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Psychiatric Centers

Craig S Rosen, Nancy C Bernardy, Kathleen M Chard, Barbara Clothier, Joan M Cook, Jill Crowley, Afsoon Eftekhari, Shannon M Kehle-Forbes, David C Mohr, Siamak Noorbaloochi, Robert J Orazem, Josef I Ruzek, Paula P Schnurr, Brandy N Smith, Nina A Sayer
The United States Department of Veterans Affairs (VA) provides Cognitive Processing Therapy (CPT) and Prolonged Exposure therapy (PE) for PTSD at all of its facilities, but little is known about systematic differences between patients who do and do not initiate these treatments. VA administrative data were analyzed for 6,251 veterans receiving psychotherapy over one year in posttraumatic stress disorder (PTSD) specialty clinics at nine VA medical centers. CPT and PE were initiated by 2,173 (35%) patients. Veterans' probability of initiating either CPT or PE (considered together) was 29% lower (adjusted odds ratio = ...
November 20, 2018: Journal of Anxiety Disorders
Alexandre Klein
A forgotten figure of the history of healthcare as well as Quebec's history, Charlotte Tassé (1893-1974) was a figurehead of the professionalization of Quebecoise nurses. This French-Canadian nurse established and ran two nursing schools, launched and directed a professional reference journal for thirty-five years, actively participated in the development of psychiatric nursing in Quebec, owned and managed one of the most important mental healthcare centers in the country, and also created a new class of nurses in Quebec: practical nurses...
September 2018: Recherche en Soins Infirmiers
Yuan-Chang Hsu, Chih-Tsai Chen, Hao-Jan Yang, Pesus Chou
PURPOSE: To evaluate the associations between family structure, birth order, and aggressive behaviors among school-aged boys with attention deficit hyperactivity disorder (ADHD). METHODS: We conducted a matched case-control study. Data were retrieved from medical records at a psychiatry center in northern Taiwan. School-aged boys with ADHD who first visited the outpatient department at the psychiatric center between 2000 and 2011 were identified. The Child Behavior Checklist was used for aggressive behavior assessment...
December 7, 2018: Social Psychiatry and Psychiatric Epidemiology
Shuai Wang, Chao Yang, Junpu Jia, Yuming Zhou, Yi Zheng
Background: Electroconvulsive therapy (ECT) is an effective treatment for psychiatric disorders such as schizophrenia, major depression and bipolar disorder. However, few studies have addressed the use of ECT in adolescents with schizophrenia. The aims of our study were to investigate the frequency of ECT, and its relationship with clinical and demographic correlates among adolescents with schizophrenia in China. Methods: The study was a retrospective study and conducted in the Child and Adolescent Psychiatry Department of Beijing Anding Hospital, and adolescents with schizophrenia over a period of 10 years (2007-2016) were enrolled...
2018: Child and Adolescent Psychiatry and Mental Health
Sandeep Grover, Swapnajeet Sahoo, Subho Chakrabarti, Debashish Basu, Shubh M Singh, Ajit Avasthi
Objective: To evaluate the clinical profile and effectiveness of ECT in females with postpartum onset psychiatric syndromes or worsening of psychiatric disorder during the postpartum period. Materials and Methods: A retrospective chart review was carried out to identify females who had received ECT during their postpartum period from January2004 to April 2017. Results: During the study period, 13 females in their postpartum period received ECT, which accounted for 2...
November 2018: Indian Journal of Psychological Medicine
N Charfi, N Mseddi, R Sallemi, A Zahaf, M Maâlej-Bouali, S Omri, R Feki, L Zouari, J Ben Thabet, M Maâlej
INTRODUCTION: The study of affective temperaments is a dimensional approach to personality that would provide a better understanding of the emergence of psychopathological disorders including addictive behaviors. However, in the literature, there is a lack of studies focusing on the links between this type of disorder and affective temperaments. Our objectives were to study the distribution of the five known affective temperaments in a group of drug addicts compared to a control group, and to identify sociodemographic and clinical factors associated with emotional traits...
December 5, 2018: L'Encéphale
Jentien Vermeulen, Frederike Schirmbeck, Matthijs Blankers, Mirjam van Tricht, Wim van den Brink, Lieuwe de Haan
BACKGROUND: The self-medication hypothesis postulates that the high prevalence of smoking in patients with psychosis can be explained by the ameliorating effect of smoking on symptoms. However, there are few large prospective studies testing this hypothesis. We aimed to examine the multi-cross-sectional and prospective associations of changes in smoking behaviour with symptoms and quality of life. METHODS: In this prospective cohort study we recruited patients with a non-affective psychosis (n=1094), unaffected siblings (n=1047), and healthy controls (n=579)...
December 5, 2018: Lancet Psychiatry
Sepideh Olausson, Ella Danielson, Inger Berglund Johansson, Helle Wijk
The outcome of care for patients sentenced to forensic psychiatric care is of importance not only for the patient but also for society, in preventing new crimes. In recent years, a person-centered perspective is influencing the care, recognizing the design of the physical environment as a therapeutic resource. To capture the complexity of patients' experience of the physical environment, a qualitative approach is needed. The aim of this study was to investigate the meanings of the patient room as a place and space in forensic psychiatric in-patient care from the patients' perspective...
December 7, 2018: International Journal of Mental Health Nursing
Amra Memic, Fabian Streit, Lejla Hasandedic, Stephanie H Witt, Jana Strohmaier, Marcella Rietschel, Lilijana Oruc
Introduction: Schizophrenia(SCZ) and Bipolar disorder (BD) are frequently occurring and impairing disorders that affect around 1% of the population. Important endophenotypes in the genetic research of SCZ and BD are cognitive functions. Core symptoms for SCZ and BD are impairments in working memory, declarative memory and attention, all of which fulfill the criteria for an endophenotype. The FK506 Binding Protein 5 (FKBP5) gene codes for a co-chaperone of the glucocorticoid receptor and has been reported to be associated with cognition...
November 2018: Medical Archives
Camillia Kong, Ilina Singh
Psychiatric genomics has the potential to radically improve the prevention and early intervention of serious mental and neurodevelopmental disorders worldwide. However, little work has been done on the ethics of psychiatric genomics-an oversight that could result in poor local uptake, reduced practical/clinical application, and ethical violations in this rapidly developing area of scientific research. As part of the Global Project of the Stanley Center for Psychiatric Research, the Global Initiative in Neuropsychiatric GenEthics (NeuroGenE) based at the University of Oxford aims to embed ethical inquiry within scientific investigation and engage with fundamental ethical questions around a psychiatric genomics approach to mental and neurodevelopmental disorder...
December 6, 2018: American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics
S Metekoglu, T Oral, C Ucar Psy, M A Akalin
BACKGROUND: Acne is the most common skin disease, and isotretinoin is the most powerful drug amongst the various drugs used for its treatment. A causal relationship has not yet been established between isotretinoin use and depression. OBJECTIVES: The aim of this study is to research the effect of isotretinoin treatment on depression in a group of patients undergoing isotretinoin therapy. METHODS: Behavioral tests measuring anxiety and depression, and the measures assessing acne severity and quality of life were applied to 112 acne patients consulted at Dermatology Clinic of Beyazit Medico Social Center of Istanbul University...
December 5, 2018: Dermatologic Therapy
Nawal Bent-Ennakhil, Marie Cécile Périer, Patrik Sobocki, Dan Gothefors, Gunnar Johansson, Dominique Milea, Jean-Philippe Empana
OBJECTIVE: To assess the incidence of cardiovascular diseases (CVD) and type-2-diabetes in patients with psychiatric disorders. METHODS: A population-based study was conducted using the Swedish national health registries. Patients were identified from the Electronic Medical Records (EMR) in 20 primary care centers and were categorized in four diagnosis cohorts according to their first psychiatric diagnosis: bipolar disorder, schizophrenia, major depressive disorder, or other mood disorder...
December 4, 2018: Nordic Journal of Psychiatry
A George Awad
Schizophrenia is a long-term psychiatric disorder that impacts important mental functions and requires indefinite treatment, as well as psychosocial and economic support. The introduction of chlorpromazine, the first antipsychotic, and the subsequent development of a long list of similar dopamine-blocking antipsychotic medications, has changed the treatment of schizophrenia as medications have become the cornerstone of clinical management. The enthusiasm that greeted the introduction of antipsychotics was soon tempered by the realisation that they induced significant side effects, such as extrapyramidal and autonomic symptoms...
December 3, 2018: CNS Drugs
Eun-Hyun Lee, Seung Hei Moon, Myung Sun Cho, Eun Suk Park, Soon Young Kim, Jin Sil Han, Jung Hee Cheio
PURPOSE: This study aimed to evaluate the psychometric properties of the Depression Anxiety Stress Scales 21 and 12 in a Korean population. METHODS: The Depression Anxiety Stress Scales were translated into Korean using a translation and back-translation technique, and the content validity was assessed by an expert panel. Participants were recruited from 6 community health centers (n = 431) and 2 community mental health centers (n = 50). A field test of the psychometric properties of the instruments was conducted using confirmatory factor analysis with bootstrap maximum-likelihood estimation involving 1,000 samples, Pearson's analysis, t-test, and Cronbach's alpha coefficient...
November 29, 2018: Asian Nursing Research
I F Groeneveld, P H Goossens, W van Meijeren-Pont, H J Arwert, J J L Meesters, A D Rambaran Mishre, F Van Vree, T P M Vliet Vlieland
PURPOSE: Structured application of patient-reported outcome measures (PROMs) is a key element in Value Based Healthcare. This study aimed to evaluate the feasibility of a broad set of PROMs reflecting similar patient reported health domains as proposed within the International Standard Set of Patient-Centered Outcome Measures After Stroke within the first year after stroke. METHODS: The study included consecutive stroke patients admitted to inpatient or outpatient specialized rehabilitation...
November 29, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Marjan Ghahramanlou-Holloway, Jessica M LaCroix, Kanchana U Perera, Laura Neely, Geoffrey Grammer, Jennifer Weaver, Laura A Novak, Victoria Colborn, Su Yeon Lee-Tauler
OBJECTIVE: Individuals with a recent suicidal crisis are typically admitted for inpatient psychiatric care. However, targeted inpatient interventions for suicide prevention remain sparse. Thus, this pilot randomized controlled trial evaluated a brief inpatient cognitive behavioral protocol, Post-Admission Cognitive Therapy (PACT) for the prevention of suicide. METHODS: United States service members and beneficiaries (N = 24) psychiatrically hospitalized at a military medical center due to a recent suicidal crisis were randomized to receive either PACT plus Enhanced Usual Care (PACT + EUC) or EUC alone...
November 27, 2018: General Hospital Psychiatry
Verónica Martínez-Borba, Carlos Suso-Ribera, Jorge Osma
Perinatal mental illness refers to psychiatric disorders that exist during pregnancy and up to 1 year after childbirth. The aim of this systematic review was to discuss the use of Information and Communication Technologies (ICTs) on perinatal depression (PeD) screening in the past three decades. Published articles were searched between 1990 and 2018, both in English and Spanish. In the search, we used different keywords, such as "pregnancy," "depression," or "technology" in ScienceDirect, PubMed-NCBI, and Web of Science...
November 30, 2018: Cyberpsychology, Behavior and Social Networking
Jan Alexander de Vos, Mirjam Radstaak, Ernst T Bohlmeijer, Gerben J Westerhof
Introduction: Eating Disorders (EDs) are serious psychiatric disorders, impacting physical and psychosocial functioning, often with a chronic course and high mortality rates. The two continua model of mental health states that mental health is a complete state, that is, not merely the absence of mental illness, but also the presence of mental health. This model was studied among ED patients by examining the presence and correlates of well-being and psychopathology. In addition, the levels of well-being were compared to the Dutch general population...
2018: Frontiers in Psychology
Stephanie Doupnik, Jonathan Rodean, Bonnie T Zima, Tumaini R Coker, Diana Worsley, Kris P Rehm, James C Gay, Matt Hall, Steve Marcus
OBJECTIVE: To inform resource allocation toward a continuum of care for youth at risk of suicide, we examined unplanned 30-day readmissions after pediatric hospitalization for either suicide ideation (SI) or suicide attempt (SA). METHODS: We conducted a retrospective cohort study of a nationally representative sample of 133,516 hospitalizations for SI or SA among 6- to 17-year-olds to determine prevalence, risk factors, and characteristics of 30-day readmissions using the 2013 and 2014 Nationwide Readmissions Dataset (NRD)...
November 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Karina Limburg, Andreas Dinkel, Gabriele Schmid-Mühlbauer, Heribert Sattel, Katharina Radziej, Sandra Becker-Bense, Peter Henningsen, Marianne Dieterich, Claas Lahmann
Background: Mental health comorbidities are frequent in patients with vertigo and dizziness. The current study was conducted in a specialized interdisciplinary university center for vertigo and dizziness. Clinical routines consist of a structured work-up in which neuro-otological and neurological tests are performed to first detect possible organic vestibular deficits. In addition, psychiatric disorders and comorbidities are considered. The study aimed to evaluate neurologists' awareness of psychiatric next to somatic disorders within patients' first examination in terms of diagnostic congruence between neurologists' diagnoses and structured clinical assessment of mental disorders...
2018: Frontiers in Neurology
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