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https://www.readbyqxmd.com/read/28734239/stigma-resistance-and-its-association-with-internalised-stigma-and-psychosocial-outcomes-among-psychiatric-outpatients
#1
Ying Wen Lau, Louisa Picco, Shirlene Pang, Anitha Jeyagurunathan, Pratika Satghare, Siow Ann Chong, Mythily Subramaniam
Studies have suggested that stigma resistance plays an important role in the recovery from mental illness. However, there has been limited research in Asian countries that has examined the benefits of stigma resistance among the mentally ill in Asian populations. Hence, this study aimed to assess the prevalence of stigma resistance and establish the socio-demographic correlates of stigma resistance, as well as its association with internalised stigma and psychosocial outcomes among a multi-ethnic population of 280 outpatients with obsessive compulsive disorder (OCD), schizophrenia, depressive disorders and anxiety disorders in Singapore...
July 14, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28715850/how-willing-are-you-willingness-as-a-predictor-of-change-during-treatment-of-adults-with-obsessive-compulsive-disorder
#2
Adam M Reid, Lauryn E Garner, Nathaniel Van Kirk, Christina Gironda, Jason W Krompinger, Brian P Brennan, Brittany M Mathes, Sadie Cole Monaghan, Eric D Tifft, Marie-Christine André, Jordan Cattie, Jesse M Crosby, Jason A Elias
OBJECTIVE: Exposure and response prevention (ERP) is an effective treatment for individuals with obsessive-compulsive disorder (OCD), yet a substantial number of individuals with OCD do not fully respond to this intervention. Based on emerging experimental and clinical research on acceptance, this study sought to explore whether willingness to experience unpleasant thoughts, emotions, and bodily sensations during ERP was associated with improved treatment response. METHODS: Two hundred eighty-eight adults with OCD receiving residential ERP provided self-rated willingness and other exposure-related variables during each daily coached ERP session...
July 17, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28711583/incidence-of-symptomatic-osteochondritis-dissecans-lesions-of-the-knee-a-population-based-study-in-olmsted-county
#3
A Pareek, T L Sanders, I T Wu, D R Larson, D B F Saris, A J Krych
OBJECTIVE: To (1) define the population-based incidence of Osteochondritis dissecans (OCD) lesions of the knee using the population of Olmsted County, (2) examine trends over time, and (3) evaluate changes in the rate of surgical management. METHOD: The study population included 302 individuals who were diagnosed with knee OCD lesions between January 1, 1976 and December 31, 2014. The complete medical records were reviewed to confirm diagnosis and to extract injury and treatment details...
July 12, 2017: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28710918/intolerance-of-uncertainty-in-eating-disorders-an-update-on-the-field
#4
REVIEW
Alice Kesby, Sarah Maguire, Rachel Brownlow, Jessica R Grisham
Pathological fear and anxiety regarding food, eating, weight and body shape are at the core of eating disorder (ED) psychopathology. To manage anxiety, patients develop complicated repertoires of ritualistic and repetitive behaviours, which can lead to total functional impairment. Yet the cognitive processes underlying anxiety, fear, and anxiety-driven behaviours in EDs remain poorly understood. Intolerance of Uncertainty (IU) is defined as a tendency to react negatively on an emotional, cognitive, and behavioural level to uncertain situations and events...
July 5, 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/28707590/combining-drug-and-psychological-treatments-for-obsessive-compulsive-disorder-what-is-the-evidence-when-and-for-whom
#5
Umberto Albert, Gabriele Di Salvo, Francesca Solia, Gianluca Rosso, Giuseppe Maina
BACKGROUND: serotonin reuptake inhibitors (SRIs) and cognitive-behavioral psychotherapy (CBT) are first-line treatments for obsessive-compulsive disorder (OCD). Since response is often inadequate, in recent years researchers investigated whether combining CBT and SRIs, either ab initio or sequentially, results in a greater reduction of obsessive-compulsive symptoms. OBJECTIVE: the aims of the present paper are to assess if combination treatment seems adding benefits as compared to either monotherapy alone and if sequential strategies may be effective in converting partial or non responders to a first-line treatment into responders...
July 12, 2017: Current Medicinal Chemistry
https://www.readbyqxmd.com/read/28706836/arthroscopic-treatment-of-capitellum-osteochondritis-dissecans-with-micronized-allogeneic-cartilage-scaffold
#6
Paul E Caldwell, Brett Auerbach, Sara E Pearson
Osteochondritis dissecans (OCD) of the capitellum is a common disorder that causes pain and functional limitation in the adolescent elbow. Although conservative management is the first line of treatment, surgical intervention is usually recommended for patients with persistent mechanical symptoms, loose bodies, or unstable lesions. Elbow arthroscopy has become the gold standard to evaluate and treat symptomatic OCD lesions. Arthroscopic debridement and bone marrow stimulation have been shown to yield good short-term results...
June 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28705162/the-effect-of-autologous-adipose-derived-mesenchymal-stem-cell-therapy-in-the-treatment-of-a-large-osteochondral-defect-of-the-knee-following-unsuccessful-surgical-intervention-of-osteochondritis-dissecans-a-case-study
#7
Julien Freitag, Kiran Shah, James Wickham, Richard Boyd, Abi Tenen
BACKGROUND: A prospective analysis of the effect of autologous adipose derived mesenchymal stem cell (MSC) therapy in the treatment of an osteochondral defect of the knee with early progressive osteoarthritis following unsuccessful surgical intervention of osteochondritis dissecans (OCD). CASE PRESENTATION: After failed conventional management of OCD a patient undergoes intra-articular MSC therapy. Patient outcome measures included the Numeric Pain Rating Scale (NPRS), the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the Knee Injury and Osteoarthritis Outcome Score (KOOS)...
July 14, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28705096/autism-spectrum-disorders-in-adult-outpatients-with-obsessive-compulsive-disorder-in-the-uk
#8
Maheshi Wikramanayake, William Mandy, Sonia Shahper, Sukhwinder Kaur, Sangeetha Kolli, Selma Osman, Jemma Reid, Kiri Jefferies Sewell, Naomi Fineberg
BACKGROUND: Patients with obsessive compulsive disorder (OCD) frequently show traits of autism spectrum disorders (ASD). This is one of the first studies to explore the clinical impact of the overlap between OCD and ASD as a categorical diagnosis. METHODS: A cross-sectional survey in 73 adult outpatients with DSM-IV OCD. Autistic traits were measured using the Autism-Spectrum Quotient (AQ). A clinical estimate ASD diagnosis was made by interview using DSM-IV-TR criteria...
July 14, 2017: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/28697487/predictors-of-illness-anxiety-symptoms-in-patients-with-obsessive-compulsive-disorder
#9
Lillian Reuman, Ryan J Jacoby, Shannon M Blakey, Bradley C Riemann, Rachel C Leonard, Jonathan S Abramowitz
Illness anxiety and OCD symptoms appear to overlap in their presentation as well as in other conceptually important ways (e.g., dysfunctional cognitions). Little research, however, has directly examined these putative relationships. The present study examined the extent to which illness anxiety symptoms were associated with OCD symptom dimensions and relevant cognitive factors in a large treatment-seeking sample of patients with OCD. Patients completed a battery of self-report measures of OCD and health anxiety symptoms and related cognitive biases...
July 5, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28691550/relationships-between-obsessive-compulsive-disorder-depression-and-functioning-before-and-after-exposure-and-response-prevention-therapy
#10
Sarosh J Motivala, Maria Arellano, Rebecca Greco, David Aiken, Nathan Hutchenson, Reza Tadayonnejad, Joseph O'Neill, Jamie D Feusner
OBJECTIVE: Obsessive-compulsive disorder (OCD) is associated with impaired functioning and depression. Our aim was to examine relationships between OCD symptoms, depression, and functioning before and after exposure and response prevention (ERP), a type of cognitive-behavioral therapy for OCD, specifically examining whether functioning, depression and other cognitive factors like rumination and worry acted as mediators. METHODS: Forty-four individuals with OCD were randomized to four weeks of intensive ERP treatment first (n = 23) or waitlist then treatment (n = 21)...
July 8, 2017: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/28687862/no-superior-surgical-treatment-for-secondary-osteochondral-defects-of-the-talus
#11
REVIEW
Kaj T A Lambers, Jari Dahmen, Mikel L Reilingh, Christiaan J A van Bergen, Sjoerd A S Stufkens, Gino M M J Kerkhoffs
PURPOSE: The purpose of this systematic review was to identify the most effective surgical treatment for talar osteochondral defects after failed primary surgery. METHODS: A literature search was conducted to find studies published from January 1996 till July 2016 using PubMed (MEDLINE), EMBASE, CDSR, DARE and CENTRAL. Two authors screened the search results separately and conducted quality assessment independently using the Newcastle-Ottawa scale. Weighted success rates were calculated...
July 7, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28687447/repetitive-transcranial-magnetic-stimulation-of-the-supplementary-motor-area-in-treatment-resistant-obsessive-compulsive-disorder-an-open-label-pilot-study
#12
Young-Ji Lee, Bon-Hoon Koo, Wan-Seok Seo, Hye-Geum Kim, Ji-Yean Kim, Eun-Jin Cheon
Obsessive-compulsive disorder (OCD) is a severely distressing disorder represented by obsessions and compulsions. A significant proportion of OCD patients fail to improve with conventional treatment methods. Repetitive transcranial magnetic stimulation (rTMS) has been proposed as an alternative for OCD treatment. Functional neuroimaging studies indicate that OCD is associated with increased activity in the supplementary motor area (SMA), a region that plays an important role in the pathophysiology of this disorder...
July 4, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28682894/the-cost-effectiveness-of-deep-brain-stimulation-for-patients-with-treatment-resistant-obsessive-compulsive-disorder
#13
Woori Moon, Sung Nyun Kim, Sangmin Park, Sun Ha Paek, Jun Soo Kwon
BACKGROUND: Obsessive-compulsive disorder (OCD) is a chronic neuropsychiatric disorder with a 2% to 3% lifetime prevalence; in addition, 10% of OCD patients are resistant to conventional therapy. Deep brain stimulation (DBS) has been an effective treatment for treatment resistant OCD patients (TROCD). We aimed to determine the cost-effectiveness of DBS for TROCD. METHODS: We used a Markov model to estimate the cost-effectiveness of DBS compared to conventional treatment for TROCD with a 10-year time horizon...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28681749/bilateral-anterior-capsulotomy-for-patients-with-refractory-obsessive-compulsive-disorder-a-multicenter-long-term-follow-up-study
#14
Hong Bin Liu, Qi Zhong, Wei Wang
OBJECTIVE: The objectives of this retrospective study were to analyze the short-term and long-term effects and complications of stereotactic anterior capsulotomy for patients with refractory obsessive-compulsive disorder (OCD). The advantages and disadvantages of stereotactic anterior capsulotomy have been discussed. MATERIALS AND METHODS: Between October 2007 and June 2010, 37 patients with OCD underwent anterior capsulotomy in West China Hospital of Sichuan University or Mian Yang Central Hospital...
July 2017: Neurology India
https://www.readbyqxmd.com/read/28681717/clinical-effectiveness-cost-effectiveness-and-acceptability-of-low-intensity-interventions-in-the-management-of-obsessive-compulsive-disorder-the-obsessive-compulsive-treatment-efficacy-randomised-controlled-trial-octet
#15
Karina Lovell, Peter Bower, Judith Gellatly, Sarah Byford, Penny Bee, Dean McMillan, Catherine Arundel, Simon Gilbody, Lina Gega, Gillian Hardy, Shirley Reynolds, Michael Barkham, Patricia Mottram, Nicola Lidbetter, Rebecca Pedley, Jo Molle, Emily Peckham, Jasmin Knopp-Hoffer, Owen Price, Janice Connell, Margaret Heslin, Christopher Foley, Faye Plummer, Christopher Roberts
BACKGROUND: The Obsessive-Compulsive Treatment Efficacy randomised controlled Trial emerged from a research recommendation in National Institute for Health and Care Excellence obsessive-compulsive disorder (OCD) guidelines, which specified the need to evaluate cognitive-behavioural therapy (CBT) treatment intensity formats. OBJECTIVES: To determine the clinical effectiveness and cost-effectiveness of two low-intensity CBT interventions [supported computerised cognitive-behavioural therapy (cCBT) and guided self-help]: (1) compared with waiting list for high-intensity CBT in adults with OCD at 3 months; and (2) plus high-intensity CBT compared with waiting list plus high-intensity CBT in adults with OCD at 12 months...
June 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28680895/visualization-of-the-capitellum-during-elbow-arthroscopy-a-comparison-of-3-portal-techniques
#16
David P Trofa, Stephanie M Gancarczyk, Joseph M Lombardi, Eric C Makhni, Charles A Popkin, Christopher S Ahmad
BACKGROUND: Capitellar osteochondritis dissecans (OCD) is a debilitating condition of unknown etiology for which various arthroscopic treatments are available. Prior data suggest that greater than 75% of the capitellum can be visualized arthroscopically through a dual lateral portal approach. However, there is no literature assessing arthroscopic visualization of the capitellum via alternative portals. PURPOSE: To determine the percentage of capitellum visualized using the dual lateral, distal ulnar and soft spot, and posterolateral and soft spot portal configurations in a cadaver model...
June 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28676437/deep-brain-stimulation-and-treatment-resistant-obsessive-compulsive-disorder-a-systematic-review
#17
Javier Vázquez-Bourgon, Juan Martino, María Sierra Peña, Jon Infante Ceberio, M Ángeles Martínez Martínez, Roberto Ocón, José Manuel Menchón, Benedicto Crespo Facorro, Alfonso Vázquez-Barquero
INTRODUCTION: At least 10% of patients with Obsessive-compulsive Disorder (OCD) are refractory to psychopharmacological treatment. The emergence of new technologies for the modulation of altered neuronal activity in Neurosurgery, deep brain stimulation (DBS), has enabled its use in severe and refractory OCD cases. The objective of this article is to review the current scientific evidence on the effectiveness and applicability of this technique to refractory OCD. METHOD: We systematically reviewed the literature to identify the main characteristics of deep brain stimulation, its use and applicability as treatment for obsessive-compulsive disorder...
July 1, 2017: Revista de Psiquiatrí́a y Salud Mental
https://www.readbyqxmd.com/read/28669475/editorial-commentary-robbing-peter-to-pay-paul-is-osteochondral-autograft-transplantation-of-the-elbow-capitellum-worth-the-price
#18
EDITORIAL
Paul E Caldwell
Osteochondritis dissecans (OCD) of the elbow capitellum is a common disorder that causes pain and functional limitation in the athletic adolescent elbow. Many surgical options have been proposed over the years, but none has stood the test of time. A recent well-written systematic review highlights the treatment options and recognizes a growing trend toward osteochondral allograft transplantation as the ideal solution. Unfortunately, the study also underscores the paucity of evidence on which we base our treatment decisions for OCD of the elbow in the young athlete...
July 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28656574/impact-of-o3-or-o3-h2o2-treatment-via-a-membrane-contacting-system-on-the-composition-and-characteristics-of-the-natural-organic-matter-of-surface-waters
#19
Stylianos K Stylianou, Ioannis A Katsoyiannis, Mathias Ernst, Anastasios I Zouboulis
The present study aims to evaluate changes in the structure-composition of natural organic matter (NOM) that occur after the application of bubbleless ozonation or peroxone treatment of surface waters. The oxidation experiments (using 0.5-2 mg O3/mg DOC, or 2:1 O3:H2O2 molar ratio) were performed in a continuous mode, using a tubular ceramic membrane contactor. Fluorescence spectroscopy (emission-excitation matrix) and liquid chromatography-organic carbon detection (LC-OCD) were mainly used for the detailed DOC characterization...
June 27, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28655115/characteristics-and-fate-of-natural-organic-matter-during-uv-oxidation-processes
#20
Yongtae Ahn, Doorae Lee, Minhwan Kwon, Il-Hwan Choi, Seong-Nam Nam, Joon-Wun Kang
Advanced oxidation processes (AOPs) are widely used in water treatments. During oxidation processes, natural organic matter (NOM) is modified and broken down into smaller compounds that affect the characteristics of the oxidized NOM by AOPs. In this study, NOM was characterized and monitored in the UV/hydrogen peroxide (H2O2) and UV/persulfate (PS) processes using a liquid chromatography-organic carbon detector (LC-OCD) technique, and a combination of excitation-emission matrices (EEM) and parallel factor analysis (PARAFAC)...
October 2017: Chemosphere
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