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BJPsych Open

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https://www.readbyqxmd.com/read/29606183/desperately-seeking-outcomes-quantifying-the-effectiveness-of-community-mental-healthcare-using-health-of-the-nation-outcome-scales
#1
Richard Laugharne, Scott Eaves, Alin Mascas, Kiki Psatha, Gill Dinnis, Jonathan Trower, Rohit Shankar
BACKGROUND: Community mental health services in the UK have struggled to measure the clinical effectiveness of their services.AimsTo measure clinical outcomes for different diagnostic clusters. METHOD: Clinicians measure the clinical status of patients by the Health of the Nation Outcome Scales (HoNOS), and HoNOS scores should be recorded annually after treatment. Clinical outcomes were measured by changes in HoNOS for diagnostic clusters. RESULTS: In two time periods (2014 and 2016), the health of patients with mild to moderate common mental disorders deteriorated after intervention...
May 2018: BJPsych Open
https://www.readbyqxmd.com/read/29467058/trends-in-female-authorship-in-research-papers-on-eating-disorders-20-year-bibliometric-study
#2
Mattias Strand, Cynthia M Bulik
BACKGROUND: There is a clear gender gap in scientific authorship. Although the proportions of female authors in medicine and psychiatry have increased over the past decades, women are still underrepresented. Aims To analyse authorship gender trends in eating disorder research. METHOD: First and last author gender in research articles on eating disorders during the period 1997-2016 were assessed in eating disorder specialty journals, high-impact psychiatry journals and high-impact clinical psychology journals...
March 2018: BJPsych Open
https://www.readbyqxmd.com/read/29467057/prevalence-and-predictors-of-involuntary-psychiatric-hospital-admissions-in-ontario-canada-a-population-based-linked-administrative-database-study
#3
Michael Lebenbaum, Maria Chiu, Simone Vigod, Paul Kurdyak
BACKGROUND: Involuntary admissions to psychiatric hospitals are common; however, research examining the trends in prevalence over time and predictors is limited. Aims To examine trends in prevalence and risk factors for involuntary admissions in Ontario, Canada. METHOD: We conducted an analysis of all mental health bed admissions from 2009 to 2013 and assessed the association between patient sociodemographics, service utilisation, pathway to care and severity characteristics for involuntary admissions using a modified Poisson regression...
March 2018: BJPsych Open
https://www.readbyqxmd.com/read/29388910/a-symptom-based-approach-to-treatment-of-psychosis-in-autism-spectrum-disorder-in-october-2017
#4
Victoria Bell, Henry Dunne, Tharun Zacharia, Katrina Brooker, Sukhi Shergill
The optimal management of autism with psychosis remains unclear. This report describes a 22-year-old man with autism and psychosis who was referred to a tertiary-level specialist psychosis service, following a 6-year history of deterioration in mental health starting around the time of sitting GCSE examinations and an episode of bullying at school. We describe the individualised symptom-based approach that was effective in his treatment. Declaration of interest The authors declare no conflict of interest.
January 2018: BJPsych Open
https://www.readbyqxmd.com/read/29388909/effectiveness-of-automated-appointment-reminders-in-psychosis-community-services-a-randomised-controlled-trial
#5
Eugenia Kravariti, Christopher Reeve-Mates, Rafaela Da Gama Pires, Elias Tsakanikos, Daniel Hayes, Siobhan Renshaw, Sarah McAllister, Vishal Bhavsar, Pam Patterson, Emily Daley, Jane Stewart, Megan Pritchard, Hitesh Shetty, Rosalind Ramsay, Rocio Perez-Iglesias, Philip McGuire
We report on the first open-label, parallel group randomised controlled trial of automated appointment reminders in a psychosis community service in the UK. Ninety-five patients were randomly allocated to receiving/not receiving automated messaging reminders 7 days and 1 day before appointments. All 'Attended' and 'Missed' appointment outcomes over 6 months were analysed using cluster regression analysis. Reminded appointments were significantly more frequently attended than non-reminded appointments (unadjusted odds ratio (OR) = 3...
January 2018: BJPsych Open
https://www.readbyqxmd.com/read/29388908/qualitative-systematic-review-of-barriers-and-facilitators-to-patient-involved-antipsychotic-prescribing
#6
Rebecca Pedley, Caitlin McWilliams, Karina Lovell, Helen Brooks, Kelly Rushton, Richard J Drake, Barnaby Rumbold, Vicky Bell, Penny Bee
BACKGROUND: Despite policy and practice mandates for patient involvement, people with serious mental illness often feel marginalised in decisions about antipsychotic medication. Aims To examine stakeholder perspectives of barriers and facilitators to involving people with serious mental illness in antipsychotic prescribing decisions. METHOD: Systematic thematic synthesis. RESULTS: Synthesis of 29 studies identified the following key influences on involvement: patient's capability, desire and expectation for involvement, organisational context, and the consultation setting and processes...
January 2018: BJPsych Open
https://www.readbyqxmd.com/read/29388907/ethnic-variations-regarding-clinical-profiles-and-symptom-representation-in-prisoners-with-psychotic-disorders
#7
A Dorina Denzel, Joke M Harte, Mattis van den Bergh, Erik J A Scherder
BACKGROUND: Black and minority ethnic (BME) groups are known to have higher prevalences of psychotic disorders and are over-represented in western penitentiaries and forensic psychiatric institutions. Research from regular mental healthcare settings suggests that they could show different and more severe psychotic symptoms. Aims To explore ethnic variations in severity of symptomatology of BME and non-BME detainees with psychotic disorders. METHOD: In this study, 824 patients with psychotic disorders from seven different ethnic groups, imprisoned in a penitentiary psychiatric centre in the Netherlands, were compared on symptom severity and symptom representation using the BPRS-E clinical interview...
January 2018: BJPsych Open
https://www.readbyqxmd.com/read/29234522/maternal-mental-health-and-child-problem-behaviours-disentangling-the-role-of-depression-and-borderline-personality-dysfunction
#8
Fay Huntley, Nicola Wright, Andrew Pickles, Helen Sharp, Jonathan Hill
Background: It is not known whether associations between child problem behaviours and maternal depression can be accounted for by comorbid borderline personality disorder (BPD) dysfunction. Aim: To examine the contributions of maternal depression and BPD symptoms to child problem behaviours. Method: Depression trajectories over the first-year postpartum were generated using repeated measurement from a general population sample of 997 mothers recruited in pregnancy...
November 2017: BJPsych Open
https://www.readbyqxmd.com/read/29234521/mental-health-difficulties-and-suicidal-behaviours-among-young-migrants-multicentre-study-of-european-adolescents
#9
Elaine M McMahon, Paul Corcoran, Helen Keeley, Mary Cannon, Vladimir Carli, Camilla Wasserman, Marco Sarchiapone, Alan Apter, Judit Balazs, Raphaela Banzer, Julio Bobes, Romuald Brunner, Doina Cozman, Christian Haring, Michael Kaess, Jean-Pierre Kahn, Agnes Kereszteny, Ursa Mars Bitenc, Bogdan Nemes, Vita Poštuvan, Pilar A Sáiz, Merike Sisask, Alexandra Tubiana, Peeter Värnik, Christina W Hoven, Danuta Wasserman
Background: Migration has been reported to be associated with higher prevalence of mental disorders and suicidal behaviour. Aims: To examine the prevalence of emotional and behavioural difficulties, suicidal ideation and suicide attempts among migrant adolescents and their non-migrant peers. Method: A school-based survey was completed by 11 057 European adolescents as part of the Saving and Empowering Young Lives in Europe (SEYLE) study. Results: A previous suicide attempt was reported by 386 (3...
November 2017: BJPsych Open
https://www.readbyqxmd.com/read/29163985/response-to-inhaled-loxapine-in-patients-with-schizophrenia-or-bipolar-i-disorder-panss-ec-responder-analyses
#10
Scott Zeller, Leslie Zun, James V Cassella, Daniel A Spyker, Paul P Yeung
Background: Efficacy of inhaled loxapine 5 or 10 mg in treating agitation was shown using the Positive and Negative Syndrome Scale - Excited Component (PANSS-EC) in two Phase III randomised, double-blind, placebo-controlled trials in 344 agitated patients with schizophrenia and 314 patients with bipolar I disorder (Clinicaltrials.gov: NCT00628589, NCT00721955). Aims: To examine the five individual items comprising the PANSS-EC and the percentage of patients achieving a clinical response (reduction of ≥40%) in PANSS-EC (Response-40) for these two studies...
November 2017: BJPsych Open
https://www.readbyqxmd.com/read/29163984/retrospective-cohort-follow-up-study-of-individuals-detained-under-section-136
#11
Jennifer L Burgess, Sarah-Jane White, Aileen O'Brien
Background: An original cohort study found that over half of the individuals detained under Section 136 (S136) of the Mental Health Act 1983 were discharged home after assessment, and nearly half were intoxicated. Aims: To investigate whether the cohort was followed up by psychiatric services, characterise those repeatedly detained and assess whether substance use was related to these outcomes. Method: Data were retrospectively collected from the notes of 242 individuals, who presented after S136 detention to a place of safety over a 6-month period, and were followed up for 1 year...
November 2017: BJPsych Open
https://www.readbyqxmd.com/read/29163983/cognitive-ability-and-risk-of-post-traumatic-stress-disorder-after-military-deployment-an-observational-cohort-study
#12
Lars R Nissen, Karen-Inge Karstoft, Mia S Vedtofte, Anni B S Nielsen, Merete Osler, Erik L Mortensen, Gunhild T Christensen, Søren B Andersen
Background: Studies of the association between pre-deployment cognitive ability and post-deployment post-traumatic stress disorder (PTSD) have shown mixed results. Aims: To study the influence of pre-deployment cognitive ability on PTSD symptoms 6-8 months post-deployment in a large population while controlling for pre-deployment education and deployment-related variables. Method: Study linking prospective pre-deployment conscription board data with post-deployment self-reported data in 9695 Danish Army personnel deployed to different war zones in 1997-2013...
November 2017: BJPsych Open
https://www.readbyqxmd.com/read/29163982/individual-differences-in-schizophrenia
#13
Edmund T Rolls, Wenlian Lu, Lin Wan, Hao Yan, Chuanyue Wang, Fude Yang, Yunlong Tan, Lingjiang Li, Hao Yu, Peter F Liddle, Lena Palaniyappan, Dai Zhang, Weihua Yue, Jianfeng Feng
Background: Whether there are distinct subtypes of schizophrenia is an important issue to advance understanding and treatment of schizophrenia. Aims: To understand and treat individuals with schizophrenia, the aim was to advance understanding of differences between individuals, whether there are discrete subtypes, and how first-episode patients (FEP) may differ from multiple episode patients (MEP). Method: These issues were analysed in 687 FEP and 1880 MEP with schizophrenia using the Positive and Negative Syndrome Scale for (PANSS) schizophrenia before and after antipsychotic medication for 6 weeks...
November 2017: BJPsych Open
https://www.readbyqxmd.com/read/29093828/exposure-to-violence-and-mental-health-of-adolescents-south-african-health-and-well-being-study
#14
Stephen A Stansfeld, Catherine Rothon, Jayati Das-Munshi, Cathy Mathews, Arlene Adams, Charlotte Clark, Crick Lund
Background: Material and social environmental stressors affect mental health in adolescence. Protective factors such as social support from family and friends may help to buffer the effects of adversity. Aims: The association of violence exposure and emotional disorders was examined in Cape Town adolescents. Method: A total of 1034 Grade 8 high school students participated from seven government co-educational schools in Cape Town, South Africa...
September 2017: BJPsych Open
https://www.readbyqxmd.com/read/29093827/obesity-in-individuals-with-schizophrenia-a-case-controlled-study-in-scotland
#15
Isobel M Cameron, Ross J Hamilton, Gordon Fernie, Stephen A MacGillivray
Background: Despite extensive clinical concern about rates of obesity in patients with schizophrenia, there is little evidence of the extent of this problem at a population level. Aims: To estimate levels of obesity in a national population sample by comparing patients with schizophrenia with matched controls. Method: We calculated levels of obesity for each patient with schizophrenia from the national Primary Care Clinical Informatics Unit database (n=4658) matched with age, gender and neighbourhood controls...
September 2017: BJPsych Open
https://www.readbyqxmd.com/read/29034101/lamotrigine-induced-sexual-dysfunction-and-non-adherence-case-analysis-with-literature-review
#16
Kenneth R Kaufman, Melissa Coluccio, Kartik Sivaraaman, Miriam Campeas
BACKGROUND: Optimal anti-epileptic drug (AED) treatment maximises therapeutic response and minimises adverse effects (AEs). Key to therapeutic AED treatment is adherence. Non-adherence is often related to severity of AEs. Frequently, patients do not spontaneously report, and clinicians do not specifically query, critical AEs that lead to non-adherence, including sexual dysfunction. Sexual dysfunction prevalence in patients with epilepsy ranges from 40 to 70%, often related to AEDs, epilepsy or mood states...
September 2017: BJPsych Open
https://www.readbyqxmd.com/read/29034100/prevalence-of-mental-health-conditions-and-relationship-with-general-health-in-a-whole-country-population-of-people-with-intellectual-disabilities-compared-with-the-general-population
#17
Laura A Hughes-McCormack, Ewelina Rydzewska, Angela Henderson, Cecilia MacIntyre, Julie Rintoul, Sally-Ann Cooper
BACKGROUND: There are no previous whole-country studies on mental health and relationships with general health in intellectual disability populations; study results vary. AIMS: To determine the prevalence of mental health conditions and relationships with general health in a total population with and without intellectual disabilities. METHOD: Ninety-four per cent completed Scotland's Census 2011. Data on intellectual disabilities, mental health and general health were extracted, and the association between them was investigated...
September 2017: BJPsych Open
https://www.readbyqxmd.com/read/28959454/generalised-joint-hypermobility-and-neurodevelopmental-traits-in-a-non-clinical-adult-population
#18
Martin Glans, Susanne Bejerot, Mats B Humble
BACKGROUND: Generalised joint hypermobility (GJH) is reportedly overrepresented among clinical cases of attention deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD) and developmental coordination disorder (DCD). It is unknown if these associations are dimensional and, therefore, also relevant among non-clinical populations. AIMS: To investigate if GJH correlates with sub-syndromal neurodevelopmental symptoms in a normal population. METHOD: Hakim-Grahame's 5-part questionnaire (5PQ) on GJH, neuropsychiatric screening scales measuring ADHD and ASD traits, and a DCD-related question concerning clumsiness were distributed to a non-clinical, adult, Swedish population (n=1039)...
September 2017: BJPsych Open
https://www.readbyqxmd.com/read/28959453/trajectories-of-change-and-long-term-outcomes-in-a-randomised-controlled-trial-of-internet-based-insomnia-treatment-to-prevent-depression
#19
Philip J Batterham, Helen Christensen, Andrew J Mackinnon, John A Gosling, Frances P Thorndike, Lee M Ritterband, Nick Glozier, Kathleen M Griffiths
BACKGROUND: Insomnia treatment using an internet-based cognitive-behavioural therapy for insomnia (CBT-I) program reduces depression symptoms, anxiety symptoms and suicidal ideation. However, the speed, longevity and consistency of these effects are unknown. AIMS: To test the following: whether the efficacy of online CBT-I was sustained over 18 months; how rapidly the effects of CBT-I emerged; evidence for distinct trajectories of change in depressive symptoms; and predictors of these trajectories...
September 2017: BJPsych Open
https://www.readbyqxmd.com/read/28959452/predicting-early-transition-from-sub-syndromal-presentations-to-major-mental-disorders
#20
Shane P M Cross, Jan Scott, Ian B Hickie
BACKGROUND: Transition from at-risk state to full syndromal mental disorders is underexplored for unipolar and bipolar disorders compared with psychosis. AIMS: Prospective, trans-diagnostic study of rates and predictors of early transition from sub-threshold to full syndromal mental disorder. METHOD: One-year outcome of 243 consenting youth aged 15-25 years with a sub-syndromal presentation of a potentially severe mental disorder. Survival analysis and odds ratio (OR) for predictors of transition identified from baseline clinical and demographic ratings...
September 2017: BJPsych Open
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