Asian journal of psychiatry最新文献

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Forensic psychiatric systems for mentally disordered offenders in East Asia: A comparative narrative review of Japan, South Korea, and Thailand 东亚精神障碍罪犯的法医精神病学系统：日本、韩国和泰国的比较叙述回顾

IF 4.5 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2026-01-07 DOI: 10.1016/j.ajp.2026.104843

Kenichi Shizukawa , Chommakorn Thanetnit , Piyawat Dendumrongkul , Wonseok Lee , Emiri Ohki

In this article, we compared inpatient forensic psychiatric systems for mentally disordered offenders in Japan, South Korea, and Thailand through their laws, official data, and academic literature until 2025. The Japanese system operates through 35 designated facilities, which provide relatively higher staffing, established multidisciplinary risk assessment tools, and structured programs for social reintegration. South Korea’s National Forensic Hospital serves as the central forensic psychiatry facility, but with limited psychiatrist staffing. Thailand runs 137 facilities that provide nationwide access to mentally disordered offenders, but with limited standardization of admission and monitoring protocols. This comparative narrative review highlights potential challenges in forensic psychiatric care for mentally disordered offenders. Specifically, establishing a single forensic psychiatric inpatient facility without adequate staffing and admission capacity, as well as implementing community-centered court-ordered treatment without standardized monitoring and risk management protocols, may pose risks to both the quality of inpatient care and public safety. An integrated approach combining community-based inpatient treatment with nationally standardized supervisory frameworks could be explored as a potentially effective model for forensic psychiatric care systems in East Asia.

在这篇文章中，我们通过日本、韩国和泰国的法律、官方数据和学术文献，比较了截至2025年精神障碍罪犯的住院法医精神病学系统。日本的系统通过35个指定机构运作，这些机构提供相对较高的人员配备，建立了多学科风险评估工具，并制定了重返社会的结构化方案。韩国国立法医医院（National Forensic Hospital）是中央法医精神病学机构，但配备的精神科医生有限。泰国有137个设施，为全国范围内的精神障碍罪犯提供服务，但入院和监测协议的标准化程度有限。这一比较叙述回顾强调了精神障碍罪犯的法医精神病学护理的潜在挑战。具体而言，建立一个单一的法医精神病住院设施，没有足够的人员配备和入院能力，以及在没有标准化监测和风险管理协议的情况下实施以社区为中心的法院命令治疗，可能会对住院治疗的质量和公共安全构成风险。将社区住院治疗与国家标准化监督框架相结合的综合方法可以作为东亚法医精神病学护理系统的潜在有效模式进行探索。

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引用次数: 0

Acute Pisa syndrome in a 4-year-old child with autism spectrum disorder: The youngest reported case of risperidone-induced extrapyramidal reaction 急性比萨综合征的4岁儿童自闭症谱系障碍：最年轻的利培酮诱导锥体外反应的报告病例

IF 4.5 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2026-01-07 DOI: 10.1016/j.ajp.2026.104838

Himanshu Garg, Abhishek Pandey, Neha Anushree, Shobit Garg , Karthik Ram Mohan

Background

Pisa syndrome is a rare extrapyramidal disorder characterized by sustained lateral flexion of the trunk, typically associated with antipsychotic medications. Though well-described in adult populations, its occurrence in children is exceedingly rare, with no previously reported cases in children under 12 years of age for drug-induced etiology.

Clinical description

We report the case of a 4-year-old boy with autism spectrum disorder (ASD), receiving risperidone (0.5 mL BID) for behavioural issues, on continued behavioural therapy, who developed acute onset painful lateral flexion of the trunk—clinically consistent with Pisa syndrome.

Management & outcome

He was promptly treated with intravenous pheniramine maleate, with immediate resolution of symptoms. Risperidone was discontinued, and no recurrence was noted on follow-up. Causality assessment using the Pediatric Naranjo Adverse Drug Reaction Probability Scale yielded a score of 7, indicating a probable adverse drug reaction to risperidone.

Conclusion

This case underscores the importance of early recognition of rare extrapyramidal side effects such as Pisa syndrome in children on atypical antipsychotics. Clinicians should maintain a high index of suspicion, even in very young children, and be aware of effective management strategies.

背景：pisa综合征是一种罕见的锥体外系疾病，以躯干持续侧屈为特征，通常与抗精神病药物有关。虽然在成人人群中有很好的描述，但在儿童中的发生极为罕见，以前没有12岁以下儿童因药物引起的病因的病例报道。临床描述：我们报告了一名患有自闭症谱系障碍（ASD）的4岁男孩，接受利培酮（0.5 mL BID）治疗行为问题，并继续接受行为治疗，他出现了急性发作的躯干疼痛侧屈-临床表现与Pisa综合征一致。处理和结果患者立即静脉注射马来酸苯那敏治疗，症状立即缓解。利培酮停用，随访未见复发。使用儿童纳兰霍药物不良反应概率量表进行因果关系评估，得分为7分，表明可能对利培酮产生不良反应。结论本病例强调了早期识别非典型抗精神病药物治疗中罕见的锥体外系副作用如比萨综合征的重要性。临床医生应保持高度的怀疑指数，即使在非常年幼的儿童，并意识到有效的管理策略。

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引用次数: 0

Advancing digital inclusion and cognitive monitoring for older adults 推进老年人的数字包容和认知监测

IF 4.5 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2026-01-06 DOI: 10.1016/j.ajp.2026.104839

Li Qi , Jiayi Liu

引用次数: 0

From intent to impact: Reflections on India’s approach to scaling mental health services 从意图到影响：对印度扩大精神卫生服务方法的思考

IF 4.5 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2026-01-06 DOI: 10.1016/j.ajp.2026.104836

K.M. Surapaneni, R.F. D’Souza, Rajiv Tandon

引用次数: 0

Integrating pharmaco-multiomics and AI for precision perinatal psychiatry: A call for dynamic dosing 整合药物-多组学和人工智能用于精确围产期精神病学：呼吁动态给药

IF 4.5 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2026-01-06 DOI: 10.1016/j.ajp.2026.104834

Mohamed A. Ismail

引用次数: 0

Psychobiotics as adjuncts in depression management: Mechanistic insights and clinical perspectives 精神生物制剂在抑郁症治疗中的辅助作用：机制见解和临床观点

IF 4.5 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2026-01-06 DOI: 10.1016/j.ajp.2026.104840

Sabbu Rahul, Radhakrishnan Rahul, Vaishnavi Gudupalli

引用次数: 0

Multi-view ensemble learning for EEG-based detection of Obsessive–Compulsive Disorder 基于脑电图的强迫症检测的多视图集成学习。

IF 4.5 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2026-01-06 DOI: 10.1016/j.ajp.2025.104827

Aditya Kumar , Ravi Patel , Niharika Koch , Jainath Yadav

Psychiatric disorders pose a critical challenge in modern healthcare due to their high prevalence, complex symptomatology, and reliance on subjective diagnostic procedures. Obsessive–Compulsive Disorder (OCD), in particular, is a chronic and debilitating condition that significantly impairs daily functioning, yet remains difficult to diagnose accurately and objectively. To address this challenge, we propose a novel frequency-aware multi-view ensemble learning framework for EEG-based OCD classification. The method systematically partitions EEG features into frequency-specific views (delta, theta, alpha, beta, and gamma), thereby capturing complementary neural dynamics associated with different cognitive and affective processes. For each frequency view, multiple base classifiers are trained, and their probabilistic outputs are integrated through a Particle Swarm Optimization (PSO)-based weight optimization strategy. This ensures that more informative frequency bands and classifiers contribute proportionally to the final prediction. Comprehensive experiments conducted on clinical EEG datasets demonstrate that the proposed model achieves superior performance, with an average accuracy of 90.1%, precision of 90.6%, recall of 90.1%, and F1-score of 89.7%, significantly outperforming state-of-the-art baselines such as SVM (70.2% accuracy) and Random Forest (68.7% accuracy). The results establish the clinical potential of this framework as a robust, non-invasive, and scalable computational tool to complement traditional psychiatric assessment and improve diagnostic precision in OCD recognition.

精神疾病构成了一个关键的挑战，在现代医疗保健，由于其高患病率，复杂的症状，并依赖于主观诊断程序。尤其是强迫症（OCD），它是一种慢性衰弱性疾病，严重损害日常功能，但仍然难以准确客观地诊断。为了解决这一挑战，我们提出了一种新的频率感知多视图集成学习框架，用于基于脑电图的强迫症分类。该方法系统地将EEG特征划分为特定频率的视图（delta, theta, alpha， beta和gamma），从而捕获与不同认知和情感过程相关的互补神经动力学。对于每个频率视图，训练多个基分类器，并通过基于粒子群优化（PSO）的权重优化策略整合它们的概率输出。这确保了更多信息频带和分类器对最终预测的贡献成比例。在临床脑电图数据集上进行的综合实验表明，该模型的平均准确率为90.1%，精密度为90.6%，召回率为90.1%，f1得分为89.7%，显著优于目前最先进的SVM（准确率为70.2%）和Random Forest（准确率为68.7%）等基线。结果确立了该框架作为一种强大的、无创的、可扩展的计算工具的临床潜力，以补充传统的精神病学评估并提高强迫症识别的诊断精度。

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引用次数: 0

Gender paradox in suicidal behavior: Possible reasons and implications for suicide prevention in the South-East Asian region 自杀行为中的性别矛盾：东南亚地区自杀预防的可能原因和影响

IF 4.5 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2026-01-06 DOI: 10.1016/j.ajp.2026.104833

Sujita Kumar Kar, Vikas Menon

引用次数: 0

The Asian Journal of Psychiatry: An end of year review 2025 《亚洲精神病学杂志》：2025年年终回顾

IF 4.5 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2026-01-05 DOI: 10.1016/j.ajp.2026.104835

Rajiv Tandon

引用次数: 0

Functional neurological symptoms and their correlates across four Asian samples: Should they be classified as a dissociative disorder? 四个亚洲样本的功能性神经症状及其相关性：它们应该被归类为分离性障碍吗？

IF 4.5 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2026-01-04 DOI: 10.1016/j.ajp.2026.104831

Tsz Lam Chan , Valerie Yan Tung Siu , Shan-yan Huang , Amos En Zhe Lian , Marc Eric S. Reyes , Görkem Derin , Aslı Dila Akiş , Audrey Zatopek , Stanley Kam Ki Lam , Peejay D. Bengwasan , Hong Wang Fung

Whether functional neurological symptom disorder should be classified as a dissociative disorder remains a subject of debate. This multi-site, cross-cultural study investigated functional neurological symptoms and psychoform dissociation among college students in the Philippines (N = 219), Turkey (N = 160), Malaysia (N = 240), and Taiwan (N = 766). Across the four samples, between 50.0 % and 74.2 % of participants with functional neurological symptoms exhibited co-occurring psychoform dissociative symptoms. Controlling for confounding variables (e.g., age, gender, childhood adversities, and symptoms of depression, anxiety, and complex PTSD), psychoform dissociative symptoms emerged as the strongest and most robust correlate of functional neurological symptoms in three out of four samples (Philippines: β = .502, Turkey: β = .665, Malaysia: β = .541). Psychoform dissociative symptoms were also significantly associated with functional neurological symptoms in the Taiwan sample (β = .122), although not the strongest predictor. The results that were replicated across four culturally different samples support classifying functional neurological symptom disorder as possibly dissociative in nature in future ICD and DSM. Individuals who present with functional neurological symptoms should be screened for dissociative disorders.

功能性神经症状障碍是否应该归类为分离性障碍仍然是一个有争议的话题。这项多地点、跨文化研究调查了菲律宾（N = 219）、土耳其（N = 160）、马来西亚（N = 240）和台湾（N = 766）大学生的功能性神经症状和精神形态分离。在四个样本中，50.0% %至74.2 %的具有功能性神经症状的参与者表现出同时发生的精神形态分离症状。在控制混杂变量（例如，年龄、性别、童年逆境以及抑郁、焦虑和复杂创伤后应激障碍的症状）后，在四个样本中有三个样本（菲律宾：β = .502，土耳其：β = .665，马来西亚：β = .541）中，精神形态解离症状成为功能神经症状最强烈和最有力的相关性。在台湾样本中，精神形态解离性症状也与功能性神经症状显著相关（β = 0.122），尽管不是最强的预测因子。在四个文化不同的样本中重复的结果支持在未来的ICD和DSM中将功能性神经症状障碍分类为可能的解离性。出现功能性神经症状的个体应进行分离性障碍筛查。

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