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https://www.readbyqxmd.com/read/27870436/stress-sex-and-motivated-behaviors
#1
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
#2
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
#3
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...
November 10, 2016: 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
#4
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
#5
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
#6
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
#7
Tarun Bastiampillai, Steven S Sharfstein, Stephen Allison
No abstract text is available yet for this article.
November 3, 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
#8
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...
October 31, 2016: Obesity
https://www.readbyqxmd.com/read/27788379/mother-child-bed-sharing-trajectories-and-psychiatric-disorders-at-the-age-of-6-years
#9
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...
October 18, 2016: 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
#10
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
https://www.readbyqxmd.com/read/27752878/treatment-of-rem-sleep-behavior-disorder
#11
REVIEW
Youngsin Jung, Erik K St Louis
REM sleep behavior disorder (RBD) is a common parasomnia disorder affecting between 1 and 7 % of community-dwelling adults, most frequently older adults. RBD is characterized by nocturnal complex motor behavior and polysomnographic REM sleep without atonia. RBD is strongly associated with synucleinopathy neurodegeneration. The approach to RBD management is currently twofold: symptomatic treatment to prevent injury and prognostic counseling and longitudinal follow-up surveillance for phenoconversion toward overt neurodegenerative disorders...
November 2016: Current Treatment Options in Neurology
https://www.readbyqxmd.com/read/27752345/an-acute-in-patient-psychiatric-service-for-16-to-17-year-old-adolescents-in-the-uk-a-descriptive-evaluation
#12
Venu Duddu, Abdulhakim Rhouma, Masood Qureshi, Imran Bashir Chaudhry, Terry Drake, Altaf Sumra, Nusrat Husain
Aims and method The need for an age-appropriate in-patient service for 16- to 17-year-olds led to the development of a 6-bed acute admissions unit in a non-metropolitan county in the UK. We provide a descriptive evaluation of the first 2 years of its operation. All admissions from April 2010 to March 2012 were reviewed, clinical details systematically recorded and descriptively analysed. Results Ninety-seven young people were admitted during this period (a third were compulsorily detained under the Mental Health Act 1983)...
October 2016: BJPsych Bulletin
https://www.readbyqxmd.com/read/27745725/-crisis-unit-at-the-general-hospital-determinants-of-further-hospitalization
#13
C Norotte, C Omnès, C Crozier, C Verlyck, M Romanos
INTRODUCTION: The availability of short-stay beds for brief admission (less than 72hours) of crisis patients presenting to the emergency room is a model that has gained a growing interest because it allows time for developing alternatives to psychiatric hospitalization and favors a maintained functioning in the community. Still, the determinants influencing the disposition decision at discharge after crisis intervention remain largely unexplored. OBJECTIVE: The primary objective of this study was to determine the factors predicting aftercare dispositions at crisis unit discharge: transfer for further hospitalization or return to the community...
October 10, 2016: L'Encéphale
https://www.readbyqxmd.com/read/27733955/recognizing-binge-eating-disorder-in-the-clinical-setting-a-review-of-the-literature
#14
Susan G Kornstein, Jelena L Kunovac, Barry K Herman, Larry Culpepper
OBJECTIVE: Review the clinical skills needed to recognize, diagnose, and manage binge-eating disorder (BED) in a primary care setting. DATA SOURCES: A PubMed search of English-language publications (January 1, 2008-December 11, 2014) was conducted using the term binge-eating disorder. Relevant articles known to the authors were also included. STUDY SELECTION/DATA EXTRACTION: Publications focusing on preclinical topics (eg, characterization of receptors and neurotransmitter systems) without discussing clinical relevance were excluded...
2016: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/27714600/-end-of-a-psychiatric-era-impact-on-the-use-of-mechanical-restraints-after-prohibition-of-psychiatric-cage-beds-in-a-regional-psychiatric-department-in-vienna-austria
#15
Christoph Sulyok, Petra Weiland-Fiedler, Sarah Schwehla, Vera Pfersmann
BACKGROUND: Since June 1st, 2014 the use of cage beds, a physical coercive measure in psychiatric wards, is forbidden by Austrian law. The 3rd Psychiatric Department at the Otto Wagner Hospital in Vienna carried out a pilot-study prior to the application of this law and compared 6 months with and 6 months without the use of cage beds in psychiatric acute treatment. The investigation focused on the use of mechanical restraints, especially of 4-point-restraints at admission time. METHODS: The study collected clinical and epidemiological data from the patients and analyzed interviews taken with patients and staff-members after the use of coercive measures...
September 2016: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/27711956/-psycho-oncologic-care-by-a-consultation-liaison-service-differences-between-oncologic-patients-with-and-without-psychiatric-comorbidity
#16
Juan Valdes-Stauber, Susanne Bachthaler
Background: Psycho-oncologic consultation and liaison services (CLS) are mainly psychosomatic oriented teams in acute care hospitals. Their interventions are electively, setting-related or universal like in accredited centers. Objectives: We investigated whether clinical and care-related differences between cancer patients with and without psychiatric comorbidity exist as well as between patients treated in oncologic centers and aside thereof. We also investigated possible differences according to psychiatric as well as to oncologic diagnoses...
October 6, 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/27686282/electrocardiographic-surveillance-in-a-psychiatric-institution-avoiding-iatrogenic-cardiovascular-death
#17
Cristobal Manuel Rodríguez-Leal, Elena López-Lunar, Jose Manuel Carrascosa-Bernáldez, Rosa Maria Provencio-Arranz
OBJECTIVE: To describe a new initiative developed to optimise patient safety in a mental health setting in order to prevent serious cardiac events. MATERIALS AND METHODS: A longitudinal study of all in-patients admitted at the hospital, comprised of 197 beds distributed among three units, was conducted for 12 months. All admitted patients at the hospital underwent electrocardiogram surveillance, as it was described in our new local guideline for sudden cardiac death prevention...
September 30, 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27683519/patient-controlled-hospital-admission-for-patients-with-severe-mental-disorders-study-protocol-for-a-nationwide-prospective-multicentre-study
#18
Christoffer Torgaard Thomsen, Michael Eriksen Benros, Lene Halling Hastrup, Per Kragh Andersen, Domenico Giacco, Merete Nordentoft
INTRODUCTION: Patient-controlled hospital admission for individuals with severe mental disorders is a novel approach in mental healthcare. Patients can admit themselves to a hospital unit for a short stay without being assessed by a psychiatrist or contacting the emergency department. Previous studies assessing the outcomes of patient-controlled hospital admission found trends towards reduction in the use of coercive measures and length of hospital stay; however, these studies have methodological shortcomings and small sample sizes...
2016: BMJ Open
https://www.readbyqxmd.com/read/27642179/binge-eating-disorder-in-the-swedish-national-registers-somatic-comorbidity
#19
Laura M Thornton, Hunna J Watson, Andreas Jangmo, Elisabeth Welch, Camilla Wiklund, Yvonne von Hausswolff-Juhlin, Claes Norring, Barry K Herman, Henrik Larsson, Cynthia M Bulik
OBJECTIVE: To evaluate associations between binge-eating disorder (BED) and somatic illnesses and determine whether medical comorbidities are more common in individuals who present with BED and comorbid obesity. METHOD: Cases (n = 850) were individuals with a BED diagnosis in the Swedish eating disorders quality registers. Ten community controls were matched to each case on sex, and year, month, and county of birth. Associations of BED status with neurologic, immune, respiratory, gastrointestinal, skin, musculoskeletal, genitourinary, circulatory, and endocrine system diseases were evaluated using conditional logistic regression models...
September 19, 2016: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/27633435/feelings-thermometer-an-early-intervention-scale-for-seclusion-restraint-reduction-among-children-and-adolescents-in-residential-psychiatric-care
#20
Briana Marie Andrassy
PROBLEM: Restraints and/or seclusions (R/S) are events that have the potential to cause patient injury, staff injury, re-traumatization, and even death. There is a gap in available data regarding alternative strategies for reducing R/S. METHOD: A 140-bed children and adolescent residential treatment hospital implemented a "Feelings Thermometer Scale" on each unit. The "Feelings Thermometer" allowed the resident to point to a face on the scale to rate how they were feeling from "Cool" to "On Fire!" Once the resident identified with a feeling and rating, options were offered for alternative cool down locations corresponding to each level of escalation...
August 2016: Journal of Child and Adolescent Psychiatric Nursing
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