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https://www.readbyqxmd.com/read/28108394/unsmoothed-functional-mri-of-the-human-amygdala-and-bed-nucleus-of-the-stria-terminalis-during-processing-of-emotional-faces
#1
Ronald Sladky, Nicole Geissberger, Daniela M Pfabigan, Christoph Kraus, Martin Tik, Michael Woletz, Katharina Paul, Thomas Vanicek, Bastian Auer, Georg S Kranz, Claus Lamm, Rupert Lanzenberger, Christian Windischberger
Functional neuroimaging of the human amygdala has been of great interest to uncover the neural underpinnings of emotions, mood, motivation, social cognition, and decision making, as well as their dysfunction in psychiatric disorders. Yet, several factors limit in vivo imaging of amygdalar function, most importantly its location deep within the temporal lobe adjacent to air-filled cavities that cause magnetic field inhomogeneities entailing signal dropouts. Additionally, the amygdala and the extended amygdalar region consist of several substructures, which have been assigned different functions and have important implications for functional and effective connectivity studies...
January 17, 2017: NeuroImage
https://www.readbyqxmd.com/read/28100293/psychiatric-rehabilitation-in-europe
#2
W Rössler, R E Drake
To describe the core elements of modern psychiatric rehabilitation. Based on selected examples we describe the discussion about values in mental health care with focus on Europe. We present outcome data from studies, which have tried to implement care structures based on this value discussion. In the second half of the 20th century, mental health care in all European and other high-income countries changed conceptually and structurally. Deinstitutionalisation reduced the number of psychiatric beds and transferred priority to outpatient care and community-based services, but community mental health programs developed differently across and within these countries...
January 19, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28089383/-long-term-psychiatric-hospitalizations
#3
L Plancke, A Amariei
BACKGROUND: Long-term hospitalizations in psychiatry raise the question of desocialisation of the patients and the inherent costs. METHODS: Individual indicators were extracted from a medical administrative database containing full-time psychiatric hospitalizations for the period 2011-2013 of people over 16 years old living in the French region of Nord-Pas-de-Calais. We calculated the proportion of people who had experienced a hospitalization with a duration of 292 days or more during the study period...
January 11, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/28066503/why-do-psychiatric-patients-in-korea-stay-longer-in-hospital
#4
EDITORIAL
Agnus M Kim
Korea is the only developed country that saw an increase in the number of psychiatric beds with the longest average length of stay of psychiatric patients for the past decades. This phenomenon can be explained regarding the payment system, the law, and society. Korea is in a critical position concerning mental health policy. How it paves the way for reducing psychiatric admissions will provide a model for rearranging the interests of different social groups for the sake of a higher value, that of human rights...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28059786/death-of-dementia-patients-in-psychiatric-hospitals-and-regional-supply-of-psychiatric-services-study-of-the-national-data-from-1996-to-2014-in-japan
#5
Miharu Nakanishi, Junko Niimura, Syudo Yamasaki, Atsushi Nishida
BACKGROUND: Japan designates psychiatric inpatient care for behavior management of individuals with dementia and for helping dementia patients discharge to home. However, there has been no examination of the effectiveness of this strategy. OBJECTIVE: The present study investigated the association between dementia and the discharge destination of patients in psychiatric hospitals. METHODS: Data from the National Patient Survey, which is a nationally representative cross-sectional survey of inpatient care, were used...
December 3, 2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28053514/clinical-outcome-and-predictors-of-adverse-events-of-an-enhanced-older-adult-psychiatric-liaison-service-rapid-assessment-interface-and-discharge-newport
#6
Inderpal Singh, Priya Fernando, Jane Griffin, Chris Edwards, Kathryn Williamson, Patrick Chance
BACKGROUND: Hospitals are currently admitting an increasing number of older people, and more than one-third could have an underlying mental health problem. The existing Older Adult Mental Health (OAMH) liaison service was increasingly unable to meet the escalating needs of older and frail patients. Therefore, the service was modernized and enhanced on an "invest-to-save" principle to provide a prompt holistic assessment for older adults with mental health problems. The objective of this study was a service evaluation to appraise clinical outcome, minimize the length of stay, and measure the predictors of adverse outcomes to streamline this enhanced service...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28050894/patients-with-preexisting-psychiatric-disorders-admitted-to-icu-a-descriptive-and-retrospective-cohort-study
#7
Arnaud Gacouin, Adel Maamar, Pierre Fillatre, Emmanuelle Sylvestre, Margaux Dolan, Yves Le Tulzo, Jean Marc Tadié
BACKGROUND: While the psychiatric disorders are conditions frequently encountered in hospitalized patients, there are little or no data regarding the characteristics and short- and long-term outcomes in patients with preexisting psychiatric disorders in ICU. Such assessment may provide the opportunity to determine the respective impact on mortality in the ICU and after ICU discharge with reasons for admission, including modalities of self-harm, of underlying psychiatric disorders and prior psychoactive medications...
December 2017: Annals of Intensive Care
https://www.readbyqxmd.com/read/27974368/reinventing-the-community-hospital-a-retrospective-population-based-cohort-study-of-a-natural-experiment-using-register-data
#8
Jayson O Swanson, Terje P Hagen
OBJECTIVES: To investigate whether implementation of municipal acute bed units (MAUs) resulting from the Norwegian Coordination Reform (2012) was associated with reductions in hospital admissions, particularly for the elderly. DESIGN: A municipality-based retrospective comparative cohort study using monthly population-based registry data analysed with fixed-effects log-log regressions. SETTING: Norwegian municipalities and hospitals. POPULATION: All patients admitted to secondary hospital care in Norway between 2010 and 2014, excluding psychiatric admissions, with additional focus on admission type and elderly age subgroups...
December 13, 2016: BMJ Open
https://www.readbyqxmd.com/read/27943131/knowledge-and-attitude-towards-pharmacological-management-of-acute-agitation-a-survey-of-psychiatrists-psychiatry-residents-and-psychiatric-nurses
#9
KeumbÔh Tangu, Adaora Ifeanyi, Mayurapriya Velusamy, Sara Dar, Nurun Shah, Ifeoma E Ezeobele, Olaoluwa O Okusaga
OBJECTIVE: The authors compared the current knowledge and attitude of psychiatrists, psychiatry residents, and psychiatric nurses towards the pharmacological management of acute agitation. METHODS: Questionnaires were electronically distributed to all attending psychiatrists, psychiatry residents, and psychiatric nurses who were either employed by the University Department of Psychiatry and Behavioral Sciences or were staff at a 250-bed affiliated Psychiatric Hospital...
December 9, 2016: Academic Psychiatry
https://www.readbyqxmd.com/read/27929403/regional-correlates-of-psychiatric-inpatient-treatment
#10
Taina Ala-Nikkola, Sami Pirkola, Minna Kaila, Samuli I Saarni, Grigori Joffe, Raija Kontio, Olli Oranta, Minna Sadeniemi, Kristian Wahlbeck
Current reforms of mental health and substance abuse services (MHS) emphasize community-based care and the downsizing of psychiatric hospitals. Reductions in acute and semi-acute hospital beds are achieved through shortened stays or by avoiding hospitalization. Understanding the factors that drive the current inpatient treatment provision is essential. We investigated how the MHS service structure (diversity of services and balance of personnel resources) and indicators of service need (mental health index, education, single household, and alcohol sales) correlated with acute and semi-acute inpatient treatment provision...
December 5, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27870436/stress-sex-and-motivated-behaviors
#11
REVIEW
Abigail Laman-Maharg, Brian C Trainor
Stress is a major risk factor for development of psychiatric disorders such as depression and development of substance use disorder. Although there are important sex differences in the prevalence of these disorders, most preclinical models used to study stress-induced disorders have used males only. Social defeat stress is a commonly used method to induce stress in an ethologically relevant way but has only recently begun to be used in female rodents. Using these new female models, recent studies have examined how social defeat stress affects males and females differently at the behavioral, circuit, and molecular levels...
January 2, 2017: Journal of Neuroscience Research
https://www.readbyqxmd.com/read/27867414/the-role-of-family-variables-in-the-length-of-stay-of-psychiatric-in-patients
#12
Satoko Yoneyama, Yudo Makita, Keiko Miyazu, Kazuhiko Katsukawa, Eiichi Yoneyama, Shinji Masuda, Yukiko Nakajima, Yasuhiro Kawasaki, Kenji Miyazu
BACKGROUND: In Japan, the number of beds and average length of stay in a psychiatric ward are greater than in other developed countries. OBJECTIVE: The present study aimed to investigate the association between family variables and the length of stay of patients with mental and behavioural disorders in a private psychiatric hospital in Japan. METHODS: The medical records of patients discharged during a one-year period (n=56: men 50.0% excepting 27 patients discharged due to death were re-examined regarding age, laundry type (self-washing of clothes, family washing or supplier washing), number of family visits per one month while hospitalised, and family structure prior to hospitalisation...
2016: Clinical Practice and Epidemiology in Mental Health: CP & EMH
https://www.readbyqxmd.com/read/27846411/binge-eating-disorder-and-bipolar-spectrum-disorders-in-obesity-psychopathological-and-eating-behaviors-differences-according-to-comorbidities
#13
Cristina Segura-Garcia, Mariarita Caroleo, Marianna Rania, Elvira Barbuto, Flora Sinopoli, Matteo Aloi, Franco Arturi, Pasquale De Fazio
BACKGROUND: Obesity is not a mental disorder, yet DSM-5 recognizes a strong association between obesity and psychiatric syndromes. Disorders within the Bipolar Spectrum (BSD) and Binge Eating Disorder (BED) are the most frequent psychiatric disorders among obese patients. The aim of this research is to investigate the psychopathological differences and the distinctive eating behaviors that accompany these comorbidities in obese patients. METHODS: One hundred and nineteen obese patients (40 males; 79 females) underwent psychological evaluation and psychiatric interview, and a dietitian evaluated their eating habits...
January 15, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27837570/the-importance-of-the-patients-deemed-not-guilty-by-reason-of-insanity-for-the-psychiatric-reform
#14
EDITORIAL
Athanasios Douzenis
According to the Greek Penal Law if someone "because of a morbid disturbance of his mental functioning" (article 34) is acquitted of a crime or misdemeanour that the law punishes with more than 6 months imprisonment, then the court orders that this individual should be kept in a public psychiatric institution if the court reaches the conclusion that this person poses a threat to public safety.1 Individuals who have broken the law and deemed "not guilty by reason of insanity" are treated in psychiatric units of Psychiatric Hospitals according to the article 69 of the Penal Code...
July 2016: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/27833689/hours-and-miles-patient-and-health-system-implications-of-transfer-for-psychiatric-bed-capacity
#15
Amy M O'Neil, Annie T Sadosty, Kalyan S Pasupathy, Christopher Russi, Christine M Lohse, Ronna L Campbell
INTRODUCTION: An increasing number of behavioral health (BH) patients are presenting to the emergency department (ED) while BH resources continue to decline. This situation-may lead to more external transfers to find care. METHODS: This is a retrospective cohort study of consecutive patients presenting to a tertiary care academic ED from February 1, 2013, through January 31, 2014. Patients were identified through electronic health record documentation of psychiatric consultation during ED evaluation...
November 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27828693/a-register-based-case-control-study-of-prescription-medication-utilization-in-binge-eating-disorder
#16
Hunna J Watson, Andreas Jangmo, Melissa A Munn-Chernoff, Laura M Thornton, Elisabeth Welch, Camilla Wiklund, Yvonne von Hausswolff-Juhlin, Claes Norring, Barry K Herman, Henrik Larsson, Cynthia M Bulik
OBJECTIVE: Individuals with binge-eating disorder (BED) experience psychiatric and somatic comorbidities and obesity, but the nature and magnitude of prescription medication utilization is unclear. We investigated utilization using Swedish registry data and a case-control design. METHODS: Cases were identified from Riksät and Stepwise longitudinal registers and were individuals diagnosed with BED per DSM-IV-TR criteria between July 1, 2006, and December 31, 2009, at eating disorder clinics (n = 238, 96% female, mean age = 22...
July 7, 2016: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/27812693/increase-in-us-suicide-rates-and-the-critical-decline-in-psychiatric-beds
#17
Tarun Bastiampillai, Steven S Sharfstein, Stephen Allison
No abstract text is available yet for this article.
27, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27797154/binge-abstinence-is-associated-with-reduced-energy-intake-after-treatment-in-patients-with-binge-eating-disorder-and-obesity
#18
Robin M Masheb, Lindsey M Dorflinger, Barbara J Rolls, Diane C Mitchell, Carlos M Grilo
OBJECTIVE: Binge eating disorder (BED) is strongly associated with obesity and related medical and psychiatric morbidities. Cognitive behavioral therapy (CBT) has consistently been shown to reduce binge eating frequency and improve psychological functioning, as well as to produce abstinence rates of roughly 50%. This study examined the relationship between binge abstinence and dietary and psychological outcomes after CBT for BED. METHODS: Fifty adult patients with BED received 6-month treatments using a combination of CBT and dietary counseling...
December 2016: Obesity
https://www.readbyqxmd.com/read/27788379/mother-child-bed-sharing-trajectories-and-psychiatric-disorders-at-the-age-of-6-years
#19
Iná S Santos, Aluísio Jd Barros, Fernando C Barros, Tiago N Munhoz, Bianca Del Ponte Da Silva, Alicia Matijasevich
BACKGROUND: Little is known about the effect of bed-sharing with the mother over the child mental health. METHODS: Population-based birth cohort conducted in Pelotas, Brazil. Children were enrolled at birth (n=4231) and followed-up at 3 months and at 1, 2, 4, and 6 years of age. Bed-sharing was defined as "habitual sharing of the bed between the child and the mother, for sleeping, for part of the night or the whole night". Trajectories of bed sharing between 3 months and 6 years of age were calculated...
January 15, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27757241/what-happens-when-55-of-acute-psychiatric-beds-are-closed-in-six-days-an-unexpected-naturalistic-observational-study
#20
Richard Laugharne, Matt Branch, Anji Mitchell, Lindsay Parkin, Phil Confue, Rohit Shankar, Diane Wilson-James, Mike Marshall, Maria Edgecombe, Bernie Keaney, Kiran Gill, Juliet Harrison
OBJECTIVE: The sudden closure of 30 out of 54 acute psychiatric beds in Cornwall presented a stressful challenge to staff but also a natural experiment on how a service dealt with this situation. We aimed to evaluate the outcomes of patients needing to leave the closed ward, how bed occupancy rates were affected and the impact on admission rates. DESIGN: A service evaluation of the impact of the ward closure. SETTING: A comprehensive secondary NHS mental health service in Cornwall serving 550,000 population...
October 2016: JRSM Open
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