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BJA volume 29 issue 5 Cover and Back matter BJA第29卷第5期封面和封底
IF 1.3
BJPsych Advances Pub Date : 2023-08-29 DOI: 10.1192/bja.2023.41
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引用次数: 0
BJA volume 29 issue 5 Cover and Front matter BJA第29卷第5期封面和封面问题
IF 1.3
BJPsych Advances Pub Date : 2023-08-29 DOI: 10.1192/bja.2023.42
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引用次数: 0
Practical aspects of multiaxial classification: a clinically useful biopsychosocial framework for child and adolescent psychiatry 多轴分类的实践方面:儿童和青少年精神病学临床有用的生物心理社会框架
IF 1.3
BJPsych Advances Pub Date : 2023-08-14 DOI: 10.1192/bja.2023.39
Mark Mayall, B. McDermott, R. Sadhu, Yvonne Teoh, Margot Bosanquet, Sunaina Nundeekasen
{"title":"Practical aspects of multiaxial classification: a clinically useful biopsychosocial framework for child and adolescent psychiatry","authors":"Mark Mayall, B. McDermott, R. Sadhu, Yvonne Teoh, Margot Bosanquet, Sunaina Nundeekasen","doi":"10.1192/bja.2023.39","DOIUrl":"https://doi.org/10.1192/bja.2023.39","url":null,"abstract":"\u0000 Multiaxial classification system development (organising important and relevant clinical factors under multiple headings or ‘axes’) has a long history stretching back to the 1940s. The World Health Organization supported the development of a multiaxial system of classification for children from the 1960s and in the 1990s produced a comprehensive multiaxial system which could be used with ICD-10. Using the multiaxial approach provides for an atheoretical framework that can integrate factors from within the child and the environmental influences on the child. This article presents a variety of ways in which the ICD-10 multiaxial framework can be extended from its classic usage to provide clinicians with valuable tools to assist in a biopsychosocial clinical assessment. Using the multiaxial system in an extended format allows a more comprehensive diagnosis and planning of treatments and is helpful in the training and teaching of juniors. It is also useful in evaluating responses to medication when it is combined with a chronological analysis and can provide other useful ways of integrating information relevant to understanding clinical cases.","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"31 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91176617","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
Managing the clinical encounter with patients with personality disorder in a general psychiatry setting: key contributions from neuropsychoanalysis 在普通精神病学环境中管理与人格障碍患者的临床接触:神经精神分析的关键贡献
IF 1.3
BJPsych Advances Pub Date : 2023-08-09 DOI: 10.1192/bja.2023.43
Tennyson Lee, M. Solms
{"title":"Managing the clinical encounter with patients with personality disorder in a general psychiatry setting: key contributions from neuropsychoanalysis","authors":"Tennyson Lee, M. Solms","doi":"10.1192/bja.2023.43","DOIUrl":"https://doi.org/10.1192/bja.2023.43","url":null,"abstract":"\u0000 Patients view their negative emotions as troublesome and they expect psychiatrists to deal with them, often wanting them taken away. We present a neuropsychoanalytical understanding of the essential biological function of emotion and how it influences behaviour. Through a vignette, we demonstrate how this understanding can contribute to the psychiatrist's management of the clinical encounter, in particular regarding the patient's expectations about their emotions and the pressures placed on the clinician.","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"233 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80291743","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
Hope: a tool for working with families affected by dementia during the COVID-19 pandemic 希望:在COVID-19大流行期间与受痴呆症影响的家庭合作的工具
IF 1.3
BJPsych Advances Pub Date : 2023-07-27 DOI: 10.1192/bja.2023.38
Amy Pepper, Zena Aldridge, K. Harrison Dening
{"title":"Hope: a tool for working with families affected by dementia during the COVID-19 pandemic","authors":"Amy Pepper, Zena Aldridge, K. Harrison Dening","doi":"10.1192/bja.2023.38","DOIUrl":"https://doi.org/10.1192/bja.2023.38","url":null,"abstract":"\u0000 The COVID-19 pandemic significantly increased the challenges faced by families affected by dementia, leading to an immediate increase in both the number of calls received by Dementia UK's Admiral Nurse Dementia Helpline and the levels of distress and complexity of the calls. Consequently, Admiral nurses experienced feelings of helplessness, echoed in the experiences of other health professionals. One of the approaches that enabled Admiral nurses to cope during this time was ‘hope’, and this article explores the use of hope-based approaches as tools for working therapeutically with families during the pandemic. Although written from the perspective of Admiral nurses, the approaches described are transferable to others working across health and social care. The article provides an overview of one of the main models of hope in the healthcare literature, Snyder's hope model, and explores the literature on hope more widely. Fictitious case vignettes, drawn from clinical practice during the pandemic, are used to illustrate how hope-based approaches can be applied to practice.","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"32 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74794222","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
Eye movement desensitisation and reprocessing: part 3 – applications in physical health conditions 眼动脱敏和再处理:第3部分。在身体健康条件下的应用
IF 1.3
BJPsych Advances Pub Date : 2023-07-19 DOI: 10.1192/bja.2023.32
I. Udo, Tori-Rose Javinsky, C. McDaniel
{"title":"Eye movement desensitisation and reprocessing: part 3 – applications in physical health conditions","authors":"I. Udo, Tori-Rose Javinsky, C. McDaniel","doi":"10.1192/bja.2023.32","DOIUrl":"https://doi.org/10.1192/bja.2023.32","url":null,"abstract":"\u0000 Eye movement desensitisation and reprocessing (EMDR) is a psychological therapy that addresses trauma, stress and emotional distress. It has been successfully used in the management of various psychiatric disorders. This article shows that it may also be safely used to manage the psychological distress arising from a variety of physical health conditions and in so doing, reduce the illness burden from conditions such as various cancers, traumatic childbirth, tokophobia, pre-eclampsia, myocardial infarction, haemodialysis in end-stage renal disease, and acute postoperative pain. It can be a stand-alone treatment for hyperemesis gravidarum and tinnitus. The article examines the rationale and evidence for its use in these conditions and suggests areas where more research is needed. Adding EMDR therapy to the range of available interventions in general hospitals has the potential to improve the health and well-being of patients in these settings.","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"12 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82012540","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
Telepsychiatry: what clinicians need to know about digital mental healthcare. 远程精神病学：临床医生需要了解的关于数字心理健康的信息。
IF 1.7
BJPsych Advances Pub Date : 2023-07-01 DOI: 10.1192/bja.2022.42
Thomas J Brunt, Oliver Gale-Grant
{"title":"Telepsychiatry: what clinicians need to know about digital mental healthcare.","authors":"Thomas J Brunt, Oliver Gale-Grant","doi":"10.1192/bja.2022.42","DOIUrl":"10.1192/bja.2022.42","url":null,"abstract":"<p><p>The COVID-19 pandemic has rapidly accelerated the use of online and remote mental healthcare provision. The immediate need to transform services has not allowed for thorough examination of the literature supporting remote delivery of psychiatric care. In this article we review the history of telepsychiatry, the rationale for continuing to offer services remotely and the limitations of psychiatry without in-person care. Focusing on randomised controlled trials we find that evidence for the efficacy of remotely delivered psychiatric care compared with in-person treatment is of low quality and limited scope but does not demonstrate clear superiority of one care delivery method over the other.</p>","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"29 4","pages":"230-238"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9901460","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
Digital technologies to support adolescents with depression and anxiety: review. 支持青少年抑郁和焦虑的数字技术:综述。
IF 1.3
BJPsych Advances Pub Date : 2023-07-01 DOI: 10.1192/bja.2022.3
Rhys Bevan Jones, Faris Hussain, Sharifah Shameem Agha, Bryony Weavers, Mathijs Lucassen, Sally Merry, Paul Stallard, Sharon Anne Simpson, Frances Rice
{"title":"Digital technologies to support adolescents with depression and anxiety: review.","authors":"Rhys Bevan Jones, Faris Hussain, Sharifah Shameem Agha, Bryony Weavers, Mathijs Lucassen, Sally Merry, Paul Stallard, Sharon Anne Simpson, Frances Rice","doi":"10.1192/bja.2022.3","DOIUrl":"10.1192/bja.2022.3","url":null,"abstract":"<p><p>Depression and anxiety are common in adolescents, but most affected will not get any formal help. Digital mental health technologies (i.e. resources and interventions to support and improve mental health) are a potential way to extend the reach and increase adolescents' access to therapies, at a relatively low cost. Many young people can access the internet and mobile technologies, including in low- and middle-income countries. There has been increased interest in integrating technologies in a range of settings, especially because of the effect of the COVID-19 pandemic on adolescent mental health, at a time when services are under pressure. This clinical review gives an overview of digital technologies to support the prevention and management of depression and anxiety in adolescence. The technologies are presented in relation to their technological approaches, underlying psychological or other theories, setting, development, evaluations to date and how they might be accessed. There is also a discussion of the potential benefits, challenges and future developments in this field.</p>","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"29 4","pages":"239-253"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10315966","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
A Plea for the Insane by Lionel Weatherly 莱昂内尔·韦瑟利的《为疯子辩护
IF 1.3
BJPsych Advances Pub Date : 2023-06-29 DOI: 10.1192/bja.2023.36
C. Hilton
{"title":"A Plea for the Insane by Lionel Weatherly","authors":"C. Hilton","doi":"10.1192/bja.2023.36","DOIUrl":"https://doi.org/10.1192/bja.2023.36","url":null,"abstract":"\u0000 In A Plea for the Insane (1918), Lionel Weatherly outlined the inadequacies of the Lunacy Act 1890 and of asylum care in England and Wales, and proposed solutions and ways to bring about improvements. It took courage to persist, but Weatherly was undeterred by controversy or criticism. This article reflects on his book and its context and timing at the end of the First World War, and considers whether we may be inspired to confront current healthcare crises with the same sort of passion and fervour as he did.","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"1 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77826772","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
BJA volume 29 issue 4 Cover and Back matter BJA第29卷第4期封面和封底
IF 1.3
BJPsych Advances Pub Date : 2023-06-26 DOI: 10.1192/bja.2023.35
{"title":"BJA volume 29 issue 4 Cover and Back matter","authors":"","doi":"10.1192/bja.2023.35","DOIUrl":"https://doi.org/10.1192/bja.2023.35","url":null,"abstract":"","PeriodicalId":9336,"journal":{"name":"BJPsych Advances","volume":"5 1","pages":"b1 - b3"},"PeriodicalIF":1.3,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86516787","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
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