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https://www.readbyqxmd.com/read/28735645/psychiatric-consultation-in-the-collaborative-care-model-the-bipolar-sieve-effect
#1
James R Phelps, James James
Around the world, psychiatrists are in exceptionally short supply. The majority of mental health treatment is delivered in primary care. In the United States, the Collaborative Care Model (CCM) addresses the shortfall of psychiatrists by providing indirect consultation in primary care. A Cochrane meta-analysis affirms the efficacy this model for depression and anxiety. However, our experience with the CCM suggests that most patients referred for consultation have problems far more complex than simple depression and anxiety...
August 2017: Medical Hypotheses
https://www.readbyqxmd.com/read/28713686/development-of-an-instrument-to-measure-patients-attitudes-towards-involuntary-hospitalization
#2
Adel Gabriel
AIM: To construct and assess the psychometric properties of an instrument to measure patients' attitudes towards involuntary hospitalization. METHODS: This is a two phase study. In the first phase, based on comprehensive literature review, a twenty one item scale to measure patients' attitudes to involuntary admission was constructed. Forensic and inpatient Psychiatrists, patients' advocates and legal experts (n = 15) were invited to participate in the validation process of the written instrument, by formally rating each item of the instrument for its relevancy in measuring patients' attitudes to involuntary admission...
June 22, 2017: World Journal of Psychiatry
https://www.readbyqxmd.com/read/28708356/-what-remains-of-our-balints
#3
Régis Marion-Veyron, Konstantinos Tzartzas, Michael Saraga
In addition to providing psychiatric care to patients with somatic diseases, liaison psychiatry plays a role in the teaching of the relational aspects of medical practice. This series of three articles offers a critical reflection on this topic and examples of educational programs developed at Lausanne University Hospital. In the Department of Ambulatory Care and Community Medicine, an intervention inspired by Balint groups offers to residents in general internal medicine the possibility of working through their clinical experiences and their evolving professional identity...
February 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28708355/-undergraduate-training-in-physician-patient-communication
#4
Alexandre Berney, Pascale Pécoud, Céline Bourquin, Friedrich Stiefel
In addition to providing psychiatric care to patients with somatic diseases, liaison psychiatry plays an important role in the teaching of the relational aspects of the clinical encounter between patients and clinicians. This series of three articles proposes a critical reflection on this topic, and presents examples of undergraduate and postgraduate teaching programs developed by the psychiatric liaison service at Lausanne University Hospital. This article describes the general context of undergraduate teaching, and focuses on our training with simulated patient of a breaking bad news situation, taking place during the fourth year of medical studies...
February 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28708354/-training-in-communication-medicine-and-its-discontents
#5
Céline Bourquin, Friedrich Stiefel
In addition to providing psychiatric care to patients with somatic diseases, liaison psychiatry plays an important role in the teaching of the relational aspects of the clinical encounter between patients and clinicians. This series of three articles proposes a critical reflection on this topic, and presents examples of undergraduate and postgraduate teaching programs developed by the psychiatric liaison service at Lausanne University Hospital. In this first article, we discuss the increasing unease we experience with regard to the way clinical communication is trained on the postgraduate level and we make specific suggestions of how to rethink the so-called communication skills training...
February 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28694625/does-gender-influence-electroconvulsive-therapy-sessions-required-across-psychiatric-diagnoses-a-5-year-experience-from-a-single-center
#6
Harshini Manohar, Karthick Subramanian, Vikas Menon, Shivanand Kattimani
CONTEXT: There is a paucity of systematic data reflecting the practice of electroconvulsive therapy (ECT) from developing countries. AIM: We aimed to identify the number of ECT sessions required to yield response and gender diffeferences in the number of sessions across various diagnostic categories. SETTING AND DESIGN: A record-based study from a teaching cum tertiary care hospital in South India. SUBJECTS AND METHODS: Case records of patients who received modified ECT from January 2011 to January 2016 were reviewed...
July 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28685349/opinions-regarding-benzodiazepine-teaching-and-prescribing-among-trainees-in-psychiatry
#7
Amir Garakani, Hussain M Abdullah, Christine M Chang, Nathaniel Mendelsohn, Kyle A B Lapidus
OBJECTIVES: Benzodiazepines are widely prescribed for a variety of symptoms and illnesses. There has been limited investigation on the training psychiatry residents receive regarding benzodiazepine prescribing. This study surveyed US psychiatric trainees about their didactic and clinical experience with benzodiazepines, investigating how experience with benzodiazepines may shape trainees' opinions and likelihood to prescribe. METHODS: The 14-question online survey was distributed to residents and fellows at US training programs through an invitation from their training directors...
July 6, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28660540/integrating-clinical-neurosciences-in-a-psychiatry-residency-training-program-a-brief-report-with-pilot-data
#8
Jacob Cookey, Michael Butterfield, Celia Robichaud, David Lovas
OBJECTIVE: A novel neuroscience curriculum was developed attempting to address the growing consensus that increased attention be given to incorporating clinical neuroscience in psychiatric residencies. METHODS: Eight 2-h sessions delivered over 2 academic years were incorporated into the teaching curriculum at one institution in which residents participated in case-based clinical neuroscience learning. Each session utilized multimodal teaching methods facilitated by two senior psychiatry residents with support from a faculty mentor...
June 28, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28659985/the-effect-of-spiritual-intelligence-training-on-job-satisfaction-of-psychiatric-nurses
#9
Abbas Heydari, Ali Meshkinyazd, Parvaneh Soudmand
Objective: Nurses are the most important staff in the health care system, thus, their job satisfaction is important in nursing management. The present study aimed at determining the impact of teaching spiritual intelligence on the job satisfaction of psychiatric nurses. Method: The participants were divided into 2 groups by random allocation. Data were collected in 3 stages of before intervention, 4 weeks, and 8 weeks post intervention using Brayfield & Rother Job Satisfaction Questionnaire. Results: The results of this study revealed that the mean score of job satisfaction in the experimental group was 65...
April 2017: Iranian Journal of Psychiatry
https://www.readbyqxmd.com/read/28631200/the-r-rated-comedy-ted-a-teaching-tool-for-psychiatric-education
#10
Marika Inga Wrzosek
No abstract text is available yet for this article.
August 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28630647/patterns-of-psychiatric-admissions-and-predictors-of-patient-s-outcome-in-jimma-university-teaching-and-referral-hospital-a-retrospective-study
#11
Sinan Tadesse, Abraham Tamirat Gizaw, Getachew Kirose Abraha, Lakew Abebe Gebretsadik
BACKGROUND: Psychiatric morbidity burden accounts 12.45% of the disease admission burden in Ethiopia; only two referral hospitals are found to manage all cases. The aim of this study is to assess the predictors of patient outcomes. METHOD: A 3 years retrospective patients' cards, charts and medical notes review in psychiatry case admission department of Jimma university teaching and training specialised hospital was conducted. All the admitted cases included in this study...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28619868/a-resident-perspective-on-the-goldwater-rule
#12
James A Armontrout, Sagar Vijapura
Section 7.3 of the Principles of Medical Ethics with Annotations Especially Applicable to Psychiatry, more commonly known as the Goldwater rule, admonishes psychiatrists to avoid offering professional opinions about public figures in the absence of an in-person evaluation. To our knowledge, no peer-reviewed articles have been published considering resident perspectives on the Goldwater rule. Furthermore, we have found little published guidance that deals specifically with teaching the Goldwater rule in a general residency curriculum...
June 2017: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/28602447/teaching-psychiatric-trainees-to-think-dirty-uncovering-hidden-motivations-and-deception
#13
Scott R Beach, John B Taylor, Nicholas Kontos
BACKGROUND: Despite the prevalence with which trainees encounter patients who attempt to manipulate, deceive, or withhold information from them, trainees receive little formal training in "thinking dirty"-that is, incorporating elements of hidden patient motives into their interview, formulation, and plan. Lack of acknowledgment of these aspects of patient care can lead to resident dissatisfaction, negative countertransference reactions, and decreased empathy for patients. METHODS: In this article, the authors outline a multimodal approach used in a large psychiatry training program for teaching trainees to recognize hidden motivations and deception, which involves formal didactic teaching, process rounds, and clinical experience...
April 17, 2017: Psychosomatics
https://www.readbyqxmd.com/read/28577352/increased-postpartum-haemorrhage-the-possible-relation-with-serotonergic-and-other-psychopharmacological-drugs-a-matched-cohort-study
#14
Hanna M Heller, Anita C J Ravelli, Andrea H L Bruning, Christianne J M de Groot, Fedde Scheele, Maria G van Pampus, Adriaan Honig
BACKGROUND: Postpartum haemorrhage is a major obstetric risk worldwide. Therefore risk factors need to be investigated to control for this serious complication. A recent systematic review and meta-analysis revealed that the use of both serotonergic and non-serotonergic antidepressants in pregnancy are associated with a higher risk of postpartum haemorrhage. However, use of antidepressants in pregnancy is often necessary because untreated depression in pregnancy is associated with adverse maternal and neonatal outcome, such as postpartum depression, preterm birth and dysmaturity...
June 2, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28576381/agreement-between-hospital-discharge-diagnosis-codes-and-medical-records-to-identify-metastatic-colorectal-cancer-and-associated-comorbidities-in-elderly-patients
#15
A Gouverneur, D Dolatkhani, M Rouyer, A Grelaud, F Francis, V Gilleron, A Fourrier-Réglat, P Noize
BACKGROUND: Quality of coding to identify cancers and comorbidities through the French hospital diagnosis database (Programme de médicalisation des systèmes d'information, PMSI) has been little investigated. Agreement between medical records and PMSI database was evaluated regarding metastatic colorectal cancer (mCRC) and comorbidities. METHODS: From 01/01/2013 to 06/30/2014, 74 patients aged≥65years at mCRC diagnosis were identified in Bordeaux teaching hospital...
May 30, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/28569095/review-of-use-of-standardized-patients-in-psychiatric-nursing-education
#16
Janice H Goodman, Shira G Winter
BACKGROUND: Simulations using standardized patients (SPs) are increasingly used to teach and assess competencies in psychiatric/mental health (PMH) nursing education. To advance the field, it is important to identify current knowledge, practice, and evidence. OBJECTIVE: To determine the current knowledge, evidence, and practice of using SPs in PMH nursing education by conducting an integrative review of the empirical research on the use of SPs in PMH nursing education, and by providing a supplementary descriptive review of non-research articles on PMH simulations using SPs...
May 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28557882/general-psychiatric-management-for-suicidal-patients-with-remarks-on-chronicity-contending-with-the-angel-of-death
#17
REVIEW
Joel Yager, Robert E Feinstein
Assessing, managing, and treating suicidal patients, particularly those with chronic suicidality, challenge clinical decision making and emotional self-management in trainees and seasoned practitioners. Educators and trainees have noted needs for additional teaching materials in these areas. This article assists in addressing these gaps. We reviewed diagnostic and phenomenological characteristics encountered in acutely and chronically suicidal patients, their comprehensive assessment, general approaches to management, risk mitigation and safety planning, and psychological and biological interventions...
June 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28529368/what-they-think-of-us-a-study-of-teaching-medical-specialists-attitude-towards-psychiatry-in-india
#18
Suravi Patra, Binod Kumar Patro
CONTEXT: Attitudes of teaching medical specialists are important in shaping medical students' attitudes toward psychiatry. Data on attitudes of teaching medical specialists of India toward psychiatry are limited. AIMS: The aim was to study the attitude of teaching medical specialists of an academic medical center in East India toward psychiatry. SETTINGS AND DESIGN: This was a cross-sectional descriptive study. MATERIALS AND METHODS: We administered attitude toward psychiatry-30 (ATP 30) scale to teaching medical specialists of the All India Institute of Medical Sciences, Bhubaneswar, based on convenience sampling...
January 2017: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28483271/-mindful-neuropsychology-mindfulness-based-cognitive-remediation
#19
E Bulzacka, S Lavault, A Pelissolo, C Bagnis Isnard
OBJECTIVES: Mindfulness based interventions (MBI) have recently gained much interest in western medicine. MBSR paradigm is based on teaching participants to pay complete attention to the present experience and act nonjudgmentally towards stressful events. During this mental practice the meditator focuses his or her attention on the sensations of the body. While the distractions (mental images, thoughts, emotional or somatic states) arise the participant is taught to acknowledge discursive thoughts and cultivate the state of awareness without immediate reaction...
May 5, 2017: L'Encéphale
https://www.readbyqxmd.com/read/28482277/serum-polyunsaturated-fatty-acids-and-risk-of-psychiatric-disorder-after-acute-coronary-syndrome-a-prospective-cohort-study
#20
Akihiro Yamashita, Hiroko Noguchi, Kei Hamazaki, Yasuhiro Sato, Tomomi Narisawa, Yuzuru Kawashima, Masato Usuki, Daisuke Nishi, Haruo Yoshimasu, Naoshi Horikawa, Yutaka J Matsuoka
BACKGROUND: Around 20% of patients with acute coronary syndrome (ACS) develop depression. Furthermore, some observational studies revealed baseline polyunsaturated fatty acids (PUFAs) may affect the prognosis of depression after ACS. This prospective cohort study examined the association between psychiatric disorder and PUFAs after ACS. METHODS: Subjects were ACS patients admitted to a Tokyo teaching hospital. Psychiatric morbidity as a primary endpoint was measured using structured interview 3 months after admission...
May 3, 2017: Journal of Affective Disorders
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