion of measures (90% CBT-BP, 94% CBT-PR) and retention in therapy (75% CBT-BP, 95% CBT-PR) demonstrate the feasibility and acceptability of the adapted therapy. Routine measures of depression and anxiety signal improved clinical and recovery outcomes for CBT-PR. Psychosis and relational measures signal sustained improvement (at 3 months) in the CBT-PR group. No serious adverse events were reported.</p><p><strong>Conclusions: </strong>Primary care mental health services present a unique opportunity to identify and treat people at risk of psychosis at a time when they are help-seeking. CBT for depression and anxiety, minimally adapted for psychosis risk, can be delivered in routine services, and is likely to improve clinical and recovery outcomes and reduce psychosis risk. A definitive trial is needed to estimate clinical and cost-effectiveness.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 3","pages":"e101"},"PeriodicalIF":3.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond all-or-nothing: why binary thinking undermines harm reduction in addiction medicine.","authors":"Luke Manietta, William Drake","doi":"10.1192/bjo.2025.69","DOIUrl":"10.1192/bjo.2025.69","url":null,"abstract":"<p><p>In modern healthcare, decision-making favours neatly delineated, categorical imperatives. We prefer to say: 'This practice is good' and 'That one is bad', believing that each decision has a straightforward yes-or-no resolution. However, medicine thrives in uncertainty, partial improvements and small steps that can lead to life-altering gains. Harm reduction, whether for tobacco use, opioid dependence or beyond, embodies the acceptance of imperfect solutions. It is precisely in these areas that black-or-white thinking can be most destructive. Insisting on total cessation or complete eradication of risk, rather than supporting incremental progress, alienates many patients and perpetuates preventable morbidity and mortality. Recognising this pattern and transcending 'all-or-nothing' mindsets is crucial for compassionate, evidence-based care. Accordingly, we ask: 'How does binary thinking in medical decision-making impact the effectiveness of harm reduction strategies?' Such an inquiry addresses how well we can truly meet patient needs in real-world practice, especially amid complexity.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 3","pages":"e109"},"PeriodicalIF":3.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental and somatic health burdens of hypochondriacal disorder in higher education: national study among Norwegian students.","authors":"Kari-Elise Frøystad Veddegjærde, Jens Christoffer Skogen, Ingvard Wilhelmsen, Børge Sivertsen","doi":"10.1192/bjo.2025.68","DOIUrl":"10.1192/bjo.2025.68","url":null,"abstract":"<p><strong>Background: </strong>Hypochondriacal disorder involves persistent anxiety about suffering from an undetected serious medical condition, despite medical reassurance. Hypochondriacal disorder significantly affects social relationships, occupational functioning and personal well-being. In university settings, where mental health concerns are prevalent, insights into prevalence of hypochondriacal disorder and associations with depression and other health challenges are essential.</p><p><strong>Aims: </strong>This study examines the prevalence and correlates of hypochondriacal disorder among Norwegian university students, focusing on its associations with depression, mental distress and somatic symptom burden.</p><p><strong>Method: </strong>The 2022 Students' Health and Wellbeing Study, a national survey of Norwegian higher education students, included 59 536 participants aged 18-35. Participants were categorised based on a pre-defined diagnostic list of mental and somatic concerns, and participants were grouped as follows: hypochondriacal disorder only, depression only, comorbid hypochondriacal disorder and depression and controls. Validated instruments included the Somatic Symptom Scale-8, the Hopkins Symptoms Checklist, the Satisfaction With Life Scale, an abbreviated version of the University of California, Los Angeles, Three-Item Loneliness Scale and four items on suicidal ideation.</p><p><strong>Results: </strong>Hypochondriacal disorder was reported by 0.86% (<i>n</i> = 457) of participants, with 52% also reporting depression. Those with hypochondriacal disorder had significantly worse mental and somatic health outcomes, especially when comorbid with depression, including elevated distress, suicidality, insomnia and poor quality of life.</p><p><strong>Conclusion: </strong>Although uncommon, hypochondriacal disorder is linked to severe mental and somatic health burdens, particularly when co-occurring with depression. These findings highlight the need for integrated mental health strategies in academic settings to address hypochondriacal disorder and its frequent comorbidities.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 3","pages":"e108"},"PeriodicalIF":3.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'I would have killed myself had it not been for this service': qualitative experiences of NHS and third sector crisis care in the UK.","authors":"Laura Sambrook, Anna Balmer, Jackie Tait, Peter Ashley-Mudie, Jason C McIntyre, Amrith Shetty, Rajan Nathan, Pooja Saini","doi":"10.1192/bjo.2025.30","DOIUrl":"10.1192/bjo.2025.30","url":null,"abstract":"<p><strong>Background: </strong>More people than ever are receiving support for mental health crises, and instances of suicide continue to grow. Mental health funding has recently increased, focusing on improving services that provide an alternative to emergency departments, such as urgent helplines and crisis cafés. However, there is a lack of literature examining the efficacy of these services, despite research suggesting they may be associated with lower hospital admission rates.</p><p><strong>Aims: </strong>We aimed to evaluate the perspectives of people with lived experience of accessing a variety of mental health crisis services in the UK.</p><p><strong>Method: </strong>One-to-one interviews were conducted with 25 individuals as part of a qualitative grounded theory analysis.</p><p><strong>Results: </strong>The following themes were identified as important for recovery: more than a diagnosis (a need for person-centred care); instilling hope for the future (access to creative spaces and community); and a safe space for recovery (out-of-hours crisis cafés). Many have credited crisis cafés with saving their lives and felt there should be increased funding provided for collaboration between the National Health Service (NHS) and the third sector. Participants highlighted the need for interim support for those awaiting therapy via the NHS and continuity of care as key areas for improvement.</p><p><strong>Conclusions: </strong>NHS services are struggling to meet the mental health needs of the population, resulting in lengthy waiting times for therapy and an over-reliance on the third sector. While crisis cafés are currently provided at a low cost and appear to result in satisfaction, policymakers must ensure they receive adequate funding and do not become overburdened.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 3","pages":"e107"},"PeriodicalIF":3.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}