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International Journal of Psychiatry in Clinical Practice

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https://www.readbyqxmd.com/read/27868463/postural-changes-in-different-stages-of-schizophrenia-is-associated-with-inflammation-and-pain-a-cross-sectional-observational-study
#1
Viviane Batista Cristiano, Michele Fonseca Vieira Szortyka, Maria Inês Lobato, Keila Maria Ceresér, Paulo Belmonte-de-Abreu
OBJECTIVES: To assess the relationship between posture and inflammatory response markers (C-reactive protein [CRP] and von Willebrand factor [vWF]) in schizophrenics. METHODS: Forty patients with stable schizophrenia were divided into early-stage (<10 years since first episode, n = 15) and late-stage (≥10 years since first episode, n = 25) groups. Both groups were compared to controls (n = 26). All participants underwent postural assessment by biophotogrammetry...
November 21, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27854563/past-suicidal-ideation-as-an-independent-risk-factor-for-suicide-behaviours-in-patients-with-depression
#2
Eun-Hee Park, Narei Hong, Duk-In Jon, Hyun Ju Hong, Myung Hun Jung
OBJECTIVES: As South Korea has the highest incidence of completed suicides, the present study aimed to investigate the predictive power of the variables that have been associated with suicide attempts in Korean patients diagnosed with depression. METHODS: Hundred participants were divided into two groups: suicide attempters (31%) and suicide non-attempters (69%). Participants with a history of more than one suicidal attempt were assigned to the suicide attempter group...
November 17, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27854557/history-of-lifetime-suicide-attempt-in-bipolar-i-disorder-its-correlates-and-effect-on-illness-course
#3
Shivanand Kattimani, Karthick Subramanian, Siddharth Sarkar, Ravi Philip Rajkumar, Shanmuganathan Balasubramanian
OBJECTIVES: To identify the prevalence and correlates of bipolar I patients with a lifetime history of suicide attempt. MATERIALS AND METHODS: Bipolar I disorder was diagnosed in 150 patients as per DSM-IV-TR criteria. Their lifetime suicide risk was assessed using the Columbia Suicide Severity Rating Scale. NIMH retrospective Life Chart Methodology was used to chart the illness course. Medication Adherence Rating Scale (MARS) and Pittsburgh Sleep Quality Index (PSQI) were used to assess the recent adherence and subjective sleep quality, respectively...
November 17, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27848269/evidence-based-pharmacotherapy-of-treatment-resistant-unipolar-depression
#4
Markus Dold, Siegfried Kasper
Treatment resistance to the antidepressive pharmacotherapy represents one of the most important clinical challenges in the pharmacological management of unipolar depression. In this review, we aimed to summarise the evidence for various pharmacological treatment options in therapy-resistant unipolar depression derived from clinical trials, systematic reviews, meta-analyses and treatment guidelines. The first measure in case of insufficient response to the initial antidepressant monotherapy contains the debarment of 'pseudo-resistance', potentially caused by inadequate dose and treatment duration of the antidepressant, insufficient plasma levels, non-compliance of the patient regarding medication intake or relevant psychiatric and/or somatic comorbidities...
November 16, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27809644/clinical-features-associated-with-increased-severity-of-illness-in-tertiary-clinic-referred-patients-with-obsessive-compulsive-disorder
#5
Bernardo Dell'Osso, Beatrice Benatti, Eric Hollander, A Carlo Altamura
OBJECTIVE: Obsessive-compulsive disorder (OCD) is a prevalent and disabling condition. Specific patterns of psychiatric comorbidity, early age at onset, long duration of illness (DI) and untreated illness (DUI) have been associated with poor outcome in OCD. The present study was aimed to explore sociodemographic and clinical characteristics associated with increased severity of illness in a sample of OCD patients. METHODS: A total of 124 OCD outpatients were recruited and divided into two groups on the basis of their severity of illness, as assessed through the Yale-Brown Obsessive Compulsive Scale (>24)...
November 4, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27780381/factors-associated-with-and-impact-of-pain-persistence-in-asian-patients-with-depression-a-3-month-prospective-observational-study
#6
Diego Novick, William Montgomery, Jaume Aguado, Xiaomei Peng, Josep Maria Haro
OBJECTIVE: We investigated the depression outcomes and the factors associated with pain persistence in Asian patients treated for major depressive disorder (MDD). METHODS: This observational study enrolled 909 Asian adult inpatients and outpatients. The presence or absence of painful physical symptoms and severity of depression were assessed at baseline and after three months of treatment. Factors associated with pain persistence and outcome of depression were investigated using regression methods...
October 26, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27686282/electrocardiographic-surveillance-in-a-psychiatric-institution-avoiding-iatrogenic-cardiovascular-death
#7
Cristobal Manuel Rodríguez-Leal, Elena López-Lunar, Jose Manuel Carrascosa-Bernáldez, Rosa Maria Provencio-Arranz
OBJECTIVE: To describe a new initiative developed to optimise patient safety in a mental health setting in order to prevent serious cardiac events. MATERIALS AND METHODS: A longitudinal study of all in-patients admitted at the hospital, comprised of 197 beds distributed among three units, was conducted for 12 months. All admitted patients at the hospital underwent electrocardiogram surveillance, as it was described in our new local guideline for sudden cardiac death prevention...
September 30, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27686183/reducing-transfers-of-psychiatric-inpatients-to-emergency-rooms-of-general-hospitals-in-singapore-a-clinical-practice-improvement-project
#8
Tchern Kuang Lambert Low, Kai Hong Tay, Tina Fang, Daniel Shuen Sheng Fung
OBJECTIVE: Patients admitted to a psychiatric hospital commonly suffer from comorbid medical problems which sometimes require urgent medical attention. Twenty-two percent of emergency medical transfers from the Institute of Mental Health (IMH) to the emergency rooms of general hospitals were preventable and could be managed at IMH itself. We undertook a quality improvement project to understand the reasons behind such preventable referrals and implemented changes to address this. METHODS: Using the model for improvement, we deconstructed our processes and analysed root causes for such preventable referrals...
September 30, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27669762/pharmacological-treatment-of-borderline-personality-disorder-a-retrospective-observational-study-at-inpatient-unit-in-italy
#9
Enrico Paolini, Francesca Alice Fiore Mezzetti, Francesca Pierri, Patrizia Moretti
OBJECTIVE: Borderline personality disorder (BPD) is a high prevalence personality disorder. Pharmacotherapy is commonly used, however, a minority of studies investigated patterns of prescription for BPD, particularly in inpatients unit. We aimed to describe the clinical features and the prescribing practice for BPD patients, and to investigate the possible advantages of a single class of medications or of combined drug treatments in terms of length of stay in hospital. METHODS: This is a retrospective observational study evaluating 109 BPD inpatients from June 2011 to June 2013...
September 27, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27669573/premenstrual-syndrome-health-related-quality-of-life-and-psychiatric-comorbidity-in-a-clinical-adolescent-sample-a-cross-sectional-study
#10
Pınar Uran, Esra Yürümez, Ayla Aysev, Birim Günay Kılıç
OBJECTIVE: Adolescents who were admitted to the child and adolescent psychiatry clinic were compared with respect to the premenstrual symptom severity, psychiatric comorbidities and health related quality of life (HRQoL). METHODS: The research group was identified using the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version and Premenstrual Assessment Form. They completed the Pediatric Quality of Life Inventory (The PedsQL)...
September 27, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27646489/bipolar-disorder-comorbidity-in-patients-with-a-primary-diagnosis-of-ocd
#11
Gayatri Saraf, Imon Paul, Biju Viswanath, Janardhanan C Narayanaswamy, Suresh Bada Math, Y C Janardhan Reddy
OBJECTIVE: Bipolar disorder (BD) is considered to be a common comorbid condition in subjects with obsessive-compulsive disorder (OCD), but there is limited literature on the prevalence of BD and its clinical correlates in those with a primary diagnosis of OCD. METHODS: We studied the prevalence of BD in a sample of consecutively registered outpatients attending a specialty OCD clinic in India over a period of 13 months. One hundred and seventy-one patients with a primary diagnosis of OCD were assessed systematically using structured and semi-structured instruments...
September 20, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27646309/predictors-of-short-term-outcome-variables-in-hospitalised-female-adolescents-with-eating-disorders
#12
Ehud Mekori, Liron Halevy, Shimrit Ilana Ziv, Ayelet Moreno, Adi Enoch-Levy, Abraham Weizman, Daniel Stein
OBJECTIVE: Research in eating disorders (EDs) suggests that outcome variables other than that of the ED per se, such as the presence of comorbid disorders and overall functioning at follow-up, may influence the ED condition at that time. We sought to assess the factors potentially predicting these different outcome variables. METHODS: Eighty-eight female adolescent in-patients with an ED were assessed on admission, discharge, and around one-year post-discharge using clinical interviews and self-rating questionnaires assessing ED and other relevant symptoms...
September 20, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27629160/aripiprazole-augmentation-in-highly-treatment-resistant-obsessive-compulsive-disorder-experience-from-a-specialty-clinic-in-india
#13
Aditya Hegde, Bangalore G Kalyani, Shyam Sundar Arumugham, Janardhanan C Narayanaswamy, Suresh Bada Math, Y C Janardhan Reddy
OBJECTIVE: To study the effectiveness and tolerability of aripiprazole augmentation in patients with highly treatment-resistant obsessive-compulsive disorder (OCD) in a real-world scenario. METHODS: We conducted a chart review of patients who were initiated on aripiprazole augmentation at a specialty OCD clinic in India between 2004 and 2014. Primary outcome measure was all-cause discontinuation. RESULTS: 23 patients were eligible for analysis...
September 14, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27626512/perception-of-stigma-and-associated-factors-in-people-with-epilepsy-at-amanuel-specialized-mental-hospital-addis-ababa-ethiopia
#14
Minale Tareke Tegegne, Andargie Abate Awoke
OBJECTIVE: Stigma is a major problem for people living with epilepsy. Perceived stigma may be more prevalent than enacted stigma and causes excessive worry for the individual even if it does not arise from a social interaction. Therefore, we assessed perceived stigma and associated factors among people with epilepsy. METHODS: An institution-based cross-sectional study was conducted from April to May, 2013, among 423 samples of people with epilepsy. RESULTS: One hundred sixty-nine (40...
September 14, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27654401/relationship-between-impulsivity-and-obsession-types-in-obsessive-compulsive-disorder
#15
Ozge Sahmelikoglu Onur, Abdulkadir Tabo, Erkan Aydin, Ozgecan Tuna, Ayse Fulya Maner, Ejder Akgun Yildirim, Elif Çarpar
OBJECTIVE: Impulsivity is an important aspect of obsessive-compulsive disorder (OCD) which is classified under a new heading in DSM-5 with other impulsivity related disorders like trichotillomania. Due to its heterogeneous nature, different obsessions may be linked to varying impulsivity profiles. Aim of this study was to investigate the impulsivity traits and their relationship with obsession types by comparing OCD subjects who display sexual, religious and aggressive obsessions or other obsessions to healthy controls...
November 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27654400/international-journal-of-psychiatry-in-clinical-practice
#16
Siegfried Kasper
No abstract text is available yet for this article.
November 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27609695/levels-of-depression-and-satisfaction-with-life-as-indicators-of-health-services-consumption
#17
Roi Sagy, Maya Amitai, Abraham Weizman, Dov Aizenberg
OBJECTIVE: To evaluate the correlation between depression, satisfaction with life, and primary healthcare services consumption. METHODS: A random sample of primary healthcare clinic patients agreed to complete self-report questionnaires on demographics and physical activity, the Geriatric Depression Scale (GDS), Satisfaction with Life Scale and the Visual Analog Scale for Happiness. Treating physicians completed the Cumulative Illness Rating Scale (CIRS) for each patient...
November 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27608507/does-neuropsychological-performance-impact-on-real-life-functional-achievements-in-obsessive-compulsive-disorder-a-preliminary-study
#18
Giampaolo Perna, Paolo Cavedini, Philip D Harvey, Nunzia Valentina Di Chiaro, Silvia Daccò, Daniela Caldirola
OBJECTIVE: We investigated the association between neuropsychological performance and real-life functioning in obsessive-compulsive disorder (OCD). As a secondary aim, we investigated the association between neuropsychological performance and self-reported quality of life (QoL). METHODS: We retrospectively selected 68 of 240 inpatients with OCD, who had been hospitalised for a 4-week psychiatric rehabilitation programme. We used clinical information recorded in the patients' electronic medical records...
November 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27552677/potential-drug-drug-interaction-in-mexican-patients-with-schizophrenia
#19
María Conchita Ocaña-Zurita, Isela E Juárez-Rojop, Alma Genis, Carlos Alfonso Tovilla-Zárate, Thelma Beatriz González-Castro, María Lilia López-Narváez, María Elena de la O de la O, Humberto Nicolini
OBJECTIVE: The aim of this study was to observe potential drug-drug interactions in the medication of Mexican schizophrenic patients. METHODS: We performed a retrospective and cross-sectional study that was carried out in a psychiatric clinic. Only the prescriptions of patients with schizophrenia whose diagnoses were based on the DSM-IV instrument were included in this study. The Drug Interactions Checker software ( http://www.drugs.com/drug_interactions.html ) was used in this study to analyse potential drug-drug interactions...
November 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27551753/involuntary-admissions-in-italy-the-impact-of-seasonality
#20
Andrea Aguglia, Marta Moncalvo, Francesca Solia, Giuseppe Maina
OBJECTIVE: The aim of this study is to assess the prevalence of involuntary admissions with regard to seasonality and clinical associated features, in a sample of patients admitted to a psychiatric unit in a period of 24 months. METHODS: All subjects consecutively admitted to the Psychiatric Inpatient Unit of the San Luigi Gonzaga Hospital, Orbassano (University of Turin, Italy) from September 2013 to August 2015 were recruited. Socio-demographic and clinical characteristics were collected...
November 2016: International Journal of Psychiatry in Clinical Practice
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