Cognitive-behavioral therapy for psychosis (CBTp) is an evidence-based intervention targeting distress and impairment associated with psychotic symptoms. Despite strong empirical support and international endorsement, it remains underutilized in U.S. psychiatric and forensic settings. This article traces CBTp's theoretical foundations and chronicles its U.S. development, highlighting key milestones, policy shifts, and clinical applications. A narrative review of cognitive-behavioral models, landmark trials, and federal and state implementation initiatives reveals CBTp's evolution from educational and behavioral intervention models into a flexible approach incorporating cognitive, behavioral, motivational, and environmental strategies for the full psychosis spectrum. Recent years have seen diversification into group-based, low-intensity, and digital formats, with growing access via state-sponsored training. Persistent barriers include clinician training, reimbursement, and integration into routine care. Understanding CBTp's theoretical roots, evidence base, and U.S. history can help mental health practitioners advance its integration. Psychiatrists are well positioned to advocate for and participate in enhancing access.

Myoclonus in infancy is often benign; however, persistent or progressive forms may indicate an underlying neurologic disease, including genetic movement disorders such as myoclonus-dystonia syndrome, a rare genetic condition most often associated with pathogenic variants in the Epsilon-Sarcoglycan (SGCE) gene. Early-onset cases are particularly challenging due to overlap with benign, epileptic, and metabolic conditions. We report a six-year-old girl with myoclonus beginning at 12 months of age, involving her head, neck, and arms, and a delayed onset of mild dystonia at five years. Neurological examination, neuroimaging, electroencephalography, and metabolic investigations were unremarkable. Genetic testing identified a heterozygous pathogenic SGCE variant, confirming the diagnosis. Trials with zonisamide, carbamazepine, sodium valproate, and clonazepam were ineffective; however, motor and cognitive development remained within the average range. Behavioral and attentional difficulties emerged later in childhood. This case highlights the diagnostic challenges of early-onset SGCE myoclonus-dystonia presenting as isolated myoclonus. Genetic testing was essential for diagnosis, pharmacologic response was limited, and functional outcome remained favorable. The later emergence of behavioral symptoms underscores the need for long-term multidisciplinary follow-up.

Globally, many children and young people (CYP) obtain insufficient good quality sleep. School nurses (SNs) are ideally-placed to support sleep health, but few studies have explored their practical experiences.

To explore SNs' experiences, perceived barriers and priorities (including training and resource requirements) in providing sleep-related support to CYP and their caregivers.

A convenience sample of eighteen SNs from the United Kingdom took part in two in-person focus groups (n = 8; n = 8) and one online focus group (n = 2) in June 2024. Qualitative data were inductively reflexively thematically analysed.

Seven themes were identified. Nurses reported that Sleep issues present as secondary concerns; and identified Perceived causes of delayed bedtimes and insufficient sleep. They faced barriers to practice including Challenges engaging families with sleep-supportive changes; Systemic barriers to successful delivery of sleep services and Challenges in identifying appropriate resources. To overcome such challenges, they emphasised School nurse training requirements; and The need for a trusted directory of resources.

SNs in England regularly support families around sleep health but face significant challenges. To support their practice, policy changes recognising sleep as a public health priority and increased investment in staffing, training, and resources are needed.

This study investigated the three-year prevalence and longitudinal trajectories of insomnia symptoms among bus drivers and examined key sociodemographic-health-related factors and psychosocial predictors, with the aim of informing targeted preventive strategies.

A total of 11,576 bus drivers from 22 companies in Guangdong participated in three online surveys at T1 (August-December 2019), T2 (October-December 2021), and T3 (October-December 2023). The surveys assessed demographics, insomnia symptoms, and psychosocial factors. Two-stage multivariate logistic regression models were employed to examine risk factors associated with adverse trajectories.

Prevalence of insomnia symptoms declined steadily from 12.5% at T1 to 7.8% at T3. Five distinct trajectories were identified: resistance (78.5%), chronic dysfunction (1.9%), delayed dysfunction (4.7%), recovery (9.4%), and relapsing/remitting (5.5%). Sociodemographic and psychosocial distress factors (e.g., age, lower financial status, job burnout, family dysfunction) significantly increased the risk of general insomnia and adverse trajectory membership. Crucially, a history of severe physical illness was a strong determinant of chronic risk, while exercising for 30 min daily was significantly associated with a higher likelihood of recovery.

Our study offers insights into the longitudinal trajectories of insomnia symptoms and their associated risk factors among Chinese bus drivers. These findings carry important implications for designing trajectory-specific occupational health interventions and refining public transportation management strategies.

The accelerating demographic transition has brought the mental health of older adults to the forefront of public health concerns. Middle-aged and older adults (aged 50-69 years), often described as the "young-old," are particularly vulnerable to early-stage psychological distress as they navigate shifts in social roles and community participation. Traditional approaches such as pharmacological treatment, counseling, and organized activities provide partial relief but lack personalization, scalability, and sustainable engagement. This study examined how immersive multisensory therapeutic spaces influence mental health among 1,897 community-dwelling adults in China. Participants experienced community-based immersive environments before completing a structured survey. Structural equation modeling showed that social participation significantly reduced psychological distress, which in turn increased acceptance of immersive environments. Acceptance further exerted a significant positive effect on mental health improvement, highlighting its role as a proximal mechanism of change. Cluster analyses identified distinct psychosocial profiles and sensory preferences, offering insights into subgroup-specific intervention strategies. These findings provide large-scale empirical evidence on the behavioral and psychosocial pathways through which multisensory environments support mental health in later life. Social participation and acceptance jointly emerged as critical drivers, suggesting that community-based immersive spaces can function as scalable, person-centered, and culturally relevant non-pharmacological interventions that complement existing public mental health strategies.

The rise of digital media has significantly altered how parents access information regarding child development and parenting. While such platforms provide accessible support, the influence of different media formats on parenting outcomes remains underexplored. This study aimed to (1) assess the frequency of media use for parenting information (MUPI) and (2) examine its associations with parenting knowledge, attitudes and practices among Thai parents of children aged 6-19 years.

A cross-sectional study was conducted with 445 parents recruited through social media and in-person outreach at hospitals and schools. Participants completed four validated self-report instruments: the MUPI questionnaire, the Child and Adolescent parenting Knowledge Evaluation (CAKE), the Parenting Sense of Competence Scale (PSOC) and the Alabama Parenting Questionnaire (APQ). Descriptive statistics, Kendall's tau-b correlations and multivariate linear regression analyses were employed to explore the associations.

Reading online materials was the most frequent form of media use and was positively associated with higher parenting knowledge, parental involvement and positive parenting practices. In contrast, frequent consumption of short-form video content was linked to lower parenting knowledge, parental monitoring and greater inconsistency in discipline practices.

Media activity matters. Engagement with evidence-based, text-based resources and structured online trainings appear to support better parenting outcomes, while overreliance on short-form video content may be detrimental. These findings underscore the need for media literacy promotion and the development of accessible, high-quality digital parenting content tailored to diverse parental needs.

Inflammation in and around the brain in patients with meningitis can lead to confusion, cognitive dysfunction, and behavioral changes associated with mental health disorders. Stigma associated with HIV or mental illness can complicate meningitis, leading to misdiagnosis or delays in diagnosis and care. The frequency of misdiagnosis and/or co-occurrence of meningitis and mental illness among people living with HIV (PLWH) remains uncertain. We explored the experiences of meningitis patients and the barriers and facilitators to care related to HIV stigma and mental illness.

We conducted a convergent mixed-methods study to evaluate experiences of patients who were hospitalized with HIV-associated meningitis from February 2017 to May 2022 at Lira Regional Referral Hospital in Uganda. Experiences among patients who survived and family members of patients who died were explored. Surveys were conducted to obtain demographic information, investigate stigma, and assess symptoms of mental illness. Semi-structured interviews probed the overall experience of patients with HIV and meningitis regarding social support, mental health, and stigma.

Twenty-four patients with HIV-associated meningitis and 20 family members of deceased meningitis patients were enrolled. Family members reported that 80% of deceased patients experienced stigma, whereas 29.2% of surviving patients reported experiencing stigma. Combined responses from surviving patients and family members identified 31.8% of patients with mental illness symptoms described as overthinking, depression, and/or anxiety, while 60.8% experienced HIV-related stigma. Among participants who died, family members reported mental illness symptoms in 40%, compared to self-reports of 25% in survivors. Barriers to HIV care included (a) lack of HIV education, (b) mental illness symptoms, (c) lack of social support, and (d) stigma or shame. While common facilitators were (a) access to HIV clinics and ART medication, (b) having a life purpose, and (c) social support.

Stigma and symptoms of mental illness were common among patients with HIV and meningitis, which likely affected antiretroviral therapy (ART) adherence and HIV care. Recommendations include (1) adding mental health screening during hospital admission for all meningitis patients, especially among PLWH, for early evaluation and treatment and (2) increasing community awareness to dispel misconceptions and reduce HIV-related stigma.

The aim of this study is to conduct a longitudinal evaluation of the effectiveness of Dialectical Behavior Therapy (DBT) based on the "Internet Plus" model on adolescents with Non-Suicidal Self-Injury (NSSI).

Seventy-four NSSI patients were randomly divided into an intervention group (36 cases) and a control group (38 cases). The intervention group underwent a 3-month "Internet Plus" DBT intervention, whereas the control group received standard psychological intervention. The Adolescent Non-suicidal Self-injury Assessment Questionnaire (ANSAQ), the Hamilton Depression Rating Scale (17 items, HAMD-17), and the Simplified Coping Style Questionnaire (SCSQ) were administered to assess NSSI behavior, depressive symptoms, and coping strategies at baseline and at 1, 2, and 3 months post-intervention.

The intervention group demonstrated significant improvements in the frequency of self-injury, depressive symptoms, and coping strategies (p < 0.05), with notable differences compared to the control group.

The "Internet Plus" DBT intervention model has a positive effect on improving the symptoms of adolescents with NSSI.

To assess the prevalence of psychotropic use among classroom teachers and to identify associated factors.

A cross-sectional study was conducted between January and February 2024 in Espírito Santo, Brazil. The study included teachers from 20 state schools selected through probabilistic sampling. Data were collected in person using a self-administered questionnaire that addressed sociodemographic characteristics, working conditions, mental health history, mental health screening scales, and the use of psychotropic medications. Poisson regression with robust variance was employed to estimate the prevalence ratio of psychotropic and antidepressant use. The study was approved by the research ethics committee.

The study included 453 teachers. The prevalence of psychotropic medication use was 20.0% (95% CI: 16.9%-22.9%), while the prevalence of antidepressant use was 16.9% (95% CI: 13.8%-19.8%). In the multivariate analysis, a higher prevalence of psychotropic use was observed among cisgender women (PR = 1.91; 95% CI: 1.07-3.39) and teachers with depressive symptoms (PR = 2.30; 95% CI: 1.26-4.22). Antidepressant use was also more frequent among cisgender women (PR = 2.07; 95% CI: 1.12-3.85) and those with depressive symptoms (PR = 2.01; 95% CI: 1.05-3.82), while teachers working in schools located in Santa Teresa showed a lower prevalence compared to those in Vitória (PR = 0.31; 95% CI: 0.10-0.90).

The findings indicate a considerable prevalence of psychotropic and antidepressant use among teachers, particularly among cisgender women and those presenting depressive symptoms.

Using cross-sectional and longitudinal data from a drug and violence prevention program of Nicaraguan adolescents, this study offers a unique look into personal, family, peer, and communal factors for depression and post-traumatic stress symptoms (PTSD). This study draws on primary socialization theory to hypothesize that family, peer, and community factors have a significant impact on youth mental health outcomes. A total of 4631 adolescents (ages 10-17, 49% female) completed self-report surveys in schools. Path models showed that cross-sectionally, parental factors including parental monitoring, parental relationship satisfaction, family expressiveness, and peer factors such as friend support were negatively associated with PTSD and depression, whereas adolescent alcohol use and externalizing behaviors, engagement in prosocial behaviors with peers, and exposure to community violence were positively associated with PTSD and depression, controlling for age, sex, region, and intervention effects. A longitudinal model showed that alcohol use pre-crisis predicted PTSD post-crisis. Findings have practical implications for intervention by highlighting the importance of protecting adolescents from exposure to community violence as well as providing multiple layers of support during crisis.