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Journal of Nervous and Mental Disease

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https://www.readbyqxmd.com/read/28511191/death-by-suicide-within-1-week-of-hospital-discharge-a-retrospective-study-of-root-cause-analysis-reports
#1
Natalie Riblet, Brian Shiner, Bradley V Watts, Peter Mills, Brett Rusch, Robin R Hemphill
There is a high risk for death by suicide after discharge from an inpatient mental health unit. To better understand system and organizational factors associated with postdischarge suicide, we reviewed root cause analysis reports of suicide within 7 days of discharge from across all Veterans Health Administration inpatient mental health units between 2002 and 2015. There were 141 reports of suicide within 7 days of discharge, and a large proportion (43.3%, n = 61) followed an unplanned discharge. Root causes fell into three major themes including challenges for clinicians and patients after the established process of care, awareness and communication of suicide risk, and flaws in the established process of care...
May 16, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28511190/psychotherapy-technique-related-to-changes-in-anxiety-symptoms-with-a-transdiagnostic-sample
#2
Seth R Pitman, Mark J Hilsenroth, Joel Weinberger, Francine Conway, Jesse Owen
The current study examined how techniques in a psychodynamic model of therapy (Blagys and Hilsenroth, Clin Psychol Sci Pract. 7, 167-188, 2000) were related to changes in anxiety symptoms across early treatment process among a transdiagnostic sample of patients with primary anxiety disorder, subclinical anxiety disorder, and no anxiety disorder. Secondary analyses examined the use of specific psychodynamic techniques in relation to symptom change. Results revealed that therapists' use of psychodynamic-interpersonal (PI) techniques were significantly and directly related to changes in anxiety symptoms, in line with previous findings (Pitman, Slavin-Mulford, and Hilsenroth, J Nerv Ment Dis...
May 16, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28459728/intensive-short-term-dynamic-psychotherapy-trial-therapy-effectiveness-and-role-of-unlocking-the-unconscious
#3
Allan Abbass, Joel Town, John Ogrodniczuk, Michel Joffres, Peter Lilliengren
This study examined the effects of trial therapy interviews using intensive short-term dynamic psychotherapy with 500 mixed sample, tertiary center patients. Furthermore, we investigated whether the effect of trial therapy was larger for patients who had a major unlocking of the unconscious during the interview compared with those who did not. Outcome measures were the Brief Symptom Inventory (BSI) and the Inventory of Interpersonal Problems (IIP), measured at baseline and at 1-month follow-up. Significant outcome effects were observed for both the BSI and the IIP with small to moderate preeffect/posteffect sizes, Cohen's d = 0...
April 28, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28459727/functional-impairment-in-older-adults-with-bipolar-disorder
#4
Mercè Comes, Adriane Rosa, Maria Reinares, Carla Torrent, Eduard Vieta
Data describing bipolar disorder in older adults people are scarce, particularly with regard to functional status. This observational, comparative study assessed psychosocial functioning in 33 euthymic older adults with bipolar disorder compared with 30 healthy controls. In addition, we evaluated the association between clinical variables and poor functioning in the patient group. The mean age of the group was 68.70 years. Patients with bipolar disorder experienced poorer psychosocial functioning (19.15 ± 11...
April 28, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28441173/religiosity-in-acute-psychiatric-inpatients-relationship-with-demographics-clinical-features-and-length-of-stay
#5
Noha AbdelGawad, Jigar Chotalia, Ajay Parsaik, Teresa Pigott, Melissa Allen
This study examined the relationship between religiosity in 175 psychiatric inpatients as measured by the subscales of the Duke University Religion Index (DUREL) and sociodemographic (age, sex, and race), clinical (primary diagnosis, suicidality, and psychotic symptoms), and outcome (length of stay [LOS] and readmission rates) measures. Psychosis was assessed by Clinician-Rated Dimensions of Psychosis Symptom Severity (CRDPSS) scale. Bivariate and multivariate analyses were used to examine the association between the DUREL subscales and the outcome measures...
April 24, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28350563/predicting-the-mental-health-and-functioning-of-torture-survivors
#6
Suzan J Song, Andrew Subica, Charles Kaplan, Wietse Tol, Joop de Jong
The psychological effects of war represent a growing public health concern as more refugees and asylum seekers migrate across borders. This study investigates whether sociodemographic, premigration and postmigration, and psychosocial factors predict adverse psychiatric symptoms in refugees and asylum seekers exposed to torture (N = 278). Hierarchical linear regressions revealed that female sex, older age, and unstable housing predicted greater severity of anxiety, posttraumatic stress disorder (PTSD), and depression...
March 27, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28350562/role-of-personality-functioning-in-the-quality-of-life-of-patients-with-depression
#7
Carla Crempien, Marcela Grez, Camila Valdés, María José López, Guillermo de la Parra, Mariane Krause
Depression is associated with reduced quality of life (QoL), and personality pathology is associated with higher impairment and poorer treatment outcomes in patients with depression. This study aims to analyze the effects of personality functioning on the QoL of patients with depression. Severity of depressive symptoms (Beck Depression Inventory), level of personality functioning (Operationalized Psychodynamic Diagnosis Structure Questionnaire), and QoL (Medical Outcome Study 36-item Short-Form) were assessed in a sample of 84 depressive outpatients...
March 27, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28323661/suicidal-ideation-and-psychological-strain-among-patients-diagnosed-with-stomach-cancer-the-mediation-of-psychopathological-factors
#8
Xuekun Zhang, Jie Zhang, Nicholas Procter, Xiaoyun Chen, Yonggang Su, Fenglan Lou, Fenglin Cao
Patients with stomach cancer are at high risk to experience suicidal ideation. Strain theory of suicide assumes that suicide is preceded by psychological strain. Despite wide international acceptance of the theory, its use with a sample of patients with stomach cancer has not previously been reported. The aims were to examine the relationship between psychological strain and suicidal ideation among patients with stomach cancer and to determine whether psychopathological factors act as mediators. A cross-sectional study was undertaken involving subjects with no history of mental disorder, and questionnaires were administered by face-to-face interview...
March 20, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28319591/psychopathological-assessment-of-risk-of-restraint-in-acute-psychiatric-patients
#9
Federico Dazzi, Lorenzo Tarsitani, Michele Di Nunzio, Valeria Trincia, Gabriella Scifoni, Giuseppe Ducci
The study aims to identify independent predictors of physical restraint in acute psychiatric patients and to determine the predictive power of a risk assessment model centered on psychopathological dimensions. We included 1552 patients admitted to a psychiatric intensive care unit over a 5-year period. Patients were rated on the Brief Psychiatric Rating Scale (BPRS-E) at admission. Principal axis factoring (PAF) with varimax rotation was performed on BPRS-E items to identify psychopathological factors. Multiple logistic regression analysis was performed...
March 18, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28291059/defense-mechanisms-and-utilization-in-cancer-patients-undergoing-radiation-therapy-a-pilot-study
#10
John H Porcerelli, Phebe Cramer, Daniel J Porcerelli, V Elayne Arterbery
A group of 49 patients who had been diagnosed with cancer during the preceding year and who were receiving radiation therapy were assessed for their use of defense mechanisms, as well as for their level of psychological distress. In addition, their utilization of medical services was determined. It was predicted that the use of services that were under the patients' control-namely, requesting extra outpatient visits and making trips to the emergency department-would be related to the patients' use of defense mechanisms, whereas a treatment option not under the patients' control-overnight hospitalization based on physicians' assessment of condition-would not be related to defense use...
March 13, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28291058/comparing-affiliate-stigma-between-family-caregivers-of-people-with-different-severe-mental-illness-in-taiwan
#11
Chih-Cheng Chang, Cheng-Fang Yen, Fong-Lin Jang, Jian-An Su, Chung-Ying Lin
The family caregivers of people with mental illness may internalize the public stereotypes into the affiliate stigma (i.e., the self-stigma of family members). This study aimed to compare the affiliate stigma across schizophrenia, bipolar disorder, and major depressive disorder, and to investigate potential factors associated with affiliate stigma. Each caregiver of family members with schizophrenia (n = 215), bipolar disorder (n = 85), and major depressive disorder (n = 159) completed the Affiliate Stigma Scale, Rosenberg Self-Esteem Scale, Caregiver Burden Inventory, Taiwanese Depression Questionnaire, and Beck Anxiety Inventory...
March 13, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28240625/association-between-cardiovascular-risk-and-depressive-symptoms-among-people-with-serious-mental-illness
#12
John A Naslund, Kelly A Aschbrenner, Sarah I Pratt, Matthew C Lohman, Emily A Scherer, Gregory J McHugo, Lisa A Marsch, Jürgen Unützer, Stephen J Bartels
Depressive symptoms have debilitating effects on the physical health and functioning of people with serious mental illness. We examined change in depressive symptoms among overweight and obese adults with serious mental illness (n = 343) using data combined from two randomized trials comparing the 12-month In SHAPE program to a gym membership control condition. In SHAPE consists of a gym membership, weekly individual meetings with a fitness trainer, and instruction on healthy eating and nutrition. Depressive symptoms were measured at baseline, 3, 6, and 12 months...
February 24, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28406841/deception-in-medicine-hermes-or-asclepius
#13
Don R Lipsitt
No abstract text is available yet for this article.
May 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28406840/association-between-vitamin-d-status-and-schizophrenia-a-first-psychotic-episode-study
#14
José Salavert, Dolors Grados, Nuria Ramiro, Maria Isabel Carrión, Christian Fadeuilhe, Felipe Palma, Laura López, Alba Erra, Nicolás Ramírez
Vitamin D deficiency has been linked with schizophrenia. We aimed to determine whether patients with a first episode of psychosis (FEP) had lower vitamin D levels compared with controls considering their final diagnosis. We conducted a cross-sectional study determining 25-hydroxyvitamin D blood levels. 25-Hydroxyvitamin D levels were considered optimum at 20 ng/mL or greater. A group of 45 adult patients with FEP and a group of 22 healthy controls matched for age were recruited. The patient group was subdivided in two final diagnosis groups (schizophrenia versus other psychoses) after a 6-month follow-up...
May 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28406839/self-identity-after-bereavement-reduced-self-clarity-and-loss-centrality-in-emotional-problems-after-the-death-of-a-loved-one
#15
Paul A Boelen
There is evidence that both the centrality of a loss-event as well as reduced self-concept clarity are involved in emotional problems after the death of a loved one. One issue that is still unexplored is the relative importance of these two concepts in predicting bereavement outcome. The current study examined the degree to which both concepts contribute to emotional distress after loss, both concurrently and longitudinally. Data were available from 124 individuals, all bereaved within the previous half year, who completed measures of prolonged grief, posttraumatic stress, and depression at inclusion into the study and again 6 months later...
May 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28230564/attention-deficit-hyperactivity-disorder-aggression-and-illicit-stimulant-use-is-this-self-medication
#16
COMPARATIVE STUDY
Annie P Odell, Grace L Reynolds, Dennis G Fisher, Loucine M Huckabay, William C Pedersen, Pamela Xandre, Milica Miočević
This study compares adults with and without attention deficit hyperactivity disorder (ADHD) on measures of direct and displaced aggression and illicit drug use. Three hundred ninety-six adults were administered the Wender Utah Rating Scale, the Risk Behavior Assessment, the Aggression Questionnaire (AQ), and the Displaced Aggression Questionnaire (DAQ). Those with ADHD were higher on all scales of the AQ and DAQ, were younger at first use of amphetamines, and were more likely to have ever used crack and amphetamines...
May 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28225508/suicidal-ideation-vs-suicide-attempts-clinical-and-psychosocial-profile-differences-among-depressed-patients-a-study-on-personality-traits-psychopathological-variables-and-sociodemographic-factors-in-228-patients
#17
COMPARATIVE STUDY
Ute Lewitzka, Sina Spirling, Dirk Ritter, Michael Smolka, Sarah Goodday, Michael Bauer, Werner Felber, Tom Bschor
This study investigated whether personality traits, psychopathological characteristics, and sociodemographic factors in depressed patients differentiate patients with only suicidal thoughts from those who have attempted suicide. We investigated two groups of patients with an affective disorder: 198 patients with a suicide attempt within the last 3 months (sex ratio male to female, 1:1.3; mean age male to female, 44.8/44.7 years) and 30 patients without a suicide attempt but with suicidal thoughts (sex ratio male to female, 1:2; mean age male to female, 39...
May 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28181924/sleep-problems-in-relation-to-smoking-and-alcohol-use-in-chinese-adolescents
#18
Hua Chen, Qi-Gui Bo, Cun-Xian Jia, Xianchen Liu
This study examined sleep patterns and sleep problems in relation to smoking and alcohol use in Chinese adolescents. A questionnaire survey of 2090 adolescent students was conducted in Lijin County, Shandong, China. A self-administered questionnaire was used to collect the data. After adjustment for demographics and internalizing and externalizing problems, poor sleep quality was associated with increased risk of smoking (odds ratio [OR], 2.59; 95% confidence interval [CI], 1.24-5.40), alcohol use (OR, 2.65; 95% CI, 2...
May 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28141633/association-of-self-reported-impulsivity-to-nonsuicidal-self-injury-suicidality-and-mortality-in-adolescent-psychiatric-inpatients
#19
Lauri Alasaarela, Helinä Hakko, Kaisa Riala, Pirkko Riipinen
This study examines the association of self-reported impulsivity to nonsuicidal self-injury, suicidal ideation, suicide attempts, and completed suicides in a clinical sample of 508 Finnish adolescents (aged 12-17) treated in psychiatric inpatient care between April 2001 and March 2006. The Schedule for Affective Disorder and Schizophrenia for School-Age Children Present and Lifetime interview was used to gather information on psychiatric disorders, impulsivity, and suicidality of the adolescents. Mortality data were obtained from the national cause of death register...
May 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28141631/the-effect-of-age-race-and-sex-on-social-cognitive-performance-in-individuals-with-schizophrenia
#20
Amy E Pinkham, Skylar Kelsven, Chrystyna Kouros, Philip D Harvey, David L Penn
Age, race, and sex are linked to social cognitive performance among healthy individuals, but whether similar effects are evident in schizophrenia is unknown. Data from 170 individuals with schizophrenia or schizoaffective disorder and 98 healthy controls were used to examine relations between these demographic factors and performance across multiple domains and measures of social cognition. Sex was not related to performance on any domain, but older age was related to poorer emotion recognition from dynamic stimuli in both patients and controls...
May 2017: Journal of Nervous and Mental Disease
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