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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/28892405/to-screen-or-not-to-screen-vitamin-d-deficiency-in-chronic-mental-illness
#1
Ivana Goluza, Jay Borchard, Nalin Wijesinghe, Kishan Wijesinghe, Nagesh Pai
OBJECTIVES: The objective of the current study was to examine the pathology test utilisation of 25-hydroxyvitamin D (25(OH)D) within an Australian inpatient psychiatric setting. METHOD: A retrospective audit of 300 random hospital files of those admitted as inpatients between Nov 2014 and Nov 2015 was undertaken. Data was quantitatively analysed and described. RESULTS: The number of inpatients who had a vitamin D determination during their admission was 37/300 (12...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28880109/how-adolescents-perceive-that-community-based-exercise-improves-their-well-being
#2
Kevin Rourke, Coralie J Wilson
OBJECTIVES: To determine if adolescents perceive community-based exercise as beneficial to their well-being and in what ways. METHODS: A New South Wales Police Citizens Youth Club ran a four-week fitness course. The classes involved: 1) sports including basketball and soccer, 2) non-contact boxing drills, and 3) games, both team games such as dodgeball and non-team games such as line tag. Parental consent to offer a survey at the completion of the course was requested during registration...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28879779/supervising-trainees-in-research-what-does-it-take-to-be-a-scholarly-project-supervisor
#3
Gary Cheung, Susan Hatters Friedman, Lillian Ng, Sarah Cullum
OBJECTIVES: Scholarly projects (SPs) are a compulsory component of psychiatry training in Australasia. This article outlines the role of a research supervisor in supporting a trainee to complete an SP. METHODS: A total of 10 old age and forensic psychiatry SPs were reviewed with regard to aims, methodology, supervisor input, trainee tasks and additional resources. RESULTS: The main supervisor tasks are described and discussed. They include practical advice on study design, ethics applications, critical appraisal, data analysis, academic writing and publication...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28879774/book-review-in-two-minds-parker-gordon-in-two-minds-ventura-press-australia-april-2017-304-pp-isbn-9781925384192-price-29-99-pbk
#4
Ann Bell
No abstract text is available yet for this article.
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28875720/psychiatric-advance-directives-in-australian-mental-health-legislation
#5
Calina Ouliaris, Warren Kealy-Bateman
OBJECTIVE: Following the recent widespread reform of mental-health legislation in Australia, psychiatric advance directives (PADs) have now been incorporated in four jurisdictions. We contextualise the potential role for PADs within the Australian legal framework and note their varying introduction across jurisdictions, with a focus on progressive legislation in the Australian Capital Territory (ACT). CONCLUSION: The formal recognition of PADs effectively shifts the trajectory of mental-health law towards a stronger recognition of consumer autonomy, albeit to varying degrees across jurisdictions...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28875719/the-2016-ranzcp-guidelines-for-the-management-of-schizophrenia-and-related-disorders-what-s-next
#6
Assen Jablensky, David J Castle, Frances Dark, Verity Humberstone, Eoin Killackey, Jayashri Kulkarni, Patrick McGorry, Vera A Morgan, Olav Nielssen, Nga Tran, Cherrie Galletly
OBJECTIVES: The recently published RANZCP guidelines for schizophrenia and related disorders reviewed recent scientific evidence, and, where lacking, referred to clinical expertise to supply a template for raising the standard of care. This paper builds on the guidelines and recommends how they might be used to improve outcomes. METHODS: The guidelines call for evidence-based mental health policies, inclusive of mobilising affected families, communities and the public in support of policies that ensure better care and protect the wellbeing of people with severe mental disorders...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28869391/expanding-collaborative-care-integrating-the-role-of-dietitians-and-nutrition-interventions-in-services-for-people-with-mental-illness
#7
Scott B Teasdale, Geogina Latimer, Annette Byron, Vanessa Schuldt, Josephine Pizzinga, Janice Plain, Kerryn Buttenshaw, Adrienne Forsyth, Elizabeth Parker, Nerissa Soh
OBJECTIVE: This article aims to draw mental health clinicians' attention to the connections between nutrition and mental health, and the roles that Accredited Practising Dietitians play in improving mental and physical health through dietary change. METHODS: Selective narrative review. RESULTS: Unhealthy dietary practices are common in high prevalence and severe mental illness. Epidemiological evidence demonstrates that nutrients and dietary patterns impact on mental health...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28868905/hope-recovery-and-symptoms-the-importance-of-hope-for-people-living-with-severe-mental-illness
#8
Laura Hayes, Helen Herrman, David Castle, Carol Harvey
OBJECTIVES: Hope is an important part of recovery from severe mental illness. Our aim was to assess hope and its correlation with symptoms in people living with severe mental illness. METHODS: We used validated questionnaires to assess hope, social isolation, quality of life and symptoms among 60 people living with severe mental illness. RESULTS: Hope scores were significantly lower than those reported for many community groups. There was a negative association between psychiatric symptoms and levels of hope...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28868891/anticholinergic-burden-in-older-inpatients-on-psychotropic-medication-do-we-care
#9
Mei Shiang Lee, Steve Kisely, Boris Zolotarev, Andrew Warren, Jack Henderson, Manoj George
OBJECTIVES: This quality activity explored the prescribing patterns in an Older Persons Mental Health Inpatient Unit in order to establish whether the Anticholinergic Cognitive Burden Scale (ACB Scale) score on admission was reviewed to minimise anticholinergic cognitive burden (ACB) while maintaining therapeutic effects. METHODS: A retrospective electronic chart review of 50 discharged patients for any documented ACB review by the treating team, as well as the ACB Scale scores on admission and discharge...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28856918/original-opinion-the-use-of-bloom-s-taxonomy-to-teach-and-assess-the-skill-of-the-psychiatric-formulation-during-vocational-training
#10
Wayne A de Beer
OBJECTIVES: This paper proposes the use of the cognitive domain of Bloom's Taxonomy, an educational classification system, to guide the critical thinking required for the composition of the psychiatric formulation during the various stages of specialist training. CONCLUSIONS: Bloom's Taxonomy offers a hierarchical, structured approach to clinical reasoning. Use of this method can assist supervisors and trainees to understand better the concepts of and offer a developmental approach to critical reasoning...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28856917/misrepresenting-community-treatment-orders
#11
John Little
OBJECTIVES: To explore a contradiction between evidence suggesting community treatment order (CTO) ineffectiveness and clinical experience. CONCLUSIONS: The literature pertaining to CTOs actually provides an evidence base for both positions. The headline that three randomised controlled trials and subsequent meta-analyses fail to demonstrate significant differences between groups reflects selection bias. A case may still be made for CTOs.
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28856916/the-making-of-mind
#12
Russell Meares
Objectives The ordinary, ongoing sense of personal existing, variously called higher order consciousness, mind, or self, is disintegrated, constricted and distorted in those who have suffered repetitive psychological traumata. Their speech has the form of a 'chronicle', literal and asymbolic. This paper offers a condensed rationale for a relational approach to this, so far, neglected problem. CONCLUSIONS: A restorative and generative kind of relatedness is 'natural', the propensity for it being given to us by our biological heritage...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28856903/game-based-interventions-and-their-impact-on-dementia-a-narrative-review
#13
Jiaying Zheng, Xueping Chen, Ping Yu
OBJECTIVE: The aim of this review was to examine the efficacy of game-based interventions for people with dementia. METHODS: Seven studies that met the inclusion criteria were found in four databases. Their interventions and key findings were analysed and synthesised. RESULTS: Game-based interventions for people with dementia are showing promise for improving cognition, coordination and behavioural and psychological symptoms. The generalisability of the findings is limited by weak methodology and small sample size...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28856899/building-a-bridge-a-case-report-on-communicating-mental-health-diagnoses-to-patients-of-a-culturally-and-linguistically-diverse-background
#14
Rony Kayrouz, Christine Irene Senediak, Roy Laube
OBJECTIVE: This paper is based on a case report, describing a protocol to help practitioners communicate mental-health diagnosis to patients from culturally and linguistically diverse (CALD) backgrounds. The protocol was presented by integrating the DSM-5 Cultural Formulation Interview (CFI) and the SPIKES protocol for communicating the diagnosis of cancer, yielding a modified CFI-SPIKES protocol (i.e. S, Support; P, Perception using CFI; I, Invitation; K, Knowledge; E, Emotions). The protocol was demonstrated using a case report with a patient of a Middle-Eastern background experiencing generalised anxiety disorder...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28836828/navigating-the-social-synapse-the-neurobiology-of-bedside-manner
#15
Sophia Parnas, Sophie Isobel
OBJECTIVES: This paper seeks to explore the application of neurobiology to further understanding the importance of developing, refining and modelling good bedside manner in psychiatry. The concept of a social synapse is used as a framework to understand the impact of verbal and non-verbal information that crosses between two attuned individuals. Research shows that widely distributed cortical and subcortical networks are involved in processing of social information and the perception of safety...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28836826/amelioration-of-mild-and-moderate-depression-through-pranic-healing-as-adjuvant-therapy-randomised-double-blind-controlled-trial
#16
R Rajagopal, Srikanth N Jois, Sumanth Mallikarjuna Majgi, M N Anil Kumar, H B Shashidhar
OBJECTIVES: Depression is a mental disorder, affecting the quality of life. Our study explores the efficacy of Pranic Healing (PH), as an adjuvant therapy in treating depression Methods: In this randomised double-blind controlled trial, 52 participants with a mean age of 34.4 years, with mild to moderate depression were assessed using the Hamilton Depression Rating (HAM-D) scale during the 5-week study. Both Medication + PH (MedPH) and Medication + Mock PH (MedMockPH) groups comprising 26 members received Pranic and mock healing lasting 20 minutes per session respectively once a week for 4 weeks, along with the antidepressant drug...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28836822/a-review-of-ecg-and-qt-interval-measurement-use-in-a-public-psychiatric-inpatient-setting
#17
Ingrid Berling, Rahul Gupta, Cecilia Bjorksten, Felicity Prior, Ian M Whyte, Sherman Berry
OBJECTIVES: There is an increased rate of sudden cardiac death (SCD) in mental health patients. Some antipsychotic medications are known to prolong the QT interval, thus increasing a patient's risk of SCD via the arrhythmia, torsades de pointes (TdP). Our aim was to evaluate assessment for QT prolongation within a public inpatient mental health facility by auditing electrocardiograph (ECG) use. METHODS: We reviewed records of all mental health inpatient admissions to a public emergency mental health inpatient unit between 1 January 2016 and 11 February 2016...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28836819/an-audit-of-patient-aggression-in-an-adult-psychiatric-unit-2013-2014
#18
Claire Ewing, Andrea Phillipou, David Castle
OBJECTIVES: The aim of this study was to determine the rates of patient aggression in a psychiatric unit over 12 months and to determine underlying causes, notably the role of substances. METHODS: A retrospective file audit was undertaken of all patients admitted to St Vincent's psychiatric unit (Melbourne, Australia) in the first half of 2013 and 2014 involved in an aggressive incident. Patient information included demographics, psychiatric, substance and aggression history...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28836814/-not-quite-out-of-the-woods-potential-for-misdiagnosis-of-delayed-neurologic-syndrome-of-carbon-monoxide-poisoning-as-relapse-of-mental-illness
#19
Samir Bhagwat, George Bruxner
OBJECTIVE: The aim of this paper is to provide an overview of the delayed neurologic syndrome of carbon monoxide poisoning and its clinical importance in psychiatric settings. METHOD: A brief review of carbon monoxide poisoning is presented with a focus on the delayed neurologic syndrome and a case of deliberate self- poisoning is described. RESULTS: As in the case described, the delayed manifestations of carbon monoxide poisoning can resemble a relapse of psychiatric illness...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28836813/the-trip-of-a-lifetime-hallucinogen-persisting-perceptual-disorder
#20
Lauren Anderson, Hannah Lake, Mark Walterfang
OBJECTIVES: The differential diagnosis of psychotic symptoms is broad and extends beyond primary psychotic and affective disorders. We aim to illustrate that the chronology and phenomenological nature of hallucinatory symptoms may provide clues towards alternative diagnoses, such as hallucinogen persisting perceptual disorder (HPPD). We describe the resurgence of visual pseudo-hallucinations in a young woman in the context of previous substance-induced hallucinatory symptoms and a prior diagnosis of occipital lobe epilepsy...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
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