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https://www.readbyqxmd.com/read/28643049/clozapine-in-reducing-aggression-and-violence-in-forensic-populations
#1
REVIEW
Kathleen Patchan, Gopal Vyas, Ann L Hackman, Marie Mackowick, Charles M Richardson, Raymond C Love, Ikwunga Wonodi, MacKenzie A Sayer, Matthew Glassman, Stephanie Feldman, Deanna L Kelly
Popular media often portray people with a mental illness as being aggressive, violent, and incarcerated as a result of their behavior. Despite exaggeration in the media, risks for some aggressive behaviors are in fact higher in individuals with schizophrenia. This is often the case with influence of comorbid substance use disorders. It is essential that mental health professionals are aware of treatments that may help with attenuating and treating behaviors that contribute to violence, aggression and incarceration...
June 22, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28641576/euthanasia-for-people-with-psychiatric-disorders-or-dementia-in-belgium-analysis-of-officially-reported-cases
#2
Sigrid Dierickx, Luc Deliens, Joachim Cohen, Kenneth Chambaere
BACKGROUND: Euthanasia for people who are not terminally ill, such as those suffering from psychiatric disorders or dementia, is legal in Belgium under strict conditions but remains a controversial practice. As yet, the prevalence of euthanasia for people with psychiatric disorders or dementia has not been studied and little is known about the characteristics of the practice. This study aims to report on the trends in prevalence and number of euthanasia cases with a psychiatric disorder or dementia diagnosis in Belgium and demographic, clinical and decision-making characteristics of these cases...
June 23, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28636568/causes-of-mortality-in-schizophrenia-an-updated-review-of-european-studies
#3
Patryk Piotrowski, Tomasz M Gondek, Anna Królicka-Deręgowska, Błażej Misiak, Tomasz Adamowski, Andrzej Kiejna
BACKGROUND: The excess mortality in schizophrenia is still a phenomenon insufficiently studied on the cross-national level. It is important to analyse current studies on morality in schizophrenia since significant changes have recently taken place in psychiatric health care systems and guidelines of pharmacological treatment have been developed in European countries. SUBJECTS AND METHODS: This article reviews studies addressing mortality in schizophrenia in Europe that were published in English in the Pubmed database in 2009-2014...
June 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28629888/development-of-novel-behavioral-interventions-in-an-experimental-therapeutics-world-challenges-and-directions-for-the-future
#4
Kathryn E Lewandowski, Dost Ongur, Matcheri S Keshavan
Recently, the focus of funding mechanisms associated with clinical trials has changed to be consistent with an experimental therapeutics approach. While this approach holds considerable promise, the paradigm shift has presented challenges for behavioral trials in complex psychiatric illness such as schizophrenia, as molecular targets - the classic focus in experimental therapeutics paradigms - may not represent logical targets for many psychosocial interventions designed to treat multifaceted, multiply determined symptoms...
June 16, 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/28623461/neuropsychological-test-administration-by-videoconference-a-systematic-review-and-meta-analysis
#5
REVIEW
Timothy W Brearly, Robert D Shura, Sarah L Martindale, Rory A Lazowski, David D Luxton, Brian V Shenal, Jared A Rowland
The purpose of the current systematic review and meta-analysis was to assess the effect of videoconference administration on adult neurocognitive tests. We investigated whether the scores acquired during a videoconference administration were different from those acquired during on-site administration. Relevant counterbalanced crossover studies were identified according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Twelve studies met criteria for analysis. Included samples consisted of healthy adults as well as those with psychiatric or neurocognitive disorders, with mean ages ranging from 34 to 88 years...
June 16, 2017: Neuropsychology Review
https://www.readbyqxmd.com/read/28622809/racial-and-ethnic-differences-in-mental-healthcare-utilization-consistent-with-potentially-effective-care-the-role-of-patient-preferences
#6
Anika L Hines, Lisa A Cooper, Leiyu Shi
OBJECTIVE: Ethnic minorities are less likely than Whites to initiate and continue mental healthcare. Minorities also prefer non-medical approaches to address mental health issues. We evaluated sector-type as a modifier of the association of race/ethnicity with service utilization for mental health. We hypothesized that minorities utilize non-mental health sectors at rates consistent with guidelines and similar to Whites. METHODS: We examined data from the Collaborative Psychiatric Epidemiologic Studies (CPES) (n=3803)...
May 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28622616/treatment-of-substance-use-disorders-effects-on-patients-with-higher-or-lower-levels-of-ptsd-symptoms
#7
Carol E M Wieferink, Hein A de Haan, Boukje A G Dijkstra, Martine Fledderus, Tim Kok
While guidelines advise integrated treatment of patients with substance use disorder (SUD) and posttraumatic stress disorder (PTSD), recent studies and reviews find no convincing evidence of different outcomes following treatment between non-trauma focused integrated programs and SUD treatment alone. In this study, we analyzed whether SUD patients with higher levels of PTSD symptoms receiving standard, non-integrated SUD treatment (N=145) differed in outcomes compared to patients with lower levels of PTSD symptoms (N=152)...
June 8, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28622207/sleep-disturbance-as-a-precursor-of-severe-regression-in-kleefstra-syndrome-suggests-a-need-for-firm-and-rapid-pharmacological-treatment
#8
Karlijn Vermeulen, Wouter G Staal, Joost G Janzing, Hans van Bokhoven, Jos I M Egger, Tjitske Kleefstra
Intellectual disability is frequently accompanied by psychiatric symptoms that require pharmacological interventions. Treatment guidelines often provide a general treatment approach for these symptoms in intellectual disability. However, this may not always be the best strategy, as illustrated here in Kleefstra syndrome. We present 3 patients showing severe regression after sleep disturbances. If these are treated with care as usual (eg, behavioral programs and sleep medication) deterioration is likely to follow...
June 16, 2017: Clinical Neuropharmacology
https://www.readbyqxmd.com/read/28622206/bupropion-augmentation-in-a-case-of-compulsive-buying-disorder
#9
Gianna Sepede, Giuseppe Di Iorio, Fabiola Sarchione, Federica Fiori, Massimo Di Giannantonio
BACKGROUND: Compulsive buying disorder (CBD) is a condition characterized by excessive preoccupations, impulses, and behaviors regarding buying, resulting in serious psychological, social, and financial problems. Even though it has not been included in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, "behavioral addictions" section, CBD is a hot topic in current clinical psychiatry, because of its relevant prevalence (at least 5% in adult populations) and severe effect on quality of life...
June 16, 2017: Clinical Neuropharmacology
https://www.readbyqxmd.com/read/28600931/prospective-memory-deficits-in-patients-with-depression-a-meta-analysis
#10
Fu-Chun Zhou, Yuan-Yuan Wang, Wei Zheng, Qinge Zhang, Gabor S Ungvari, Chee H Ng, Juan Zhang, Yu-Tao Xiang
BACKGROUND: Prospective memory (PM) can be impaired in patients with psychiatric disorders including depression. This meta-analysis systematically examined PM in patients with depression. METHODS: The meta-analysis was conducted according to the guidelines from Strengthening the Reporting of Observational studies in Epidemiology (STROBE). Case-control studies on PM in patients with depression were included. Standardized mean differences (SMDs) and 95% confidence interval (CI) were calculated using random effect models...
May 30, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28597857/services-for-depression-and-suicide-in-thailand
#11
Thoranin Kongsuk, Suttha Supanya, Kedsaraporn Kenbubpha, Supranee Phimtra, Supattra Sukhawaha, Jintana Leejongpermpoon
Depression, together with suicide is an important contributor to the burden of disease in Thailand. Until recently, depression has been significantly under-recognized in the country. The lack of response to this health challenge has been compounded by a low level of access to standard care, constraints on mental health personnel and inadequate dissemination of knowledge in caring for people with these disorders. In the past decade, significant work has been undertaken to establish a new evidence-based surveillance and care system for depression and suicide in Thailand that operates at all levels of health-care provision nationwide...
April 2017: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28597852/mental-health-policies-in-south-east-asia-and-the-public-health-role-of-screening-instruments-for-depression
#12
Pratap Sharan, Rajesh Sagar, Saurabh Kumar
The World Health Organization (WHO) South-East Asia Region, which contributes one quarter of the world's population, has a significant burden due to mental illnesses. Mental health has been a low priority in most countries of the region. Although most of these countries have national mental health policies, implementation at ground level remains a huge challenge. Many countries in the region lack mental health legislation that can safeguard the rights of people with mental illnesses, and governments have allocated low budgets for mental health services...
April 2017: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28597029/-shared-decision-making-in-acute-psychiatric-medicine-contraindication-or-a-challenge
#13
REVIEW
S Heres, J Hamann
BACKGROUND: The concept of shared decision-making (SDM) has existed since the 1990s in multiple fields of somatic medicine but has only been poorly applied in psychiatric clinical routine despite broad acceptance and promising outcomes in clinical studies on its positive effects. MATERIALS AND METHODS: The concept itself and its practicability in mental health are carefully assessed and strategies for its future implementation in psychiatric medicine are presented in this article...
June 8, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28587553/guidelines-of-the-brazilian-association-of-studies-on-alcohol-and-other-drugs-abead-for-diagnosis-and-treatment-of-psychiatric-comorbidity-with-alcohol-and-other-substance-and-dependence
#14
Marcos Zaleski, Ronaldo Ramos Laranjeira, Ana Cecília Petta Roselli Marques, Lílian Ratto, Marcos Romano, Hamer Nastasy Palhares Alves, Márcia Britto de Macedo Soares, Valter Abelardino, Félix Kessler, Sílvia Brasiliano, Sérgio Nicastri, Patrícia Brunferntrinker Hochgraf, Analice de Paula Gigliotti, Tadeu Lemos
In recent years, several studies have been focused on the comorbidity of psychiatric disorders with alcohol and other substance dependence. In this context, the Brazilian Association of Studies on Alcohol and Other Drugs initiated a project to establish Brazilian Guidelines. The aim of this study was to review diagnostic and therapeutic criteria for the most prevalent psychiatric comorbidities. Randomized clinical trials, epidemiological studies, animal testing and other forms of research are reviewed herein...
June 2017: International Review of Psychiatry
https://www.readbyqxmd.com/read/28585446/pharmacological-management-of-acute-severe-behavioural-disturbance-a-survey-of-current-protocols
#15
Nick O'Connor, John Corish
OBJECTIVES: The investigators reviewed protocols for the pharmacological management of acute severe behavioural disturbance (ASBD) used in Australasian psychiatric settings. Relevant literature was also examined, with a focus on Australian research. METHODS: All Fellows of the RANZCP were emailed on two occasions in 2014 requesting a copy of the guidelines for pharmacological management of the ASBD patient used in their workplace. A literature search was also undertaken...
May 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28584648/vitamin-d-deficiency-in-adolescents-in-a-tier-4-psychiatric-unit
#16
Neil F Stewart, Simon N Lewis
Aims and method To review the current clinical practice and guidelines for testing and treating vitamin D deficiency in adolescents admitted to a tier 4 adolescent psychiatric unit in north London. The blood test results of 56 patients admitted between 2012 and 2014 were examined to determine whether vitamin D levels had been tested. For those individuals who were tested for vitamin D, results were analysed by gender and ethnicity. Results Of 56 patients admitted, 48% were tested for vitamin D deficiency and in 81...
June 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28579787/the-impact-of-comorbid-psychiatric-disorders-on-methadone-maintenance-treatment-in-opioid-use-disorder-a-prospective-cohort-study
#17
Tea Rosic, Leen Naji, Monica Bawor, Brittany B Dennis, Carolyn Plater, David C Marsh, Lehana Thabane, Zainab Samaan
OBJECTIVE: There is a significant interindividual variability in treatment outcomes in methadone maintenance treatment (MMT) for opioid use disorder (OUD). This prospective cohort study examines the impact of comorbid psychiatric disorders on continued illicit opioid use in patients receiving MMT for OUD. METHODS: Data were collected from 935 patients receiving MMT in outpatient clinics between June 2011 and June 2015. Using linear regression analysis, we evaluated the impact of having a comorbid psychiatric disorder on continued illicit opioid use during MMT, adjusting for important confounders...
2017: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/28576305/cystic-fibrosis-transmembrane-regulator-modulators-implications-for-the-management-of-depression-and-anxiety-in-cystic-fibrosis
#18
REVIEW
Jaideep S Talwalkar, Jonathan L Koff, Hochang B Lee, Clemente J Britto, Arielle M Mulenos, Anna M Georgiopoulos
BACKGROUND: Individuals with cystic fibrosis (CF) are at high risk for depression and anxiety, which are associated with worse medical outcomes. Novel therapies for CF hold great promise for improving physical health, but the effects of these therapies on mental health remain poorly understood. OBJECTIVE: This review aims to familiarize psychiatrists with the potential effect of novel CF therapies on depression and anxiety. METHODS: We discuss novel therapies that directly target the mutant CF protein, the CF transmembrane regulator (CFTR), which are called CFTR modulators...
April 5, 2017: Psychosomatics
https://www.readbyqxmd.com/read/28573365/-home-treatment-for-people-with-acute-mental-illnesses
#19
REVIEW
U Hepp, N Stulz
Home treatment has been proposed as an alternative to acute psychiatric inpatient treatment. Health insurance systems in Germany and in Switzerland hinder the nationwide implementation of home treatment teams into mental health systems, although the German S3 guidelines for psychosocial treatments of severe mental illnesses recommend provision of acute care at home. Evidence for home treatment is positive, yet there are only few up-to-date studies from Europe and differential indication criteria are lacking...
June 1, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28564699/suicide-rates-after-discharge-from-psychiatric-facilities-a-systematic-review-and-meta-analysis
#20
Daniel Thomas Chung, Christopher James Ryan, Dusan Hadzi-Pavlovic, Swaran Preet Singh, Clive Stanton, Matthew Michael Large
Importance: High rates of suicide after psychiatric hospitalization are reported in many studies, yet the magnitude of the increases and the factors underlying them remain unclear. Objectives: To quantify the rates of suicide after discharge from psychiatric facilities and examine what moderates those rates. Data Sources: English-language, peer-reviewed publications published from January 1, 1946, to May 1, 2016, were located using MEDLINE, PsychINFO, and EMBASE with the search terms ((suicid*)...
May 31, 2017: JAMA Psychiatry
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