Pub Date : 2026-03-01Epub Date: 2026-01-08DOI: 10.1016/j.ajp.2026.104847
Muhammad Farid Ma’ruf, Ajie Hanif Muzaqi, Nuh Krama Hadianto
{"title":"A policy perspective on suicide prevention: Gaps in Indonesia’s educational and public health systems","authors":"Muhammad Farid Ma’ruf, Ajie Hanif Muzaqi, Nuh Krama Hadianto","doi":"10.1016/j.ajp.2026.104847","DOIUrl":"10.1016/j.ajp.2026.104847","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104847"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975417","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 : 2026-03-01Epub Date: 2026-01-09DOI: 10.1016/j.ajp.2026.104849
Sujita Kumar Kar, Swapnajeet Sahoo
{"title":"Psychotherapy teaching and training for Indian medical undergraduates: Needs and challenges","authors":"Sujita Kumar Kar, Swapnajeet Sahoo","doi":"10.1016/j.ajp.2026.104849","DOIUrl":"10.1016/j.ajp.2026.104849","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104849"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975418","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 : 2026-03-01Epub Date: 2026-02-02DOI: 10.1016/j.ajp.2026.104884
Seong-Uk Baek, Jin-Ha Yoon
{"title":"Health literacy and the continuum of suicidal behaviors among adults: A national survey from South Korea, 2023","authors":"Seong-Uk Baek, Jin-Ha Yoon","doi":"10.1016/j.ajp.2026.104884","DOIUrl":"10.1016/j.ajp.2026.104884","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104884"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123680","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 : 2026-03-01Epub Date: 2026-02-02DOI: 10.1016/j.ajp.2026.104877
Chong Seng Choi, Nik Ruzyanei Nik Jaafar
{"title":"Advancing psychotherapy in Malaysian psychiatric practice: The role of the psychotherapy chapter of the Malaysian Psychiatric Association","authors":"Chong Seng Choi, Nik Ruzyanei Nik Jaafar","doi":"10.1016/j.ajp.2026.104877","DOIUrl":"10.1016/j.ajp.2026.104877","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104877"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131126","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}
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。
{"title":"Acute Pisa syndrome in a 4-year-old child with autism spectrum disorder: The youngest reported case of risperidone-induced extrapyramidal reaction","authors":"Himanshu Garg, Abhishek Pandey, Neha Anushree, Shobit Garg , Karthik Ram Mohan","doi":"10.1016/j.ajp.2026.104838","DOIUrl":"10.1016/j.ajp.2026.104838","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Clinical description</h3><div>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.</div></div><div><h3>Management & outcome</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104838"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145923862","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 : 2026-03-01Epub Date: 2026-02-02DOI: 10.1016/j.ajp.2026.104881
Xiaowei Zhang
{"title":"Ten sessions, faster response, or faster exit? Clarifying “Speed” and cost claims in piTBS vs 10-Hz rTMS","authors":"Xiaowei Zhang","doi":"10.1016/j.ajp.2026.104881","DOIUrl":"10.1016/j.ajp.2026.104881","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104881"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131111","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 : 2026-03-01Epub Date: 2026-02-02DOI: 10.1016/j.ajp.2026.104879
Kaili Zheng , Wanrong Peng , Zhaoxia Liu , Xiaoshuang Gu , Meiqian Tang , Weijun Situ , Jinyao Yi
Background
Major depressive disorder (MDD) is characterized by significant impairments in cognitive functions, including task-switching dysfunction. This study investigates the differences in switching impairments between non-emotional and emotional switching tasks in MDD patients and explores the underlying neuropsychological mechanisms.
Methods
48 MDD patients and 52 healthy controls (HCs) were recruited. Behavioral and electroencephalogram data were recorded while participants performed non-emotional and emotional task-switching paradigms. Event-related potentials (ERPs: P2, N2, P3 difference waves) and event-related spectral perturbations (ERSPs: theta, alpha, beta band power) were analyzed to assess group differences.
Results
In the magnitude task, MDD group displayed reduced occipital Pd2 amplitude (p < 0.001, η2p=0.20), increased frontal/central Pd3 amplitudes (p < 0.001, η2p=0.10), and larger alpha power differences (p < 0.05, η2p= 0.04). In the gender task, MDD group had increased occipital Pd2 amplitude (p < 0.05, η2p=0.04) and larger alpha power differences in the P3 time window (p < 0.01, η2p=0.03). In the emotion task, MDD group showed prolonged Pd2 latency (p < 0.05, η2p=0.04), reduced Pd3 amplitude (p < 0.05, η2p=0.10), smaller theta power differences (p = 0.05, η2p=0.03), and larger beta power differences (p < 0.05, η2p=0.04).
Conclusion
MDD patients exhibit a dissociable pattern of task-switching deficits across non-emotional and emotional task-switching scenarios, characterized by distinct abnormalities across early visual processing, conflict monitoring, cognitive resource allocation, and multi-stage emotional processing. This study reveals novel electrophysiological mechanisms underlying cognitive inflexibility in MDD.
{"title":"Impaired task-switching in major depressive disorder: A time-frequency analysis of non-emotional and emotional stimuli","authors":"Kaili Zheng , Wanrong Peng , Zhaoxia Liu , Xiaoshuang Gu , Meiqian Tang , Weijun Situ , Jinyao Yi","doi":"10.1016/j.ajp.2026.104879","DOIUrl":"10.1016/j.ajp.2026.104879","url":null,"abstract":"<div><h3>Background</h3><div>Major depressive disorder (MDD) is characterized by significant impairments in cognitive functions, including task-switching dysfunction. This study investigates the differences in switching impairments between non-emotional and emotional switching tasks in MDD patients and explores the underlying neuropsychological mechanisms.</div></div><div><h3>Methods</h3><div>48 MDD patients and 52 healthy controls (HCs) were recruited. Behavioral and electroencephalogram data were recorded while participants performed non-emotional and emotional task-switching paradigms. Event-related potentials (ERPs: P2, N2, P3 difference waves) and event-related spectral perturbations (ERSPs: theta, alpha, beta band power) were analyzed to assess group differences.</div></div><div><h3>Results</h3><div>In the magnitude task, MDD group displayed reduced occipital Pd2 amplitude (<em>p</em> < 0.001, <em>η</em><sup><em>2</em></sup><sub><em>p</em></sub>=0.20), increased frontal/central Pd3 amplitudes (<em>p</em> < 0.001, <em>η</em><sup><em>2</em></sup><sub><em>p</em></sub>=0.10), and larger alpha power differences (<em>p</em> < 0.05, <em>η</em><sup><em>2</em></sup><sub><em>p</em></sub>= 0.04). In the gender task, MDD group had increased occipital Pd2 amplitude (<em>p</em> < 0.05, <em>η</em><sup><em>2</em></sup><sub><em>p</em></sub>=0.04) and larger al<em>p</em>ha power differences in the P3 time window (<em>p</em> < 0.01, <em>η</em><sup><em>2</em></sup><sub><em>p</em></sub>=0.03). In the emotion task, MDD group showed prolonged Pd2 latency (<em>p</em> < 0.05, <em>η</em><sup><em>2</em></sup><sub><em>p</em></sub>=0.04), reduced Pd3 amplitude (<em>p</em> < 0.05, <em>η</em><sup><em>2</em></sup><sub><em>p</em></sub>=0.10), smaller theta power differences (<em>p</em> = 0.05, <em>η</em><sup><em>2</em></sup><sub><em>p</em></sub>=0.03), and larger beta power differences (<em>p</em> < 0.05, <em>η</em><sup><em>2</em></sup><sub><em>p</em></sub>=0.04).</div></div><div><h3>Conclusion</h3><div>MDD patients exhibit a dissociable pattern of task-switching deficits across non-emotional and emotional task-switching scenarios, characterized by distinct abnormalities across early visual processing, conflict monitoring, cognitive resource allocation, and multi-stage emotional processing. This study reveals novel electrophysiological mechanisms underlying cognitive inflexibility in MDD.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104879"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137114","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 : 2026-03-01Epub Date: 2026-02-07DOI: 10.1016/j.ajp.2026.104887
Edanur Tar Bolacali , Gökçe Demir , Bahar Aksoy , Sevda Uzun
This study was conducted with the aim of revealing the effectiveness of technology-based intervention programs in the prevention of child abuse. For this systematic review and meta-analysis study, researches were obtained by searching PubMed, Web of Science, Scopus, Google Scholar and National Thesis Center of the Council of Higher Education databases without any year limitation. After the review, 18 studies were included in the study. The data were synthesized by meta-analysis and narrative methods. In this systematic review and meta-analysis, it was found that technology-based intervention programs were effective in preventing child abuse in educators and caregivers (SMD: 0.673; 95% CI: 0.500–1.243; Z = 4.594, p = 0.00, (I2 = 77.6%). In addition, technology-based intervention programs were found to be effective in preventing child abuse in children SMD: 0.255 95% CI: −0.059 to 0.570; Z = 1.589, p = 0.112, (I2 = 59.6%) and parents (SMD: 0.194 95% CI: −0.584 to 0.973; Z = 0.490, p = 0.624, (I2= 97.6%). This study showed that technology-based intervention programs can play a beneficial and important role on individuals in the prevention of child abuse.
{"title":"The effectiveness of technology-based intervention programs in the prevention of child abuse: A systematic review and meta-analysis study","authors":"Edanur Tar Bolacali , Gökçe Demir , Bahar Aksoy , Sevda Uzun","doi":"10.1016/j.ajp.2026.104887","DOIUrl":"10.1016/j.ajp.2026.104887","url":null,"abstract":"<div><div>This study was conducted with the aim of revealing the effectiveness of technology-based intervention programs in the prevention of child abuse. For this systematic review and meta-analysis study, researches were obtained by searching PubMed, Web of Science, Scopus, Google Scholar and National Thesis Center of the Council of Higher Education databases without any year limitation. After the review, 18 studies were included in the study. The data were synthesized by meta-analysis and narrative methods. In this systematic review and meta-analysis, it was found that technology-based intervention programs were effective in preventing child abuse in educators and caregivers (SMD: 0.673; 95% CI: 0.500–1.243; Z = 4.594, p = 0.00, (I<sup>2</sup> = 77.6%). In addition, technology-based intervention programs were found to be effective in preventing child abuse in children SMD: 0.255 95% CI: −0.059 to 0.570; Z = 1.589, p = 0.112, (I<sup>2</sup> = 59.6%) and parents (SMD: 0.194 95% CI: −0.584 to 0.973; Z = 0.490, p = 0.624, (I<sup>2</sup>= 97.6%). This study showed that technology-based intervention programs can play a beneficial and important role on individuals in the prevention of child abuse.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"117 ","pages":"Article 104887"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146163933","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}
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