Asian journal of psychiatry最新文献

{"title":"From exclusion to inclusion: Why premenstrual dysphoric disorder (PMDD) research must include transgender and gender-diverse (TGD) menstruators","authors":"Raja Babu Ramawat , Omar Afroz , Rajesh Sagar","doi":"10.1016/j.ajp.2025.104810","DOIUrl":"10.1016/j.ajp.2025.104810","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104810"},"PeriodicalIF":4.5,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145882293","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}

{"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":"2025-12-29","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}

{"title":"Digital innovation for scaling evidence-based interventions: A balanced approach to bridging implementation gaps in let's talk about children","authors":"Styo Mahendra Wasita Aji, Vivi Astuti Nurlaily, Mujahidin Farid, Nanda Veruna Enun Kharisma, Eva Amalia, Herti Prastitasari, Aldy Ferdiyansyah","doi":"10.1016/j.ajp.2025.104812","DOIUrl":"10.1016/j.ajp.2025.104812","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104812"},"PeriodicalIF":4.5,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910304","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}

{"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":"2025-12-29","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}

{"title":"Between empathy and algorithms: Navigating interpersonal dynamics in AI-augmented mental health care- Discursive review","authors":"George V. JOY ,&nbsp;Febu Elizabeth JOY,&nbsp;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":"2025-12-29","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}

{"title":"Integrating cultural rituals and social support into perinatal mental health frameworks: Lessons from indonesian pregnancy traditions","authors":"Mohamad Saripudin,&nbsp;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":"2025-12-29","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}

{"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":"2025-12-29","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}

{"title":"Hemodialysis dramatically alleviates treatment-refractory psychosis in a subject with schizoaffective disorder","authors":"Yun-An Liu,&nbsp;Yi-Chyan Chen","doi":"10.1016/j.ajp.2025.104813","DOIUrl":"10.1016/j.ajp.2025.104813","url":null,"abstract":"","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104813"},"PeriodicalIF":4.5,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881740","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}

{"title":"The long-term clinical and functional outcomes of psychiatric patients with catatonia: A 5-year follow-up","authors":"Qi-Hang Zhang ,&nbsp;Tian Han ,&nbsp;Xiao-Xiao He ,&nbsp;Mathangie Gananathan ,&nbsp;Xiao-Lin Yin ,&nbsp;Hao-Tian Shen ,&nbsp;Fuchun Zhou ,&nbsp;Chuan-Yue Wang","doi":"10.1016/j.ajp.2025.104818","DOIUrl":"10.1016/j.ajp.2025.104818","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to compare the long-term clinical and functional outcomes between psychiatric patients with and without catatonia over a 5-year follow-up and to explore the baseline predictors of poor outcomes.</div></div><div><h3>Methods</h3><div>The study sample comprised 51 with catatonic and 56 non-catatonic psychiatric patients. Catatonia was assessed using the Bush-Francis Catatonia Rating Scale (BFCRS). We also determined serum high-sensitivity C-reactive protein (hs-CRP) levels at the baseline, recorded clinical outcomes during follow-up, and assessed the Global Assessment of Functioning (GAF) scale at endpoint.</div></div><div><h3>Results</h3><div>Follow-up data were available for 31 catatonic patients and 34 non-catatonia patients. During follow-up, the catatonic group had a significantly higher percentage of treatment-resistant cases compared to the non-catatonic group (25.8 % vs. 5.9 %). Catatonic patients had significantly more readmissions than non-catatonic patients after excluding patients with poor adherence. At the endpoint, patients in the catatonic group scored significantly lower on the GAF than those in the non-catatonic group. In the catatonic group, patients with high inflammatory levels had a significantly higher number of readmissions than those with low inflammatory levels. In the whole sample, multiple linear regression analyses revealed that baseline BFCRS scores were a significant and independent predictor of poor functional outcome at follow-up (Beta = −0.369, P = 0.002, 95 % CI: −0.008 to −0.002).</div></div><div><h3>Conclusion</h3><div>Findings suggest that catatonia is linked to poorer clinical outcomes and a lower level of functioning. Specifically, baseline high inflammatory levels seem to contribute to a higher relapse rate in catatonic patients.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104818"},"PeriodicalIF":4.5,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916664","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}

{"title":"Are social robots more interesting than humans? Quantitative assessment of Joint Attention in autistic and typically developing children","authors":"Silvia Annunziata ,&nbsp;Gabriele Fassina ,&nbsp;Michelle Brivio ,&nbsp;Laura Santos ,&nbsp;Emilia Ambrosini ,&nbsp;Paolo Meriggi ,&nbsp;Paola Molina ,&nbsp;Alessandra Pedrocchi ,&nbsp;Anna Cavallini","doi":"10.1016/j.ajp.2025.104796","DOIUrl":"10.1016/j.ajp.2025.104796","url":null,"abstract":"<div><h3>Introduction</h3><div>Autism Spectrum Disorder (ASD) is characterized by deficits in social interaction and communication, including joint attention (JA) impairment. This observational case-control study explores quantitative JA metrics in ASD preschool-aged children and typically-developing (TD) toddlers, interacting with both a human agent and a social robot.</div></div><div><h3>Material and methods</h3><div>Ten ASD and sixteen Typically Developing (TD) children, matched for developmental age, participated completing two JA tasks of the “Échelle par la Communication Sociale Precoce”(ECSP)-Gaze Following and Object Spectacle-administered by both a human (ECSP-H) and a social robot NAO (ECSP-R). A Kinect Azure Camera was used to track children's gaze and five performance indicators were defined to quantify JA-related behaviors: Number of Responses to JA, Time Latency to response and Fixation Time, both towards robot and human agent.</div></div><div><h3>Results</h3><div>Significant group differences emerged in responsiveness to social cues, particularly in the Gaze Following task. TD children responded more consistently to human prompts (p = 0.01) and showed greater visual interest in the human agent in both ECSP-H (p &lt; 0.01) and ECSP-R (p = 0.02) conditions. In contrast, percentage of fixations on the robot was comparable across groups.</div></div><div><h3>Discussion</h3><div>This study introduces unobtrusive, gaze-based quantitative measures to assess joint attention in ASD. Significant differences between ASD and TD groups suggest that children with ASD exhibited greater attentional preference to the robot agent, giving potential for these metrics in distinguishing attentional patterns in these two populations. This feature may nonetheless be clinically relevant, as it may be leveraged to facilitate attention, promote participation, and support robot-assisted therapeutic interventions.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104796"},"PeriodicalIF":4.5,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916705","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}