{"title":"Association between Muslim population, legal status, political system, geography, income category, human development index, and suicide rates in Asian countries: An ecological analysis","authors":"S.M. Yasir Arafat, Marthoenis Marthoenis, Rizwana Amin, David Lester, Nafia Farzana Chowdhury, Mohsen Rezaeian","doi":"10.1016/j.ajp.2025.104825","DOIUrl":"10.1016/j.ajp.2025.104825","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104825"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916675","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 : 2026-02-01Epub Date: 2025-12-29DOI: 10.1016/j.ajp.2025.104823
Arsalan Haider , Farhan Haider, Ana Estéveze, Dong-Mei Wang , Xiang-Yang Zhang
{"title":"Identification of risk features for methamphetamine dependence using a machine learning model and comprehensive multimodal measures","authors":"Arsalan Haider , Farhan Haider, Ana Estéveze, Dong-Mei Wang , Xiang-Yang Zhang","doi":"10.1016/j.ajp.2025.104823","DOIUrl":"10.1016/j.ajp.2025.104823","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104823"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910302","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 : 2026-02-01Epub Date: 2025-12-29DOI: 10.1016/j.ajp.2025.104824
Lalasa Mukku, Vikas Burri
{"title":"Unsupervised digital counselling: Addressing the safety gap of large language models as mental health tools","authors":"Lalasa Mukku, Vikas Burri","doi":"10.1016/j.ajp.2025.104824","DOIUrl":"10.1016/j.ajp.2025.104824","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104824"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881738","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 : 2026-02-01Epub Date: 2025-12-29DOI: 10.1016/j.ajp.2025.104821
Mohamad Saripudin, Aip Badrujaman
The consensus article by Quah et al. (2025) offers an important framework for strengthening perinatal mental health across the Asia–Pacific region but does not sufficiently address the role of cultural wisdom and ritualized social support in maternal wellbeing. Evidence from Indonesia suggests that cultural pregnancy rituals and strong family or community support can protect against antenatal anxiety and depression, even though direct empirical studies on ritual-specific outcomes remain limited. In Indonesia, longstanding practices such as mitoni, ba bu, and topung tawar function as informal, community-driven psychosocial interventions that reinforce maternal identity, collective empathy, and emotional safety. Integrating these culturally embedded supports into regional perinatal mental health frameworks could enhance cultural relevance, strengthen community participation, and bridge gaps between formal healthcare and indigenous caregiving systems. A culturally grounded approach, guided by voluntariness and safety considerations, may contribute to more holistic and equitable maternal mental health strategies in the region.
{"title":"Integrating cultural rituals and social support into perinatal mental health frameworks: Lessons from indonesian pregnancy traditions","authors":"Mohamad Saripudin, Aip Badrujaman","doi":"10.1016/j.ajp.2025.104821","DOIUrl":"10.1016/j.ajp.2025.104821","url":null,"abstract":"<div><div>The consensus article by Quah et al. (2025) offers an important framework for strengthening perinatal mental health across the Asia–Pacific region but does not sufficiently address the role of cultural wisdom and ritualized social support in maternal wellbeing. Evidence from Indonesia suggests that cultural pregnancy rituals and strong family or community support can protect against antenatal anxiety and depression, even though direct empirical studies on ritual-specific outcomes remain limited. In Indonesia, longstanding practices such as <em>mitoni, ba bu, and topung tawar</em> function as informal, community-driven psychosocial interventions that reinforce maternal identity, collective empathy, and emotional safety. Integrating these culturally embedded supports into regional perinatal mental health frameworks could enhance cultural relevance, strengthen community participation, and bridge gaps between formal healthcare and indigenous caregiving systems. A culturally grounded approach, guided by voluntariness and safety considerations, may contribute to more holistic and equitable maternal mental health strategies in the region.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104821"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881741","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 : 2026-02-01Epub Date: 2026-01-04DOI: 10.1016/j.ajp.2026.104832
Zahid Hyder Wadani
{"title":"Strengthening maternal mental health through Collaborative Care Model: A scalable opportunity for LMICs","authors":"Zahid Hyder Wadani","doi":"10.1016/j.ajp.2026.104832","DOIUrl":"10.1016/j.ajp.2026.104832","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104832"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916659","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 : 2026-02-01Epub Date: 2025-12-29DOI: 10.1016/j.ajp.2025.104816
George V. JOY , Febu Elizabeth JOY, Abdulqadir J. NASHWAN
The rapid integration of artificial intelligence (AI) into mental health practice presents both unprecedented opportunities and substantial challenges for contemporary care systems. This discursive review critically examines how AI-enabled tools intersect with the interpersonal foundations of psychotherapy, with particular attention to empathy, therapeutic alliance, and relational dynamics. Drawing on socio-technical theory, psychotherapeutic research, and emerging literature in affective computing and neurotechnology, the review develops a conceptual framework positioning AI as an augmentative, not substitutive partner in mental health care. While AI demonstrates clear strengths in enhancing accessibility, reducing administrative burden, supporting structured interventions, and improving monitoring through data-driven insights, these advantages are counterbalanced by significant concerns. Limitations in genuine empathic capacity, risks to transference and therapeutic authenticity, potential erosion of clinician skills, and ethical tensions related to privacy, accountability, algorithmic bias, and emotional deception underscore the complexity of integrating AI into relationally grounded practices. Differential impacts across therapeutic modalities and clinical conditions reveal that structured, skills-based treatments such as cognitive-behavioral approaches benefit most from AI augmentation, whereas humanistic and psychodynamic therapies rooted in emotional presence and intersubjective meaning-making remain less amenable to technological simulation. The review further highlights the importance of hybrid care models in which human clinicians guide relational processes while AI supports precision, continuity, and scalability. Ethical implementation requires robust frameworks emphasizing transparency, informed consent, equitable access, data protection, and sustained human oversight. Emerging neurotechnologies introduce additional considerations regarding autonomy, identity, and the need for evolving “neurorights.” Overall, this review argues that the future of mental health care depends on harmonizing technological innovation with human compassion. Effective, ethical, and relationally sensitive integration of AI must preserve the therapeutic alliance at its core, ensuring that technology enhances rather than replaces the deep human processes essential to psychological healing.
{"title":"Between empathy and algorithms: Navigating interpersonal dynamics in AI-augmented mental health care- Discursive review","authors":"George V. JOY , Febu Elizabeth JOY, Abdulqadir J. NASHWAN","doi":"10.1016/j.ajp.2025.104816","DOIUrl":"10.1016/j.ajp.2025.104816","url":null,"abstract":"<div><div>The rapid integration of artificial intelligence (AI) into mental health practice presents both unprecedented opportunities and substantial challenges for contemporary care systems. This discursive review critically examines how AI-enabled tools intersect with the interpersonal foundations of psychotherapy, with particular attention to empathy, therapeutic alliance, and relational dynamics. Drawing on socio-technical theory, psychotherapeutic research, and emerging literature in affective computing and neurotechnology, the review develops a conceptual framework positioning AI as an augmentative, not substitutive partner in mental health care. While AI demonstrates clear strengths in enhancing accessibility, reducing administrative burden, supporting structured interventions, and improving monitoring through data-driven insights, these advantages are counterbalanced by significant concerns. Limitations in genuine empathic capacity, risks to transference and therapeutic authenticity, potential erosion of clinician skills, and ethical tensions related to privacy, accountability, algorithmic bias, and emotional deception underscore the complexity of integrating AI into relationally grounded practices. Differential impacts across therapeutic modalities and clinical conditions reveal that structured, skills-based treatments such as cognitive-behavioral approaches benefit most from AI augmentation, whereas humanistic and psychodynamic therapies rooted in emotional presence and intersubjective meaning-making remain less amenable to technological simulation. The review further highlights the importance of hybrid care models in which human clinicians guide relational processes while AI supports precision, continuity, and scalability. Ethical implementation requires robust frameworks emphasizing transparency, informed consent, equitable access, data protection, and sustained human oversight. Emerging neurotechnologies introduce additional considerations regarding autonomy, identity, and the need for evolving “neurorights.” Overall, this review argues that the future of mental health care depends on harmonizing technological innovation with human compassion. Effective, ethical, and relationally sensitive integration of AI must preserve the therapeutic alliance at its core, ensuring that technology enhances rather than replaces the deep human processes essential to psychological healing.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104816"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910299","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 : 2026-02-01Epub Date: 2026-01-02DOI: 10.1016/j.ajp.2026.104829
Anxin Wen
{"title":"Looking closer at the numbers: Outcome reporting and priority groups in Qatar’s evolving mental health system","authors":"Anxin Wen","doi":"10.1016/j.ajp.2026.104829","DOIUrl":"10.1016/j.ajp.2026.104829","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104829"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910288","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 : 2026-02-01Epub Date: 2025-12-29DOI: 10.1016/j.ajp.2025.104819
Mohsen Khosravi
{"title":"Addressing the paradox of help-seeking reluctance among mental health professionals","authors":"Mohsen Khosravi","doi":"10.1016/j.ajp.2025.104819","DOIUrl":"10.1016/j.ajp.2025.104819","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104819"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881739","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 : 2026-02-01Epub Date: 2025-12-30DOI: 10.1016/j.ajp.2025.104808
Shiza Zainab , Eshal Fatima , Muhammad Salman Khalid , Asher Tariq , Laiba Zaheer , Kalsoom Abbas , Eshan Ahmad , Aamna Raheel Sheikh , Eman Zakir , Muhammad Zayd Arshad , Maryam Sabir , Nawal Zahra , Atifa Kanwal , Maheen Rehman Khan , Fiza Ali , Isha Tur Razia , Sabih Qaiser Khilji , Aleena Ihtasham , Ahmed Ali Khan , Haider Imran , Sameen Najam
Introduction
Delirium is a neuropsychiatric condition, characterized by cloudy state of consciousness. Though commonly treated by haloperidol, quetiapine offers its own distinct benefits. A focused systematic review and meta-analysis was performed comparing efficacy of quetiapine with haloperidol in hospitalized adults experiencing delirium.
Methods
According to PRISMA guidelines, PubMed, Cochrane, Embase and Google scholar were systematically searched. Only RCTs comparing quetiapine and haloperidol monotherapies on adult human patients diagnosed with delirium were included, with delirium severity as primary outcome. A random-effects model was employed for data analysis using Review Manager (RevMan).
Results
3 RCTs were identified having 215 patients, with 105 receiving quetiapine and 110 receiving haloperidol (mean age ± SD: 57.25 ± 13.09, males: 57.67 %, mean follow up days ± SD: 5.75 ± 1.89). Pooled analysis showed no statistically significant differences in delirium severity (MD: −0.80, 95 % CI: [-2.05, 0.44], I² = 10 %), mortality (RR: 0.60, 95 % CI: [0.29, 1.27, I² = 0 %], sleep time (MD: 1.59, 95 % CI: [-0.45, 3.63], I² = 77 %) and response rate (RR: 0.89, 95 % CI: [0.51, 1.56], I² = 85 %).
Conclusion
This study shows no significant difference in overall effect of quetiapine and haloperidol in delirium management. However, due to paucity of RCTs, limited sample size and high heterogeneity, subsequent research is needed to identify optimal pharmacological interventions for delirium management.
{"title":"Effect of quetiapine versus haloperidol on delirium severity in hospitalized adults: A systematic review and meta‑analysis","authors":"Shiza Zainab , Eshal Fatima , Muhammad Salman Khalid , Asher Tariq , Laiba Zaheer , Kalsoom Abbas , Eshan Ahmad , Aamna Raheel Sheikh , Eman Zakir , Muhammad Zayd Arshad , Maryam Sabir , Nawal Zahra , Atifa Kanwal , Maheen Rehman Khan , Fiza Ali , Isha Tur Razia , Sabih Qaiser Khilji , Aleena Ihtasham , Ahmed Ali Khan , Haider Imran , Sameen Najam","doi":"10.1016/j.ajp.2025.104808","DOIUrl":"10.1016/j.ajp.2025.104808","url":null,"abstract":"<div><h3>Introduction</h3><div>Delirium is a neuropsychiatric condition, characterized by cloudy state of consciousness. Though commonly treated by haloperidol, quetiapine offers its own distinct benefits. A focused systematic review and meta-analysis was performed comparing efficacy of quetiapine with haloperidol in hospitalized adults experiencing delirium.</div></div><div><h3>Methods</h3><div>According to PRISMA guidelines, PubMed, Cochrane, Embase and Google scholar were systematically searched. Only RCTs comparing quetiapine and haloperidol monotherapies on adult human patients diagnosed with delirium were included, with delirium severity as primary outcome. A random-effects model was employed for data analysis using Review Manager (RevMan).</div></div><div><h3>Results</h3><div>3 RCTs were identified having 215 patients, with 105 receiving quetiapine and 110 receiving haloperidol (mean age ± SD: 57.25 ± 13.09, males: 57.67 %, mean follow up days ± SD: 5.75 ± 1.89). Pooled analysis showed no statistically significant differences in delirium severity (MD: −0.80, 95 % CI: [-2.05, 0.44], I² = 10 %), mortality (RR: 0.60, 95 % CI: [0.29, 1.27, I² = 0 %], sleep time (MD: 1.59, 95 % CI: [-0.45, 3.63], I² = 77 %) and response rate (RR: 0.89, 95 % CI: [0.51, 1.56], I² = 85 %).</div></div><div><h3>Conclusion</h3><div>This study shows no significant difference in overall effect of quetiapine and haloperidol in delirium management. However, due to paucity of RCTs, limited sample size and high heterogeneity, subsequent research is needed to identify optimal pharmacological interventions for delirium management.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104808"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881736","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}