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old age psychiatry

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https://www.readbyqxmd.com/read/27917218/can-we-predict-agitation-in-patients-with-suicide-attempts-in-the-emergency-department
#1
Ayhan Akoz, Sultan Tuna Akgol Gur, Elif Oral, Ummu Zeynep Avsar, Mucahit Emet
BACKGROUND: The agitation in patients presenting to the emergency department (ED) after suicide attempts is common and an important problem. OBJECTIVE: To establish whether we can predict agitated patients among suicide attempt patients in ED. METHODS: This is a cross-sectional observational study of adult suicide attempt events in ED. Information was collected prospectively on a specially designed data-collection form. Patients aged 16 years old and above who presented to the ED for care due to suicide attempts were included in the study...
September 2016: African Health Sciences
https://www.readbyqxmd.com/read/27906411/mental-health-emergencies-in-paediatric-services-characteristics-diagnostic-stability-and-gender-differences
#2
Montserrat Porter, Rebeca Gracia, Joan-Carles Oliva, Montserrat Pàmias, Gemma Garcia-Parés, Jesús Cobo
INTRODUCTION: Child and adolescent psychiatric emergencies have increased in recent years. The main objective of our study is to analyze sociodemographic and clinical characteristics of psychiatric emergencies under 18 years old that came to our hospital. Secondary objectives were to study diagnostic stability made in the emergency department and undertake a gender analysis. METHODS: Descriptive cross-sectional study of patients attending the pediatric emergency department who required consultation to psychiatry service during 2010 and 2011, comparing data with two previous cross-sectional cuts (2002-2003 and 2006-2007)...
November 2016: Actas Españolas de Psiquiatría
https://www.readbyqxmd.com/read/27822276/demographic-and-diagnostic-features-of-3147-inpatients-with-mood-disorders-in-iran
#3
Atefeh Ghanbari Jolfaei, Pari Ghadamgahi, Masoud Ahmadzad-Asl, Amir Shabani
OBJECTIVES: To assess and compare demographic and diagnostic characteristics of inpatients with mood disorders in Iran. MATERIALS AND METHODS: We collected the demographic, clinical, and treatment characteristics of patients, who were hospitalized during five years from April 2006 to March 2010, in Iran hospital of psychiatry, a residency training center to evaluate the general clinical picture of the disorder. RESULTS: Overall, 95.3% of subjects had a diagnosis of bipolar I disorder (BID), 2...
September 2016: Iranian Journal of Psychiatry and Behavioral Sciences
https://www.readbyqxmd.com/read/27811466/symptoms-of-anxiety-in-older-adults-with-depression-dementia-or-psychosis-a-principal-component-analysis-of-the-geriatric-anxiety-inventory
#4
Anette Bakkane Bendixen, Cecilie Bhandari Hartberg, Geir Selbæk, Knut Engedal
AIMS: The primary aim of this study was to examine anxiety symptoms as measured by the Geriatric Anxiety Inventory (GAI) in older patients with depression, dementia, or psychotic disorders. The secondary aim was to conduct a principal component analysis (PCA) of the GAI and to examine whether its subscales differ between the 3 disorders. METHODS: We included data from 428 patients who were admitted to a department of geriatric psychiatry and examined according to a standardized protocol...
2016: Dementia and Geriatric Cognitive Disorders
https://www.readbyqxmd.com/read/27777419/lysosomal-dysfunction-in-the-brain-of-a-mouse-model-with-intraneuronal-accumulation-of-carboxyl-terminal-fragments-of-the-amyloid-precursor-protein
#5
G Kaur, M Pawlik, S E Gandy, M E Ehrlich, J F Smiley, E Levy
Recent data suggest that intraneuronal accumulation of metabolites of the amyloid-β-precursor protein (APP) is neurotoxic. We observed that transgenic mice overexpressing in neurons a human APP gene harboring the APP(E693Q) (Dutch) mutation have intraneuronal lysosomal accumulation of APP carboxylterminal fragments (APP-CTFs) and oligomeric amyloid β (oAβ) but no histological evidence of amyloid deposition. Morphometric quantification using the lysosomal marker protein 2 (LAMP-2) immunolabeling showed higher neuronal lysosomal counts in brain of 12-months-old APP(E693Q) as compared with age-matched non-transgenic littermates, and western blots showed increased lysosomal proteins including LAMP-2, cathepsin D and LC3...
October 25, 2016: Molecular Psychiatry
https://www.readbyqxmd.com/read/27756274/the-attitudes-and-beliefs-of-pakistani-medical-practitioners-about-depression-a-cross-sectional-study-in-lahore-using-the-revised-depression-attitude-questionnaire-r-daq
#6
Mark Haddad, Ahmed Waqas, Wahhaj Qayyum, Maryam Shams, Saad Malik
BACKGROUND: Mental disorders such as depression are common and rank as major contributors to the global burden of disease. Condition recognition and subsequent management of depression is variable and influenced by the attitudes and beliefs of clinicians as well as those of patients. Most studies examining health professionals' attitudes have been conducted in Western nations; this study explores beliefs and attitudes about depression among doctors working in Lahore, Pakistan. METHODS: A cross-sectional survey conducted in 2015 used a questionnaire concerning demographics, education in psychiatry, beliefs about depression causes, and attitudes about depression using the Revised Depression Attitude Questionnaire (R-DAQ)...
October 18, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27738398/behavioural-problems-in-children-with-enuresis
#7
Seval Birdal, Burak Doğangün
AIM: Enuresis is defined as involuntary or intentional repeated voiding of urine into clothes or bed at least twice a week for a period of three consecutive months in children older than five years old. It is one of the most frequent chronic childhood disorders. The aim of this study was to investigate the frequency of behavioural problems in children with enuresis. MATERIAL AND METHODS: The research compared 30 children aged between 7 and 11 years who had consulted to Bakırköy Prof...
September 2016: Türk Pediatri Arşivi
https://www.readbyqxmd.com/read/27679776/agreement-and-conversion-formula-between-mini-mental-state-examination-and-montreal-cognitive-assessment-in-an-outpatient-sample
#8
Luqman Helmi, David Meagher, Edmond O'Mahony, Donagh O'Neill, Owen Mulligan, Sutha Murthy, Geraldine McCarthy, Dimitrios Adamis
AIM: To explore the agreement between the mini-mental state examination (MMSE) and montreal cognitive assessment (MoCA) within community dwelling older patients attending an old age psychiatry service and to derive and test a conversion formula between the two scales. METHODS: Prospective study of consecutive patients attending outpatient services. Both tests were administered by the same researcher on the same day in random order. RESULTS: The total sample (n = 135) was randomly divided into two groups...
September 22, 2016: World Journal of Psychiatry
https://www.readbyqxmd.com/read/27629821/a-qualitative-evaluation-of-an-inpatient-nursing-intervention-for-depressed-elderly-the-systematic-activation-method
#9
Frans Clignet, Berno van Meijel, Annemieke van Straten, Pim Cuijpers
PURPOSE: This article describes the evaluation of the implementation of a nursing intervention, that is, the Systematic Activation Method (SAM), among inpatients with late life depression (LLD). METHODS: A qualitative study in four clinical units for old age psychiatry. RESULTS: We identified facilitators and barriers relating to patient and nurse characteristics, as well as to contextual factors, from the perspective of mental health nurses...
September 14, 2016: Perspectives in Psychiatric Care
https://www.readbyqxmd.com/read/27623125/-interpersonal-therapy-ipt-in-child-psychiatry-and-adolescent
#10
B Lavigne, E Audebert-Mérilhou, G Buisson, F Kochman, J P Clément, B Olliac
INTRODUCTION: Depression disorder may become the first cause of morbidity by 2030, according to the World Health Organization. It is actually one of the main causes of disease and handicap in children aged from 10 to 19. The major risk is suicide, whose prevalence is estimated, in France, around 6.7 for 100,000, which is probably underestimated. At present, the discussions about prescription of antidepressants in an adolescent's depression remain intense which is why psychotherapy becomes the first choice of treatment...
September 9, 2016: L'Encéphale
https://www.readbyqxmd.com/read/27570960/-post-traumatic-stress-disorder-among-incomers-in-remire-montjoly-prison-french-guiana
#11
Romain Arnal, Gülen Ayhan, Éric Pinganaud, Célia Basurko, Louis Jehel
Despite the recent interest in psychiatric illness in prison, the psychopathology of the Remire-Montjoly prison population remains largely unknown. Subject to significant population movements, French Guiana and its prison houses a very mixed population in which recent history has left a strong mark (earthquake in Haïti, civil war in Suriname, violence related to gold mining population and drug trafficking). These negative life events appear as potential vectors of psychological trauma. Additionally, strong links have been established in the literature between post-traumatic stress disorder (PTSD) and many other psychiatric disorders, including suicidal behavior and addictions...
December 0: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/27570953/-emotional-memory-and-electrocortical-activity-in-schizophrenia
#12
Marc E Lavoie, Julie Champagne, Emma Glaser, Adrianna Mendrek
Context Abnormal emotion processing is frequent in schizophrenia and affects social and functional outcome. Past event-related potential (ERP) research investigating processing of affective stimuli in schizophrenia was done mainly with facial expressions and revealed impaired facial emotion recognition in patients relative to control subjects. Experimentations involving fMRI with this group of patients, showed alteration of limbic and frontal regions in response to emotional unpleasant images, compared to neutral stimuli during a memory task...
December 0: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/27515770/what-becomes-of-people-admitted-to-acute-old-age-psychiatry-wards-an-exploration-of-factors-affecting-length-of-stay-delayed-discharge-and-discharge-destination
#13
Sue Tucker, Claire Hargreaves, Mark Wilberforce, Christian Brand, David Challis
OBJECTIVES: The study sought to identify the variables associated with increased length of stay on old age psychiatry inpatient wards. It also explored the factors related to delayed discharge and the likelihood of patients admitted from home returning there. METHODS: Data were collected on the sociodemographic, clinical and service receipt characteristics of a 6-month series of admissions to seven wards in England in 2010/2011. The cohort was followed for a 9- to 11-month period...
August 12, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27473459/first-episode-psychosis-in-a-15%C3%A2-year-old-female-with-clinical-presentation-of-anti-nmda-receptor-encephalitis-a-case-report-and-review-of-the-literature
#14
Maria Moura, Amilcar Silva-Dos-Santos, Joana Afonso, Miguel Talina
BACKGROUND: Anti-NMDA receptor encephalitis is an autoimmune disease that was identified in 2007, and manifests in a stepwise manner with psychiatric, neurological and autonomic symptoms. The disease is caused by autoantibodies against NMDA receptors. It can have a paraneoplastic origin, mainly secondary to ovarian teratomas, but it can also be unrelated to the tumor. This disease can affect both sexes and all ages. CASE PRESENTATION: Here, we present a case of a 15 year-old female adolescent with first-episode psychosis with anti-NMDA receptor encephalitis not related to tumor, which manifested with delusion, hallucinations, panic attacks, agitation, and neurological symptoms, and later with autonomic instability...
July 29, 2016: BMC Research Notes
https://www.readbyqxmd.com/read/27389606/distilling-common-history-and-practice-elements-to-inform-dissemination-hanf-model-bpt-programs-as-an-example
#15
REVIEW
Laura A Kaehler, Mary Jacobs, Deborah J Jones
There is a shift in evidence-based practice toward an understanding of the treatment elements that characterize empirically supported interventions in general and the core components of specific approaches in particular. The evidence base for behavioral parent training (BPT) and the standard of care for early-onset disruptive behavior disorders (oppositional defiant disorder and conduct disorder), which frequently co-occur with attention deficit hyperactivity disorder, are well established, yet an ahistorical, program-specific lens tells little regarding how leaders, University of Oregon Medical School, shaped the common practice elements of contemporary evidence-based BPT...
September 2016: Clinical Child and Family Psychology Review
https://www.readbyqxmd.com/read/27382835/-twenty-years-psychiatric-treatment-path
#16
Laura Korhonen, Pekka Tani
Treatment paths in psychiatry may extend from infancy to old age, particularly in neuropsychiatric patients. In the diagnostics and treatment it is important to consider the variations in the symptoms and focuses of rehabilitation during the different periods of the life cycle. Good care and its provision require a perspective extending through the lifespan and assurance of continuity. In our case report we describe a treatment path of 20 years' duration of our neuropsychiatric patient
2016: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/27334252/adhd-in-old-age-a-review-of-the-literature-and-proposal-for-assessment-and-treatment
#17
J J Sandra Kooij, Marieke Michielsen, Henk Kruithof, Denise Bijlenga
INTRODUCTION: ADHD is an often heritable, neurodevelopmental disorder with a prevalence of 4-5% in children and adults and about 3% in older adults. The disorder in older adults (> 55 years) is accompanied by similar comorbidities such as anxiety and depression, and social impairment as in younger age groups. AREAS COVERED: An overview of the literature on diagnostic assessment, differential diagnosis, and treatment of older adults with ADHD is described. Case studies show that stimulant treatment is beneficial for ADHD in old age, but randomized controlled trials are lacking...
July 4, 2016: Expert Review of Neurotherapeutics
https://www.readbyqxmd.com/read/27294270/-clinical-diagnosis-and-drug-therapy-of-elderly-patients-with-schizophrenia-a-restrospective-analysis-of-data-in-a-department-of-old-age-psychiatry
#18
Christian Jagsch, Gabriele Dietmaier, Maximilian Jagsch, Martin Kurz
BACKGROUND: The objective of this study was to survey the consistency of the clinical diagnostics and the psychopharmacological treatment of schizophrenia and delusional disorders suffered by older persons. A further aspect was to record significant clinical differences and also similarities between the patient groups in care, matching with the criteria of ICD 10 for schizophrenia (F20), persistent delusional disorders (F22) and schizoaffective disorder (F25). METHODS: Retrospective analysis with reference to the manually and electronically recorded patient medical records of an acute case care ward for geriatric psychiatry and psychotherapy...
June 2016: Neuropsychiatrie: Klinik, Diagnostik, Therapie und Rehabilitation
https://www.readbyqxmd.com/read/27276721/-behavorial-and-psychological-symptoms-in-dementia-what-alternative-to-drug
#19
Karsten Ebbing
Behavioral and psychological symptoms of dementia (BPSD) are frequent and represent a challenge for an optimal care of patients. They must be investigated systematically and if necessary analyzed with specialized teams in the domain of old age Psychiatry so that these disorders are optimally addressed and complications are prevented. A precise analysis of potential causes of BPSD in concertation with both family members and caring team allows clinicians to avoid the use of drugs that may appear to solve the immediate issue but happen to have serious side effects or even toxicity over time...
April 20, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/27234178/facial-emotion-recognition-in-euthymic-patients-with-bipolar-disorder-and-their-unaffected-first-degree-relatives
#20
Francy de Brito Ferreira Fernandes, Alexandre Duarte Gigante, Mariangeles Berutti, José Antônio Amaral, Karla Mathias de Almeida, Cristiana Castanho de Almeida Rocca, Beny Lafer, Fabiano Gonçalves Nery
BACKGROUND: Facial emotion recognition (FER) is an important task associated with social cognition because facial expression is a significant source of non-verbal information that guides interpersonal relationships. Increasing evidence suggests that bipolar disorder (BD) patients present deficits in FER and these deficits may be present in individuals at high genetic risk for BD. The aim of this study was to evaluate the occurrence of FER deficits in euthymic BD patients, their first-degree relatives, and healthy controls (HC) and to consider if these deficits might be regarded as an endophenotype candidate for BD...
July 2016: Comprehensive Psychiatry
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