Current Psychiatry Reports最新文献

Purpose of review: The purpose of the current review was to detail changes in children's diet, eating behavior, and weight in the context of the COVID-19 pandemic.

Recent findings: Global changes in children's diets and eating behavior occurred during the pandemic. Both undernutrition and obesity were prominent concerns. Obese children and those from low socioeconomic status families were particularly vulnerable. The COVID-19 pandemic increased longstanding global concern about child nutrition, both undernutrition and obesity. The pandemic and extended home confinement were associated with changes in children's food consumption, eating behavior, and ultimately weight. These changes were related to factors beyond food intake itself and included decreased physical activity, altered routines and schedules, sleep behaviors, and social concerns, among others. The findings have implications for both public health and clinical practice.

Purpose of review: Substance use among adolescents and young adults remains a critical public health concern, with patterns shifting dramatically in recent years. This narrative review examines trends in substance use behaviors during and following the COVID-19 pandemic.

Recent findings: Epidemiologic evidence shows declines in the proportion of youth who are using most substances but intensified consumption patterns with rising levels of disorder among adolescents who use substances. This picture may reflect the greater potency, availability and accessibility of substances, vulnerabilities related to poor mental health, minoritization, as well as social factors including pandemic stressors, commercial and regulatory forces - in short, features of the agent (substance), host (person), and environment (context), consistent with a public health formulation. Understanding trends in youth substance use and related problems, especially in the context of contributing factors, is critical for informing clinical care strategies and public health interventions to improve outcomes for youth across diverse populations.

Purpose of review: This review aims to evaluate the current psychiatric applications and limitations of machine learning (ML), defined as techniques used to train algorithms to improve performance at a task based on data. The review emphasizes the clinician's role in ensuring equitable and effective patient care and seeks to inform mental health providers about the importance of clinician involvement in these technologies.

Recent findings: ML in psychiatry has advanced through electronic health record integration, disease phenotyping, and remote monitoring through mobile applications. However, these applications face challenges related to health equity, privacy, translation to practice, and validation. Clinicians play crucial roles in ensuring data quality, mitigating biases, promoting algorithm transparency, guiding clinical implementation, and advocating for ethical and patient-centered use of ML tools. Clinicians are essential in addressing the challenges of ML, ensuring its ethical application, and promoting equitable care, thus improving the effectiveness of ML in practice.

Purpose of review: This article critically reviews the impact of Social and Emotional Learning (SEL) on traumatized children's academic and social outcomes, focusing on studies from the past three years across diverse contexts. It emphasizes the need for culturally sensitive, trauma-informed programs that cater to various settings, while also exploring the critical roles of parents and educators in SEL implementation. Additionally, the paper highlights challenges in deploying SEL in crisis-affected regions and offers strategies to address systemic barriers.

Recent findings: Recent studies show that SEL interventions significantly foster emotional regulation, resilience, empathy, and social integration, vital for personal well-being and successful social adaptation. However, the effect of SEL on academic performance, particularly in literacy and numeracy, remains inconsistent. Cultural adaptation of SEL programs is critical to their success, especially in non-Western settings, with a growing focus on trauma-informed approaches to address the needs of children affected by crises, including the COVID-19 pandemic. Despite these benefits, challenges such as resource limitations, lack of policy support, and the need for educator training continue to impede effective SEL implementation. SEL offers a vital framework for supporting traumatized children, particularly in crisis-affected regions. This review explores five key themes: the enhancement of emotional regulation and social integration, the necessity of cultural adaptation, the involvement of parents and educators, the challenges of implementing SEL in crisis contexts, and the importance of developing trauma-informed policies. The article also identifies future research directions, emphasizing the need for systemic reforms and culturally adapted SEL models.

Purpose of review: Here we synthesise key recent (2021-2024) research that aims to understand the experience of autistic people, both staff and students, who navigate the Higher Education (HE) environment.

Recent findings: Autistic students and staff continue to experience a lack of flexible, consistent and personalised support within the HE context, and tensions remain between the benefits of disclosure and the discrimination that may result. Significant missed opportunities remain for greater social, emotional and practical supports for autistic members of the HE community. Distinct barriers to both access and 'flourishing' for autistic people within HE remain. Personal narratives continue to describe a range of both positive and negative experiences within HE, yet it remains clear that HE may be inherently hostile in its setup, and that it takes a great deal of effort to fight against this.

Purpose of review: This review aims at reporting the current evidence of the impact of COVID-19 pandemic on grief in children.

Recent findings: Evidence from the scientific literature shows that the severity of grief in children is impacted by numerous risk factors which can lead to prolonged grief disorder (PGD). Among these risk factors are the unpredictability of the death, the lack of understanding about what is happening by the child, the global insecurity raised by the context of the pandemic or again the impossibility for the child to find comfort with his peers due to the lock-down. No medical-based approach has proven efficient on PGD in children. However, cognitive based therapy can lower the severity of the symptoms. Future efforts should focus on developing therapeutic strategies to specifically fit the needs of children with PGD, in the context of a major crisis such as this pandemic.

Purpose of review: This review synthetizes findings reflecting the increasing racial and ethnic inequities in opioid overdose mortality and emphasizes the necessity for tailored interventions as well as other policy-level and structural strategies to stem this trend.

Recent findings: Factors contributing to inequities in overdose mortality include changes in drug supply, persistent social-structural vulnerabilities stemming from structural racism, and inequities in access to medication for opioid use disorder and harm reduction services. Key strategies to address these inequities include the cultural adaptation of evidence-based interventions within an equity-based framework, integrating social determinants of health into addiction treatment, centering anti-racism praxis in addiction research, diversifying the addiction workforce, and integrating structural competency as a tool to restructure education and inform practice. Structural racism must be recognized as a key driver of inequities in substance use outcomes, and this understanding must be integrated into existing models of substance use disorder prevention, treatment, and research.

In this narrative essay, a traditional Chinese medicine (TCM) practitioner describes the challenge of treating three survivors of a terror attack, all of whom were presenting various symptoms of acute stress disorder (ASD). Working in new and exceptionally demanding circumstances - with thousands of people injured in an extensive and direct terror attack, with relatives taken hostages and entire communities evacuated from their homes - the practitioner looked for an effective treatment strategy to alleviate symptoms of stress response. He found it in the interface between TCM and the function of the autonomic nervous system.

Purpose of review: Recent research has highlighted alterations in reward and inhibitory control among individuals with binge eating disorder, identifying both constructs as potential targets for treatment. Treatments targeting reward and inhibitory control for binge eating disorder are emerging. This review aims to summarize the recent literature evaluating reward and inhibitory control in binge eating disorder compared to weight-matched controls using behavioral paradigms and neuroimaging. This review also aims to summarize recent literature evaluating treatments for binge eating targeting these mechanisms and highlights additional work needed in these areas.

Recent findings: Reward hypersensitivity and impaired inhibitory control are mechanisms underlying binge eating disorder. Individuals with binge eating disorder experience higher initial reward to food, and later, higher anticipatory reward but lower experienced food reward which maintains binge eating behavior. Treatments targeting reward and inhibitory control for binge eating include behavioral, computerized trainings, pharmacological, and neuromodulation treatments. The majority of trials are small but demonstrate promise in reducing binge eating and targeting theorized mechanisms. Larger, randomized trials are needed. Changes in reward and inhibitory control are present in individuals with binge eating disorder and treatments targeting these mechanisms demonstrate initial promise. Greater research is needed evaluating reward and inhibitory control simultaneously and with weight-matched comparison groups, as well as larger randomized trials that target both processes simultaneously.