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Assessing Usage and Usability of a Narrative-Based Psychoeducational Digital Intervention to Improve Medication Adherence Among Individuals With Schizophrenia in a Stable Phase: Mixed Methods Study

Assessing Usage and Usability of a Narrative-Based Psychoeducational Digital Intervention to Improve Medication Adherence Among Individuals With Schizophrenia in a Stable Phase: Mixed Methods Study

Schizophrenia is a chronic and severe mental disorder characterized by pervasive impairments in cognition, emotion, perception, and social functioning. Long-term use of antipsychotic medication is typically required to manage symptoms, prevent relapse, and reduce the risk of hospitalization [1-3].

Dian Zhu, Fangyuan Chang, Hongyi Yang, Yiwen Wei, Zhao Liu

J Med Internet Res 2026;28:e59175


Optimizing SloMo, a Digitally Supported Therapy Targeting Paranoia, for Implementation: Inclusive, Human-Centered Design Study

Optimizing SloMo, a Digitally Supported Therapy Targeting Paranoia, for Implementation: Inclusive, Human-Centered Design Study

Reference 10: Schizophrenia commission report Reference 18: Digitally supported CBT to reduce paranoia and improve reasoning for people with schizophrenia-spectrumschizophrenia

Thomas Gant, Kathryn M Taylor, Thomas Ward, Philippa Garety, Amy Hardy

JMIR Hum Factors 2025;12:e75377


Smartwatch-Derived Digital Phenotypes Relate to Psychopathology Dimensions in Patients With Psychotic Spectrum Disorders: Longitudinal Observational Study

Smartwatch-Derived Digital Phenotypes Relate to Psychopathology Dimensions in Patients With Psychotic Spectrum Disorders: Longitudinal Observational Study

In clinical practice, heterogeneous symptoms and signs are grouped in clusters to define categorical diagnoses of psychotic disorders (schizophrenia or bipolar disorder) that are used as invariant labels chronically attached to patients, guiding clinical decisions. The shortcomings of such an approach in capturing the dynamic nature of psychotic disorders have been widely recognized [1].

Vasiliki Garyfalli, Emmanouil Kalisperakis, Alexandros Smyrnis, Marina Lazaridi, Thomas Karantinos, Asimakis Mantas, Panagiotis P Filntisis, Niki Efthymiou, Athanasia Zlatintsi, Petros Maragos, Nikolaos Smyrnis

JMIR Ment Health 2025;12:e75774


Comparing Patient Simulation With a Humanoid Robot or a Human Actor in Terms of Training Success and Acceptance: Pilot Questionnaire Study

Comparing Patient Simulation With a Humanoid Robot or a Human Actor in Terms of Training Success and Acceptance: Pilot Questionnaire Study

In the current simulated patient program at the University of Oldenburg, the clinical picture of schizophrenia is also practiced with acting patients. Existing records of acting patients enabled the robot to reconstruct patient behavior. In collaboration with colleagues from the Department of Psychiatry, the clinical picture of schizophrenia was selected as a clinical case study for the robot simulated patient in our training scenario.

Patricia Schwarz, Sandra Hellmers, Sebastian Spanknebel, Diana Immel, Rene Hurlemann, Andreas Hein

JMIR Form Res 2025;9:e70363


Delusional Experiences Emerging From AI Chatbot Interactions or “AI Psychosis”

Delusional Experiences Emerging From AI Chatbot Interactions or “AI Psychosis”

In phenomenological psychiatry, psychosis and schizophrenia are not seen mainly as collections of hallucinations or delusions, but as changes in the person’s relation to self and world [1]. This process, sometimes called desubjectivation (or de-embodiment of subjectivity), weakens the basic sense of being present to oneself and makes experience lose its immediacy [2,3]. Losing contact with reality means not only misperceiving things but feeling detached from what is real.

Alexandre Hudon, Emmanuel Stip

JMIR Ment Health 2025;12:e85799


Immersive Virtual Reality–Assisted Therapy for Distressing Voices in Psychosis: Qualitative Study of Participants’ and Therapists’ Experiences in the Challenge Trial

Immersive Virtual Reality–Assisted Therapy for Distressing Voices in Psychosis: Qualitative Study of Participants’ and Therapists’ Experiences in the Challenge Trial

Hearing voices (auditory verbal hallucinations) is a phenomenon occurring in the general population, across various disorders, and commonly associated with psychosis or schizophrenia spectrum disorder diagnoses [1-4]. Voices may be highly distressing [5], especially due to appraisals of the meaning and intent of voices [6] and negative content [7,8]. Within psychosis, an estimated 1 in 3 individuals have a suboptimal pharmacological treatment response [9,10] with side effects being common [11].

Mads Juul Christensen, Matilde Poulsen Rydborg, Rikke Jørgensen, Cecilie Dueholm Nielsen, Jan Mainz, Imogen H Bell, Neil Thomas, Lisa Charlotte Smith, Lise Sandvig Mariegaard, Thomas Ward, Merete Nordentoft, Louise Birkedal Glenthøj, Ditte Lammers Vernal

JMIR Serious Games 2025;13:e77920


Effectiveness, Engagement, and Safety of a Digital Therapeutic (CT-155/BI 3972080) for Treating Negative Symptoms in People With Schizophrenia: Protocol for the Phase 3 CONVOKE Randomized Controlled Trial

Effectiveness, Engagement, and Safety of a Digital Therapeutic (CT-155/BI 3972080) for Treating Negative Symptoms in People With Schizophrenia: Protocol for the Phase 3 CONVOKE Randomized Controlled Trial

Schizophrenia is a complex psychiatric condition with a large disease burden and is one of the top causes of disability globally, presenting considerable challenges for patients, caregivers, and health care systems [1-4]. In the United States, people living with schizophrenia have a severely reduced life expectancy (losing ≈28.5 years of life) [5] and significantly higher mortality rate [6] than the general population.

Shaheen E Lakhan, Cornelia Dorner-Ciossek, Olya Besedina, Faith Dickerson, Claudia Hastedt, Ridwana Isla, René S Kahn, Jean-Pierre Lindenmayer, Ruchi Mehta, Cassandra Snipes, Austin Speier, Wenbo Tang, Bailey Willis, Jamie Winderbaum Fernandez, Christoph von der Goltz, Abhishek Pratap

JMIR Res Protoc 2025;14:e81293


Active Video Games to Improve Behavioral Intentions and Cognitive Function in Patients With Schizophrenia: Randomized Controlled Trial

Active Video Games to Improve Behavioral Intentions and Cognitive Function in Patients With Schizophrenia: Randomized Controlled Trial

Schizophrenia can lead to high functional disability and is associated with a heavy economic burden worldwide. The World Health Organization lists it as one of the top 10 conditions in terms of the global burden of disease [1,2]. Schizophrenia is a disease characterized by impairments in cognitive functions.

Huan-Hwa Chen, Ching-Ching Lin, Man-Ling Yu, Hsiu-Lan Wu, Hui-Chu Shen, Hsiu-Fen Hsieh

JMIR Serious Games 2025;13:e69116


Clinical Utility of Early Intervention Including the 5-Step Precision Medicine Method in First-Episode Psychosis: Protocol for a Cohort Study With Nested Economic and Process Evaluations

Clinical Utility of Early Intervention Including the 5-Step Precision Medicine Method in First-Episode Psychosis: Protocol for a Cohort Study With Nested Economic and Process Evaluations

Psychotic illnesses such as schizophrenia and related conditions are a major issue for public health care systems; they cause severe disability and are expensive to treat. As the illness becomes manifest during adolescence or young adulthood, nonspecific signs such as anxiety, depression, and emerging psychotic features form a prelude to the full psychotic syndrome that may last for months or even years before patients seek help or receive treatment.

Jesús Pérez, David Heredero Jung, Óscar Gonzalo, Belén García Berrocal, Carmen García Cerdán, Pablo Salas Aranda, Alejandro de la Sota Pérez, Sandra Milagros Lorenzo Hernández, Elena Marcos Vadillo, Rocío García García, Vanesa Berdión Marcos, Ana Maciá Casas, Belén Refoyo Matellán, Berta Bote Bonaechea, Llanyra García Ullán, Carolina Lorenzo Romo, Carmen Martín Gómez, Concha Turrión Gómez, María Isidoro García

JMIR Res Protoc 2025;14:e74408


Smartphone-Based Self-Monitoring in First Episode Psychosis: Mixed-Methods Study of Barriers and Facilitators to Engagement

Smartphone-Based Self-Monitoring in First Episode Psychosis: Mixed-Methods Study of Barriers and Facilitators to Engagement

Participants were eligible if they were aged 18‐40 and had experienced a FEP in the 24 months prior to entering the study as defined by a DSM-IV diagnosis of schizophrenia, schizophreniform disorder, schizoaffective disorder, or delusional disorder based on the Structured Clinical Interview for DSM-IV (SCID-I) [22]. Finally, participants were required to have access to a smartphone with internet data.

Maria Chiara Del Piccolo, Ryan Hammoud, Maisie Khan, Vanessa Shanon D'Costa, Aljawharah Almuqrin, Anna Georgiades, Stefania Tognin, Andrea Mechelli

J Med Internet Res 2025;27:e71989