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Shanghai Archives of Psychiatry

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https://www.readbyqxmd.com/read/29736137/simpson-s-paradox-examples
#1
Bokai Wang, Pan Wu, Brian Kwan, Xin M Tu, Changyong Feng
Simpson's paradox is very prevalent in many areas. It characterizes the inconsistency between the conditional and marginal interpretations of the data. In this paper, we illustrate through some examples how the Simpson's paradox can happen in continuous, categorical, and time-to-event data.
April 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29736136/a-case-of-dissociative-seizures-presented-like-myoclonic-epilepsy
#2
Balaswamy Reddy, Soumitra DAS, Mustafa Ali, Srinivas Guruprasad
Psychogenic seizures are often underdiagnosed and epilepsy is very often over-treated which leads to multiple financial, social and stigma related difficulties. The myoclonic seizure itself is a rare phenomenon and when functional movement disorder presents like myoclonus then it's extremely difficult to pinpoint the exact cause. Here, we are presenting a case who was misdiagnosed as having a myoclonic seizure disorder and treated in multiple places without any improvement which ultimately turned out to be functional movement disorder of a rare variety...
April 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29736135/-the-twisted-mind-psychogenic-dystonia-in-an-adolescent-responding-to-antidepressant-therapy
#3
Seshadri Sekhar Chatterjee, Soumitra DAS, Sukanya Gupta, Sanhita Bhattacharya
Psychogenic dystonia is one of the most common problems encountered in movement disorder patients and accounted mostly for misdiagnosis, management confusion and treatment resistance. Psychiatric morbidities often are the culprit, hence proper psychiatric history taking is of utmost importance. Here we report one case where dystonia was the main presenting complaint of an underlying depressive episode and discuss how managing the cause alleviated the symptoms.
April 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29736134/practical-answers-are-needed-to-respond-to-the-myth-of-mental-health-services-in-tibet
#4
Bin Xie
No abstract text is available yet for this article.
April 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29736133/psychiatric-epidemiology-and-mental-health-service-in-the-tibet-autonomous-region-of-the-people-s-republic-of-china
#5
Liang Xie, Geng Wei, Yan Xu, Yueqin Huang, Xiehe Liu, Tao Li, Wan-Jun Guo
Little is known internationally about the psychiatric epidemiology and mental health services in Tibet. This article reviews the relevant research of psychiatric epidemiology and mental health services in the Tibet Autonomous Region (TAR), P. R. China. There is a substantive number of people suffering from mental disorders and psychological problems in an area with a general lack of modern mental health institutions and professionals.
April 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29736132/the-level-of-nesfatin-1-in-a-mouse-gastric-cancer-model-and-its-role-in-gastric-cancer-comorbid-with-depression
#6
Nan Zhang, Jiangbo Li, Huiling Wang, Ling Xiao, Yanyan Wei, Jing He, Gaohua Wang
Background: The incidence of depressive symptoms is higher in cancer patients. And depression can also affect the occurrence, development and outcome of cancer through the neuroendocrine-immune-network system. Objective: To study the level of Nesfatin-1 in the plasma and brain tissue and its role in the pathogenesis in gastric cancer comorbid with depression using a mouse gastric cancer model. Methods: 18 mice were randomly divided into the normal control group (NCG), gastric cancer without stress model group (GCNS), and gastric cancer combined with stress model group (GCS)...
April 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29736131/the-association-of-insight-and-change-in-insight-with-clinical-symptoms-in-depressed-inpatients
#7
Hongbo He, Qing Chang, Yarong Ma
Background: Lack of insight has been extensively studied and was found to be adversely correlated with impaired treatment compliance and worse long term clinical outcomes among patients with schizophrenia, while not much is known about this phenonmenon in patients with severe depression. Aim: To explore the correlates of insight and its relation to symptom changes among the most seriously ill patients with affective disorders, those who require hospitalization. Methods: Patients hospitalized in a large psychiatric hospital in south China with either major depressive disorder (MDD)(N=55) or bipolar depression (BD) (N=85) based on ICD-10 diagnostic criteria were assessed with the Insight and Treatment Attitudes Questionnaire (ITAQ) one week after admission and at the time of discharge...
April 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29736130/applicability-evaluation-of-simplified-cognitive-behavioral-therapy
#8
Li Zhang, Zhipei Zhu, Fang Fang, Yuan Shen, Na Liu, Chunbo Li
Background: We have developed a structured cognitive behavioral therapy manual for anxiety disorder in China, and the present study evaluated the applicability of simplified cognitive behavioral therapy based on our previous research. Aims: To evaluate the applicability of simplified cognitive behavioral therapy (SCBT) on generalized anxiety disorder (GAD) by conducting a multi-center controlled clinical trial. Methods: A multi-center controlled clinical trial of SCBT was conducted on patients with GAD, including institutions specializing in mental health and psychiatry units in general hospitals...
April 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29736129/analysis-of-misdiagnosis-of-bipolar-disorder-in-an-outpatient-setting
#9
Hui Shen, Li Zhang, Chuchen Xu, Jinling Zhu, Meijuan Chen, Yiru Fang
Background: Bipolar disorder is a mental illness with a high misdiagnosis rate and commonly misdiagnosed as other mental disorders including depression, schizophrenia, anxiety disorders, obsessive-compulsive disorders, and personality disorders, resulting in the mistreatment of clinical symptoms and increasing of recurrent episodes. Aims: To understand the reasons for misdiagnosis of bipolar disorder in an outpatient setting in order to help clinicians more clearly identify the disease and avoid diagnostic errors...
April 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29736128/mechanism-of-repetitive-transcranial-magnetic-stimulation-for-depression
#10
REVIEW
Zhengwu Peng, Cuihong Zhou, Shanshan Xue, Jie Bai, Shoufen Yu, Xiaosa Li, Huaning Wang, Qingrong Tan
Depressive disorder is one of the most common mental health problems currently. However, the mechanism-based treatments for this disorder remain elusive. Repetitive transcranial magnetic stimulation (rTMS), a non-invasive procedure that could stimulate electrical activity by a pulsed magnetic field in the brain, is considered to be an effective treatment for depression. Here, we review the main findings from both clinical and basic research on rTMS for depression, including its antidepressant efficacy, basic principles, as well as its ability to regulate neural circuits, neurotransmitters and brain networks, neurogenesis in hippocampus, and synaptic, and molecular pathways...
April 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29719361/relationship-between-omnibus-and-post-hoc-tests-an-investigation-of-performance-of-the-f-test-in-anova
#11
Tian Chen, Manfei Xu, Justin Tu, Hongyue Wang, Xiaohui Niu
Comparison of groups is a common statistical test in many biomedical and psychosocial research studies. When there are more than two groups, one first performs an omnibus test for an overall difference across the groups. If this null is rejected, one then proceeds to the next step of post-hoc pairwise group comparisons to determine sources of difference. Otherwise, one stops and declares no group difference. A common belief is that if the omnibus test is significant, there must exist at least two groups that are significantly different and vice versa...
February 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29719360/neuropsychiatric-symptoms-induced-by-large-doses-of-nitrous-oxide-inhalation-a-case-report
#12
Tianzhen Chen, Na Zhong, Haifeng Jiang, Min Zhao, Zhikang Chen, Haiming Sun
Nitrous Oxide, which is also called laughing gas, now ranks as the 7th most popular drug in the world. Nitrous oxide mainly disturbs B12 metabolism and damages nerves, followed by apparent neuropsychiatric symptoms. It's beneficial to the prognosis of patients if we identify and treat their symptoms early. This case report describes a 19-year-old male who presented with auditory hallucination, persecutory delusions and unstable emotions after abuse of nitrous oxide over the course of half a year. Moreover, neurological signs such as weakness and hyperesthesia also appeared...
February 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29719359/-neuro-psycho-bs-a-case-report-of-rare-association-with-bipolar-disorder
#13
Mustafa Ali, Soumitra DAS
Bechet's Disease is an inflammatory disease characterized by recurrent oral ulcers (OU), genital ulcers (GU) and uveitis which can develop a neurobehavioral syndrome, also defined as 'neuro-psycho- BS'. Depending on vascular or parenchymal lesions, the presentations could be varied. Due to sparse literature, there is no consensus on management of psychiatric illness comorbid with Bechet's disease. Bipolar disorder in Bechet's disease is extremely rare. Here, we are presenting a case of episodic exaggeration of Bipolar disorder along with Bechet's disease which imposed both clinical and management challenges...
February 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29719358/antipsychotic-drugs-and-liver-injury
#14
Qinyu Lv, Zhenghui Yi
In October 2015, the drug-induced liver diseases group of the Chinese Society of Hepatology drafted and published the first Diagnosis and Treatment Guidelines on Drug-induced Liver Injury in China, giving suggestions on the diagnosis and treatment of drug-induced liver injury (DILI). As a psychiatrist, I have found that in clinical practice both typical and new antipsychotic drugs can induce liver injury to varying degrees. Therefore, it is necessary to quickly and accurately determine the cause of liver injury and the type and severity of injury and establish a solution...
February 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29719357/a-study-of-the-clinical-effect-and-dropout-rate-of-drugs-combined-with-group-integrated-psychotherapy-on-elderly-patients-with-depression
#15
Bo Liu, Youguo Tan, Duanfang Cai, Yudiao Liang, Ruini He, Chengwen Liu, Yong Zhou, Cuihua Teng
Background: Relevant studies have shown that group cognitive behavioral therapy is effective in treating patients with depressive disorder, but the dropout rate is high. The present study is aimed to explore the patterns of integrated group psychotherapy. Aims: This study investigated the clinical effects of integrated group psychotherapy for elderly patients with senile depression. Methods: One hundred elderly patients with senile depression were divided into the experiment group (n=50) and the control group (n=50) randomly...
February 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29719356/defects-of-gamma-oscillations-in-auditory-steady-state-evoked-potential-of-schizophrenia
#16
Chenhui Sun, Ping Zhou, Changming Wang, Yu Fan, Qing Tian, Fang Dong, Fuchun Zhou, Chuanyue Wang
Background: Patients with schizophrenia have many cognitive deficits. Gamma oscillations exist in the human brain and are closely related to neurocognition. Auditory Steady-State Responses (ASSRs) is an electroneurophysiological index that could reflect gamma oscillations. It was found that the energy evoked by 40 Hz ASSRs in schizophrenic patients was significantly lower than that in healthy subjects. However, the correlation between ASSRs phase index and clinical symptoms and neurocognitive deficits has yet to be systematically studied...
February 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29719355/risk-factors-of-nocturnal-enuresis-in-children-with-attention-deficit-hyperactivity-disorder
#17
Habibolah Khazaie, Farshid Eghbali, Houshang Amirian, Mahmoud Reza Moradi, Mohammad Rasoul Ghadami
Background: Presence of attention deficit hyperactivity disorder (ADHD) has a negative effect on the resolution of incontinence; however, there are few studies which investigated the risk factors of nocturnal enuresis (NE) in patients with ADHD. Aims: This study was conducted to investigate the prevalence of NE and its risk factors in children with ADHD. Methods: 331 children, aged 6 to 10 years, diagnosed as having ADHD were enrolled in this study...
February 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29719354/the-study-of-white-matter-hyperintensity-wmh-and-factors-related-to-geriatric-late-onset-depression
#18
Jinghua Wang, Wei Li, Ling Yue, Bo Hong, Na An, Guanjun Li, Shifu Xiao
Background: Geriatric depression is one of the most common and harmful mental illnesses seen in the elderly. However, there are few studies focusing on the relationship between late-onset depression (LOD) and social and psychological factors, as well as brain structure. Aims: To explore factors related to late-onset depression (LOD) in elderly patients. Methods: 24 first onset LOD patients over 60 years old (meeting ICD-10 diagnostic criteria for depression) and 23 non-depressed elders were selected for inclusion into this study...
February 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29719353/meta-analysis-of-the-efficacy-and-safety-of-adjunctive-rosuvastatin-for-dyslipidemia-in-patients-with-schizophrenia
#19
Wei Zheng, Wei Yang, Qing-E Zhang, Xin-Hu Yang, Dong-Bin Cai, Jin-Qing Hu, Gabor S Ungvari, Chee H Ng, Marc De Hert, Yu-Ping Ning, Yu-Tao Xiang
Background: Metabolic syndrome in patients with schizophrenia is a major health concern. The efficacy and safety of adjunctive rosuvastatin in treating dyslipidemia were controversial. Aims: To assess the efficacy and safety of adjunctive rosuvastatin for dyslipidemia in patients with schizophrenia. Methods: We systematically searched for relevant controlled clinical trials from the following databases: PubMed, PsycINFO, Cochrane Library, China Knowledge Network, WanFang Database and Chinese Biomedical Database up to September 28, 2017...
February 25, 2018: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/29719352/comparisons-of-superiority-non-inferiority-and-equivalence-trials
#20
Bokai Wang, Hongyue Wang, Xin M Tu, Changyong Feng
Efficacy of a new drug or treatment is usually established through randomized clinical trials. However, specifying hypotheses remains a challenging problem for biomedical researchers. In this survey we discuss superiority, non-inferiority, and equivalence trials. These three types of trials have different assumptions on treatment effects. We compare the assumptions underlying these trials and provide sample size formulas.
December 25, 2017: Shanghai Archives of Psychiatry
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