Jiangbo Ying, Qian Hui Chew, Tian-Mei Si, Roy Abraham Kallivayalil, Andi J Tanra, Amir Hossein Jalali Nadoushan, Kok Yoon Chee, Afzal Javed, Pornjira Pariwatcharakul, Seon-Cheol Park, Shih-Ku Lin, Kuan-Lun Huang, Toshiya Inada, Sandeep Grover, Yu-Tao Xiang, Norman Sartorius, Naotaka Shinfuku, Takahiro A Kato, Ross J Baldessarini, Kang Sim
Introduction: Previous studies of antidepressant prescribing patterns largely were limited to a single location or time, and very few involved Asia. This Asian Psychotropic Prescription Patterns Consortium study investigated pharmacoepidemiologic trends and factors associated with use and dosing of newer antidepressants across 12 Asian sites in 2003, 2013, and 2023.
Methods: Data from each site included demographic, treatment setting, clinical features, and type and dosage of antidepressants prescribed. Sociodemographic and clinical variables were examined using univariate methods, followed by multivariable logistic and linear modeling.
Results: Of 8357 adult participants (59.8% female), 82.8% received at least one modern antidepressant. Use of these drugs was strongly associated with more recent year, younger age, inpatient status, and affective or anxiety-related disorders. Higher daily antidepressant doses were associated with inpatient status, male gender, more recent year, and younger age.
Discussion: This large, multisite study provides a two-decade overview of evolving antidepressant-prescribing patterns in 12 Asian sites and highlights patient characteristics associated with prescription of newer antidepressants and their dosage. Needed are further studies of psychotropic prescribing practices related to specific illness subtypes and their impact on psychosocial functioning over time among Asian patients.
{"title":"Pharmacoepidemiologic Trends and Factors Associated With Use and Dosing of Newer Antidepressants in 8357 Patients Across Asia: A Two-Decade Perspective.","authors":"Jiangbo Ying, Qian Hui Chew, Tian-Mei Si, Roy Abraham Kallivayalil, Andi J Tanra, Amir Hossein Jalali Nadoushan, Kok Yoon Chee, Afzal Javed, Pornjira Pariwatcharakul, Seon-Cheol Park, Shih-Ku Lin, Kuan-Lun Huang, Toshiya Inada, Sandeep Grover, Yu-Tao Xiang, Norman Sartorius, Naotaka Shinfuku, Takahiro A Kato, Ross J Baldessarini, Kang Sim","doi":"10.1111/appy.70017","DOIUrl":"https://doi.org/10.1111/appy.70017","url":null,"abstract":"<p><strong>Introduction: </strong>Previous studies of antidepressant prescribing patterns largely were limited to a single location or time, and very few involved Asia. This Asian Psychotropic Prescription Patterns Consortium study investigated pharmacoepidemiologic trends and factors associated with use and dosing of newer antidepressants across 12 Asian sites in 2003, 2013, and 2023.</p><p><strong>Methods: </strong>Data from each site included demographic, treatment setting, clinical features, and type and dosage of antidepressants prescribed. Sociodemographic and clinical variables were examined using univariate methods, followed by multivariable logistic and linear modeling.</p><p><strong>Results: </strong>Of 8357 adult participants (59.8% female), 82.8% received at least one modern antidepressant. Use of these drugs was strongly associated with more recent year, younger age, inpatient status, and affective or anxiety-related disorders. Higher daily antidepressant doses were associated with inpatient status, male gender, more recent year, and younger age.</p><p><strong>Discussion: </strong>This large, multisite study provides a two-decade overview of evolving antidepressant-prescribing patterns in 12 Asian sites and highlights patient characteristics associated with prescription of newer antidepressants and their dosage. Needed are further studies of psychotropic prescribing practices related to specific illness subtypes and their impact on psychosocial functioning over time among Asian patients.</p>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 1","pages":"e70017"},"PeriodicalIF":3.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding Autonomy in End-Of-Life Dementia Care: Cultural and Ethical Perspectives From Japan.","authors":"Kae Ito, Narei Hong, Huali Wang","doi":"10.1111/appy.70015","DOIUrl":"10.1111/appy.70015","url":null,"abstract":"","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 1","pages":"e70015"},"PeriodicalIF":3.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147375893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel Shuen Sheng Fung, Yoshinori Cho, Young-Sook Kwak
{"title":"ACONAMI: A Case for Asian Mental Health Transformation.","authors":"Daniel Shuen Sheng Fung, Yoshinori Cho, Young-Sook Kwak","doi":"10.1111/appy.70016","DOIUrl":"https://doi.org/10.1111/appy.70016","url":null,"abstract":"","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 1","pages":"e70016"},"PeriodicalIF":3.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147375913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mst Sabrina Moonajilin, Borun Chandraaroy, Rajib Ul Islam, Labina Taher, Fariha Noshin, Tabeen Taher, Sabkat kamal
Background
Research on the association between excess body weight (EBW) and mental health among Bangladeshi women is limited. The present study investigated the relationship between EBW and symptoms of anxiety and depression among reproductive-aged women in Bangladesh.
Methods
This study used data from the 2022 Bangladesh Demographic and Health Survey (BDHS), which included 19 407 ever-married women aged 18 to 49 years. A body mass index (BMI) of 25 kg per square meter or higher indicates EBW. Anxiety and depressive symptoms were measured using the Generalized Anxiety Disorder 7-item (GAD-7) and the Patient Health Questionnaire 9-item (PHQ-9). Weighted bivariate analyses and multivariable survey-adjusted ordered logistic regression models estimated associations between EBW and mental health outcomes, adjusting for sociodemographic, reproductive, and economic variables.
Results
A total of 18.7% of participants were classified as overweight or obese. Mild anxiety was reported by 22.6%, and mild depression by 24.2%. In unadjusted analyses, EBW showed a significant association with anxiety. However, after adjusting for covariates, this association was no longer significant. Instead, age, marital disruption, lower educational attainment, and lower household wealth emerged as important predictors of both anxiety and depression. No significant independent association was observed between EBW and the severity of anxiety or depression.
Conclusion
The results indicate that psychological distress is more likely to result from socioeconomic and marital disruptions than from EBW alone. Policy initiatives should prioritize mental health screening and psychosocial support, especially for women facing marital instability or economic hardship.
Patient and Public Involvement
Patients and/or the public were not involved in the design, conduct, reporting, or dissemination plans of this research.
{"title":"Association Between Excess Body Weight and Mental Health Disorders Among Reproductive-Aged Women in Bangladesh","authors":"Mst Sabrina Moonajilin, Borun Chandraaroy, Rajib Ul Islam, Labina Taher, Fariha Noshin, Tabeen Taher, Sabkat kamal","doi":"10.1111/appy.70014","DOIUrl":"10.1111/appy.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research on the association between excess body weight (EBW) and mental health among Bangladeshi women is limited. The present study investigated the relationship between EBW and symptoms of anxiety and depression among reproductive-aged women in Bangladesh.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used data from the 2022 Bangladesh Demographic and Health Survey (BDHS), which included 19 407 ever-married women aged 18 to 49 years. A body mass index (BMI) of 25 kg per square meter or higher indicates EBW. Anxiety and depressive symptoms were measured using the Generalized Anxiety Disorder 7-item (GAD-7) and the Patient Health Questionnaire 9-item (PHQ-9). Weighted bivariate analyses and multivariable survey-adjusted ordered logistic regression models estimated associations between EBW and mental health outcomes, adjusting for sociodemographic, reproductive, and economic variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 18.7% of participants were classified as overweight or obese. Mild anxiety was reported by 22.6%, and mild depression by 24.2%. In unadjusted analyses, EBW showed a significant association with anxiety. However, after adjusting for covariates, this association was no longer significant. Instead, age, marital disruption, lower educational attainment, and lower household wealth emerged as important predictors of both anxiety and depression. No significant independent association was observed between EBW and the severity of anxiety or depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results indicate that psychological distress is more likely to result from socioeconomic and marital disruptions than from EBW alone. Policy initiatives should prioritize mental health screening and psychosocial support, especially for women facing marital instability or economic hardship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patient and Public Involvement</h3>\u0000 \u0000 <p>Patients and/or the public were not involved in the design, conduct, reporting, or dissemination plans of this research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146083972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adolescent depressive episodes exhibit significant symptom complexity and heterogeneity, necessitating an integrated approach to identify distinct subtypes. Cultural orientations (individualism and collectivism) and loneliness are crucial factors impacting adolescent mental health. This study identifies symptom complexity subtypes in Chinese adolescents with depressive episodes, investigates cultural orientation differences between these subtypes, and explores the role of loneliness.
Methods
A total of 110 adolescents were included. K-means clustering was used to generate symptom complexity subtypes based on disease duration, self-injury, mood disorder, depressive, and anxiety symptoms. Cultural orientations were assessed using the Individualism–Collectivism Scale, loneliness using the UCLA Loneliness Scale, and other relevant variables were collected via self-report. Structural equation modeling (SEM) was used to explore associations among cultural orientations, loneliness, and symptom complexity.
Results
Two subtypes were identified: low-complexity and high-complexity. The high-complexity subtype exhibited elevated loneliness levels (t = −6.16, p < 0.001), more severe childhood trauma and bullying, and greater social media addiction. This group also reported higher vertical individualism (t = −2.02, p = 0.046) and lower vertical collectivism (t = 2.05, p = 0.043). SEM revealed a significant indirect association between higher individualism tendency and increased symptom complexity mediated by loneliness (β = 0.21, p < 0.001 and β = 0.53, p < 0.001, respectively).
Discussion
Incorporating cultural orientation assessments into clinical practice may improve treatment outcomes for adolescents with depressive episodes by identifying those at risk for complex symptom presentations and informing subsequent culturally-tailored therapeutic interventions.
{"title":"Symptom Complexity Subtypes Show Distinct Individualism–Collectivism Orientations in Adolescents With Depressive Episodes, With Loneliness Mediating Their Relationship","authors":"Rui Zhou, Yi-Hui Liu, Yong-Yi He, Jia-Rong Liang, Mu-Tong Chen, Nan Chen, Fu-Jun Jia, Cai-Lan Hou","doi":"10.1111/appy.70011","DOIUrl":"10.1111/appy.70011","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adolescent depressive episodes exhibit significant symptom complexity and heterogeneity, necessitating an integrated approach to identify distinct subtypes. Cultural orientations (individualism and collectivism) and loneliness are crucial factors impacting adolescent mental health. This study identifies symptom complexity subtypes in Chinese adolescents with depressive episodes, investigates cultural orientation differences between these subtypes, and explores the role of loneliness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 110 adolescents were included. K-means clustering was used to generate symptom complexity subtypes based on disease duration, self-injury, mood disorder, depressive, and anxiety symptoms. Cultural orientations were assessed using the Individualism–Collectivism Scale, loneliness using the UCLA Loneliness Scale, and other relevant variables were collected via self-report. Structural equation modeling (SEM) was used to explore associations among cultural orientations, loneliness, and symptom complexity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two subtypes were identified: low-complexity and high-complexity. The high-complexity subtype exhibited elevated loneliness levels (t = −6.16, <i>p</i> < 0.001), more severe childhood trauma and bullying, and greater social media addiction. This group also reported higher vertical individualism (t = −2.02, <i>p</i> = 0.046) and lower vertical collectivism (t = 2.05, <i>p</i> = 0.043). SEM revealed a significant indirect association between higher individualism tendency and increased symptom complexity mediated by loneliness (β = 0.21, <i>p</i> < 0.001 and β = 0.53, <i>p</i> < 0.001, respectively).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Incorporating cultural orientation assessments into clinical practice may improve treatment outcomes for adolescents with depressive episodes by identifying those at risk for complex symptom presentations and informing subsequent culturally-tailored therapeutic interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"18 1","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ho Bun Lam, Tak Lam Lo, Kwok Leung Au Yeung, Ngo Cheung, Eric Yat-Wo Cheung, Chi Kin Fu, Chun Lam, Yiu Ki Lee, Ronnie Sze-Yuan Pao, Wing Kuen Sung, Sik Chuen Ting, Fan Kwong Tsang, Chi Keung Wong, Ting-Chi Vanessa Wong, Ming Cheuk Wong, Pui-Lam Isaac Yip, Ki Yan Mak
Psychiatric emergency (PE) as related to major depressive disorder (MDD) is most commonly understood as the presentation of suicidality or a risk of violence to others. However, MDD-PE can have a wide variety of clinical presentations. The challenges in treating PE arise from the difficulty in fully defining and diagnosing this condition, especially by emergency department and non-psychiatric medical personnel. Additionally, determining the appropriate level of care, as well as resource and other constraints, further complicates the management of MDD-PE. This manuscript reviews the definition, diagnosis, and management of MDD-PE globally, and provides recommendations for clinicians in the context of Hong Kong clinical practice. It reflects the outcomes of a meeting of psychiatrists in Hong Kong convened by the Asian Association of Neuropsychopharmacology. The primary goal of the diagnostic process is to determine a patient's level of risk to themselves and others. The main recommendations include educating clinicians on the diverse presentation of MDD-PE and non-clinical factors that may contribute to risk assessment—emphasizing contextual factors during history-taking. The recommendations also include the stratification of patients into three categories depending on (1) whether hospitalization is warranted and (2) the urgency and intensity of required intervention, with the aim of optimizing resources. Finally, the role of novel interventions, such as fast-acting or non-invasive ones, is discussed.
{"title":"Major Depressive Disorder With Psychiatric Emergency in Hong Kong: A Review and Practice Recommendation of the Asian Association of Neuropsychopharmacology","authors":"Ho Bun Lam, Tak Lam Lo, Kwok Leung Au Yeung, Ngo Cheung, Eric Yat-Wo Cheung, Chi Kin Fu, Chun Lam, Yiu Ki Lee, Ronnie Sze-Yuan Pao, Wing Kuen Sung, Sik Chuen Ting, Fan Kwong Tsang, Chi Keung Wong, Ting-Chi Vanessa Wong, Ming Cheuk Wong, Pui-Lam Isaac Yip, Ki Yan Mak","doi":"10.1111/appy.70010","DOIUrl":"10.1111/appy.70010","url":null,"abstract":"<div>\u0000 \u0000 <p>Psychiatric emergency (PE) as related to major depressive disorder (MDD) is most commonly understood as the presentation of suicidality or a risk of violence to others. However, MDD-PE can have a wide variety of clinical presentations. The challenges in treating PE arise from the difficulty in fully defining and diagnosing this condition, especially by emergency department and non-psychiatric medical personnel. Additionally, determining the appropriate level of care, as well as resource and other constraints, further complicates the management of MDD-PE. This manuscript reviews the definition, diagnosis, and management of MDD-PE globally, and provides recommendations for clinicians in the context of Hong Kong clinical practice. It reflects the outcomes of a meeting of psychiatrists in Hong Kong convened by the Asian Association of Neuropsychopharmacology. The primary goal of the diagnostic process is to determine a patient's level of risk to themselves and others. The main recommendations include educating clinicians on the diverse presentation of MDD-PE and non-clinical factors that may contribute to risk assessment—emphasizing contextual factors during history-taking. The recommendations also include the stratification of patients into three categories depending on (1) whether hospitalization is warranted and (2) the urgency and intensity of required intervention, with the aim of optimizing resources. Finally, the role of novel interventions, such as fast-acting or non-invasive ones, is discussed.</p>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 4","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To determine the effect of hope on functional recovery in individuals diagnosed with schizophrenia.
Materials and Methods
This correlational, cross-sectional study was conducted at the Psychiatry Outpatient Clinic of a hospital in eastern Türkiye between June 2022 and January 2023. Data were collected using a personal information form, the Herth Hope Index (HHI), and the Functional Remission of General Schizophrenia (FROGS) scale. The study included 136 patients diagnosed with schizophrenia according to the DSM-5 diagnostic criteria. Data were analyzed using percentage distributions and mean values, as well as Pearson correlation and regression analyses.
Results
The mean total FROGS score of the patients was found to be 47.25 ± 15.2, while the mean total HHS score was 45.22 ± 22.63. A statistically significant positive correlation was identified between the mean scores of all subscales of the FROGS and HHS, as well as between their total scores (p < 0.05). Regression analysis revealed that the level of hope in patients with schizophrenia had a 60% effect on functional recovery (F = 203.61; R2 = 0.603; p ≤ 0.001).
Conclusion
The findings of this study indicated that patients diagnosed with schizophrenia had moderate levels of hope but low functional recovery scores. Additionally, a significant and positive relationship was observed between hope and functional recovery, demonstrating that hope is an influential factor in enhancing functional recovery. Therefore, it is recommended that interventions aimed at increasing levels of hope be planned and implemented within treatment and rehabilitation programs.
{"title":"The Effect of Hope on Functional Recovery in Patients With Schizophrenia: A Cross-Sectional Study","authors":"Eda Ay, Hatice Polat","doi":"10.1111/appy.70009","DOIUrl":"https://doi.org/10.1111/appy.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine the effect of hope on functional recovery in individuals diagnosed with schizophrenia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>This correlational, cross-sectional study was conducted at the Psychiatry Outpatient Clinic of a hospital in eastern Türkiye between June 2022 and January 2023. Data were collected using a personal information form, the Herth Hope Index (HHI), and the Functional Remission of General Schizophrenia (FROGS) scale. The study included 136 patients diagnosed with schizophrenia according to the DSM-5 diagnostic criteria. Data were analyzed using percentage distributions and mean values, as well as Pearson correlation and regression analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean total FROGS score of the patients was found to be 47.25 ± 15.2, while the mean total HHS score was 45.22 ± 22.63. A statistically significant positive correlation was identified between the mean scores of all subscales of the FROGS and HHS, as well as between their total scores (<i>p</i> < 0.05). Regression analysis revealed that the level of hope in patients with schizophrenia had a 60% effect on functional recovery (<i>F</i> = 203.61; <i>R</i><sup>2</sup> = 0.603; <i>p</i> ≤ 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings of this study indicated that patients diagnosed with schizophrenia had moderate levels of hope but low functional recovery scores. Additionally, a significant and positive relationship was observed between hope and functional recovery, demonstrating that hope is an influential factor in enhancing functional recovery. Therefore, it is recommended that interventions aimed at increasing levels of hope be planned and implemented within treatment and rehabilitation programs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 4","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145479971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meng-Yi Chen, Wei Bai, Ling Zhang, Sha Sha, Zhaohui Su, Teris Cheung, Robert D. Smith, Gabor S. Ungvari, Todd Jackson, Qinge Zhang, Yu-Tao Xiang
Background
Depression and anxiety are global public health challenges among older adults. Square dancing, a popular activity for older Chinese adults, is believed to relieve these disturbances. This study compared the prevalence, severity, and network structures of depression and anxiety among older square dancers versus non-dancers (i.e., those who do not engage in square dancing).
Methods
Propensity score matching (PSM) created square dancer and non-dancer groups using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Depressive and anxiety symptoms were assessed with the 10-item Center for Epidemiological Studies Depression Scale (CESD-10) and the 7-item Generalized Anxiety Disorder Scale (GAD-7), respectively. Central symptoms and bridge symptoms were estimated in each group using expected influence (EI) and bridge EI, respectively.
Results
The study included 401 square dancers and a matched sample of 1163 non-dancers. The prevalence and severity of depression and anxiety were significantly lower among square dancers compared to non-dancers. In contrast, network structures of depressive and anxiety symptoms were similar between the two groups. “Uncontrollable worrying” and “Felt sadness” were the most central symptoms, and “Nervousness”, “Bothered by things” and “Felt nervous/fearful” were key bridge symptoms across both groups.
Conclusion
Participation in square dancing is associated with reduced overall prevalence and severity of depression and anxiety among older adults, but is not associated with a unique network structure of these syndromes compared to non-participation. Consequently, psychosocial interventions developed for depression and anxiety based on the network structure of non-dancers may also be applicable for square dancers who experience anxiety and depression.
{"title":"Associations of Square Dancing With Depression and Anxiety: Nationwide Study Findings From a Network Perspective","authors":"Meng-Yi Chen, Wei Bai, Ling Zhang, Sha Sha, Zhaohui Su, Teris Cheung, Robert D. Smith, Gabor S. Ungvari, Todd Jackson, Qinge Zhang, Yu-Tao Xiang","doi":"10.1111/appy.70008","DOIUrl":"10.1111/appy.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Depression and anxiety are global public health challenges among older adults. Square dancing, a popular activity for older Chinese adults, is believed to relieve these disturbances. This study compared the prevalence, severity, and network structures of depression and anxiety among older square dancers versus non-dancers (i.e., those who do not engage in square dancing).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Propensity score matching (PSM) created square dancer and non-dancer groups using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Depressive and anxiety symptoms were assessed with the 10-item Center for Epidemiological Studies Depression Scale (CESD-10) and the 7-item Generalized Anxiety Disorder Scale (GAD-7), respectively. Central symptoms and bridge symptoms were estimated in each group using expected influence (EI) and bridge EI, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study included 401 square dancers and a matched sample of 1163 non-dancers. The prevalence and severity of depression and anxiety were significantly lower among square dancers compared to non-dancers. In contrast, network structures of depressive and anxiety symptoms were similar between the two groups. “Uncontrollable worrying” and “Felt sadness” were the most central symptoms, and “Nervousness”, “Bothered by things” and “Felt nervous/fearful” were key bridge symptoms across both groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Participation in square dancing is associated with reduced overall prevalence and severity of depression and anxiety among older adults, but is not associated with a unique network structure of these syndromes compared to non-participation. Consequently, psychosocial interventions developed for depression and anxiety based on the network structure of non-dancers may also be applicable for square dancers who experience anxiety and depression.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 3","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145123911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meirong Pan, Ni Tang, Jianguang Qi, Zhengjie Zhu, Qingjiu Cao, Tianmei Si
<p>Mental disorders are leading causes of disability in children and adolescents in China, affecting 30.8 million individuals (Dong et al. <span>2025</span>). Despite escalating needs, China's child and adolescent mental health services (CAMHS) face severe workforce shortages, exacerbated by systemic inefficiencies with unmet lower-tier services demands (Jiang et al. <span>2024</span>). Strengthening pediatricians' CAMHS capacity is a viable solution aligned with WHO's stepped-care model (WHO Team <span>2021</span>). Despite global consensus on essential mental health competencies among pediatricians (Foy et al. <span>2019</span>), significant gaps persist in China, both in targeted surveys and policy frameworks, specifically addressing child and adolescent psychiatry (CAP) competency development among pediatricians.</p><p>Our national survey of 537 pediatricians highlights urgency: 496 (92.36%) encountered pediatric mental health cases. Of these, 75.60% reported moderate-to-high stress when delivering CAMHS, primarily due to insufficient CAP skills. Only 32.77% received CAP-specific training, primarily through self-directed learning (<i>n</i> = 84, 47.73%) and conferences (<i>n</i> = 82, 46.59%). Strong consensus existed for CAMHS competency development (<i>n</i> = 517, 96.27%), prioritizing communication skills, early recognition of mental health conditions, and multidisciplinary teamwork (Figure 1).</p><p>To address the gaps, we urgently call for immediate actions, including: (1) mandatory CAP training adapting best practices to local needs focusing on communication skills and early disorder recognition to boost pediatricians' willingness and competence in CAMHS; (2) a national CAP e-library, grounded on foundational resources like mhGAP (World Health Organization <span>2017</span>), to provide standardized content, reduce geographic disparities, and integrate guidelines, lectures, case studies, and regional resources for referrals; and (3) support from the National Health Commission and academic leadership, including policy directives, increased CAMHS funding, and CAP rotation quality assessment.</p><p>Enhancing pediatricians' CAMHS capacity through these steps will help China build a sustainable CAMHS workforce for youth needs, improve outcomes, and offer a scalable model for other Asia-Pacific nations facing similar workforce shortages and seeking to expand CAMHS within primary care frameworks.</p><p>Meirong Pan conceived the study design and performed data collection, extraction, and analysis, and drafted the paper. Ni Tang conceived the study design and performed data collection, extraction, and analysis. Jianguang Qi conceived the study design and performed data extraction. Zhengjie Zhu performed data extraction. Tianmei Si conceived the study design and performed data collection, extraction, and analysis; drafted and reviewed the paper. All authors reviewed the final manuscript.</p><p>The authors have nothing to report.</p><p>This study
精神障碍是中国儿童和青少年致残的主要原因，影响了3080万人（Dong et al. 2025）。尽管需求不断升级，但中国的儿童和青少年心理健康服务（CAMHS）面临严重的劳动力短缺，而低层次服务需求未得到满足的系统性效率低下加剧了这一问题（Jiang et al. 2024）。加强儿科医生的CAMHS能力是符合世卫组织阶梯式护理模式的可行解决方案（世卫组织2021年小组）。尽管全球对儿科医生的基本心理健康能力有共识（Foy et al. 2019），但中国在针对性调查和政策框架方面仍然存在显著差距，特别是在儿科医生的儿童和青少年精神病学（CAP）能力发展方面。我们对537名儿科医生的全国调查强调了紧迫性：496名（92.36%）遇到了儿童心理健康病例。其中，75.60%的人在提供CAMHS时报告了中等到高度的压力，主要是由于CAP技能不足。只有32.77%的人接受过cap专项培训，主要是通过自主学习（n = 84, 47.73%）和会议（n = 82, 46.59%）。对于CAMHS的能力发展（n = 517, 96.27%），优先考虑沟通技巧，早期识别心理健康状况和多学科团队合作（图1），存在强烈的共识。为了解决这些差距，我们迫切呼吁立即采取行动，包括：(1)强制性CAP培训，使最佳实践适应当地需求，重点关注沟通技巧和早期疾病识别，以提高儿科医生参与CAMHS的意愿和能力；(2)建立国家CAP电子图书馆，以mhGAP（世界卫生组织2017年）等基础资源为基础，提供标准化内容，减少地域差异，并整合指南、讲座、案例研究和区域资源，以供转诊；(3)国家卫生健康委员会和学术领导的支持，包括政策指示、增加CAMHS资金和CAP轮转质量评估。通过这些步骤提高儿科医生的CAMHS能力，将有助于中国建立一支可持续的CAMHS劳动力队伍，以满足青少年需求，改善结果，并为其他面临类似劳动力短缺并寻求在初级保健框架内扩大CAMHS的亚太国家提供可扩展的模式。潘美荣构思了研究设计，进行了数据收集、提取和分析，并撰写了论文。倪唐构思了研究设计，并进行了数据收集、提取和分析。齐建光构思研究设计并进行数据提取。朱正杰进行数据提取。司天美构思研究设计，进行数据收集、提取和分析；起草并审阅论文。所有作者都审阅了定稿。作者没有什么可报告的。本研究已获得北京大学第六医院伦理与临床研究委员会[（2024）伦理审查号（68）]批准，并按照赫尔辛基宣言和《涉及人体受试者的医学研究法案》（WMO）进行。作者声明无利益冲突。
{"title":"Call to Enhance Pediatricians' Capacity in Delivering Child and Adolescent Mental Health Services in China","authors":"Meirong Pan, Ni Tang, Jianguang Qi, Zhengjie Zhu, Qingjiu Cao, Tianmei Si","doi":"10.1111/appy.70007","DOIUrl":"https://doi.org/10.1111/appy.70007","url":null,"abstract":"<p>Mental disorders are leading causes of disability in children and adolescents in China, affecting 30.8 million individuals (Dong et al. <span>2025</span>). Despite escalating needs, China's child and adolescent mental health services (CAMHS) face severe workforce shortages, exacerbated by systemic inefficiencies with unmet lower-tier services demands (Jiang et al. <span>2024</span>). Strengthening pediatricians' CAMHS capacity is a viable solution aligned with WHO's stepped-care model (WHO Team <span>2021</span>). Despite global consensus on essential mental health competencies among pediatricians (Foy et al. <span>2019</span>), significant gaps persist in China, both in targeted surveys and policy frameworks, specifically addressing child and adolescent psychiatry (CAP) competency development among pediatricians.</p><p>Our national survey of 537 pediatricians highlights urgency: 496 (92.36%) encountered pediatric mental health cases. Of these, 75.60% reported moderate-to-high stress when delivering CAMHS, primarily due to insufficient CAP skills. Only 32.77% received CAP-specific training, primarily through self-directed learning (<i>n</i> = 84, 47.73%) and conferences (<i>n</i> = 82, 46.59%). Strong consensus existed for CAMHS competency development (<i>n</i> = 517, 96.27%), prioritizing communication skills, early recognition of mental health conditions, and multidisciplinary teamwork (Figure 1).</p><p>To address the gaps, we urgently call for immediate actions, including: (1) mandatory CAP training adapting best practices to local needs focusing on communication skills and early disorder recognition to boost pediatricians' willingness and competence in CAMHS; (2) a national CAP e-library, grounded on foundational resources like mhGAP (World Health Organization <span>2017</span>), to provide standardized content, reduce geographic disparities, and integrate guidelines, lectures, case studies, and regional resources for referrals; and (3) support from the National Health Commission and academic leadership, including policy directives, increased CAMHS funding, and CAP rotation quality assessment.</p><p>Enhancing pediatricians' CAMHS capacity through these steps will help China build a sustainable CAMHS workforce for youth needs, improve outcomes, and offer a scalable model for other Asia-Pacific nations facing similar workforce shortages and seeking to expand CAMHS within primary care frameworks.</p><p>Meirong Pan conceived the study design and performed data collection, extraction, and analysis, and drafted the paper. Ni Tang conceived the study design and performed data collection, extraction, and analysis. Jianguang Qi conceived the study design and performed data extraction. Zhengjie Zhu performed data extraction. Tianmei Si conceived the study design and performed data collection, extraction, and analysis; drafted and reviewed the paper. All authors reviewed the final manuscript.</p><p>The authors have nothing to report.</p><p>This study","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 3","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/appy.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commentary on “Cross-Cultural Differences in the Pathways to Internet Gaming Disorder”","authors":"Mei-Yun Lu, Lien-Chung Wei","doi":"10.1111/appy.70006","DOIUrl":"https://doi.org/10.1111/appy.70006","url":null,"abstract":"","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"17 3","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号