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https://www.readbyqxmd.com/read/29664808/trends-in-pharmacological-emergency-treatment-of-patients-suffering-from-schizophrenia-over-a-16-year-observation-period
#1
Monika Edlinger, Anna-Sophia Welte, Nursen Yalcin-Siedentopf, Georg Kemmler, Felix Neymeyer, W Wolfgang Fleischhacker, Alex Hofer
Patients suffering from schizophrenia are often treated in locked psychiatric units because of psychomotor agitation, hostility and aggressive behavior, or suicidality. Because of legal conditions, investigations on these acutely ill patients are difficult, and many studies do not represent 'real-life psychiatry'. This retrospective survey was conducted at the Department of Psychiatry, Psychotherapy and Psychosomatics of the Medical University, Innsbruck, Austria. Data were collected from the records of all adult inpatients suffering from a schizophrenia spectrum disorder according to the International Classification of Diseases, 10th ed...
April 16, 2018: International Clinical Psychopharmacology
https://www.readbyqxmd.com/read/29659068/evolving-standards-of-care-in-the-age-of-cybertechnology
#2
Frederic G Reamer
Behavioral health professionals are making increased use of cybertechnology to deliver services to patients, communicate with patients, gather information about patients, and communicate with colleagues. The advent of cybertechnology - included the Internet, text (SMS), email, video, cloud storage of electronic records, and other forms of electronic communication and documentation - has introduced novel and unprecedented ethical and risk-management challenges. This article provides an overview of emerging issues related to informed consent; delivery of services; privacy, confidentiality, and privileged communication; boundary issues and dual relationships; documentation; and practitioners' relationships with colleagues...
March 2018: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/29621822/-web-based-field-studies-on-diagnostic-classification-and-code-assignment-of-mental-disorders-comparison-of-icd-11-and-icd-10
#3
Wolfgang Gaebel, Mathias Riesbeck, Jürgen Zielasek, Ariane Kerst, Eva Meisenzahl-Lechner, Volker Köllner, Matthias Rose, Tobias Hofmann, Ingo Schäfer, Annett Lotzin, Peer Briken, Verena Klein, Franziska Brunner, Jared W Keeley, Tahilia J Rebello, Howard F Andrews, Geoffrey M Reed, Nenad F I Kostanjsek, Alkomiet Hasan, Pamina Russek, Peter Falkai
The German Society for Psychiatry, Psychosomatics and Psychotherapy (DGPPN,) conducted a comprehensive field study (principal investigator WG) funded by the German Federal Ministry of Health in cooperation with 4 other German medical societies in the field of mental health (DGPM, DGPPR, DeGFS, DGfS) * to support WHO's development of the ICD-11 (Chapters 6 and 17). The objective of the web-based field study was to compare ICD-10 and ICD-11 (beta draft) for selected mental disorders, regarding consistency, accuracy and assessment of utility...
March 2018: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/29588046/meta-analyses-in-child-and-adolescent-psychiatry-getting-closer-to-clinical-practice
#4
EDITORIAL
Samuele Cortese
Rigorously conducted meta-analyses provide evidence synthesis that has the potential to inform daily clinical decision making and development of clinical guidelines. In the past decade, there has been an increasing number of studies on pharmacologic and non-pharmacologic treatments for childhood and adolescent psychiatric disorders. Given this large body of research, busy clinicians might tend to rely on meta-analyses, rather than individual trials, to keep abreast of the evidence base supporting intervention strategies in child and adolescent psychiatry...
April 2018: Journal of the American Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29557571/a-study-on-the-prevalence-of-depression-and-the-severity-of-depression-in-patients-of-chronic-obstructive-pulmonary-disease-in-a-semi-urban-indian-population
#5
Abhishekl Agarwal, Sakshi Batra, Rajendra Prasad, Anand Verma, Abdul Q Jilani, Surya Kant
Chronic obstructive pulmonary disease (COPD) is one of the few respiratory diseases which is associated with a number of comorbidities. Psychiatric disease like depression is a very important comorbidity of COPD because it decreases the feeling of wellbeing in the patient and also interferes with the compliance with medication thereby increasing the risk of hospitalization in the COPD patient. A cross-sectional study was done for two years in the department of pulmonary medicine at Era's Lucknow medical college and hospital, Lucknow...
March 19, 2018: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/29551660/fetal-alcohol-spectrum-disorders-fasd-what-we-know-and-what-we-should-know-the-knowledge-of-german-health-professionals-and-parents
#6
Mirjam N Landgraf, Lucia Albers, Birte Rahmsdorf, Katharina Vill, Lucia Gerstl, Michaela Lippert, Florian Heinen
OBJECTIVE: The objective of our study was to evaluate the knowledge about fetal alcohol spectrum disorders (FASD) and the implementation of the German guideline for FASD among different professionals in the health and social system and among parents with children with FASD. METHODS: A questionnaire about FASD, containing 20 items, was sent by post to all children's hospitals (n = 287), all hospitals for child and adolescent psychiatry (n = 173), all social paediatric centres (n = 162), all neuropaediatricians (n = 129) and all youth welfare offices (n = 672) in Germany...
March 2, 2018: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/29528720/patient-treatment-and-health-care-utilization-variables-associated-with-adherence-to-metabolic-monitoring-practices-in-children-and-adolescents-taking-second-generation-antipsychotics
#7
Mary Coughlin, Catherine Lindsay Goldie, Joan Tranmer, Sarosh Khalid-Khan, Deborah Tregunno
OBJECTIVE: Children and adolescents with a range of psychiatric disorders are increasingly being prescribed atypical or second-generation antipsychotics (SGAs). While SGAs are effective at treating conduct and behavioural symptoms, they infer significant cardiometabolic risk. This study aims to explore what patient, treatment, and health care utilization variables are associated with adherence to Canadian Alliance for Monitoring Effectiveness and Safety of Antipsychotics in Children (CAMESA) metabolic monitoring guidelines...
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29528597/-transition-from-child-and-adolescent-to-adult-mental-health-care
#8
F Carbonez, M Al Husni Al Keilani, C Kornreich, V Delvenne
Adolescents and young adults are at particularly at-risk population in mental health. For a large majority of patients suffering from chronic psychiatric condition, the age of onset of psychiatric symptoms is less than 24 years, while the coverage in psychiatric care is the lowest between 16 and 24. Presenting a psychiatric pathology during childhood and adolescence constitutes an independent risk factor for the occurrence of adverse life events in adulthood. Furthermore, that population is at the edge between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS)...
2018: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/29521401/-psychiatric-diagnosis-personalised-by-definition
#9
M W Hengeveld, A T F Beekman
BACKGROUND: Personalised psychiatry requires a psychiatric diagnosis which aims to determine the causes of the mental disorder and the context within which it has developed, including the factors of most importance for the choice of an appropriate treatment. AIM: To show that psychiatric diagnosis is personalised by definition. METHOD: Description of the differences between psychiatric classification and psychiatric diagnosis, including a discussion of symptom network diagnosis and diagnosis of meaningful connections...
2018: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29511924/citation-classics-in-pediatrics-a-bibliometric-analysis
#10
Viswas Chhapola, Soumya Tiwari, Bobbity Deepthi, Sandeep Kumar Kanwal
BACKGROUND: Citation analysis provides insights into the history and developmental trajectory of scientific fields. Our objective was to perform an analysis of citation classics in the journals of pediatric specialty and to examine their characteristics. METHODS: Initially, all the journals listed under the category of pediatrics (n = 120) were identified using Journal Citation Reports. Web of science database was then searched (1950-2016) to select the top-100 cited articles in the above identified pediatric journals...
March 6, 2018: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/29509177/psychiatry-s-role-in-the-management-of-human-trafficking-victims-an-integrated-care-approach
#11
Mollie Gordon, Temilola Salami, John Coverdale, Phuong T Nguyen
Human trafficking is an outrageous human rights violation with potentially devastating consequences to individuals and the public health. Victims are often underrecognized and there are few guidelines for how best to identify, care for, and safely reintegrate victims back into the community. The purpose of this paper is to propose a multifaceted, interdisciplinary, and interprofessional guideline for providing care and services to human trafficking victims. Databases such as PubMed and PsycINFO were searched for papers outlining human trafficking programs with a primary psychiatric focus...
March 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29506557/attitudes-of-stakeholders-in-psychiatry-towards-the-inclusion-of-children-in-genomic-research
#12
Anna Sundby, Merete Watt Boolsen, Kristoffer Sølvsten Burgdorf, Henrik Ullum, Thomas Folkmann Hansen, Ole Mors
BACKGROUND: Genomic sequencing of children in research raises complex ethical issues. This study aims to gain more knowledge on the attitudes towards the inclusion of children as research subjects in genomic research and towards the disclosure of pertinent and incidental findings to the parents and the child. METHODS: Qualitative data were collected from interviews with a wide range of informants: experts engaged in genomic research, clinical geneticists, persons with mental disorders, relatives, and blood donors...
March 5, 2018: Human Genomics
https://www.readbyqxmd.com/read/29493375/tdm-in-psychiatry-and-neurology-a-comprehensive-summary-of-the-consensus-guidelines-for-therapeutic-drug-monitoring-in-neuropsychopharmacology-update-2017-a-tool-for-clinicians
#13
Georgios Schoretsanitis, Michael Paulzen, Stefan Unterecker, Markus Schwarz, Andreas Conca, Gerald Zernig, Gerhard Gründer, Ekkerhard Haen, Pierre Baumann, Niels Bergemann, Hans Willi Clement, Katharina Domschke, Gabriel Eckermann, Karin Egberts, Manfred Gerlach, Christine Greiner, Ursula Havemann-Reinecke, Gudrun Hefner, Renate Helmer, Ger Janssen, Eveline Jaquenoud-Sirot, Gerd Laux, Thomas Messer, Rainald Mössner, Matthias J Müller, Bruno Pfuhlmann, Peter Riederer, Alois Saria, Bernd Schoppek, Margarete Silva Gracia, Benedikt Stegmann, Werner Steimer, Julia C Stingl, Manfred Uhr, Sven Ulrich, Roland Waschgler, Gabriela Zurek, Christoph Hiemke
OBJECTIVES: Therapeutic drug monitoring (TDM) combines the quantification of drug concentrations in blood, pharmacological interpretation and treatment guidance. TDM introduces a precision medicine tool in times of increasing awareness of the need for personalized treatment. In neurology and psychiatry, TDM can guide pharmacotherapy for patient subgroups such as children, adolescents, pregnant women, elderly patients, patients with intellectual disabilities, patients with substance use disorders, individuals with pharmacokinetic peculiarities and forensic patients...
April 2018: World Journal of Biological Psychiatry
https://www.readbyqxmd.com/read/29480781/race-in-supervision-let-s-talk-about-it
#14
Cathy R Schen, Alecia Greenlee
Addressing race and racial trauma within psychotherapy supervision is increasingly important in psychiatry training. A therapist's ability to discuss race and racial trauma in psychotherapy supervision increases the likelihood that these topics will be explored as they arise in the therapeutic setting. The authors discuss the contextual and sociocultural dynamics that contributed to their own avoidance of race and racial trauma within the supervisory relationship. The authors examine the features that eventually led to a robust discussion of race and culture within the supervisory setting and identify salient themes that occurred during three phases of the conversation about race: pre-dialogue, the conversation, and after the conversation...
2018: Psychodynamic Psychiatry
https://www.readbyqxmd.com/read/29424757/survey-of-core-trainees-confidence-in-electroconvulsive-therapy
#15
Gillian Scott, David M Semple
OBJECTIVES: The objective of the survey was to assess confidence in electroconvulsive therapy (ECT) in core psychiatry trainees across Scotland, looking at both theoretical and practical aspects of ECT. METHODS: A link to a 14-item electronic questionnaire was distributed to core trainees via deanery administrators. Most questions were based on the Royal College of Psychiatry's ECT guidelines. RESULTS: A total of 85 responses were analyzed from trainees at all 3 levels of core training and from all health boards across Scotland...
February 7, 2018: Journal of ECT
https://www.readbyqxmd.com/read/29423828/standardized-patients-in-clinical-psychology-and-psychotherapy-a-scoping-review-of-barriers-and-facilitators-for-implementation
#16
REVIEW
Franziska Kühne, Destina Sevde Ay, Mara Jasmin Otterbeck, Florian Weck
OBJECTIVES: The use of simulated and standardized patients (SP) is widely accepted in the medical field and, from there, is beginning to disseminate into clinical psychology and psychotherapy. The purpose of this study was therefore to systematically review barriers and facilitators that should be considered in the implementation of SP interventions specific to clinical psychology and psychotherapy. METHODS: Following current guidelines, a scoping review was conducted...
February 8, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29405338/toward-valid-and-reliable-brain-imaging-results-in-eating-disorders
#17
Guido K W Frank, Angela Favaro, Rachel Marsh, Stefan Ehrlich, Elizabeth A Lawson
Human brain imaging can help improve our understanding of mechanisms underlying brain function and how they drive behavior in health and disease. Such knowledge may eventually help us to devise better treatments for psychiatric disorders. However, the brain imaging literature in psychiatry and especially eating disorders has been inconsistent, and studies are often difficult to replicate. The extent or severity of extremes of eating and state of illness, which are often associated with differences in, for instance hormonal status, comorbidity, and medication use, commonly differ between studies and likely add to variation across study results...
February 5, 2018: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/29403661/the-efpa-test-review-model-when-good-intentions-meet-a-methodological-thought-disorder
#18
Paul Barrett
The European Federation of Psychologists' Associations (EFPA) has issued sets of test standards and guidelines for psychometric test reviews without any attempt to address the critical content of many substantive publications by measurement experts such as Joel Michell. For example, he has argued that the psychometric test-theory which underpins classical and modern IRT psychometrics is "pathological", with the entire profession of psychometricians suffering from a methodological thought disorder. With the advent of new kinds of assessment now being created by the "Next Generation" of psychologists which no longer conform to the item-based, statistical test theory generated last century, a new framework is set out for constructing evidence-bases suitable for these "Next Generation" of assessments, which avoids the illusory beliefs of equal-interval or quantitatively structured psychological attributes...
January 2018: Behavioral Sciences
https://www.readbyqxmd.com/read/29359282/-health-care-organization-the-new-german-s3-guideline-on-alcohol-related-disorders-and-its-relevance-for-health-care
#19
Arthur Günthner, Volker Weissinger, Heribert Fleischmann, Clemens Veltrup, Bettina Jäpel, Gerhard Längle, Klaus Amann, Eva Hoch, Karl Mann
BACKGROUND: Alcohol dependence is one of the most serious diseases of addiction in Germany. The new S3-guideline "Screening, Diagnostics and Treatment of Alcohol-Related Disorders" has been presented in 2015 and summarizes the present state of knowledge pertaining to the diagnosis and treatment of alcohol abuse and alcohol dependence. METHODS: This guideline was developed over four years within the framework of the Association of the Scientific Medical Societies in Germany (AWMF)...
January 22, 2018: Die Rehabilitation
https://www.readbyqxmd.com/read/29314463/prevalence-and-patterns-of-anti-epileptic-medication-prescribing-in-the-treatment-of-epilepsy-in-older-adults-with-intellectual-disabilities
#20
M O'Dwyer, J Peklar, N Mulryan, P McCallion, M McCarron, M C Henman
BACKGROUND: The prevalence of epilepsy is higher in people with intellectual disability (ID) and increases with the degree of ID. Although life expectancy for people with ID is increasing, people with ID coexisting with epilepsy have a higher mortality rate, particularly those who had recent seizures. There have been few observational studies of the prevalence and patterns of anti-epileptic prescribing among older people with ID and epilepsy. The aim of this study was to investigate prevalence and patterns of anti-epileptic prescribing in the treatment of epilepsy in a representative population of older people with ID and epilepsy...
March 2018: Journal of Intellectual Disability Research: JIDR
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