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Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists

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https://www.readbyqxmd.com/read/30226106/a-pilot-study-examining-the-profile-of-older-people-on-clozapine
#1
Jen Benbow, Anne Pf Wand, Brett Simpson
OBJECTIVE: The primary aim was to comprehensively describe the characteristics of a cohort of older people taking clozapine. METHOD: Participants aged ⩾ 60 had a geriatric assessment including full medical, medication and social history. Standardized screening tools for cognition, function, comorbidity and antipsychotic side effects were administered and descriptive statistics utilized. RESULTS: Thirteen patients were eligible to participate and 10 were assessed...
September 18, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30226105/do-police-mental-health-co-responder-programmes-reduce-emergency-department-presentations-or-simply-delay-the-inevitable
#2
Tom Meehan, Janet Brack, Yolanda Mansfield, Terry Stedman
OBJECTIVE: The aim of this study was to assess the outcomes for people following intervention by a police-mental health co-responder team. METHOD: Individuals seen by the co-responder team were followed for 2 weeks to monitor subsequent emergency department presentations and inpatient admissions. RESULTS: Of the 122 people who had direct contact with the co-responder team, 82 (67.2%) remained at their residence, 35 (28.7%) were transported to the emergency department (ED) and 5 (4...
September 18, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30226104/obtaining-consent-for-non-psychiatric-treatment-of-persons-detained-under-mental-health-legislation-in-australia-and-new-zealand-is-there-cross-jurisdictional-consistency
#3
Tessa Daws
OBJECTIVE: It is increasingly recognised that persons with mental illness experience physical health issues at greater rates than the general population and that there are significant barriers to accessing appropriate treatment. One less obvious barrier to appropriate care may be the law. This review examines the legal regimes within Australia and New Zealand that regulate consent for medical and surgical treatment for persons detained under mental health legislation. The review begins with a brief overview of concepts of consent and capacity then examines the law with regards to consent for non-psychiatric treatment for persons detained in psychiatric facilities...
September 18, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30226103/deciphering-the-paradoxical-incidence-of-cancer-in-schizophrenia
#4
Pooja Patnaik Kuppili, Naresh Nebhinani
OBJECTIVES: The incidence of cancer in schizophrenia has been an area of controversy. The current article aims to provide a commentary outlining the contradictory findings of incidence of cancer in schizophrenia as well as discuss the available theories linking cancer with schizophrenia and address the methodological issues of the studies which could lead to the discrepant findings. METHOD: A literature search was carried out primarily using the electronic database of MEDLINE through PubMed using the search terms 'cancer' and 'schizophrenia'...
September 18, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30226078/an-exploration-of-self-compassion-and-self-criticism-in-the-context-of-personal-recovery-from-borderline-personality-disorder
#5
Fiona Donald, Katherine A Lawrence, Jillian H Broadbear, Sathya Rao
OBJECTIVES: A lack of compassion for oneself, or harsh self-criticism, is associated with a range of psychiatric disorders including borderline personality disorder (BPD). Personal recovery in the context of a mental illness such as BPD involves building a life that is subjectively meaningful and satisfying. Limited self-compassion or harsh self-criticism may be an impediment to recovery from BPD. The association between self-compassion and recovery and self- criticism and recovery were examined...
September 18, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30198320/improvement-of-late-life-depression-after-therapeutic-enoxaparin-two-case-reports
#6
David Graham, Qi Xuan Wu, Ian Gilligan, Raiz Ismail, Mark Walker
OBJECTIVE: Late life depression (LLD) may have a significant vascular component. While this organic basis remains controversial it would explain the refractory nature of LLD. Moreover, depression is a risk factor for venous thrombus embolism (VTE). This paper aims to describe two elderly patients with LLD who developed and were treated for pulmonary embolism (PE). METHODS: Two cases of elderly patients who developed PE while they were undergoing inpatient treatment for depression are presented...
September 10, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30198305/milnacipran-serotonin-noradrenaline-reuptake-inhibitor-approved-for-fibromyalgia-may-be-a-useful-antidepressant
#7
Nicholas A Keks, Judy Hope, Simone Keogh, David L Copolov
OBJECTIVE: Milnacipran is a serotonin noradrenaline reuptake inhibitor (SNRI) approved for treatment of fibromyalgia in Australia, but is used for depression in Europe and elsewhere. This paper will briefly review milnacipran and its utility in psychiatry for the treatment of depression. CONCLUSION: Milnacipran is a dual reuptake inhibitor of noradrenaline and serotonin, with greater effect on noradrenaline than serotonin, in contrast to the related drugs venlafaxine, desvenlafaxine and duloxetine...
September 10, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30182740/mixed-states-in-bipolar-disorder-modelling-measuring-and-managing
#8
Gordon Parker, Tahlia Ricciardi
OBJECTIVE: To consider whether consensus exists in recommendations for managing bipolar mixed states published in recent reviews and treatment guidelines, and to summarise what might be their best management. CONCLUSION: Limitations to and changes in the definition of mixed states compromise diagnosis and management. The striking comparison between DSM-IV and DSM-5 criteria sets risks under-diagnosis and over-diagnosis. Current reviews and guidelines offer limited evidence to guide treatment; however, management should involve addressing the contribution of any antidepressant medication, and the introduction of a second-generation antipsychotic medication to stabilise the condition...
September 5, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30113878/do-emotional-responses-to-food-images-differ-within-different-types-of-eating-disorders
#9
Nasim Foroughi, Sloane Madden, Simon Clarke, Michael Kohn, Brooke Donnelly, Stephen Touyz, Phillipa Hay
OBJECTIVES: To investigate emotional responses to food images in women with eating disorders (EDs) and healthy controls (HCs); and in underweight individuals post weight-restoration. METHODS: Women (>14 years) with ( n = 139) and without ( n = 41) an ED rated food images evoking fear, disgust and happiness on a three-visual-analogue scale. Underweight participants viewed the images at two time-points; pre- and post-weight-restoration. RESULTS: HCs were significantly happier, less fearful/anxious prior to viewing the images compared with EDs...
August 16, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30113869/the-association-between-post-traumatic-stress-disorder-and-coronary-artery-disease-a-meta-analysis
#10
Wole Akosile, David Colquhoun, Ross Young, Bruce Lawford, Joanne Voisey
OBJECTIVES: There are some psychosocial factors that have similar importance to biological factors in the genesis of coronary diseases. However, reasons for high rates of coronary heart disease in individuals with post-traumatic stress disorder (PTSD) are yet to be fully elucidated. Using a meta-analysis, we investigated the longitudinal relationship between PTSD and coronary heart disease (CHD) as an independent factor in the aetiology of CHD. METHODS: The databases of Medline, EBSCOhost and Psychoinfo were electronically searched for relevant articles...
August 16, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30058364/revising-the-royal-australian-and-new-zealand-college-of-psychiatrists-code-of-ethics
#11
Sidney Bloch, Felicity Kenn, Geoffrey Smith
OBJECTIVES: To describe the process adopted by the Committee for Professional Practice (CPP) of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) in devising the 5th edition of its code of ethics and to outline principal changes. METHODS: CPP members planned, scrutinised and documented the steps taken in preparing the new edition. RESULTS: The process, following that used in all previous updates of the code and which had proved effective and productive on each occasion, comprised consultations with RANZCP committees and relevant external stakeholders...
July 30, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30058355/a-comparison-of-the-reported-use-of-involuntary-treatment-orders-within-australian-jurisdictions
#12
Bobbie Clugston, Amy Young, Edward B Heffernan
OBJECTIVE: This paper identifies publicly available data about the use of involuntary treatment orders within Australia and considers whether this reporting is sufficient given the gravity of the intervention. METHOD: A search of mental health tribunal, health department and justice department annual reports was conducted to determine the use of involuntary treatment orders in Australia. RESULTS: Reporting of involuntary treatment orders varied significantly across jurisdictions; for example, South Australia reported 11,570 distinct orders made during a 12-month period while the Australian Capital Territory reported 627 for the same period...
July 30, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30058351/a-comparison-of-indigenous-and-non-indigenous-users-of-mindspot-an-australian-digital-mental-health-service
#13
Nickolai Titov, Carlie Schofield, Lauren Staples, Blake F Dear, Olav Nielssen
OBJECTIVE: To report on Aboriginal and Torres Strait Islander (Indigenous) users of MindSpot, a national service for the remote assessment and treatment of anxiety and depression. METHODS: The characteristics and treatment outcomes of Indigenous patients who registered with MindSpot between January 2015 and December 2016, were compared with non-Indigenous users. Changes in psychological distress, depression and anxiety were measured using the Kessler 10-Item (K-10), Patient Health Questionnaire 9-Item (PHQ-9), and Generalised Anxiety Disorder Scale 7-Item (GAD-7), respectively...
July 30, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30058350/be-like-water-a-personal-strategy-for-clinical-psychiatric-research
#14
Jeffrey Cl Looi
OBJECTIVES: This paper describes, from the personal perspective of a mid-career researcher, principles and advice regarding the development of an embedded clinical psychiatric research program within a medical school and public sector mental health service. From this experience, some general principles are drawn. CONCLUSIONS: Through careful strategic planning, together with collaboration with the mental health service, it is possible to bootstrap and develop an embedded clinical research program...
July 30, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30047801/early-australian-experience-in-the-maintenance-of-schizophrenia-management-with-3-monthly-paliperidone-palmitate
#15
Nagesh Pai, Matthew Warden
OBJECTIVES: Real-world experience from a 6-month product familiarization programme (PFP) for 3-monthly paliperidone palmitate in schizophrenia maintenance treatment. METHODS: Prescribers completed an online questionnaire for each patient at enrolment with further questions at second dose (re-supply) stage and a second survey of their overall experience at the end. RESULTS: Ninety-four patients were enrolled and received a first dose and 23 received a second dose within the 6-month programme; 51...
July 26, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30047793/exploring-australian-psychiatrists-and-psychiatric-trainees-knowledge-attitudes-and-preparedness-in-responding-to-adults-experiencing-domestic-violence
#16
Kirsty Forsdike, Manjula O'Connor, David Castle, Kelsey Hegarty
OBJECTIVE: Examine knowledge, opinions and practices of psychiatrists and trainees in responding to domestic violence (DV). METHOD: Online survey including two sub-scales from PREMIS (Physician Readiness to Manage Intimate Partner Violence Survey): knowledge (10 items) and preparedness (10 items). RESULTS: Of psychiatrists completing the survey (216), 47% had received less than 2 hours of training in DV. PREMIS findings showed moderate knowledge of, and preparedness to deal with, DV...
July 26, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30047780/case-formulation-using-pattern-based-formulation-pbf-methodology-clinical-case-4
#17
Irosh Fernando, Lisa Lampe
OBJECTIVES: To provide a further example of the utility of the pattern-based model in formulation, and to introduce some further patterns. METHODS: A case study was carried out using the Pattern-based Formulation (PBF). RESULTS: Based on the case of a patient with a past history of trauma who developed late onset somatic symptoms, post-traumatic stress disorder and major depression, the PBF approach enabled development of a comprehensive formulation to explain the patient's current presentation...
July 26, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30009620/a-model-for-the-provision-of-integrated-perinatal-and-infant-mental-health-services-in-regional-settings
#18
Vivian Wing Woon Lee, Louise Kathryn Newman
OBJECTIVE: This paper aims to describe current approaches in Victoria to the development of perinatal and infant mental health services in regional areas. METHOD: The paper outlines the significance of perinatal mental disorder for maternal wellbeing and impact on infant development, and describes the model of care at the Agnes Unit. RESULTS: The Agnes Unit has been established as a residential therapeutic unit offering short-term treatment that focusses on promoting parental mental health, parenting sensitivity and the parent-infant relationship...
July 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30129802/being-the-best-you-can-be
#19
Kym Jenkins
No abstract text is available yet for this article.
August 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/30129801/neuropsychiatry-reclaiming-organic-illness-for-psychiatry
#20
Andrew Amos
No abstract text is available yet for this article.
August 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
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