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British Journal of Psychiatry最新文献

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The phenomenology within Cézanne's work: a reflection - Psychiatry in art.
IF 8.7 1区 医学
British Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-12-23 DOI: 10.1192/bjp.2024.192
João Martins-Correia
{"title":"The phenomenology within Cézanne's work: a reflection - Psychiatry in art.","authors":"João Martins-Correia","doi":"10.1192/bjp.2024.192","DOIUrl":"https://doi.org/10.1192/bjp.2024.192","url":null,"abstract":"","PeriodicalId":9259,"journal":{"name":"British Journal of Psychiatry","volume":"225 6","pages":"592"},"PeriodicalIF":8.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dosage effects of psychodynamic and schema therapy in people with comorbid depression and personality disorder: four-arm pragmatic randomised controlled trial: commentary, Mulder. 心理动力学疗法和模式疗法对合并抑郁症和人格障碍患者的剂量效应：四臂实用随机对照试验：评论，Mulder.
IF 8.7 1区 医学
British Journal of Psychiatry Pub Date : 2024-12-01 DOI: 10.1192/bjp.2024.105
Roger T Mulder
{"title":"Dosage effects of psychodynamic and schema therapy in people with comorbid depression and personality disorder: four-arm pragmatic randomised controlled trial: commentary, Mulder.","authors":"Roger T Mulder","doi":"10.1192/bjp.2024.105","DOIUrl":"10.1192/bjp.2024.105","url":null,"abstract":"","PeriodicalId":9259,"journal":{"name":"British Journal of Psychiatry","volume":" ","pages":"583-584"},"PeriodicalIF":8.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141896833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychological framework to understand interpersonal violence by forensic patients with psychosis: commentary, Huang & Wei. 理解精神病法医患者人际暴力的心理框架：评论，Huang & Wei。
IF 8.7 1区 医学
British Journal of Psychiatry Pub Date : 2024-12-01 DOI: 10.1192/bjp.2024.108
Mei-Ling Huang, Lien-Chung Wei
{"title":"Psychological framework to understand interpersonal violence by forensic patients with psychosis: commentary, Huang & Wei.","authors":"Mei-Ling Huang, Lien-Chung Wei","doi":"10.1192/bjp.2024.108","DOIUrl":"10.1192/bjp.2024.108","url":null,"abstract":"","PeriodicalId":9259,"journal":{"name":"British Journal of Psychiatry","volume":" ","pages":"585"},"PeriodicalIF":8.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disease trajectories before dementia: evidence from a large-scale community-based prospective study. 痴呆症前的疾病轨迹：一项大规模社区前瞻性研究的证据。
IF 8.7 1区 医学
British Journal of Psychiatry Pub Date : 2024-12-01 DOI: 10.1192/bjp.2024.122
Jialin Li, Ding Xia, Mei Cui, Yingzhe Wang, Jincheng Li, Li Jin, Xingdong Chen, Chen Suo, Yanfeng Jiang
{"title":"Disease trajectories before dementia: evidence from a large-scale community-based prospective study.","authors":"Jialin Li, Ding Xia, Mei Cui, Yingzhe Wang, Jincheng Li, Li Jin, Xingdong Chen, Chen Suo, Yanfeng Jiang","doi":"10.1192/bjp.2024.122","DOIUrl":"10.1192/bjp.2024.122","url":null,"abstract":"<p><strong>Background: </strong>Systemic changes in multiple diseases may influence the onset of dementia. However, the specific temporality between exposure diseases and dementia remains uncertain.</p><p><strong>Aims: </strong>By characterising the full spectrum of temporal disease trajectories before dementia, this study aims to yield a global picture of precursor diseases to dementia and to provide detailed instructions for risk management and primary prevention of dementia.</p><p><strong>Method: </strong>Using the multicentre, community-based prospective UK Biobank, we constructed disease trajectories before dementia utilising the phenome-wide association analysis, paired directional test and association quantification. Stratified disease trajectories were constructed by dementia subtypes, gender, age of diagnosis and Apolipoprotein E (<i>ApoE</i>) status, respectively.</p><p><strong>Results: </strong>Our study population comprised 434 266 participants without baseline dementia and 4638 individuals with all-cause dementia. In total, 1253 diseases were extracted as potential components of the disease trajectory before dementia. We identified three clusters of disease trajectories preceding all-cause dementia, initiated by circulatory, metabolic and respiratory diseases occurring approximately 5-15 years before dementia. Cerebral infarction or chronic renal failure following chronic ischaemic heart disease was the specific trajectory before vascular dementia. Apolipoprotein E (<i>ApoE</i>) ε4 non-carriers exhibited more complex trajectories compared with carriers. Lipid metabolism disorders remained in the trajectories regardless of dementia subtypes, gender, age of diagnosis and <i>ApoE</i> status.</p><p><strong>Conclusions: </strong>This study provides a comprehensive view of the longitudinal disease trajectories before dementia and highlights the potential targets of midlife cardiometabolic dysfunction for dementia screening and prevention.</p>","PeriodicalId":9259,"journal":{"name":"British Journal of Psychiatry","volume":" ","pages":"538-546"},"PeriodicalIF":8.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mythopsychopharmacology: definition and differential diagnosis - Miscellaneous.
IF 8.7 1区 医学
British Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-12-23 DOI: 10.1192/bjp.2024.219
George Ikkos, Dickon Bevington, Daniel McQueen, Daniel Shears
{"title":"Mythopsychopharmacology: definition and differential diagnosis - Miscellaneous.","authors":"George Ikkos, Dickon Bevington, Daniel McQueen, Daniel Shears","doi":"10.1192/bjp.2024.219","DOIUrl":"https://doi.org/10.1192/bjp.2024.219","url":null,"abstract":"","PeriodicalId":9259,"journal":{"name":"British Journal of Psychiatry","volume":"225 6","pages":"525"},"PeriodicalIF":8.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scaling up mental health interventions for people living with HIV in Zimbabwe: evidence for integration into differentiated service delivery programmes.
IF 8.7 1区 医学
British Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-12-23 DOI: 10.1192/bjp.2024.114
Walter Mangezi, Munyaradzi Mapingure, Tafadzwa Dzinamarira, Innocent Chingombe, Tatenda Makoni, Amon Mpofu, Godfrey Musuka
{"title":"Scaling up mental health interventions for people living with HIV in Zimbabwe: evidence for integration into differentiated service delivery programmes.","authors":"Walter Mangezi, Munyaradzi Mapingure, Tafadzwa Dzinamarira, Innocent Chingombe, Tatenda Makoni, Amon Mpofu, Godfrey Musuka","doi":"10.1192/bjp.2024.114","DOIUrl":"https://doi.org/10.1192/bjp.2024.114","url":null,"abstract":"","PeriodicalId":9259,"journal":{"name":"British Journal of Psychiatry","volume":"225 6","pages":"581-582"},"PeriodicalIF":8.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Detection of suicidality from medical text using privacy-preserving large language models. 使用保护隐私的大型语言模型从医疗文本中检测自杀倾向。
IF 8.7 1区 医学
British Journal of Psychiatry Pub Date : 2024-12-01 DOI: 10.1192/bjp.2024.134
Isabella Catharina Wiest, Falk Gerrik Verhees, Dyke Ferber, Jiefu Zhu, Michael Bauer, Ute Lewitzka, Andrea Pfennig, Pavol Mikolas, Jakob Nikolas Kather
{"title":"Detection of suicidality from medical text using privacy-preserving large language models.","authors":"Isabella Catharina Wiest, Falk Gerrik Verhees, Dyke Ferber, Jiefu Zhu, Michael Bauer, Ute Lewitzka, Andrea Pfennig, Pavol Mikolas, Jakob Nikolas Kather","doi":"10.1192/bjp.2024.134","DOIUrl":"10.1192/bjp.2024.134","url":null,"abstract":"<p><strong>Background: </strong>Attempts to use artificial intelligence (AI) in psychiatric disorders show moderate success, highlighting the potential of incorporating information from clinical assessments to improve the models. This study focuses on using large language models (LLMs) to detect suicide risk from medical text in psychiatric care.</p><p><strong>Aims: </strong>To extract information about suicidality status from the admission notes in electronic health records (EHRs) using privacy-sensitive, locally hosted LLMs, specifically evaluating the efficacy of Llama-2 models.</p><p><strong>Method: </strong>We compared the performance of several variants of the open source LLM Llama-2 in extracting suicidality status from 100 psychiatric reports against a ground truth defined by human experts, assessing accuracy, sensitivity, specificity and F1 score across different prompting strategies.</p><p><strong>Results: </strong>A German fine-tuned Llama-2 model showed the highest accuracy (87.5%), sensitivity (83.0%) and specificity (91.8%) in identifying suicidality, with significant improvements in sensitivity and specificity across various prompt designs.</p><p><strong>Conclusions: </strong>The study demonstrates the capability of LLMs, particularly Llama-2, in accurately extracting information on suicidality from psychiatric records while preserving data privacy. This suggests their application in surveillance systems for psychiatric emergencies and improving the clinical management of suicidality by improving systematic quality control and research.</p>","PeriodicalId":9259,"journal":{"name":"British Journal of Psychiatry","volume":" ","pages":"532-537"},"PeriodicalIF":8.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'Whispers' - Poem.
IF 8.7 1区 医学
British Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-12-23 DOI: 10.1192/bjp.2024.203
Sivasubramoney Krishnan
{"title":"'Whispers' - Poem.","authors":"Sivasubramoney Krishnan","doi":"10.1192/bjp.2024.203","DOIUrl":"https://doi.org/10.1192/bjp.2024.203","url":null,"abstract":"","PeriodicalId":9259,"journal":{"name":"British Journal of Psychiatry","volume":"225 6","pages":"546"},"PeriodicalIF":8.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alias Grace - Psychiatry in television.
IF 8.7 1区 医学
British Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-12-23 DOI: 10.1192/bjp.2024.204
Katherine Elizabeth Witter
{"title":"<i>Alias Grace</i> - Psychiatry in television.","authors":"Katherine Elizabeth Witter","doi":"10.1192/bjp.2024.204","DOIUrl":"https://doi.org/10.1192/bjp.2024.204","url":null,"abstract":"","PeriodicalId":9259,"journal":{"name":"British Journal of Psychiatry","volume":"225 6","pages":"571"},"PeriodicalIF":8.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Doughnut psychiatry as a living community model for sustainable development of children.
IF 8.7 1区 医学
British Journal of Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-12-23 DOI: 10.1192/bjp.2024.145
H Bruining, J Bakker
{"title":"Doughnut psychiatry as a living community model for sustainable development of children.","authors":"H Bruining, J Bakker","doi":"10.1192/bjp.2024.145","DOIUrl":"https://doi.org/10.1192/bjp.2024.145","url":null,"abstract":"","PeriodicalId":9259,"journal":{"name":"British Journal of Psychiatry","volume":"225 6","pages":"579-580"},"PeriodicalIF":8.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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