Understanding the acceptability of e-mental health – attitudes and expectations towards computerised self-help treatments for mental health problems

Technology-based mental health services have been a hot topic in psychiatry this year. However, despite significant recent interest and investment in e-mental health, an important study published inBMC精神病学2014年4月，对这种形式的治疗形式的负面看法可能为其吸收带来重大障碍。调查方法发现，尽管认为与面对面治疗相比，电子精神健康方案更容易获得，但服务用户并不期望他们符合重要标准，例如信誉，动机潜力和帮助。

电子精神卫生服务为其成功提供了有力的证据基础，可以帮助数百万患有精神健康困难的患者，同时减少设施的压力。This innovative, large-scale investigation by Peter Musiat and colleagues at the King’s College London Institute of Psychiatry highlights the critical need for service providers and policy-makers to improve the perceived acceptability of computerised therapies, to facilitate their positive public perception and uptake in mental health care.

精神分裂症，躁郁症和重度抑郁症患者之间的预期和经历了歧视：一项横断面研究

Discrimination is a central topic in psychiatry, and early in 2014BMC精神病学发表的研究结果of the Mental Illness-Related Investigations on Discrimination (MIRIAD) study in South London. The trial found that participants with schizophrenia, bipolar disorder or MDD reported extremely high levels of anticipated discrimination (93%), while 87% had actually experienced unfair treatment in the last year.

众所周知，对患有严重精神疾病的患者的偏见的期望和经验会对身心健康结果产生负面影响。因此，这项研究中报道的高度高度歧视的不可接受的歧视加剧了迫切需要改变公众的污名，并确保患有精神疾病的人不会受到不公平治疗和导致的社会隔离的困扰。

Why alternative teenagers self-harm: exploring the link between non-suicidal self-injury, attempted suicide and adolescent identity

Published in May 2014, this study explored self-harming behaviour in adolescents relating to different youth subcultures. Non-suicidal self-injury (NSSI) behaviour is common in this age group, and certain subpopulations are at greater risk; this questionnaire-based study demonstrated that teenagers with an ‘Alternative’ identity were more likely both to self-injure and to attempt suicide than their peers, including those relating to a ‘Jock’ culture. The findings suggested that self-harm behaviour in these teens, who relate to Goth, Emo and Punk subcultures, is primarily thought to have a function in emotional regulation, and communication of distress. Additionally, in a small percentage of ‘Alternative’ youths from the German sample of adolescents, NSSI was related to a sense of ‘belonging’ or being part of a group.

Investigating the influence of social culture on self-injurious tendencies in this age group can contribute to the design of peer group-relevant interventions; in an interesting development of this research, the potential use of musical therapy for ‘Alternative’ teens is now being investigated.阅读更多在MRC/CSO社会和公共卫生科学部门Robert Young的主要作家和高级调查员的客座博客中。

Lifestyle factors, demographics and medications associated with depression risk in an international sample of people with multiple sclerosis

In an important year for Multiple Sclerosis research, a leading Australian study published recently inBMC精神病学研究了影响疾病心理影响的因素。抑郁症是MS患者最常见的合并症。现在，来自2450多名患有MS的人的调查数据发现，许多社会人口统计学，重要的是，可修改的生活方式因素显着影响抑郁症的风险。

Omega 3 supplementation, fish consumption and meditation were associated with a decreased risk; while obesity, poor diet and marked social isolation increased the risk of screening positive for depression. These findings suggest that targeting modifiable lifestyle factors may help to improve mental health care in MS patients, since, as reviewed in a study published earlier in the year byBMC精神病学， 指某东西的用途lifestyle medicine for depressionmay be an increasingly important component of treatment and prophylaxis.