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PRCP 2021 Invited Lecture, Young Psychiatrist Session & Free Communication PRCP 2021特邀讲座、青年精神病学家会议和自由交流
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-04-07 DOI: 10.1111/appy.12457

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引用次数: 0
PRCP 2021 E-Poster Exhibition PRCP 2021电子海报展
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-04-07 DOI: 10.1111/appy.12458

1. Anxiety disorders / Somatoform disorders / Dissociative disorders

2. Brain imaging

3. Child and adolescent psychiatry

4. Community mental health

5. Dementia / Delirium

6. Early detection/intervention

7. Eating Disorder

8. Education

9. Epilepsy

10. Genetic / Molecular psychiatry

11. Geriatric psychiatry

12. Mood disorders

13. Neuropathology

14. Neuropharmacology

15. Neurophysiology

16. Psychiatric emergency

17. Psychiatric epidemiology

18. Psychosocial treatment

19. Psychosomatic Medicine

20. Psychotherapy & Clinical Skills

21. Schizophrenia

22. Sleep Disorder

23. Society and mental health

24. Substance-related disorders

25. Transcultural psychiatry

26. Others

1.焦虑症/躯体形式障碍/分离性障碍2。大脑成像3。儿童和青少年精神病学4。社区心理健康5。痴呆症/Delirium6。早期发现/干预7。饮食失调8。教育9.癫痫10。遗传/分子精神病学11。老年精神病学12。情绪障碍13。神经病理学14。神经药理学15。神经生理学16。精神病急诊17。精神病流行病学18。心理社会治疗19。心身医学20。心理治疗;临床技能21。精神分裂症22。睡眠紊乱23。社会与心理健康24。物质相关疾病25。跨文化精神病学26。其他
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引用次数: 0
Free Communication 1 自由交流1
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-04-07 DOI: 10.1111/appy.12461
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引用次数: 0
A descriptive mapping review of suicide in vulnerable populations in low and middle countries 中低收入国家弱势群体自杀的描述性地图综述
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-04-04 DOI: 10.1111/appy.12472
Lakshmi Vijayakumar, Somidha Ray, Tanya Nicole Fernandes, Soumitra Pathare

Introduction

In 2016, low-and-middle income countries (LMICs) accounted for 79% of the global suicide deaths. In LMICs, vulnerable groups—women, sexual minorities and refugees, and internally displaced persons (IDPs)—are at high risk of suicidal ideation, attempts and deaths by suicide, but information for designing targeted interventions for them is fragmented and missing, making it difficult to address gaps in the existing system. This review highlights these gaps by mapping: (a) risk factors associated with suicides and suicidal behavior including challenges in implementing targeted programmes for vulnerable groups; and (b) recommendations for effective suicide prevention interventions and strategies in LMICs as documented in the literature.

Methods

A descriptive mapping review of literature was conducted. Three electronic databases—PubMed, Google Scholar, and Refworld—were searched for specific keywords. The researchers mapped and reviewed 34 studies on suicide and suicide prevention across three main vulnerable groups.

Results

This review highlighted the need for gender-specific interventions for women and sexual minorities, addressing gender-based discrimination, access to healthcare, abuse and violence, while for refugees and IDPs, critical concerns are monitoring and understanding suicidal behaviors and to address psychological and emotional responses to resettlement.

Conclusion

In LMICs, specific and unique socio-cultural and environmental factors may increase the risk of vulnerable groups to suicidal behaviors. In order to develop effective and comprehensive suicide prevention strategies, it is crucial to evaluate these differential risk factors and develop culturally appropriate and sensitive interventions and strategies.

2016年,低收入和中等收入国家占全球自杀死亡人数的79%。在低收入和中等收入国家,弱势群体——妇女、性少数群体和难民以及国内流离失所者——有自杀意念、企图和自杀死亡的高风险,但为他们设计有针对性干预措施的信息支离破碎和缺失,因此难以解决现有制度中的差距。本次审查通过绘制地图来突出这些差距:(a)与自杀和自杀行为相关的风险因素,包括在为弱势群体实施有针对性的规划方面面临的挑战;(b)文献记载的中低收入国家有效自杀预防干预措施和策略的建议。方法对文献进行描述性制图复习。三个电子数据库——pubmed, Google Scholar和refworld被搜索特定的关键词。研究人员绘制并回顾了34项关于三个主要弱势群体的自杀和自杀预防的研究。结果:本次审查强调需要对妇女和性少数群体采取针对性别的干预措施,解决基于性别的歧视、获得保健、虐待和暴力问题,而对难民和国内流离失所者来说,关键问题是监测和了解自杀行为,并解决对重新安置的心理和情感反应。结论在中低收入人群中,特定且独特的社会文化和环境因素可能会增加弱势群体的自杀行为风险。为了制定有效和全面的自杀预防策略,评估这些不同的风险因素并制定文化上适当和敏感的干预措施和策略至关重要。
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引用次数: 12
PRCP 2021 Invited Lecture, Young Psychiatrist Session & Free Communication PRCP 2021特邀讲座,青年精神科医师会议与自由交流
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-04-01 DOI: 10.1111/appy.12457
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引用次数: 0
PRCP 2021 E‐Poster Exhibition PRCP 2021电子海报展
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-04-01 DOI: 10.1111/appy.12458
S. Bhang
EP-1185 Altered gut microbiota in youth with autism spectrum disorder associated with the attention problems Susan Shur-Fen Gau (Taiwan) EP-1187 Crisis response and intervention in the schools: A survey of psychiatrist's experiences and perceptions Soo-Young Bhang (Korea) OE-1021 Depression among adolescents living in orphanage Nway Nway Ei (Myanmar) EP-1038 Cerebellar gray matter volume and its role in executive function, and attention: Gender differences by age in adolescents Hayeon Kim (Korea) DOI: 10.1111/appy.12458
青少年自闭症谱系障碍与注意力问题相关的肠道微生物群改变:一项精神科医生的经验与认知调查:学校危机应对与干预青少年年龄的性别差异Hayeon Kim(韩国)DOI: 10.1111/ apply .12458
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引用次数: 0
Suicide prevention in Japan: Government and community measures, and high-risk interventions 日本的自杀预防:政府和社区措施,以及高风险干预
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-03-31 DOI: 10.1111/appy.12471
Kazuya Okamura MD, Katsumi Ikeshita MD, PhD, Sohei Kimoto MD, PhD, Manabu Makinodan MD, PhD, Toshifumi Kishimoto MD, PhD

Suicide is one of the most critical issues worldwide. In Japan, more than 30 000 people died by suicide every year between 1998 and 2011, and the Japanese government, local governments, and various other agencies have been working on suicide prevention programs to reduce the suicide rate. While the number of suicides is still high (more than 20 000 per year), many specialists are striving to further reduce the number of suicides in Japan. The Japanese government has played a central role in suicide prevention through the enactment of several laws, and in recent years, suicide prevention has shifted from government to community-specific measures. This review discusses the suicide prevention measures that have been taken so far: (1) policy strategies for suicide prevention by the Japanese government, (2) community suicide prevention, and (3) strategic studies for suicide prevention. Finally, as shown in the ACTION-J study, we conclude that cooperation among related organizations in the community, not just one institution, is important for future suicide prevention, especially youth suicide prevention.

自杀是全世界最严重的问题之一。在日本,从1998年到2011年,每年有超过3万人死于自杀,日本政府、地方政府和其他各种机构一直致力于自杀预防项目,以降低自杀率。虽然自杀人数仍然很高(每年超过2万人),但许多专家正在努力进一步减少日本的自杀人数。日本政府通过制定几项法律,在自杀预防方面发挥了核心作用,近年来,自杀预防已经从政府转向社区具体措施。本文综述了迄今为止所采取的自杀预防措施:(1)日本政府的自杀预防政策策略;(2)社区自杀预防;(3)自杀预防战略研究。最后,正如ACTION-J研究显示的那样,我们得出结论,社区中相关组织之间的合作,而不仅仅是一个机构,对未来的自杀预防,尤其是青少年自杀预防很重要。
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引用次数: 9
Occurrence of macroprolactinemia in schizophrenia patients treated with risperidone or amisulpride 利培酮或氨硫pride治疗精神分裂症患者巨催乳素血症的发生
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-03-22 DOI: 10.1111/appy.12469
Wang Zhenhua, Chen Haizhi, Li Jing, Fei Xiaocong, Li Jianhua, Liu Jianjun, Lei Lilei, Jin Haiying

Objective

To investigate macroprolactinemia caused by antipsychotics and its clinical significance.

Methods

A total of 133 patients with schizophrenia were selected, all of whom were treated with either risperidone or amisulpride alone. The levels of total prolactin (T-PRL) and macroprolactin (MPRL) were measured before treatment as well as the second, fourth, and sixth weeks of treatment.

Results

After 2 weeks of treatment, 75.09% (100/133) of the patients met the diagnostic criteria for hyperprolactinemia, the incidence of macroprolactinemia was 43% (43/100), and MPRL levels were positively correlated T-PRL levels.

Conclusion

Risperidone and amisulpride caused hyperprolactinemia and macroprolactinemia; thus, detection of MPRL in the clinical setting should be performed as this phenomenon appears early in treatment (the second week) and continues, that can avoid unnecessary examination and treatment for asymptomatic patients with macroprolactinemia.

目的探讨抗精神病药物引起的巨催乳素血症及其临床意义。方法选择133例精神分裂症患者,均采用利培酮或阿米硫pride单独治疗。治疗前及治疗第2、4、6周测定总催乳素(T-PRL)和巨催乳素(MPRL)水平。结果治疗2周后,75.09%(100/133)的患者符合高催乳素血症的诊断标准,巨催乳素血症的发生率为43% (43/100),MPRL水平与T-PRL水平呈正相关。结论利培酮和氨硫pride引起高催乳素血症和大催乳素血症;因此,在临床环境中应检测MPRL,因为这种现象在治疗早期(第二周)出现并持续,这可以避免对无症状的巨催乳素血症患者进行不必要的检查和治疗。
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引用次数: 1
Association of FKBP5 gene variants with depression susceptibility: A comprehensive meta-analysis FKBP5基因变异与抑郁症易感性的关联:一项综合荟萃分析
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-03-20 DOI: 10.1111/appy.12464
Beifang Fan, Jianping Ma, Huimin Zhang, Yuhua Liao, Wanxin Wang, Sheng Zhang, Ciyong Lu, Lan Guo

Background

This comprehensive meta-analysis aimed to combine data from different studies and to estimate the association between FKBP5 polymorphisms and depression.

Methods

We performed a meta-analysis of observational studies. An electronic search was conducted on four databases for articles published before July 1, 2020.

Results

A total of 5125 patients with depression and 8399 controls from 16 independent studies were included in the analysis. The results showed that FKBP5 rs1360780 was associated with the risk of depression in the codominant model (CT vs. CC; OR = 1.10, 95% CI = 1.00–1.20, P = .04); rs4713916 polymorphism was associated with depression in the codominant model (AG vs. GG; OR = 1.19, 95% CI = 1.05–1.34, P = .008) and recessive model (AA vs. AG + GG; OR = 0.74, 95% CI = 0.56–0.99, P = .04); a significant association between rs3800373 and depression was found in the codominant genetic model (AC vs. AA; OR = 1.18, 95% CI = 1.05–1.34, P = .007) and dominant model (CC + AC vs. AA; OR = 1.15, 95% CI = 1.03–1.30, P = .02); there was no significant association of FKBP5 rs9470080 or rs9296158 with depression in any genetic model (P > .05). No publication bias was observed in our analysis. Moreover, sensitivity analyses demonstrated the Zobel's study significantly affected the heterogeneity for rs4713916 and rs3800373.

Conclusions

FKBP5 rs1360780 was associated with an increased risk of depression in the codominant model. We also found that rs4713916 and rs3800373 were involved in depression, rs4713916 was positively associated with depression in the codominant model and recessive model, and rs3800373 was related to an elevated risk of depression in the codominant model and dominant model.

这项综合荟萃分析旨在结合不同研究的数据,并估计FKBP5多态性与抑郁症之间的关系。方法对观察性研究进行荟萃分析。在四个数据库中对2020年7月1日之前发表的文章进行了电子检索。结果共纳入16项独立研究的5125例抑郁症患者和8399例对照。结果显示,在共显性模型中,FKBP5 rs1360780与抑郁风险相关(CT vs. CC;Or = 1.10, 95% ci = 1.00-1.20, p = 0.04);rs4713916多态性在共显性模型中与抑郁相关(AG vs. GG;OR = 1.19, 95% CI = 1.05-1.34, P = 0.008)和隐性模型(AA vs. AG + GG;Or = 0.74, 95% ci = 0.56-0.99, p = 0.04);在共显性遗传模型中发现rs3800373与抑郁症之间存在显著关联(AC vs. AA;OR = 1.18, 95% CI = 1.05-1.34, P = .007)和优势模型(CC + AC vs. AA;Or = 1.15, 95% ci = 1.03-1.30, p = 0.02);在任何遗传模型中,FKBP5 rs9470080或rs9296158与抑郁症均无显著相关性(P > 0.05)。在我们的分析中未观察到发表偏倚。此外,敏感性分析显示Zobel的研究显著影响了rs4713916和rs3800373的异质性。结论在共显性模型中,FKBP5 rs1360780与抑郁风险增加相关。我们还发现rs4713916和rs3800373与抑郁有关,rs4713916在共显性模型和隐性模型中与抑郁呈正相关,rs3800373在共显性模型和显性模型中与抑郁风险升高相关。
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引用次数: 8
Quality of life, mental health, and family functioning of schizophrenia caregivers: A community-based cross-sectional study 精神分裂症照护者的生活质量、心理健康和家庭功能:一项基于社区的横断面研究
IF 3.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2021-03-20 DOI: 10.1111/appy.12467
Cut Husnul Khatimah SKM, MKM, Aulina Adami ST, MSc, Asnawi Abdullah BSc.PH, MHSM, MSc.HPPF, DLSHTM, PhD, Dr Marthoenis MSc, MPH

The caregivers of people with schizophrenia might suffer from various problems. We investigated the prevalence of depression, anxiety, and stress among them, and factors associated with their quality of life. A cross-sectional study in communities of rural areas was conducted. We found that the prevalence of depression, anxiety, and stress were 14.2%, 25.5%, and 6.6%, respectively. Their quality of life was independently associated with family functioning (affective responsiveness, problem solving, communication) and the presence of depressive symptoms (p < .05). Schizophrenia caregivers need more supports from health care professionals to improve their skills in problem solving.

照顾精神分裂症患者的人可能会遇到各种各样的问题。我们调查了他们中抑郁、焦虑和压力的患病率,以及与他们生活质量相关的因素。在农村社区进行了一项横断面研究。我们发现抑郁、焦虑和压力的患病率分别为14.2%、25.5%和6.6%。他们的生活质量与家庭功能(情感反应、问题解决、沟通)和抑郁症状的存在独立相关(p < 0.05)。精神分裂症护理人员需要卫生保健专业人员的更多支持,以提高他们解决问题的技能。
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引用次数: 10
期刊
Asia‐Pacific Psychiatry
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