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Current Opinion in Psychiatry

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https://www.readbyqxmd.com/read/29120917/personality-disorders-three-classifications-with-a-fly-in-the-ointment
#1
Charles B Pull, Aleksandar Janca
No abstract text is available yet for this article.
November 7, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29120916/impulsivity-in-personality-disorders-current-views-and-future-directions
#2
Catherine McHugh, Sivasankaran Balaratnasingam
PURPOSE OF REVIEW: Impulsivity is considered a trans-diagnostic feature of many mental disorders, yet our understanding of the concept and approaches to measurement have evolved significantly with advances in neuroimaging. This review will provide an overview of impulsivity as it is currently understood, its association with personality disorder and implications for treatment. RECENT FINDINGS: Impulsivity is now considered to involve failure of inhibitory control, either motor or cognitive, and deficits of the reward valuation system...
November 7, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29120915/schema-therapy-for-emotional-dysregulation-in-personality-disorders-a-review
#3
Harold Dadomo, Marta Panzeri, Daniele Caponcello, Alessandro Carmelita, Alessandro Grecucci
PURPOSE OF REVIEW: To give an update on the most recent studies regarding the role of schema therapy in the treatment of emotion dysregulation related to personality disorders. RECENT FINDINGS: In personality disorders, a lack of emotion regulation can be found. Schema therapy treats emotion dysregulation with a series of techniques, such as imagery rescripting, limited reparenting, chairwork, and cognitive restructuring to remove dysregulatory mechanism. SUMMARY: Schema therapy is one of the most efficient therapies for personality disorders...
November 7, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29120914/patients-with-anxious-depression-overview-of-prevalence-pathophysiology-and-impact-on-course-and-treatment-outcome
#4
Roxanne Gaspersz, Laura Nawijn, Femke Lamers, Brenda W J H Penninx
PURPOSE OF REVIEW: Major depressive disorder with a comorbid anxiety disorder or with significant anxiety symptoms (here called anxious depression) is common and has been associated with poor clinical course trajectories. However, various dichotomous as well as dimensional definitions have been used to label anxious depression and it remains unclear to which extent these result in inconsistent findings. This review provides an overview of recent literature on the impact of anxiety in depressed patients on clinical course trajectories, treatment outcomes, and underlying neurobiological dysregulations...
November 7, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29084010/smart-phone-technologies-and-ecological-momentary-data-is-this-the-way-forward-on-depression-management-and-research
#5
Ellen Frank, Janice Pong, Yashvi Asher, Claudio N Soares
PURPOSE OF REVIEW: Depression is a complex and burdensome condition; it often leads to personal, societal and economic costs. Despite advances in treatments, its management over time remains a challenge; many treated for depression do not achieve full recovery or remain well for long. Novel ways to monitor patients are warranted, as well as better understanding of contributors to relapse or sustained wellness. Mobile health technologies (m-Health) are emerging as useful tools for real-time assessments of moods, behaviours and activities in a more convenient and less burdensome manner...
October 27, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29076894/the-potential-of-predictive-analytics-to-provide-clinical-decision-support-in-depression-treatment-planning
#6
Ronald C Kessler
PURPOSE OF REVIEW: To review progress developing clinical decision support tools for personalized treatment of major depressive disorder (MDD). RECENT FINDINGS: Over the years, a variety of individual indicators ranging from biomarkers to clinical observations and self-report scales have been used to predict various aspects of differential MDD treatment response. Most of this work focused on predicting remission either with antidepressant medications versus psychotherapy, some antidepressant medications versus others, some psychotherapies versus others, and combination therapies versus monotherapies...
October 25, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29076893/major-depression-and-its-treatment-micrornas-as-peripheral-biomarkers-of-diagnosis-and-treatment-response
#7
Juan P Lopez, Aron Kos, Gustavo Turecki
PURPOSE OF REVIEW: Major depressive disorder (MDD) is among the most prevalent and disabling medical conditions worldwide. Despite its considerable burden, our understanding of its pathophysiology remains rudimentary, and a validated biomarker has yet to be identified. Antidepressants are the most common treatment for MDD, yet roughly one-third of patients experience an inadequate response. Thus, there is a great need for not only identifying biomarkers of MDD but also those that can predict and monitor or just monitor response to treatment...
October 25, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29076892/cognitive-dysfunction-in-major-depressive-disorder
#8
Matthew J Knight, Bernhard T Baune
PURPOSE OF REVIEW: The principal aim of this review is to highlight recent advances in our understanding of cognitive dysfunction in major depressive disorder (MDD). We review new assessment and treatment approaches, in which cognition and associated psychosocial dysfunction are considered primary outcomes. RECENT FINDINGS: Current work suggests that cognitive dysfunction reduces occupational productivity, and interferes broadly with domains of day-to-day and social functioning...
October 25, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29059106/personality-disorder-and-treatment-outcome-in-alcohol-use-disorder
#9
Giles Newton-Howes, James Foulds
PURPOSE OF REVIEW: As personality disorder impacts the outcome of most major mental disorders, it would be consistent for it to impact negatively on the outcome of alcohol use disorders (AUDs). This update is to provide an up-to-date overview of the recent literature examining the impact of personality disorder and personality traits on the treatment outcome of AUDs. RECENT FINDINGS: Comorbidity between personality disorder and AUD is significant and approaches 50%...
October 20, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29049100/models-of-borderline-personality-disorder-recent-advances-and-new-perspectives
#10
Alessandra D'Agostino, Mario Rossi Monti, Vladan Starcevic
PURPOSE OF REVIEW: The purpose of this article is to review the most relevant conceptual models of borderline personality disorder (BPD), with a focus on recent developments in this area. RECENT FINDINGS: Several conceptual models have been proposed with the aim of better understanding BPD: the borderline personality organization, emotion dysregulation, reflective (mentalization) dysfunction, interpersonal hypersensitivity and hyperbolic temperament models. These models have all been supported to some extent and their common components include disorganized attachment and traumatic early experiences, emotion dysregulation, interpersonal sensitivity and difficulties with social cognition...
October 18, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29028643/pharmacotherapy-of-borderline-personality-disorder-replacing-confusion-with-prudent-pragmatism
#11
Vladan Starcevic, Aleksandar Janca
PURPOSE OF REVIEW: The article aims to examine trends in the pharmacological treatment of borderline personality disorder (BPD) and shed more light on the attendant controversies. RECENT FINDINGS: Although specialized, BPD-centred psychotherapy is considered first-line treatment for BPD and no psychotropic drug has been licensed for BPD, medications are frequently prescribed in the management of this condition. Various classes of psychopharmacological agents are used for BPD and there is a prominent polypharmacy...
October 11, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28937408/editorial-sexual-disorders
#12
António José Pacheco Palha
No abstract text is available yet for this article.
November 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28877047/autism-spectrum-disorders-in-adolescence-and-adulthood-focus-on-sexuality
#13
Daniel Turner, Peer Briken, Daniel Schöttle
PURPOSE OF REVIEW: The combination of the core symptoms, characterizing individuals with autism-spectrum disorder (ASD), can lead to problems in romantic relationships and sexual functioning. The purpose of this article is to review studies on sexuality in individuals with ASD published since January 2016. RECENT FINDINGS: Individuals with ASD and especially women show a higher diversity in sexual orientation in comparison with the non-ASD population. Furthermore, ASD women are more frequently in a relationship and usually report more previous sexual experiences...
November 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28872468/sexual-disorders-beyond-dsm-5-the-unfinished-affaire
#14
Felipe Navarro-Cremades, Chiara Simonelli, Angel L Montejo
PURPOSE OF REVIEW: To provide an overview of post-The Diagnostic and Statistical Manual of Mental Disorders, 5th ed. classifications related to human sexuality. After reviewing the literature on classification and clinical practice of sexual disorders, some of the most important contributions on main sexological classifications and frameworks were selected, especially from January 2016 till June 2017. RECENT FINDINGS: New relevant contributions on psychiatric and sexological classifications and frameworks have been proposed, such as the international classification of diseases 11th revision (ICD-11), research domain criteria, the third edition of the Diagnostic Manual in Sexology and the person-centered psychiatry perspective...
November 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28858009/sleep-and-memory-mechanisms-and-implications-for-psychiatry
#15
Jonathan G Maier, Christoph Nissen
PURPOSE OF REVIEW: This review discusses current concepts on the relationship between sleep, memory formation and underlying neural refinements, with a particular focus on possible ways to use or modulate sleep in a targeted manner to augment psychiatric and psychotherapeutic treatments. RECENT FINDINGS: The most promising lines of research with regard to psychiatry and psychotherapy center on the targeted implementation or modulation of sleep to augment existing or create novel forms of treatment...
November 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28858008/school-start-time-effects-on-adolescent-learning-and-academic-performance-emotional-health-and-behaviour
#16
Kyla L Wahlstrom, Judith A Owens
PURPOSE OF REVIEW: The investigation of the relationship between the time of day that school begins and the effects it could have on students began in the mid-1990s. Since that time, many articles have been written either for the medical literature or the educational literature. This review is intended to bridge that gap by examining together the findings for both academic and health outcomes, exploring what we know and what is needed in further investigation. RECENT FINDINGS: Teens who are sleep deficient (defined as obtaining less than 8 h per night) because of early starting time for their school are much more likely to engage in risky behaviours, such as drug, cigarette and alcohol use, have significant feelings of depression, get lower grades and are at greater risk for car crashes...
November 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28858007/the-management-of-sleep-disorders-in-dementia-an-update
#17
Kirsi M Kinnunen, Anastasia Vikhanova, Gill Livingston
PURPOSE OF REVIEW: Sleep disorders in dementia cause distress and may lead to families being unable to care for someone with dementia at home. Recent Cochrane reviews found no interventions of proven effectiveness. There was no effect of light therapy and moderate evidence that melatonin was ineffective both given without knowledge of the patient's circadian rhythm. The current article updates this review by considering newer publications on interventions for sleep disorders or abnormalities of the sleep-wake cycle in people with dementia living in the community...
November 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28825956/management-of-sexual-problems-the-approach-of-mindfulness
#18
Sandra Vilarinho
PURPOSE OF REVIEW: During the last 10 years mindfulness has been progressively integrated into protocols for the management of sexual problems. The purpose of this study is to systematize potential benefits of mindfulness in sexual well-being (considering mind, emotion, and body), and to shortly review current applications and effectiveness of mindfulness-based interventions to the treatment of sexual problems. RECENT FINDINGS: The majority of evidence available focuses on women's sexual desire and arousal problems, although there are also preliminary findings for the effectiveness of mindfulness-based interventions in enhancing other components of the sexual response...
November 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28825955/epidemiology-and-treatment-of-eating-disorders-in-men-and-women-of-middle-and-older-age
#19
Barbara Mangweth-Matzek, Hans W Hoek
PURPOSE OF REVIEW: We summarized recent literature on the epidemiology and treatment of eating disorders in middle-aged and older women and men. RECENT FINDINGS: The prevalence of eating disorders according to DSM-5 criteria is around 3.5% in older (>40 years) women and around 1-2% in older men. The majority of those eating disordered persons are not in treatment. There are new terms like 'perimenopausal eating disorders' and 'muscularity-oriented eating disorders' indicating the impact of the aging process and sex-specific differences...
November 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28825954/the-lifetime-prevalence-of-psychiatric-diagnoses-in-an-academic-gender-reassignment-service
#20
Gerhard P Grobler
PURPOSE OF REVIEW: To review the literature regarding the prevalence of mental health concerns, including psychiatric diagnoses in the TGNC community. RECENT FINDINGS: Gender dysphoria is not the only mental health concern experienced by some members of TGNC people. Stigma and discrimination play a role in the development of mental health concerns. Even after reassignment surgery some members of the TGNC community is almost five times more likely to attempt suicide...
November 2017: Current Opinion in Psychiatry
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