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}
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.
{"title":"Forensic psychiatric systems for mentally disordered offenders in East Asia: A comparative narrative review of Japan, South Korea, and Thailand","authors":"Kenichi Shizukawa , Chommakorn Thanetnit , Piyawat Dendumrongkul , Wonseok Lee , Emiri Ohki","doi":"10.1016/j.ajp.2026.104843","DOIUrl":"10.1016/j.ajp.2026.104843","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104843"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145922071","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.2025.104813
Yun-An Liu, Yi-Chyan Chen
{"title":"Hemodialysis dramatically alleviates treatment-refractory psychosis in a subject with schizoaffective disorder","authors":"Yun-An Liu, 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":"2026-02-01","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}
Pub Date : 2026-02-01Epub Date: 2025-12-30DOI: 10.1016/j.ajp.2025.104809
Guangzhe Frank Yuan , Yi Rong , Wei Shi
Children with psychiatric disorders in China represent a significant and growing public health concern. Parents of these children experience substantial psychological distress, including elevated stress, anxiety, and depression, which impairs their well-being and compromises child treatment outcomes. Despite the bidirectional relationship between parental and child mental health, current services in China remain predominantly child-focused, with limited systematic support for parents. This paper proposes a comprehensive framework for developing parental mental health support services within China's child psychiatric care system. The framework integrates multi-tiered services, cross-sectoral collaboration, workforce development, technology-enabled delivery, and quality assurance mechanisms. Guided by principles of family-centered care and cultural adaptation, this framework addresses existing system-level barriers while leveraging opportunities such as the Healthy China 2030 initiative. Implementation of this framework has the potential to enhance family well-being, improve child mental health outcomes, and advance health equity across China.
{"title":"Parental mental health support for families of children with psychiatric disorders: A framework for service system development in China","authors":"Guangzhe Frank Yuan , Yi Rong , Wei Shi","doi":"10.1016/j.ajp.2025.104809","DOIUrl":"10.1016/j.ajp.2025.104809","url":null,"abstract":"<div><div>Children with psychiatric disorders in China represent a significant and growing public health concern. Parents of these children experience substantial psychological distress, including elevated stress, anxiety, and depression, which impairs their well-being and compromises child treatment outcomes. Despite the bidirectional relationship between parental and child mental health, current services in China remain predominantly child-focused, with limited systematic support for parents. This paper proposes a comprehensive framework for developing parental mental health support services within China's child psychiatric care system. The framework integrates multi-tiered services, cross-sectoral collaboration, workforce development, technology-enabled delivery, and quality assurance mechanisms. Guided by principles of family-centered care and cultural adaptation, this framework addresses existing system-level barriers while leveraging opportunities such as the Healthy China 2030 initiative. Implementation of this framework has the potential to enhance family well-being, improve child mental health outcomes, and advance health equity across China.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104809"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145881734","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}
This study introduces an AI-assisted method based on examiner-worn Point of View (POV) glasses and computer vision analysis to provide objective behavioral data for the diagnosis of Autism Spectrum Disorder (ASD). The study included 29 children with ASD and 27 children without ASD, aged between 17 and 36 months. During semi-structured naturalistic interactions, the examiner wore POV glasses equipped with a scene camera that captured the child’s face from an eye-level perspective, preserving ecological validity. Behavioral parameters—including facial expressions, approximate social gaze (operationalized as the child’s eyes orientation toward the POV camera), and head mobility—were extracted using OpenFace and MediaPipe and subsequently analyzed with machine learning techniques. Statistical analyses revealed that total social gaze duration, longest social gaze, social smiling, number of responses to name, response latency, response duration, social responsiveness, and head movements along the z-axis had p-values ≤ 0.05, while head movements on the x- and y-axes, total head movement, and rapid head movements had p-values > 0.05. The classification model developed using decision trees and the AdaBoost algorithm demonstrated high performance, achieving an accuracy of 91.07 % and a sensitivity of 89.65 %. These findings support the clinical applicability of examiner-worn POV recordings for early ASD detection and highlight their potential to complement traditional, subjective assessment methods.
{"title":"A new approach in autism diagnosis: Evaluating natural interaction using point of view (POV) glasses","authors":"Hakan Kayış , Murat Çelik , Çınar Gedizlioğlu , Elif Kayış , Cumhur Aydemir , Arda Hatipoğlu , Seda Sarı , Nurhak Dogan , Elif Mumcu , Rabia Arı , Burcu Özbaran","doi":"10.1016/j.ajp.2025.104798","DOIUrl":"10.1016/j.ajp.2025.104798","url":null,"abstract":"<div><div>This study introduces an AI-assisted method based on examiner-worn Point of View (POV) glasses and computer vision analysis to provide objective behavioral data for the diagnosis of Autism Spectrum Disorder (ASD). The study included 29 children with ASD and 27 children without ASD, aged between 17 and 36 months. During semi-structured naturalistic interactions, the examiner wore POV glasses equipped with a scene camera that captured the child’s face from an eye-level perspective, preserving ecological validity. Behavioral parameters—including facial expressions, approximate social gaze (operationalized as the child’s eyes orientation toward the POV camera), and head mobility—were extracted using OpenFace and MediaPipe and subsequently analyzed with machine learning techniques. Statistical analyses revealed that total social gaze duration, longest social gaze, social smiling, number of responses to name, response latency, response duration, social responsiveness, and head movements along the z-axis had p-values ≤ 0.05, while head movements on the x- and y-axes, total head movement, and rapid head movements had p-values > 0.05. The classification model developed using decision trees and the AdaBoost algorithm demonstrated high performance, achieving an accuracy of 91.07 % and a sensitivity of 89.65 %. These findings support the clinical applicability of examiner-worn POV recordings for early ASD detection and highlight their potential to complement traditional, subjective assessment methods.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"116 ","pages":"Article 104798"},"PeriodicalIF":4.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839146","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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