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Association between Muslim population, legal status, political system, geography, income category, human development index, and suicide rates in Asian countries: An ecological analysis 亚洲国家穆斯林人口、法律地位、政治制度、地理、收入类别、人类发展指数与自杀率之间的关系:生态学分析。
IF 4.5 4区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-01 Epub Date: 2026-01-02 DOI: 10.1016/j.ajp.2025.104825
S.M. Yasir Arafat, Marthoenis Marthoenis, Rizwana Amin, David Lester, Nafia Farzana Chowdhury, Mohsen Rezaeian
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引用次数: 0
Identification of risk features for methamphetamine dependence using a machine learning model and comprehensive multimodal measures 使用机器学习模型和综合多模式措施识别甲基苯丙胺依赖的风险特征。
IF 4.5 4区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 10.1016/j.ajp.2025.104823
Arsalan Haider , Farhan Haider, Ana Estéveze, Dong-Mei Wang , Xiang-Yang Zhang
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引用次数: 0
Digital innovation for scaling evidence-based interventions: A balanced approach to bridging implementation gaps in let's talk about children 扩大基于证据的干预措施的数字创新:弥合实施差距的平衡方法让我们谈谈儿童。
IF 4.5 4区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 10.1016/j.ajp.2025.104812
Styo Mahendra Wasita Aji, Vivi Astuti Nurlaily, Mujahidin Farid, Nanda Veruna Enun Kharisma, Eva Amalia, Herti Prastitasari, Aldy Ferdiyansyah
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引用次数: 0
Unsupervised digital counselling: Addressing the safety gap of large language models as mental health tools 无监督的数字咨询:解决大型语言模型作为心理健康工具的安全差距
IF 4.5 4区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 10.1016/j.ajp.2025.104824
Lalasa Mukku, Vikas Burri
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引用次数: 0
Integrating cultural rituals and social support into perinatal mental health frameworks: Lessons from indonesian pregnancy traditions 将文化仪式和社会支持纳入围产期心理健康框架:来自印度尼西亚怀孕传统的经验教训
IF 4.5 4区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 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.
Quah等人(2025)的共识文章为加强整个亚太地区的围产期心理健康提供了一个重要框架,但没有充分解决文化智慧和仪仪化社会支持在孕产妇福祉中的作用。来自印度尼西亚的证据表明,文化怀孕仪式和强大的家庭或社区支持可以防止产前焦虑和抑郁,尽管对特定仪式结果的直接实证研究仍然有限。在印度尼西亚,长期以来的做法,如mitoni、ba bu和topung tawar,作为非正式的、社区驱动的社会心理干预措施,加强了母亲的身份认同、集体同理心和情感安全。将这些嵌入文化的支持纳入区域围产期精神卫生框架可以增强文化相关性,加强社区参与,并弥合正规卫生保健和土著护理系统之间的差距。在自愿和安全考虑的指导下,以文化为基础的做法可能有助于在该区域制定更全面和公平的孕产妇心理健康战略。
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引用次数: 0
Strengthening maternal mental health through Collaborative Care Model: A scalable opportunity for LMICs 通过协作护理模式加强孕产妇心理健康:中低收入国家的可扩展机会。
IF 4.5 4区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-01 Epub Date: 2026-01-04 DOI: 10.1016/j.ajp.2026.104832
Zahid Hyder Wadani
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引用次数: 0
Between empathy and algorithms: Navigating interpersonal dynamics in AI-augmented mental health care- Discursive review 在移情和算法之间:在人工智能增强的精神卫生保健中导航人际动态-话语回顾。
IF 4.5 4区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 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.
人工智能(AI)与精神卫生实践的快速整合为当代护理系统带来了前所未有的机遇和重大挑战。本文批判性地考察了人工智能工具如何与心理治疗的人际基础交叉,特别关注移情、治疗联盟和关系动态。利用社会技术理论、心理治疗研究以及情感计算和神经技术方面的新兴文献,该综述开发了一个概念性框架,将人工智能定位为精神卫生保健中的辅助伙伴,而不是替代伙伴。虽然人工智能在提高可及性、减轻行政负担、支持结构化干预以及通过数据驱动的见解改善监测方面显示出明显的优势,但这些优势被一些重大问题所抵消。真正的移情能力的局限性、移情和治疗真实性的风险、临床医生技能的潜在侵蚀,以及与隐私、问责制、算法偏见和情感欺骗相关的伦理紧张关系,都突显了将人工智能整合到关系基础实践中的复杂性。不同治疗方式和临床条件的不同影响表明,结构化的、基于技能的治疗(如认知行为方法)从人工智能增强中获益最多,而基于情感存在和主体间意义创造的人文主义和心理动力学治疗仍然不太适合技术模拟。该综述进一步强调了混合护理模式的重要性,在这种模式中,人类临床医生指导相关流程,而人工智能支持准确性、连续性和可扩展性。道德实施需要强有力的框架,强调透明度、知情同意、公平获取、数据保护和持续的人为监督。新兴的神经技术引入了更多关于自主性、身份和进化“神经权利”的需要的考虑。总的来说,这篇综述认为,精神卫生保健的未来取决于协调技术创新与人类的同情心。有效的、合乎道德的、关系敏感的人工智能整合必须保持治疗联盟的核心,确保技术增强而不是取代对心理治疗至关重要的深层人类过程。
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引用次数: 0
Looking closer at the numbers: Outcome reporting and priority groups in Qatar’s evolving mental health system 仔细观察数字:卡塔尔不断发展的精神卫生系统的结果报告和优先群体。
IF 4.5 4区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-01 Epub Date: 2026-01-02 DOI: 10.1016/j.ajp.2026.104829
Anxin Wen
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引用次数: 0
Addressing the paradox of help-seeking reluctance among mental health professionals 解决心理健康专业人员不愿寻求帮助的矛盾
IF 4.5 4区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 10.1016/j.ajp.2025.104819
Mohsen Khosravi
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引用次数: 0
Effect of quetiapine versus haloperidol on delirium severity in hospitalized adults: A systematic review and meta‑analysis 喹硫平与氟哌啶醇对住院成人谵妄严重程度的影响:系统回顾和荟萃分析
IF 4.5 4区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-01 Epub Date: 2025-12-30 DOI: 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.
谵妄是一种神经精神疾病,以意识模糊为特征。虽然通常用氟哌啶醇治疗,但喹硫平有其独特的益处。一项集中的系统评价和荟萃分析比较了喹硫平和氟哌啶醇治疗住院成人谵妄的疗效。方法根据PRISMA指南,系统检索PubMed、Cochrane、Embase和谷歌scholar。仅纳入比较喹硫平和氟哌啶醇单药治疗诊断为谵妄的成人患者的随机对照试验,以谵妄严重程度为主要终点。采用Review Manager软件(RevMan)随机效应模型进行数据分析。结果共纳入3项随机对照试验,共215例患者,其中喹硫平105例,氟哌啶醇110例(平均年龄±SD: 57.25 ± 13.09,男性57.67 %,平均随访天数±SD: 5.75 ± 1.89)。合并分析显示,谵妄严重程度(MD: - 0.80, 95 % CI: [-2.05, 0.44], I²= 10 %)、死亡率(RR: 0.60, 95 % CI: [0.29, 1.27, I²= 0 %)、睡眠时间(MD: 1.59, 95 % CI: [-0.45, 3.63], I²= 77 %)和反应率(RR: 0.89, 95 % CI: [0.51, 1.56], I²= 85 %)差异无统计学意义。结论喹硫平与氟哌啶醇治疗谵妄的总体疗效无显著差异。然而,由于缺乏随机对照试验,样本量有限,异质性高,需要后续研究来确定谵妄管理的最佳药物干预措施。
{"title":"Effect of quetiapine versus haloperidol on delirium severity in hospitalized adults: A systematic review and meta‑analysis","authors":"Shiza Zainab ,&nbsp;Eshal Fatima ,&nbsp;Muhammad Salman Khalid ,&nbsp;Asher Tariq ,&nbsp;Laiba Zaheer ,&nbsp;Kalsoom Abbas ,&nbsp;Eshan Ahmad ,&nbsp;Aamna Raheel Sheikh ,&nbsp;Eman Zakir ,&nbsp;Muhammad Zayd Arshad ,&nbsp;Maryam Sabir ,&nbsp;Nawal Zahra ,&nbsp;Atifa Kanwal ,&nbsp;Maheen Rehman Khan ,&nbsp;Fiza Ali ,&nbsp;Isha Tur Razia ,&nbsp;Sabih Qaiser Khilji ,&nbsp;Aleena Ihtasham ,&nbsp;Ahmed Ali Khan ,&nbsp;Haider Imran ,&nbsp;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}
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Asian journal of psychiatry
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