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Harvard Review of Psychiatry

Margaret Spottswood, Dimitry S Davydow, Hsiang Huang
OBJECTIVE: Determine the prevalence of clinician-diagnosed PTSD and questionnaire-ascertained PTSD symptoms in primary care patients. METHODS: A systematic review of the literature using the PRISMA method, searching MEDLINE, CINAHL, Cochrane Database, PsycINFO, EMBASE, Google Scholar, and relevant book chapter bibliographies. Studies that reported on the prevalence, including point or lifetime prevalence, of PTSD ascertained using diagnostic interviews or self-report questionnaires, or from administrative data, among patients seen in primary care were deemed eligible for inclusion...
May 26, 2017: Harvard Review of Psychiatry
Shih Yee-Marie Tan Gipson, John Torous, Eleni Maneta
No abstract text is available yet for this article.
May 19, 2017: Harvard Review of Psychiatry
Carl E Fisher, Paul S Appelbaum
Electronic communications are an increasingly important part of people's lives, and much information is accessible through such means. Anecdotal clinical reports indicate that mental health professionals are beginning to use information from their patients' electronic activities in treatment and that their data-gathering practices have gone far beyond simply searching for patients online. Both academic and private sector researchers are developing mental health applications to collect patient information for clinical purposes...
May 12, 2017: Harvard Review of Psychiatry
Parul Chandra, Kasia Kozlowska, Catherine Cruz, Gaston C Baslet, David L Perez, M Elena Garralda
No abstract text is available yet for this article.
May 4, 2017: Harvard Review of Psychiatry
Justin A Chen, Nicholas Kontos, Scott N Wilson
No abstract text is available yet for this article.
April 22, 2017: Harvard Review of Psychiatry
Jessica Abrams, Sarah Sossong, Lee H Schwamm, Lauren Barsanti, Michael Carter, Naomi Kling, Meghan Kotarski, Jaclyn Leddy, Benjamin Meller, Marcy Simoni, Michael Sullivan, Janet Wozniak
BACKGROUND: In the age of online communication, psychiatric care can now be provided via videoconferencing technologies. While virtual visits as a part of telepsychiatry and telemental health provide a highly efficient and beneficial modality of care, the implementation of virtual visits requires attention to quality and safety issues. As practitioners continue to utilize this technology, issues of clinician licensing, treatment outcomes of virtual visits versus in-person visits, and cost offset require ongoing study...
May 2017: Harvard Review of Psychiatry
Dawn E Sugarman, Aimee N C Campbell, Brittany R Iles, Shelly F Greenfield
Among individuals with substance use disorders (SUDs), comorbidity with other psychiatric disorders is common and often noted as the rule rather than the exception. Standard care that provides integrated treatment for comorbid diagnoses simultaneously has been shown to be effective. Technology-based interventions (TBIs) have the potential to provide a cost-effective platform for, and greater accessibility to, integrated treatments. For the purposes of this review, we defined TBIs as interventions in which the primary targeted aim was delivered by automated computer, Internet, or mobile system with minimal to no live therapist involvement...
May 2017: Harvard Review of Psychiatry
Christian A Webb, Isabelle M Rosso, Scott L Rauch
The World Health Organization estimates that during a given 12-month period, approximately 34 million people suffering from major depressive disorder go untreated in Europe and the Americas alone. Barriers to treatment include geographic distance, lack of mental health insurance, prohibitive cost of treatment, long wait-lists, and perceived stigma. Over the past two decades, Internet-based cognitive-behavioral therapy (iCBT) programs have proliferated. A growing body of research supports the efficacy of iCBT for depression and other psychiatric conditions, and these programs may help address barriers that hinder access to effective treatment...
May 2017: Harvard Review of Psychiatry
Jessica L Maples-Keller, Brian E Bunnell, Sae-Jin Kim, Barbara O Rothbaum
After participating in this activity, learners should be better able to:• Evaluate the literature regarding the effectiveness of incorporating virtual reality (VR) in the treatment of psychiatric disorders• Assess the use of exposure-based intervention for anxiety disorders ABSTRACT: Virtual reality (VR) allows users to experience a sense of presence in a computer-generated, three-dimensional environment. Sensory information is delivered through a head-mounted display and specialized interface devices. These devices track head movements so that the movements and images change in a natural way with head motion, allowing for a sense of immersion...
May 2017: Harvard Review of Psychiatry
Dawn E Sugarman, Scott L Rauch, Isabelle M Rosso
No abstract text is available yet for this article.
May 2017: Harvard Review of Psychiatry
Shelly F Greenfield, Roger D Weiss
No abstract text is available yet for this article.
May 2017: Harvard Review of Psychiatry
John Torous, Joseph Firth, Nora Mueller, J P Onnela, Justin T Baker
The increasing prevalence of mobile devices among patients of all demographic groups has the potential to transform the ways we diagnose, monitor, treat, and study mental illness. As new tools and technologies emerge, clinicians and researchers are confronted with an increasing array of options both for clinical assessment, through digital capture of the essential behavioral elements of a condition, and for intervention, through formalized treatments, coaching, and other technology-assisted means of patient communication...
May 2017: Harvard Review of Psychiatry
Pablo Patricio Zarate-Garza, Bridget K Biggs, Paul Croarkin, Brooke Morath, Jarrod Leffler, Alfredo Cuellar-Barboza, Susannah J Tye
Once dismissed as an innocuous experience of childhood, bullying is now recognized as having significant psychological effects, particularly with chronic exposure. Victims of bullying are at risk for a number of psychiatric disturbances, and growing evidence suggests that the pathophysiological effects of bullying, as with other forms of trauma and chronic stress, create additional health risks. We review the literature on the known sequelae of bullying, including psychiatric and physiological health effects, with a focus on implications for the victim...
March 2017: Harvard Review of Psychiatry
Robyn Thom, Polina Teslyar, Alana Kirby, Tamara Fong, Rohn Friedman, Roscoe Brady, Kerry Bloomingdale
No abstract text is available yet for this article.
March 2017: Harvard Review of Psychiatry
Rafael Ferreira-Garcia, Marina Mochcovitch, Mariana Costa do Cabo, Antonio Egídio Nardi, Rafael Christophe Freire
BACKGROUND: Pharmacotherapy for generalized anxiety disorder (GAD) may be effective in reducing symptoms in the majority of patients. The study of moderators and predictors of treatment response may help clinicians both to select appropriate interventions to maximize the probability of response and to inform the general prognosis. METHODS: A systematic literature search of electronic databases, selected authors, and reference lists was used to identify articles that reported trials of drug monotherapy in GAD...
March 2017: Harvard Review of Psychiatry
Pieter-Jan Carpentier, Frances R Levin
LEARNING OBJECTIVES: After participating in this activity, learners should be better able to:• Evaluate pharmacologic treatment of attention deficit/hyperactivity disorder (ADHD) in patients with substance use disorder (SUD) • Assess the causes of the diminished efficacy of ADHD medication in patients with comorbid SUD OBJECTIVE: Substance use disorder (SUD) and attention-deficit/hyperactivity disorder (ADHD) frequently co-occur, and the presence of ADHD complicates the treatment of the addiction...
March 2017: Harvard Review of Psychiatry
Kerry J Ressler
No abstract text is available yet for this article.
March 2017: Harvard Review of Psychiatry
Osarumen Nicole Doghor, Florina Haimovici, Donna Mathias, Deborah Knudson-Gonzalez, Cathryn Freid
No abstract text is available yet for this article.
January 2017: Harvard Review of Psychiatry
Anna Cavanagh, Coralie J Wilson, David J Kavanagh, Peter Caputi
OBJECTIVE: While some studies suggest that men and women report different symptoms associated with depression, no published systematic review or meta-analysis has analyzed the relevant research literature. This article aims to review the evidence of gender differences in symptoms associated with depression. METHODS: PubMed, Cochrane, and PsycINFO databases, along with further identified references lists, were searched. Thirty-two studies met the inclusion criteria...
January 2017: Harvard Review of Psychiatry
Shuntaro Ando, Hitoshi Kuwabara, Tsuyoshi Araki, Akiko Kanehara, Shintaro Tanaka, Ryo Morishima, Shinsuke Kondo, Kiyoto Kasai
INTRODUCTION: On March 11, 2011, the Great East Japan Earthquake caused a tsunami and led to the collapse of the Fukushima-Daiichi Nuclear Power Plant, thus severely damaging the surrounding area. METHODS: A systematic review was conducted in March 2015 with the following objectives: (1) to clarify the type, severity, and prevalence of mental health problems in the areas affected by the disaster, (2) to investigate trends in mental health problems over time, (3) to reveal demographic and socio-environmental characteristics associated with the post-disaster risk for developing mental health problems, and (4) to examine the impact of this natural disaster on the mental health of people in Fukushima...
January 2017: Harvard Review of Psychiatry
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