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BMC Psychiatry

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https://www.readbyqxmd.com/read/28915806/family-based-intervention-in-adolescent-restrictive-eating-disorders-early-treatment-response-and-low-weight-suppression-is-associated-with-favourable-one-year-outcome
#1
Ingemar Swenne, Thomas Parling, Helena Salonen Ros
BACKGROUND: Family-based treatments are first-line treatments for adolescents with restrictive eating disorders (ED) but have to be improved since outcome is poor for some. We have investigated the one-year outcome of a family-based intervention programme with defined and decisive interventions at the start of treatment. METHOD: Data pertaining 201 adolescents with restrictive ED with features of anorexia nervosa but not fulfilling the weight criterion starting treatment 2010-2015, had a wide range of body mass index (BMI) and of weight loss at presentation, and completed a one-year follow-up was analysed...
September 15, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28915800/association-of-body-mass-index-with-amnestic-and-non-amnestic-mild-cognitive-impairment-risk-in-elderly
#2
Feng Wang, Minghui Zhao, Zhaoli Han, Dai Li, Shishuang Zhang, Yongqiang Zhang, Xiaodong Kong, Ning Sun, Qiang Zhang, Ping Lei
BACKGROUND: Previous studies focused on the relationship between body mass index and cognitive disorder and obtained many conflicting results. This study explored the potential effects of body mass index on the risk of mild cognitive impairment (amnestic and non-amnestic) in the elderly. METHODS: The study enrolled 240 amnestic mild cognitive impairment patients, 240 non-amnestic mild cognitive impairment patients and 480 normal cognitive function controls. Data on admission and retrospective data at baseline (6 years ago) were collected from their medical records...
September 15, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28903745/acceptance-of-guidance-to-care-at-the-emergency-department-following-attempted-suicide
#3
W P H Dekker, A C M Vergouwen, M C A Buster, A Honig
BACKGROUND: Research, aimed at improving the continuity of care after hospital discharge following attempted suicide focuses on the effectiveness of the interventions. Little attention has been paid to patients who immediately decline guidance to advised post-discharge care. We aimed to identify differences between accepters and decliners of guidance to care (GtC) in relation to the characteristics of patients who presented at the emergency department (ED) of an urban hospital in the Netherlands after attempted suicide...
September 13, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28899365/implementation-of-internet-delivered-cognitive-behavior-therapy-within-community-mental-health-clinics-a-process-evaluation-using-the-consolidated-framework-for-implementation-research
#4
H D Hadjistavropoulos, M M Nugent, D Dirkse, N Pugh
BACKGROUND: Depression and anxiety are prevalent and under treated conditions that create enormous burden for the patient and the health system. Internet-delivered cognitive behavior therapy (ICBT) improves patient access to treatment by providing therapeutic information via the Internet, presented in sequential lessons, accompanied by brief weekly therapist support. While there is growing research supporting ICBT, use of ICBT within community mental health clinics is limited. In a recent trial, an external unit specializing in ICBT facilitated use of ICBT in community mental health clinics in one Canadian province (ISRCTN42729166; registered November 5, 2013)...
September 12, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28893219/a-case-of-a-four-year-old-child-adopted-at-eight-months-with-unusual-mood-patterns-and-significant-polypharmacy
#5
Magdalena Romanowicz, Alastair J McKean, Jennifer Vande Voort
BACKGROUND: Long-term effects of neglect in early life are still widely unknown. Diversity of outcomes can be explained by differences in genetic risk, epigenetics, prenatal factors, exposure to stress and/or substances, and parent-child interactions. Very common sub-threshold presentations of children with history of early trauma are challenging not only to diagnose but also in treatment. CASE PRESENTATION: A Caucasian 4-year-old, adopted at 8 months, male patient with early history of neglect presented to pediatrician with symptoms of behavioral dyscontrol, emotional dysregulation, anxiety, hyperactivity and inattention, obsessions with food, and attachment issues...
September 11, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28886752/protocol-for-the-management-of-psychiatric-patients-with-psychomotor-agitation
#6
Eduard Vieta, Marina Garriga, Laura Cardete, Miquel Bernardo, María Lombraña, Jordi Blanch, Rosa Catalán, Mireia Vázquez, Victòria Soler, Noélia Ortuño, Anabel Martínez-Arán
BACKGROUND: Psychomotor agitation (PMA) is a state of motor restlessness and mental tension that requires prompt recognition, appropriate assessment and management to minimize anxiety for the patient and reduce the risk for escalation to aggression and violence. Standardized and applicable protocols and algorithms can assist healthcare providers to identify patients at risk of PMA, achieve timely diagnosis and implement minimally invasive management strategies to ensure patient and staff safety and resolution of the episode...
September 8, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28886698/screening-for-anxiety-and-depression-reassessing-the-utility-of-the-zung-scales
#7
Debra A Dunstan, Ned Scott, Anna K Todd
BACKGROUND: While the gold standard for the diagnosis of mental disorders remains the structured clinical interview, self-report measures continue to play an important role in screening and measuring progress, as well as being frequently employed in research studies. Two widely-used self-report measures in the area of depression and anxiety are Zung's Self-Rating Depression Scale (SDS) and Self Rating Anxiety Scale (SAS). However, considerable confusion exists in their application, with clinical cut-offs often applied incorrectly...
September 8, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28882118/separating-obsessive-compulsive-disorder-from-the-self-a-qualitative-study-of-family-member-perceptions
#8
Rebecca Pedley, Penny Bee, Katherine Berry, Alison Wearden
BACKGROUND: Obsessive-compulsive disorder (OCD) is a condition which can have major effects on the life of both the sufferer and their family members. Previous research has shown that the impact of illness on family members is related to their conceptualisation of the illness. In the present study we used qualitative methods to explore illness perceptions in family members of people with OCD. METHOD: Fourteen family members of people meeting diagnostic criteria for OCD within the previous year took part in a semi-structured interview...
September 7, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28882111/tsh-cut-off-point-based-on-depression-in-hypothyroid-patients
#9
A Talaei, N Rafee, F Rafei, A Chehrei
BACKGROUND: The prevalence of depressive symptoms in hypothyroidism is high. Considering that hypothyroidism and depression share some clinical features, some researchers use the "brain hypothyroidism" hypothesis to explain the pathogenesis of depression. We aimed to detect a new TSH cut-off value in hypothyroidism based on depression symptoms. METHODS: A cross-sectional study was conducted on hypothyroid patients referred to endocrine clinics. Individuals who had developed euthyroid state under treatment with levothyroxine with TSH levels of 0...
September 7, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28874146/effect-of-short-term-heart-rate-variability-biofeedback-on-long-term-abstinence-in-alcohol-dependent-patients-a-one-year-follow-up
#10
Ana Isabel Penzlin, Kristian Barlinn, Ben Min-Woo Illigens, Kerstin Weidner, Martin Siepmann, Timo Siepmann
BACKGROUND: A randomized controlled study (RCT) recently showed that short-term heart rate variability (HRV) biofeedback in addition to standard rehabilitation care for alcohol dependence can reduce craving, anxiety and improve cardiovascular autonomic function. In this one-year follow-up study we aimed to explore whether completion of 2-week HRV-Biofeedback training is associated with long-term abstinence. Furthermore, we sought to identify potential predictors of post-treatment abstinence...
September 6, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28865430/aerobic-training-for-improved-memory-in-patients-with-stress-related-exhaustion-a-randomized-controlled-trial
#11
Therese Eskilsson, Lisbeth Slunga Järvholm, Hanna Malmberg Gavelin, Anna Stigsdotter Neely, Carl-Johan Boraxbekk
BACKGROUND: Patients with stress-related exhaustion suffer from cognitive impairments, which often remain after psychological treatment or work place interventions. It is important to find effective treatments that can address this problem. Therefore, the aim of this study was to investigate the effects on cognitive performance and psychological variables of a 12-week aerobic training program performed at a moderate-vigorous intensity for patients with exhaustion disorder who participated in a multimodal rehabilitation program...
September 2, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28865428/psychosocial-stressors-contributing-to-emergency-psychiatric-service-utilization-in-a-sample-of-ethno-culturally-diverse-clients-with-psychosis-in-toronto
#12
Martin Rotenberg, Andrew Tuck, Kwame McKenzie
BACKGROUND: Understanding the psychosocial stressors of people with psychoses from minority ethnic groups may help in the development of culturally appropriate services. This study aimed to compare psychosocial factors associated with attendance at an emergency department (ED) for six ethnic groups. Preventing crises or supporting people better in the community may decrease hospitalization and improve outcomes. METHOD: A cohort was created by retrospective case note analysis of people of East-Asian, South-Asian, Black-African, Black-Caribbean, White-North American and White-European origin groups attending a specialized psychiatric ED in Toronto with a diagnosis of psychosis between 2009 and 2011...
September 2, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28865419/effect-of-unaffordable-medical-need-on-distress-level-of-family-member-analyses-of-1997-2013-united-states-national-health-interview-surveys
#13
Hui Jun Chih, Wenbin Liang
BACKGROUND: Reduced funding to public health care systems during economic downturns is a common phenomenon around the world. The effect of health care cost on family members of the patients has not been established. This paper aims to explore the relationship between affordability of health care and vulnerability of family members to distress levels. METHODS: Data of a total of 262,843 participants were obtained from 17 waves (1997-2013) of the United States National Health Interview Survey...
September 2, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28859696/a-systematic-review-of-evidence-for-fitness-to-drive-among-people-with-the-mental-health-conditions-of-schizophrenia-stress-anxiety-disorder-depression-personality-disorder-and-obsessive-compulsive-disorder
#14
Carolyn A Unsworth, Anne M Baker, Man H So, Priscilla Harries, Desmond O'Neill
BACKGROUND: Limited evidence exists regarding fitness-to-drive for people with the mental health conditions of schizophrenia, stress/anxiety disorder, depression, personality disorder and obsessive compulsive disorder (herein simply referred to as 'mental health conditions'). The aim of this paper was to systematically search and classify all published studies regarding driving for this population, and then critically appraise papers addressing assessment of fitness-to-drive where the focus was not on the impact of medication on driving...
August 31, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28859632/case-report-of-anti-n-methyl-d-aspartate-receptor-encephalitis-in-a-middle-aged-woman-with-a-long-history-of-major-depressive-disorder
#15
Xia Rong, Zhenzhen Xiong, Bingrong Cao, Juan Chen, Mingli Li, Zhe Li
BACKGROUND: Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an autoimmune disease involving antibodies against the NR1 subunits of NMDARs. The disease shows variable clinical presentation, and involves new-onset acute psychotic symptoms, making it difficult to differentiate from major depressive disorder with psychotic symptoms. Potential associations between this autoimmune disorder and onset or progression of major depressive disorder remains unclear. CASE PRESENTATION: We present a rare case of a patient who had both major depressive disorder and anti-NMDAR encephalitis and in whom the encephalitis initially went undetected...
August 31, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28859629/developing-a-decision-tool-to-identify-patients-with-personality-disorders-in-need-of-highly-specialized-care
#16
M Goorden, E M C Willemsen, C A M Bouwmans-Frijters, J J V Busschbach, M J Noomx, C M van der Feltz-Cornelis, C A Uyl-de Groot, L Hakkaart-van Roijen
BACKGROUND: Current guidelines recommend referral to highly specialized care for patients with severe personality disorders. However, criteria for allocation to highly specialized care are not clearly defined. The aim of the present study was to develop a decision tool that can support clinicians to identify patients with a personality disorder in need of highly specialized care. METHODS: Steps taken to develop a decision tool were a literature search, concept mapping, a meeting with experts and a validation study...
August 31, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28859627/genetics-of-depressive-symptoms-in-adolescence
#17
Hannah Sallis, Jonathan Evans, Robyn Wootton, Eva Krapohl, Albertine J Oldehinkel, George Davey Smith, Lavinia Paternoster
BACKGROUND: Despite many attempts to understand the genetic architecture of depression, little progress has been made. The majority of these studies, however, have been carried out in adults and do not account for the potential influence of development. METHODS: The Avon Longitudinal Study of Parents and Children (ALSPAC) is a longitudinal pregnancy cohort which recruited participants between April 1991 and December 1992. Analyses were replicated in two independent European cohorts...
August 31, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28859610/jump-step-a-community-based-participatory-approach-to-physical-activity-mental-wellness
#18
Joanie Sims-Gould, Sara Vazirian, Neville Li, Ronald Remick, Karim Khan
BACKGROUND: There is a physical inactivity pandemic around the world despite the known benefits of engaging in physical activity. This is true for individuals who would receive notable benefits from physical activity, in particular those with mood disorders. In this study, we explored the factors that facilitate and impede engagement in physical activity for individuals with a mood disorder. The intent was to understand the key features of a community based physical activity program for these individuals...
August 31, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28854922/barriers-and-facilitators-in-accessing-dementia-care-by-ethnic-minority-groups-a-meta-synthesis-of-qualitative-studies
#19
Cassandra Kenning, Gavin Daker-White, Amy Blakemore, Maria Panagioti, Waquas Waheed
BACKGROUND: It is estimated that there are about 25,000 people from UK ethnic minority groups with dementia. It is clear that there is an increasing need to improve access to dementia services for all ethnic groups to ensure that everyone has access to the same potential health benefits. The aim was to systematically review qualitative studies and to perform a meta-synthesis around barriers and facilitators to accessing care for dementia in ethnic minorities. METHODS: Databases were searched to capture studies on barriers and facilitators to accessing care for dementia in ethnic minorities...
August 30, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28854907/wellbeing-activity-and-housing-satisfaction-comparing-residents-with-psychiatric-disabilities-in-supported-housing-and-ordinary-housing-with-support
#20
Mona Eklund, Elisabeth Argentzell, Ulrika Bejerholm, Carina Tjörnstrand, David Brunt
BACKGROUND: The home is imperative for the possibilities for meaningful everyday activities among people with psychiatric disabilities. Knowledge of whether such possibilities vary with type of housing and housing support might reveal areas for improved support. We aimed to compare people with psychiatric disabilities living in supported housing (SH) and ordinary housing with support (OHS) regarding perceived well-being, engaging and satisfying everyday activities, and perceived meaning of activity in one's accommodation...
August 30, 2017: BMC Psychiatry
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