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Psychiatric Quarterly

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https://www.readbyqxmd.com/read/28721655/the-impact-of-being-there-psychiatric-staff-attitudes-on-the-use-of-restraint
#1
Sagit Dahan, Galit Levi, Pnina Behrbalk, Israel Bronstein, Shmuel Hirschmann, Shaul Lev-Ran
The practice of mechanically restraining psychiatric patients is constantly under debate, and staff attitudes are considered a central factor influencing restraining practices. The aim of this study was to explore associations between psychiatric staff members' presence and participation in incidences of restraint and attitudes towards mechanical restraints. METHODS: Staff members (psychiatrists, nurses, paramedical staff; N = 143 working in a government psychiatric hospital in Israel) completed a questionnaire including personal information, participation in incidents of restraint and attitudes towards mechanical restraints...
July 19, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28699029/access-to-pharmacotherapy-amongst-women-with-bipolar-disorder-during-pregnancy-a-preliminary-study
#2
Nancy Byatt, Lucille Cox, Tiffany A Moore Simas, Kathleen Biebel, Padma Sankaran, Holly A Swartz, Linda Weinreb
Bipolar disorder among pregnant women has deleterious effects on birth and child outcomes and is currently under-detected, not addressed effectively, or exacerbated through inappropriate treatment. The goal of this study was to identify perspectives of pregnant and postpartum women with bipolar disorder on barriers and facilitators to psychiatric treatment during pregnancy. In-depth interviews were conducted with pregnant and postpartum women who scored ≥ 10 on the Edinburgh Postnatal Depression Scale and met DSM-IV criteria for bipolar disorder I, II or not otherwise specified using the Mini International Neuropsychiatric Interview version 5...
July 11, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28664447/establishing-an-integrated-health-care-clinic-in-a-community-mental-health-center-lessons-learned
#3
Aniyizhai Annamalai, Martha Staeheli, Robert A Cole, Jeanne L Steiner
Integrating primary care with behavioral health services at community mental health centers is one response to the disparity in mortality and morbidity experienced by adults with serious mental illnesses and co-occurring substance use disorders. Many integration models have been developed in response to the Primary and Behavioral Health Care Integration (PBHCI) initiative of the Substance Abuse and Mental Health Services Administration (SAMHSA). One model is a primary care clinic co-located within the mental health center...
June 30, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28643049/clozapine-in-reducing-aggression-and-violence-in-forensic-populations
#4
REVIEW
Kathleen Patchan, Gopal Vyas, Ann L Hackman, Marie Mackowick, Charles M Richardson, Raymond C Love, Ikwunga Wonodi, MacKenzie A Sayer, Matthew Glassman, Stephanie Feldman, Deanna L Kelly
Popular media often portray people with a mental illness as being aggressive, violent, and incarcerated as a result of their behavior. Despite exaggeration in the media, risks for some aggressive behaviors are in fact higher in individuals with schizophrenia. This is often the case with influence of comorbid substance use disorders. It is essential that mental health professionals are aware of treatments that may help with attenuating and treating behaviors that contribute to violence, aggression and incarceration...
June 22, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28634644/minimal-clinically-important-differences-mcid-in-assessing-outcomes-of-post-traumatic-stress-disorder
#5
Elina A Stefanovics, Robert A Rosenheck, Karen M Jones, Grant Huang, John H Krystal
This study sought to determine the minimal clinically important difference (MCID) for two frequently used measures of symptom severity in Post-Traumatic Stress Disorder: the Clinician Administered PTSD Scale (CAPS) and the PTSD Symptom Checklist (PCL). Data from a randomized clinical trial of antipsychotic medication in military-related treatment-resistant PTSD (N= 267) included assessments 4 times over 26 weeks. Methods for estimating the MCID were based on both the anchor-based approach, using the Clinical Global Impressions (CGI) severity and improvement scales, rated by both clinicians and patients; and the distribution-based approach (based on standardized z-scores)...
June 21, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28612178/treatment-for-depression-and-health-related-quality-of-life-among-adults-with-arthritis
#6
Drishti Shah, Pragya Rai, Nilanjana Dwibedi, Usha Sambamoorthi
Depression treatment has been proven to relieve depressive symptoms and pain and may therefore improve the health-related quality of life (HRQoL) among adults with arthritis. The objective of the current study was to examine the HRQoL associated with depression treatment among adults with arthritis and depression. A retrospective longitudinal cohort study design using data from the Medical Expenditure Panel Survey (2009-2012) was adopted. The study sample consisted of adults (≥ 21 years) with co-existing arthritis and depression (N = 1692)...
June 13, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28534281/elder-mistreatment-perpetrators-with-substance-abuse-and-or-mental-health-conditions-results-from-the-national-elder-mistreatment-study
#7
Travis Labrum, Phyllis L Solomon
A large portion of persons who commit elder mistreatment have long been known to have indicators of substance abuse and/or mental health conditions (SAMHC). However, few studies have specifically examined elder mistreatment by persons with SAMHC, preventing the development of specialized intervention strategies. Using results from the National Elder Mistreatment Study, the current article examines victim, perpetrator, and interaction characteristics between cases of emotional and physical elder mistreatment in which the perpetrator is reported to have vs...
May 23, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28523431/the-dsm-5-self-rated-level-1-cross-cutting-symptom-measure-as-a-screening-tool
#8
Leo Bastiaens, James Galus
The DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure was developed to aid clinicians with a dimensional assessment of psychopathology; however, this measure resembles a screening tool for several symptomatic domains. The objective of the current study was to examine the basic parameters of sensitivity, specificity, positive and negative predictive power of the measure as a screening tool. One hundred and fifty patients in a correctional community center filled out the measure prior to a psychiatric evaluation, including the Mini International Neuropsychiatric Interview screen...
May 19, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28508302/handedness-and-attention-deficit-hyperactivity-disorder-symptoms-in-college-students
#9
Hui-Li Lin, Hui-Chun Tsuang
The symptoms of adult Attention Deficit/Hyperactivity Disorder (ADHD) generally include impaired concentration; an insensitivity to social cues, being hard to get along with, and being internally restlessness. It is not surprising that these problems are likely to affect the performance of college students with ADHD. The study aims to examine whether ADHD symptoms are associated with handedness in college students in Taiwan. A total of 505 male and 645 female participants completed Annett's handedness questionnaire and the Traditional Chinese College ADHD Response Evaluation Student Response Inventory (C-CARE-SRI)...
May 16, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28500477/impact-of-a-program-for-the-management-of-aggressive-behaviors-on-seclusion-and-restraint-use-in-two-high-risk-units-of-a-mental-health-institute
#10
Steve Geoffrion, Jane Goncalves, Charles-Édouard Giguère, Stéphane Guay
The Omega Program for the Management of Aggressive Behaviors aims to reduce patients' dangerous behaviors, towards themselves or others, and to reduce the use of seclusion and restraint (S/R). A previous study in a Mental Health Institute (Montreal, Canada) showed that implementing this program allowed employees of the intensive care and emergency units to gain confidence in coping with patients' aggressions and to reduce their psychological distress. The present study, conducted in the same high-risk units, assesses the effect of the program on S/R use...
May 13, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28470468/facebook-for-supporting-a-lifestyle-intervention-for-people-with-major-depressive-disorder-bipolar-disorder-and-schizophrenia-an-exploratory-study
#11
John A Naslund, Kelly A Aschbrenner, Lisa A Marsch, Gregory J McHugo, Stephen J Bartels
To examine whether Facebook could support a community-based group lifestyle intervention for adults with serious mental illness. Participants with serious mental illness and obesity enrolled in a 6-month group lifestyle program were invited to join a secret Facebook group to support their weight loss and physical activity goals. Two peer co-facilitators moderated the Facebook group. The proportion of participants who achieved ≥5% weight loss or improved fitness was measured at follow-up. The relationship between this outcome and participants' interactions in the Facebook group was examined...
May 4, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28466366/adjunctive-minocycline-in-clozapine-treated-patients-with-schizophrenia-analyzing-the-effects-of-minocycline-on-clozapine-plasma-levels
#12
Heidi J Wehring, Teresa Elsobky, Joseph P McEvoy, Gopal Vyas, Charles M Richardson, Robert P McMahon, Bethany A DiPaula, Fang Liu, Kelli Sullivan, Robert W Buchanan, Stephanie Feldman, Elizabeth M McMahon, Deanna L Kelly
Clozapine is the sole antipsychotic agent effective for the treatment of refractory schizophrenia. Sixty percent of clozapine-treated patients, however, fail to adequately respond. Minocycline, a tetracycline antibiotic, possesses antiinflammatory and neuroprotective properties that may play a role in schizophrenia. Clozapine is mainly metabolized by CYP1A2 enzymes, and minocycline may potentially inhibit CYP1A2 as hypothesized by case report data. To date, no pharmacokinetic interaction has been reported between minocycline and clozapine...
May 3, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28455555/improved-sleep-diet-and-exercise-in-adults-with-serious-mental-illness-results-from-a-pilot-self-management-intervention
#13
Timothy Schmutte, Larry Davidson, Maria O'Connell
Compared to the general population, adults with serious mental illnesses have elevated rates of medical morbidity resulting in a reduced life expectancy of approximately 15 years. Chronic disease self-management programs for adults with serious mental and chronic medical illnesses show some promise in improving physical health-related outcomes, yet none of them address sleep quality. Poor sleep affects a majority of adults with serious mental illness and is robust risk factor for physical morbidity and premature mortality...
April 29, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27815802/psychiatry-resident-training-in-cultural-competence-an-educator-s-toolkit
#14
REVIEW
Irma Corral, Toni L Johnson, Pheston G Shelton, Oliver Glass
Resident physicians training in psychiatry in the U.S. are required to master a body of knowledge related to cultural psychiatry; are expected to adopt attitudes that endorse the principles of cultural competence; and finally are expected to acquire specific cultural competence skills that facilitate working effectively with diverse patients. This article first provides an overview of the Accreditation Council for Graduate Medical Education (ACGME) competencies related to cultural competence, as well as the American Academy of Child and Adolescent Psychiatry's (AACAP) recommendations for the cultural competence training of child/adolescent fellows...
June 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27796919/accrediting-graduate-medical-education-in-psychiatry-past-present-and-future
#15
REVIEW
Toni Johnson, Nadyah Janine John, Michael Lang, P G Shelton
The current terminology, goals, and general competency framework systematically utilized in the education of residents regardless of specialty is almost unrecognizable and quite foreign to those who trained before 2010. For example, the clinical and professional expectations for physicians-in-training have been placed onto a developmental framework of milestones. The expectations required during training have been expanded to include leadership and team participation skills, proficiency in the use of information technology, systems-based knowledge including respect of resources and cost of care, patient safety, quality improvement, population health and sensitivity to diversity for both individual and populations of patients...
June 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27783312/educational-scholarship-and-technology-resources-for-a-changing-undergraduate-medical-education-curriculum
#16
REVIEW
Brandon N Kyle, Irma Corral, Nadyah Janine John, P G Shelton
Returning to the original emphasis of higher education, universities have increasingly recognized the value and scholarship of teaching, and medical schools have been part of this educational scholarship movement. At the same time, the preferred learning styles of a new generation of medical students and advancements in technology have driven a need to incorporate technology into psychiatry undergraduate medical education (UGME). Educators need to understand how to find, access, and utilize such educational technology...
June 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27405646/transgression-and-gender
#17
Konstantinos Tsirigotis
Human activity is determined to a great extent by not only biological sex but also gender. The aim of the study was to examine relationships between transgression and types of gender. A population of 558 individuals (399 women and 159 men) aged 19-25 (mean age: 22.6) were studied. The age of the women ranged from 19 to 24 (mean age: 22.4) and of the men-from 19 to 25 (mean age: 22.8). In order to examine the intensity of transgression, the Polish version of the chronic self-destructiveness scale was applied...
June 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28435992/elevated-plasma-s100b-psychotic-symptoms-and-cognition-in-schizophrenia
#18
Huiqiong Deng, Ramandeep S Kahlon, Satyajit Mohite, Pooja A Amin, Giovana Zunta-Soares, Gabriela D Colpo, Laura Stertz, Gabriel R Fries, Consuelo Walss-Bass, Jair C Soares, Olaoluwa O Okusaga
S100B is a calcium binding protein mainly produced by glial cells. Previous studies have shown elevated levels of S100B in patients with schizophrenia. We measured S100B levels in fasting plasma of 39 patients with schizophrenia and 19 adult healthy controls. We used linear regression to compare S100B between patients and controls. In patients only, we also investigated the relationship between S100B levels and psychotic symptoms (assessed by the Positive and Negative Syndrome Scale), and cognitive function (assessed by the NIH Toolbox Cognition Battery), respectively by calculating Pearson's correlation coefficients...
April 24, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28367586/neurocognitive-functioning-in-young-adults-with-subclinical-body-dysmorphic-disorder
#19
Austin W Blum, Sarah A Redden, Jon E Grant
Despite reasonable knowledge of body dysmorphic disorder (BDD), little is known of its cognitive antecedents. In this study, we evaluated executive functioning and decision-making in people at risk of developing BDD using neuropsychological tests. Participants were non-treatment seeking volunteers (18-29 years) recruited from the general community, and split into two groups: those "at risk" of developing BDD (N = 5) and controls (N = 82). Participants undertook the One-Touch Stockings of Cambridge, Cambridge Gamble and Spatial Working Memory tasks and were assessed with the Body Dysmorphic Disorder Questionnaire...
April 3, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28367585/factors-associated-with-length-of-stay-in-psychiatric-inpatient-services-in-london-uk
#20
Loveday Newman, Victoria Harris, Lauren J Evans, Alison Beck
The purpose of this research was to identify factors associated with lengthy stays in psychiatric hospital in a UK mental health trust. A multiple regression using a multiple imputation method to deal with missing data was performed on inpatient admissions data over a four-year period for 7653 individuals. Factors associated with a longer length of stay included gender (being male), ethnicity (being Asian/Asian British, Black/Black British, or having a mixed background compared to being White/White British), accommodation status (being homeless, or in accommodation with support), primary diagnostic group of psychosis (F20-29), and number of care coordinators...
April 3, 2017: Psychiatric Quarterly
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