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Telepsychiatry: what clinicians need to know about digital mental healthcare. 远程精神病学：临床医生需要了解的关于数字心理健康的信息。
IF 1.7 Q3 PSYCHIATRY
BJPsych Advances
Pub Date : 2023-07-01 DOI: 10.1192/bja.2022.42
Thomas J Brunt, Oliver Gale-Grant

The COVID-19 pandemic has rapidly accelerated the use of online and remote mental healthcare provision. The immediate need to transform services has not allowed for thorough examination of the literature supporting remote delivery of psychiatric care. In this article we review the history of telepsychiatry, the rationale for continuing to offer services remotely and the limitations of psychiatry without in-person care. Focusing on randomised controlled trials we find that evidence for the efficacy of remotely delivered psychiatric care compared with in-person treatment is of low quality and limited scope but does not demonstrate clear superiority of one care delivery method over the other.

新冠肺炎大流行迅速加速了在线和远程精神卫生服务的使用。由于迫切需要转变服务，因此无法彻底审查支持远程提供精神病护理的文献。在这篇文章中，我们回顾了远程精神病学的历史，继续远程提供服务的理由，以及在没有亲自护理的情况下精神病学的局限性。专注于随机对照试验，我们发现，与面对面治疗相比，远程提供的精神病护理的疗效证据质量低，范围有限，但没有证明一种护理提供方法明显优于另一种。
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引用次数: 0
A Plea for the Insane by Lionel Weatherly 莱昂内尔·韦瑟利的《为疯子辩护
IF 1.3 Q3 Medicine
BJPsych Advances
Pub Date : 2023-06-29 DOI: 10.1192/bja.2023.36
C. Hilton
In A Plea for the Insane (1918), Lionel Weatherly outlined the inadequacies of the Lunacy Act 1890 and of asylum care in England and Wales, and proposed solutions and ways to bring about improvements. It took courage to persist, but Weatherly was undeterred by controversy or criticism. This article reflects on his book and its context and timing at the end of the First World War, and considers whether we may be inspired to confront current healthcare crises with the same sort of passion and fervour as he did.
在《为疯子辩护》(A Plea for the insanity, 1918)一书中，莱昂内尔·韦瑟利(Lionel Weatherly)概述了1890年《疯子法案》以及英格兰和威尔士庇护护理的不足之处，并提出了改善的解决方案和方法。坚持需要勇气，但韦瑟利没有被争议和批评吓倒。这篇文章反映了他的书及其背景和时间在第一次世界大战结束时，并考虑我们是否可以受到启发，以同样的激情和热情面对当前的医疗危机。
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引用次数: 0
BJA volume 29 issue 4 Cover and Back matter BJA第29卷第4期封面和封底
IF 1.3 Q3 Medicine
BJPsych Advances
Pub Date : 2023-06-26 DOI: 10.1192/bja.2023.35
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引用次数: 0
Evaluating the impact of different control states in current psychiatric research design 评估不同对照状态在当前精神病学研究设计中的影响
IF 1.3 Q3 Medicine
BJPsych Advances
Pub Date : 2023-06-26 DOI: 10.1192/bja.2023.24
Harry Williams
SUMMARY A ‘control’ provides a point of clinical comparison for a new intervention, allowing researchers and clinicians to draw more confident conclusions about the effectiveness or potential harm of a given, often novel, therapy. Although this aspect of a trial's design provides the basis from which interventional impact is measured, it is often less closely examined. This commentary appraises a Cochrane Review that compares various controls in common use in modern psychiatric research and aims to characterise their effects on the outcomes of that research.
“对照”为新的干预措施提供了一个临床比较点，使研究人员和临床医生能够对给定的(通常是新颖的)治疗方法的有效性或潜在危害得出更有信心的结论。虽然试验设计的这一方面提供了衡量干预影响的基础，但它往往不太仔细检查。这篇评论评价了Cochrane综述，该综述比较了现代精神病学研究中常用的各种控制方法，旨在描述它们对研究结果的影响。
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引用次数: 0
Control interventions in randomised trials among people with mental health disorders: a Cochrane Review 心理健康障碍患者随机试验中的对照干预:Cochrane综述
IF 1.3 Q3 Medicine
BJPsych Advances
Pub Date : 2023-06-26 DOI: 10.1192/bja.2023.25
E. Faltinsen, Adnan Todorovac, Laura Staxen Bruun, A. Hrõbjartsson, C. Gluud, M. Kongerslev, E. Simonsen, O. J. Storebø
Background Control interventions in randomised trials provide a frame of reference for the experimental interventions and enable estimations of causality. In the case of randomised trials assessing patients with mental health disorders, many different control interventions are used, and the choice of control intervention may have considerable impact on the estimated effects of the treatments being evaluated.
背景随机试验中的对照干预为实验干预提供了一个参考框架，并使因果关系的估计成为可能。在评估精神健康障碍患者的随机试验中，使用了许多不同的对照干预措施，而对照干预措施的选择可能对正在评估的治疗的估计效果有相当大的影响。
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引用次数: 10
BJA volume 29 issue 4 Cover and Front matter BJA第29卷第4期封面和封面问题
IF 1.3 Q3 Medicine
BJPsych Advances
Pub Date : 2023-06-26 DOI: 10.1192/bja.2023.34
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引用次数: 0
New from CPD eLearning CPD在线学习的新内容
IF 1.3 Q3 Medicine
BJPsych Advances
Pub Date : 2023-06-26 DOI: 10.1192/bja.2023.33
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引用次数: 0
Bridging the gap between clinical and critical sociological perspectives in dementia 弥合痴呆临床和关键社会学观点之间的差距
IF 1.3 Q3 Medicine
BJPsych Advances
Pub Date : 2023-06-14 DOI: 10.1192/bja.2023.28
Noel Collins, J. Fletcher
There is a widening gap between the medical model of dementia and critical sociological perspectives of the condition. Given the relative failure of reductionism in dementia and its rising prevalence, consideration of the utility of these critical viewpoints is warranted. This article considers how these ideas, which challenge some prevailing assumptions about dementia, can be meaningfully applied in conjunction, rather than in competition, with conventional clinical ideas. To illustrate this, current perspectives on selfhood, biopolitics, citizenship and post-humanism are discussed. This article may also help to articulate sociologically oriented approaches already used by some clinicians and legitimise the time and attention needed to explore and deliver these. We support the view that dementia is an episteme in the making and that different traditions and dispositions can fruitfully collide to enliven interdisciplinary conversations about dementia and dementia care.
老年痴呆症的医学模型和关键的社会学观点之间的差距越来越大。鉴于还原论在痴呆症中的相对失败及其患病率上升，考虑这些关键观点的效用是有必要的。这篇文章考虑了这些想法，它们挑战了一些关于痴呆症的主流假设，如何与传统的临床想法有意义地结合应用，而不是相互竞争。为了说明这一点，目前的观点对自我，生命政治，公民和后人文主义进行了讨论。这篇文章也可能有助于阐明一些临床医生已经使用的以社会学为导向的方法，并使探索和提供这些方法所需的时间和精力合法化。我们支持这样一种观点，即痴呆症是一种正在形成的认知，不同的传统和性格可以有效地碰撞，从而活跃有关痴呆症和痴呆症护理的跨学科对话。
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引用次数: 0
Reconciling myths and misconceptions about hypnosis with scientific evidence 用科学证据调和关于催眠的神话和误解
IF 1.3 Q3 Medicine
BJPsych Advances
Pub Date : 2023-06-14 DOI: 10.1192/bja.2023.30
Madeline V. Stein, S. Lynn, D. Terhune
This issue of BJPsych Advances includes an article on the use of hypnotherapy in psychiatric practice. The article contains a number of errors and misconceptions regarding the characteristics and practice of hypnosis that we address in this commentary.
这一期的《BJPsych Advances》包括一篇关于催眠疗法在精神病学实践中的应用的文章。这篇文章包含了一些关于催眠的特征和实践的错误和误解，我们在这篇评论中提出。
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引用次数: 0
Assessing mental capacity: tensions, values and duties 评估心理能力:紧张、价值观和责任
IF 1.3 Q3 Medicine
BJPsych Advances
Pub Date : 2023-06-06 DOI: 10.1192/bja.2023.27
N. Hallett
This is a commentary on two articles on assessing mental capacity in everyday practice and in the case of the suicidal patient. It explores some of the conceptual problems with capacity, including the lack of a ‘right’ answer and the value-laden nature of capacity assessments in suicidal patients. In England and Wales, in addition to the Mental Capacity Act 2005 clinicians must also consider their duty of care as part of the European Convention on Human Rights as enacted in the Human Rights Act 1998.
这是对两篇关于在日常实践和自杀病人的情况下评估心理能力的文章的评论。它探讨了一些与能力有关的概念问题，包括缺乏“正确”答案和自杀患者能力评估的价值负载性质。在英格兰和威尔士，除了《2005年精神能力法》之外，临床医生还必须将其护理义务视为《1998年人权法》颁布的《欧洲人权公约》的一部分。
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引用次数: 0
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