Pub Date : 2024-06-28DOI: 10.1016/j.ajp.2024.104140
Manuel B. Garcia
{"title":"Addressing the mental health implications of ChatGPT dependency: The need for comprehensive policy development","authors":"Manuel B. Garcia","doi":"10.1016/j.ajp.2024.104140","DOIUrl":"10.1016/j.ajp.2024.104140","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to develop and validate the Chinese Short Version of the Adult ADHD Self-Report Scale (ASRS-CSV), addressing the need for culturally appropriate diagnostic tools for Attention-Deficit Hyperactivity Disorder (ADHD) in the Chinese adult population.
Methods
Utilizing a combination of intergroup difference analysis, factor analysis, and network analysis, we identified core ADHD symptoms pertinent to the Chinese cultural context. The study involved two samples: a vocational and technical school sample (N=1144) and an internet sample (N=1654), comprising adults aged 16–25 years. Reliability, validity, and diagnostic efficacy of the ASRS-CSV were assessed through psychometric testing.
Results
The ASRS-CSV demonstrated high internal consistency (Cronbach’s alpha > 0.9) and robust convergent validity (AVE > 0.7). The scale's diagnostic cutoff points were optimized, revealing high sensitivity and specificity for ADHD screening. Cross-cultural analysis highlighted differences in core ADHD symptoms between Chinese and Western populations, underscoring the scale's cultural sensitivity.
Conclusion
The ASRS-CSV is a reliable, valid, and efficient tool for screening ADHD in Chinese adults, reflecting the socio-cultural nuances of ADHD symptomatology. Its development marks a significant advancement in the field of psychiatry, offering a tailored approach for ADHD assessment in China and contributing to the global discourse on cross-cultural psychiatric diagnosis.
{"title":"Core items selection and psychometric properties of the adult attention-deficit hyperactivity disorder self-report scale-chinese short version (ASRS-CSV)","authors":"Huajia Tang , Zheng Zhang , Honghui Chen , Hui Chen , Xianliang Chen , Sihong Li , Yanyue Ye , Jiansong Zhou","doi":"10.1016/j.ajp.2024.104136","DOIUrl":"10.1016/j.ajp.2024.104136","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to develop and validate the Chinese Short Version of the Adult ADHD Self-Report Scale (ASRS-CSV), addressing the need for culturally appropriate diagnostic tools for Attention-Deficit Hyperactivity Disorder (ADHD) in the Chinese adult population.</p></div><div><h3>Methods</h3><p>Utilizing a combination of intergroup difference analysis, factor analysis, and network analysis, we identified core ADHD symptoms pertinent to the Chinese cultural context. The study involved two samples: a vocational and technical school sample (N=1144) and an internet sample (N=1654), comprising adults aged 16–25 years. Reliability, validity, and diagnostic efficacy of the ASRS-CSV were assessed through psychometric testing.</p></div><div><h3>Results</h3><p>The ASRS-CSV demonstrated high internal consistency (Cronbach’s alpha > 0.9) and robust convergent validity (AVE > 0.7). The scale's diagnostic cutoff points were optimized, revealing high sensitivity and specificity for ADHD screening. Cross-cultural analysis highlighted differences in core ADHD symptoms between Chinese and Western populations, underscoring the scale's cultural sensitivity.</p></div><div><h3>Conclusion</h3><p>The ASRS-CSV is a reliable, valid, and efficient tool for screening ADHD in Chinese adults, reflecting the socio-cultural nuances of ADHD symptomatology. Its development marks a significant advancement in the field of psychiatry, offering a tailored approach for ADHD assessment in China and contributing to the global discourse on cross-cultural psychiatric diagnosis.</p></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141578857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-27DOI: 10.1016/j.ajp.2024.104138
Jiseung Kang , Hyeri Lee , Jaeyu Park , Hyeon Jin Kim , Rosie Kwon , Sunyoung Kim , Guillaume Fond , Laurent Boyer , Masoud Rahmati , Lee Smith , Christa J. Nehs , Yejun Son , Soeun Kim , Hayeon Lee , Jinseok Lee , Min Seo Kim , Tae Kim , Dong Keon Yon
Background
Although several meta-analyses have examined the association between bipolar disorder (BD) and its comorbid health outcomes, this evidence has not been comprehensively assembled.
Objective
We aimed to systematically review existing meta-analyses based on multiple physical outcomes and validate the evidence level by examining the existing certainty of evidence.
Methods
We systematically searched databases, including PubMed/MEDLINE, Embase, Google Scholar, and CINAHL, for articles published up to July 2023. We included meta-analyses of cohort, case-control, and/or cross-sectional studies investigating any comorbid health outcomes in patients with BD. We conducted quality assessments of the included meta-analysis using AMSTAR2. The credibility of findings was categorized into five levels of class and quality of evidence (CE), including convincing, highly suggestive, suggestive, weak, or not significant.
Results
We analyzed 12 meta-analyses, including 145 original articles, covering 14 unique health outcomes with over 60 million participants across 29 countries and five continents. Among 14 health outcomes, BD was significantly associated with eight comorbid health outcomes, including dementia (equivalent odds ratio [eOR], 2.96 [95 % confidence intervals {CI}, 1.69–5.17]; CE=suggestive), Parkinson’s disease (3.35 [1.72–6.53]; CE=suggestive), asthma (1.86 [1.42–2.42]; CE=weak), toxoplasmosis (1.69 [1.21–2.37]; CE=weak), hypertension (1.28 [1.02–1.60]; CE=convincing), breast cancer (1.33 [1.15–1.55]; CE=weak), obesity (1.64 [1.30–1.99]; CE=suggestive), and type 2 diabetes mellitus (1.98 [1.55–2.52]; CE=weak).
Conclusion
Individuals with BD are predisposed to numerous comorbid physical conditions, though these links are supported by various evidence levels and necessitate further studies. It is imperative that physicians be aware of these potential comorbidities in patients with BD and take proactive measures to manage them.
{"title":"Comorbid physical health outcomes in patients with bipolar disorder: An umbrella review of systematic reviews and meta-analyses","authors":"Jiseung Kang , Hyeri Lee , Jaeyu Park , Hyeon Jin Kim , Rosie Kwon , Sunyoung Kim , Guillaume Fond , Laurent Boyer , Masoud Rahmati , Lee Smith , Christa J. Nehs , Yejun Son , Soeun Kim , Hayeon Lee , Jinseok Lee , Min Seo Kim , Tae Kim , Dong Keon Yon","doi":"10.1016/j.ajp.2024.104138","DOIUrl":"10.1016/j.ajp.2024.104138","url":null,"abstract":"<div><h3>Background</h3><p>Although several meta-analyses have examined the association between bipolar disorder (BD) and its comorbid health outcomes, this evidence has not been comprehensively assembled.</p></div><div><h3>Objective</h3><p>We aimed to systematically review existing meta-analyses based on multiple physical outcomes and validate the evidence level by examining the existing certainty of evidence.</p></div><div><h3>Methods</h3><p>We systematically searched databases, including PubMed/MEDLINE, Embase, Google Scholar, and CINAHL, for articles published up to July 2023. We included meta-analyses of cohort, case-control, and/or cross-sectional studies investigating any comorbid health outcomes in patients with BD. We conducted quality assessments of the included meta-analysis using AMSTAR2. The credibility of findings was categorized into five levels of class and quality of evidence (CE), including convincing, highly suggestive, suggestive, weak, or not significant.</p></div><div><h3>Results</h3><p>We analyzed 12 meta-analyses, including 145 original articles, covering 14 unique health outcomes with over 60 million participants across 29 countries and five continents. Among 14 health outcomes, BD was significantly associated with eight comorbid health outcomes, including dementia (equivalent odds ratio [eOR], 2.96 [95 % confidence intervals {CI}, 1.69–5.17]; CE=suggestive), Parkinson’s disease (3.35 [1.72–6.53]; CE=suggestive), asthma (1.86 [1.42–2.42]; CE=weak), toxoplasmosis (1.69 [1.21–2.37]; CE=weak), hypertension (1.28 [1.02–1.60]; CE=convincing), breast cancer (1.33 [1.15–1.55]; CE=weak), obesity (1.64 [1.30–1.99]; CE=suggestive), and type 2 diabetes mellitus (1.98 [1.55–2.52]; CE=weak).</p></div><div><h3>Conclusion</h3><p>Individuals with BD are predisposed to numerous comorbid physical conditions, though these links are supported by various evidence levels and necessitate further studies. It is imperative that physicians be aware of these potential comorbidities in patients with BD and take proactive measures to manage them.</p></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141589529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-27DOI: 10.1016/j.ajp.2024.104137
Guangpu Zhu , Hui Zhang , Xiaojie Wei , Haonan Jing , Huangyemin Zhang , Shenghong Zhao , Zhenghua Zhang , Xiaoni Zhong , Bingliang Hu , Meng Cui , Quan Wang
Executive impairment in schizophrenia is common, but the mechanism remains unclear. This is the first study to use simultaneously functional near-infrared spectroscopy (fNIRS) to monitor the hemodynamic response in schizophrenia during the MATRICS Consensus Cognitive Battery (MCCB). Here, we monitored relative changes in oxyhemoglobin concentration in the medial prefrontal cortex (mPFC) during Trail Making Test, Symbol Coding Test and Mazes Test of the MCCB in 63 patients (29 females) with schizophrenia and 32 healthy controls (15 females). Results showed that patients with schizophrenia scored lower than healthy controls on all three tests (P < 0.001), but mPFC activation was significantly higher during the test (P < 0.03). Higher activation of the mPFC may reflect abnormal information processing in schizophrenia. In addition, the results also showed sex differences in hemodynamic activation during the task in patients with schizophrenia, and fNIRS has the potential to be a clinical adjunct to screening for cognitive function in schizophrenia.
{"title":"Increased and sex-differentiated medial prefrontal cortex activation during the MATRICS Consensus Cognitive Battery in schizophrenia: A fNIRS study","authors":"Guangpu Zhu , Hui Zhang , Xiaojie Wei , Haonan Jing , Huangyemin Zhang , Shenghong Zhao , Zhenghua Zhang , Xiaoni Zhong , Bingliang Hu , Meng Cui , Quan Wang","doi":"10.1016/j.ajp.2024.104137","DOIUrl":"10.1016/j.ajp.2024.104137","url":null,"abstract":"<div><p>Executive impairment in schizophrenia is common, but the mechanism remains unclear. This is the first study to use simultaneously functional near-infrared spectroscopy (fNIRS) to monitor the hemodynamic response in schizophrenia during the MATRICS Consensus Cognitive Battery (MCCB). Here, we monitored relative changes in oxyhemoglobin concentration in the medial prefrontal cortex (mPFC) during Trail Making Test, Symbol Coding Test and Mazes Test of the MCCB in 63 patients (29 females) with schizophrenia and 32 healthy controls (15 females). Results showed that patients with schizophrenia scored lower than healthy controls on all three tests (P < 0.001), but mPFC activation was significantly higher during the test (P < 0.03). Higher activation of the mPFC may reflect abnormal information processing in schizophrenia. In addition, the results also showed sex differences in hemodynamic activation during the task in patients with schizophrenia, and fNIRS has the potential to be a clinical adjunct to screening for cognitive function in schizophrenia.</p></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141496953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-27DOI: 10.1016/j.ajp.2024.104141
Xiudeng Yang , Zheng Zhong
{"title":"Vitamin D and 8 major psychiatric disorders: A two-sample Mendelian randomization study","authors":"Xiudeng Yang , Zheng Zhong","doi":"10.1016/j.ajp.2024.104141","DOIUrl":"https://doi.org/10.1016/j.ajp.2024.104141","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141479207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prolonged grief disorder (PGD), a condition characterized by severe, persistent, and disabling grief, is newly included in ICD-11 and DSM-5-TR. Psychotherapies are among the most recommended treatments for PGD, but which should be considered as first-line treatment needs to be clarified. The purpose of this systematic review and network meta-analysis was to synthesize the available evidence to compare five outcomes of different psychotherapies on PGD in adults and identify the optimal psychotherapy modality to inform clinical decision-making for the treatment of PGD.
Method
A comprehensive search was conducted in 7 databases from inception until March 20th, 2023. In the frequentist framework, pairwise and network meta-analyses using random-effects models were performed for outcomes with 95 % confidence interval (CI).
Results
There were 2962 records found and 55 studies (1,0330 participants) assessing 11 different psychological interventions were included. Compared with the waiting list, behavioral therapy (SMD=-1.05; 95 %CI=-1.71, −0.38), third-wave cognitive behavior therapy (SMD=-1.00; 95 %CI =-1.41, −0.58), family therapy (SMD=-0.87; 95 %CI=-1.59, −0.16), psychodynamic therapy (SMD=-0.88; 95 %CI=-1.67, −0.10) and cognitive therapy (SMD=-0.84; 95 %CI=-1.57, −0.12) were statistically effective in reducing grief symptom. Only cognitive behavior therapy (OR =0.48; 95 %CI = 0.27, 0.85) was more acceptable than waiting list. In terms of secondary outcome, third-wave CBT can statistically significantly reduce depression (SMD= −0.60; 95 %CI =- 0.84, −0.36), PTSD (SMD=-0.99; 95 %CI =- 1.62, −0.36) and anxiety (SMD= −1.44; 95 %CI =-2.63, −0.25) respectively.
Conclusions
Most psychological interventions are effective, but only cognitive behavior therapy has the highest acceptability. Third-wave CBT with higher efficacy rates may be more beneficial for reducing secondary outcomes. To provide more robust evidence, high-quality trials should be conducted in the future.
{"title":"Psychotherapies for prolonged grief disorder in adults: A systematic review and network meta-analysis","authors":"Fengwei Hao , Fanghui Qiu , Zhide Liang , Pengda Li","doi":"10.1016/j.ajp.2024.104133","DOIUrl":"10.1016/j.ajp.2024.104133","url":null,"abstract":"<div><h3>Background</h3><p>Prolonged grief disorder (PGD), a condition characterized by severe, persistent, and disabling grief, is newly included in ICD-11 and DSM-5-TR. Psychotherapies are among the most recommended treatments for PGD, but which should be considered as first-line treatment needs to be clarified. The purpose of this systematic review and network meta-analysis was to synthesize the available evidence to compare five outcomes of different psychotherapies on PGD in adults and identify the optimal psychotherapy modality to inform clinical decision-making for the treatment of PGD.</p></div><div><h3>Method</h3><p>A comprehensive search was conducted in 7 databases from inception until March 20th, 2023. In the frequentist framework, pairwise and network meta-analyses using random-effects models were performed for outcomes with 95 % confidence interval (CI).</p></div><div><h3>Results</h3><p>There were 2962 records found and 55 studies (1,0330 participants) assessing 11 different psychological interventions were included. Compared with the waiting list, behavioral therapy (SMD=-1.05; 95 %CI=-1.71, −0.38), third-wave cognitive behavior therapy (SMD=-1.00; 95 %CI =-1.41, −0.58), family therapy (SMD=-0.87; 95 %CI=-1.59, −0.16), psychodynamic therapy (SMD=-0.88; 95 %CI=-1.67, −0.10) and cognitive therapy (SMD=-0.84; 95 %CI=-1.57, −0.12) were statistically effective in reducing grief symptom. Only cognitive behavior therapy (OR =0.48; 95 %CI = 0.27, 0.85) was more acceptable than waiting list. In terms of secondary outcome, third-wave CBT can statistically significantly reduce depression (SMD= −0.60; 95 %CI =- 0.84, −0.36), PTSD (SMD=-0.99; 95 %CI =- 1.62, −0.36) and anxiety (SMD= −1.44; 95 %CI =-2.63, −0.25) respectively.</p></div><div><h3>Conclusions</h3><p>Most psychological interventions are effective, but only cognitive behavior therapy has the highest acceptability. Third-wave CBT with higher efficacy rates may be more beneficial for reducing secondary outcomes. To provide more robust evidence, high-quality trials should be conducted in the future.</p></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141544504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-27DOI: 10.1016/j.ajp.2024.104139
Kah Kheng Goh , Cheng-Yu Lu , Yi-Hang Chiu , Mong-Liang Lu
The term “schizophrenia” can indeed carry stigmatizing connotations. Proposals to rename schizophrenia have emerged as a potential strategy to alleviate this stigma, but the impact of such a change is not yet fully understood. In several Asian countries that have adopted a new name for schizophrenia, there is evidence that renaming is associated with improved attitudes towards individuals with schizophrenia and an increased willingness to disclose diagnoses. However, the portrayal of schizophrenia in the media seems unaffected by these name changes. In other countries where “schizophrenia” is still the standard term, alternative names have been suggested, but research on their effectiveness in reducing stigma shows mixed results. Mental health professionals frequently support a name change, recognizing the term’s negative implications. However, it is crucial to recognize that a mere semantic revision, devoid of substantial conceptual alterations, may only offer a temporary decrease in stigma. Thus, renaming schizophrenia, coupled with a re-conceptualization of the disorder, may be a constructive step toward reducing its stigmatization.
{"title":"The impact of renaming schizophrenia on destigmatization: The Asian experience","authors":"Kah Kheng Goh , Cheng-Yu Lu , Yi-Hang Chiu , Mong-Liang Lu","doi":"10.1016/j.ajp.2024.104139","DOIUrl":"https://doi.org/10.1016/j.ajp.2024.104139","url":null,"abstract":"<div><p>The term “schizophrenia” can indeed carry stigmatizing connotations. Proposals to rename schizophrenia have emerged as a potential strategy to alleviate this stigma, but the impact of such a change is not yet fully understood. In several Asian countries that have adopted a new name for schizophrenia, there is evidence that renaming is associated with improved attitudes towards individuals with schizophrenia and an increased willingness to disclose diagnoses. However, the portrayal of schizophrenia in the media seems unaffected by these name changes. In other countries where “schizophrenia” is still the standard term, alternative names have been suggested, but research on their effectiveness in reducing stigma shows mixed results. Mental health professionals frequently support a name change, recognizing the term’s negative implications. However, it is crucial to recognize that a mere semantic revision, devoid of substantial conceptual alterations, may only offer a temporary decrease in stigma. Thus, renaming schizophrenia, coupled with a re-conceptualization of the disorder, may be a constructive step toward reducing its stigmatization.</p></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-26DOI: 10.1016/j.ajp.2024.104128
Ruben Valle , Swaran P. Singh , Alexandre Andrade Loch , Srividya N. Iyer
Introduction
Unlike high-income countries (HICs), there are few early intervention services for psychosis in low-and middle-income countries (LAMICs). In HICs, research spurred the growth of such services. Little is known about the state of EIP research in LAMICs, which we address by examining their research output and collaborations vis-à-vis that of HICs.
Methods
We conducted a search in Scopus database for early psychosis publications in scientific journals since 1980. Data from each record, including title, author affiliation, and date, were downloaded. For HIC-LAMIC collaborations, data on first, corresponding and last authors’ affiliations, and funding were manually extracted. Descriptive statistics and social network analysis were conducted.
Results
Globally, early psychosis publications increased from 24 in 1980 to 1297 in 2022. Of 16,942 included publications, 16.1 % had LAMIC authors. 71.3 % involved authors from a single country (regardless of income level). 21.9 % were collaborations between HICs, 6.6 % between HICs and LAMICs, and 0.2 % among LAMICs. For research conducted in LAMICs and involving HIC-LAMIC collaborations, the first, last, and corresponding authors were LAMIC-based in 71.8 %, 60.7 %, and 63.0 %, respectively. These positions were dominated (80 %) by authors from four LAMICs. 29.4 % of the HIC-LAMIC subset was funded solely by LAMIC funders, predominantly two LAMICs.
Conclusions
LAMICs are starkly underrepresented in the otherwise flourishing body of early psychosis research. They have far fewer collaborations and less funding than HICs. Closing these gaps in LAMICs where most of the world’s youth live is imperative to generate the local knowledge needed to strengthen early psychosis services that are known to improve outcomes.
{"title":"How “global” is research in early intervention for psychosis? A bibliometric analysis","authors":"Ruben Valle , Swaran P. Singh , Alexandre Andrade Loch , Srividya N. Iyer","doi":"10.1016/j.ajp.2024.104128","DOIUrl":"10.1016/j.ajp.2024.104128","url":null,"abstract":"<div><h3>Introduction</h3><p>Unlike high-income countries (HICs), there are few early intervention services for psychosis in low-and middle-income countries (LAMICs). In HICs, research spurred the growth of such services. Little is known about the state of EIP research in LAMICs, which we address by examining their research output and collaborations vis-à-vis that of HICs.</p></div><div><h3>Methods</h3><p>We conducted a search in Scopus database for early psychosis publications in scientific journals since 1980. Data from each record, including title, author affiliation, and date, were downloaded. For HIC-LAMIC collaborations, data on first, corresponding and last authors’ affiliations, and funding were manually extracted. Descriptive statistics and social network analysis were conducted.</p></div><div><h3>Results</h3><p>Globally, early psychosis publications increased from 24 in 1980 to 1297 in 2022. Of 16,942 included publications, 16.1 % had LAMIC authors. 71.3 % involved authors from a single country (regardless of income level). 21.9 % were collaborations between HICs, 6.6 % between HICs and LAMICs, and 0.2 % among LAMICs. For research conducted in LAMICs and involving HIC-LAMIC collaborations, the first, last, and corresponding authors were LAMIC-based in 71.8 %, 60.7 %, and 63.0 %, respectively. These positions were dominated (80 %) by authors from four LAMICs. 29.4 % of the HIC-LAMIC subset was funded solely by LAMIC funders, predominantly two LAMICs.</p></div><div><h3>Conclusions</h3><p>LAMICs are starkly underrepresented in the otherwise flourishing body of early psychosis research. They have far fewer collaborations and less funding than HICs. Closing these gaps in LAMICs where most of the world’s youth live is imperative to generate the local knowledge needed to strengthen early psychosis services that are known to improve outcomes.</p></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876201824002211/pdfft?md5=4fac38b468e34cfcee9885d375887a87&pid=1-s2.0-S1876201824002211-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-21DOI: 10.1016/j.ajp.2024.104124
Mythily Subramaniam , Yen Sin Koh , Rajeswari Sambasivam , Ellaisha Samari , Edimansyah Abdin , Anitha Jeyagurunathan , Bernard Chin Wee Tan , Yunjue Zhang , Stefan Ma , Wai Leng Chow , Siow Ann Chong
Background
The excessive use of smartphones and its association with adverse outcomes has been widely reported, with several studies showing an association between smartphone overuse, depression, anxiety, and sleep-related problems.
Methods
The study used data from the Health and Lifestyle Survey, a nationwide population survey. It examined the prevalence of Problematic Smartphone Use (PSU) and its association with mental health outcomes among Singapore residents aged 15–65 years.
Participants
Participants were assessed for PSU using the Smartphone Addiction Scale-Short Version, psychological distress with the Patient Health Questionnaire-9, and Generalised Anxiety Disorder −7 questionnaire, sleep problems using the Insomnia Severity Index, and positive mental health with Rapid Positive Mental Health Instrument.
Results
In all, 6509 participants completed the survey, giving a survey response rate of 73.2 %. The prevalence of PSU was 30.2 % in the population. Individuals with PSU were more likely to have symptoms of moderate or severe depression (OR: 3.2, 95 % CI: 2.4–4.4), anxiety (OR: 3.4, 95 % CI: 2.4–4.8), insomnia (OR: 3.4, 95 % CI: 2.8–4.2), and poorer positive mental health (β: −0.3, 95 % CI: −0.4 to −0.2).
Conclusions
The study is the first to examine PSU in a national sample of Singaporeans across a wide age range. It provides valuable insights into mental health comorbidities among those with PSU, which is useful for practitioners.
{"title":"Problematic smartphone use and mental health outcomes among Singapore residents: The health and lifestyle survey","authors":"Mythily Subramaniam , Yen Sin Koh , Rajeswari Sambasivam , Ellaisha Samari , Edimansyah Abdin , Anitha Jeyagurunathan , Bernard Chin Wee Tan , Yunjue Zhang , Stefan Ma , Wai Leng Chow , Siow Ann Chong","doi":"10.1016/j.ajp.2024.104124","DOIUrl":"10.1016/j.ajp.2024.104124","url":null,"abstract":"<div><h3>Background</h3><p>The excessive use of smartphones and its association with adverse outcomes has been widely reported, with several studies showing an association between smartphone overuse, depression, anxiety, and sleep-related problems.</p></div><div><h3>Methods</h3><p>The study used data from the Health and Lifestyle Survey, a nationwide population survey. It examined the prevalence of Problematic Smartphone Use (PSU) and its association with mental health outcomes among Singapore residents aged 15–65 years.</p></div><div><h3>Participants</h3><p>Participants were assessed for PSU using the Smartphone Addiction Scale-Short Version, psychological distress with the Patient Health Questionnaire-9, and Generalised Anxiety Disorder −7 questionnaire, sleep problems using the Insomnia Severity Index, and positive mental health with Rapid Positive Mental Health Instrument.</p></div><div><h3>Results</h3><p>In all, 6509 participants completed the survey, giving a survey response rate of 73.2 %. The prevalence of PSU was 30.2 % in the population. Individuals with PSU were more likely to have symptoms of moderate or severe depression (OR: 3.2, 95 % CI: 2.4–4.4), anxiety (OR: 3.4, 95 % CI: 2.4–4.8), insomnia (OR: 3.4, 95 % CI: 2.8–4.2), and poorer positive mental health (β: −0.3, 95 % CI: −0.4 to −0.2).</p></div><div><h3>Conclusions</h3><p>The study is the first to examine PSU in a national sample of Singaporeans across a wide age range. It provides valuable insights into mental health comorbidities among those with PSU, which is useful for practitioners.</p></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187620182400217X/pdfft?md5=d762d9d60d78a0eb5b2e5e6e43ceaaf7&pid=1-s2.0-S187620182400217X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-21DOI: 10.1016/j.ajp.2024.104126
Vikas Menon , Anish V. Cherian , Farzana Ahmed , Virtu Chongtham , Chencho Dorji , Kamal Gautam , Abdullah Al-Harun , Fathimath Hudha , Rubina Jahan , Rishav Koirala , Isa Multazam Noor , Supa Pengpid , Thilini Rajapakse , Manuel dos Santos , Parbati Shrestha , Khin Yadana Soe , Chathurie Suraweera , Win Moh Moh Thit , Greg Armstrong , Lakshmi Vijayakumar
Compared to the West, suicide prevention in the Southeast Asian (SEA) region is challenging due to resource constraints, a relatively greater contribution of social compared to psychological factors, and low levels of general awareness coupled with high stigma around suicide and mental illness. Collaboration and knowledge sharing are essential to circumvent these challenges. The Partnerships for Life (PfL) initiative of the International Association of Suicide Prevention aims to enhance knowledge sharing, foster collaboration between nations, and support the development and implementation of evidence-informed approaches to suicide prevention. In February 2024, the SEA region of the PfL conducted the first regional workshop on suicide prevention, in which representatives from 10 out of 12 SEA nations participated. In this paper, we outline the key priorities, challenges, strengths, and opportunities for suicide prevention in the region with a view to inform resource-effective suicide prevention strategies that have optimal utility and uptake.
{"title":"Challenges and priorities for suicide prevention in Southeast Asia: Insights from the Partnerships for Life regional workshop on suicide prevention","authors":"Vikas Menon , Anish V. Cherian , Farzana Ahmed , Virtu Chongtham , Chencho Dorji , Kamal Gautam , Abdullah Al-Harun , Fathimath Hudha , Rubina Jahan , Rishav Koirala , Isa Multazam Noor , Supa Pengpid , Thilini Rajapakse , Manuel dos Santos , Parbati Shrestha , Khin Yadana Soe , Chathurie Suraweera , Win Moh Moh Thit , Greg Armstrong , Lakshmi Vijayakumar","doi":"10.1016/j.ajp.2024.104126","DOIUrl":"10.1016/j.ajp.2024.104126","url":null,"abstract":"<div><p>Compared to the West, suicide prevention in the Southeast Asian (SEA) region is challenging due to resource constraints, a relatively greater contribution of social compared to psychological factors, and low levels of general awareness coupled with high stigma around suicide and mental illness. Collaboration and knowledge sharing are essential to circumvent these challenges. The <em>Partnerships for Life (PfL</em>) initiative of the International Association of Suicide Prevention aims to enhance knowledge sharing, foster collaboration between nations, and support the development and implementation of evidence-informed approaches to suicide prevention. In February 2024, the SEA region of the PfL conducted the first regional workshop on suicide prevention, in which representatives from 10 out of 12 SEA nations participated. In this paper, we outline the key priorities, challenges, strengths, and opportunities for suicide prevention in the region with a view to inform resource-effective suicide prevention strategies that have optimal utility and uptake.</p></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}