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Psychiatric nosology

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https://www.readbyqxmd.com/read/28937340/research-domain-criteria-as-psychiatric-nosology
#1
Faisal Akram, James Giordano
Diagnostic classification systems in psychiatry have continued to rely on clinical phenomenology, despite limitations inherent in that approach. In view of these limitations and recent progress in neuroscience, the National Institute of Mental Health (NIMH) has initiated the Research Domain Criteria (RDoC) project to develop a more neuroscientifically based system of characterizing and classifying psychiatric disorders. The RDoC initiative aims to transform psychiatry into an integrative science of psychopathology in which mental illnesses will be defined as involving putative dysfunctions in neural nodes and networks...
October 2017: Cambridge Quarterly of Healthcare Ethics: CQ: the International Journal of Healthcare Ethics Committees
https://www.readbyqxmd.com/read/28922592/determining-if-borderline-personality-disorder-and-bipolar-disorder-are-alternative-expressions-of-the-same-disorder-results-from-the-national-epidemiologic-survey-on-alcohol-and-related-conditions
#2
Iris de la Rosa, María A Oquendo, Gemma García, Barbara Stanley, Ana González-Pinto, Shang-Min Liu, Carlos Blanco
OBJECTIVE: To examine whether bipolar disorder and borderline personality disorder represent 2 different disorders or alternative manifestations of the same disorder. METHODS: The data were collected between January 1, 2004, and December 31, 2005. The analyses were conducted between December 21 and December 27, 2010. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed on 25 symptoms assessing depression, mania, and borderline personality disorder from the National Epidemiologic Survey on Alcohol and Related Conditions, a large nationally representative sample of the US adult population (N = 34,653)...
September 5, 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28899446/affective-and-emotional-dysregulation-as-pre-dementia-risk-markers-exploring-the-mild-behavioral-impairment-symptoms-of-depression-anxiety-irritability-and-euphoria
#3
Zahinoor Ismail, Jennifer Gatchel, Daniel R Bateman, Ricardo Barcelos-Ferreira, Marc Chantillon, Judith Jaeger, Nancy J Donovan, Moyra E Mortby
BACKGROUND: Affective and emotional symptoms such as depression, anxiety, euphoria, and irritability are common neuropsychiatric symptoms (NPS) in pre-dementia and cognitively normal older adults. They comprise a domain of Mild Behavioral Impairment (MBI), which describes their emergence in later life as an at-risk state for cognitive decline and dementia, and as a potential manifestation of prodromal dementia. This selective scoping review explores the epidemiology and neurobiological links between affective and emotional symptoms, and incident cognitive decline, focusing on recent literature in this expanding field of research...
September 13, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28875851/urotensin-ii-molecular-mechanisms-of-biological-activity
#4
Andrey A Svistunov, Vadim V Tarasov, Svetlana A Shakhmardanova, Susanna S Sologova, Ekaterina T Bagaturija, Vladimir N Chubarev, Pavel A Galenko-Yaroshevsky, George E Barreto, Gjumrakch Aliev
Urotensin II (UT II) is an important factor of cellular homeostasis. This regulatory peptide is involved in the pathophysiology of many disorders. For example, it plays an important role in the pathogenesis of acute and chronic diseases, stressful and adaptive reactions of the body, in the development of cardiovascular pathologies, metabolic syndrome, inflammation, liver cirrhosis, renal failure, diabetic nephropathy, reproductive dysfunction, progression of psychosomatic, psychoendocrinal and psychiatric disorders...
August 29, 2017: Current Protein & Peptide Science
https://www.readbyqxmd.com/read/28867937/epidemiology-of-anxiety-disorders-from-surveys-to-nosology-and-back
#5
Dan J Stein, Kate M Scott, Peter de Jonge, Ronald C Kessler
On the basis of epidemiological survey findings, anxiety disorders are the most prevalent mental disorders around the world and are associated with significant comorbidity and morbidity. Such surveys rely on advances in psychiatric nosology and may also contribute usefully to revisions of the nosology. There are a number of questions at the intersection of psychiatric epidemiology and nosology. This review addresses the following: What is the prevalence of anxiety disorders and how do we best explain cross-national differences in prevalence estimates? What are the optimal diagnostic criteria for anxiety disorders, and how can epidemiological data shed light on this question? What are the comorbidities of anxiety disorders, and how do we best understand the high comorbidities seen in these conditions? What is the current treatment gap for anxiety disorders, and what are the implications of current understandings of psychiatric epidemiology and nosology for policy-making relevant to anxiety disorders? Here, we emphasize that anxiety disorders are the most prevalent of the psychiatric conditions, and that rather than merely contrasting cross-national prevalence in anxiety disorders, it is more productive to delineate cross-national themes that emerge about the epidemiology of these conditions...
June 2017: Dialogues in Clinical Neuroscience
https://www.readbyqxmd.com/read/28782970/review-of-cold-war-freud-psychiatry-in-communist-europe-and-psiquiatr%C3%A3-a-psico%C3%A3-nalisis-y-cultura-comunista-batallas-ideol%C3%A3-gicas-en-la-guerra-fria-psychiatry-psychoanalysis-and-communist-culture-ideological-battles-in-the-cold-war
#6
Marco Innamorati
Reviews the books, Cold War Freud by D. Herzog (2016), Psychiatry in Communist Europe edited by M. Savelli and S. Marks (2015), and Psiquiatría, Psicoánalisis y Cultura Comunista: Batallas Ideológicas en la Guerra Fria [Psychiatry, psychoanalysis and communist culture: Ideological battles in the Cold War] by H. Vezzetti. On the whole, the three books show how the Cold War influenced, in various ways, psychiatric and psychotherapeutic cultures. Beyond the Iron Curtain, as one can perceive from the book edited by Savelli and Marks (2015), politics explicitly set the agenda for the psychological sciences, using them even to invent ad hoc nosologies, useful for purposes related to power...
August 2017: History of Psychology
https://www.readbyqxmd.com/read/28753076/the-burden-of-psychosocial-morbidity-related-to-cancer-patient-and-family-issues
#7
Rosangela Caruso, Mara Giulia Nanni, Michelle B Riba, Silvana Sabato, Luigi Grassi
With cancer incidence increasing over time, attention to the burden of related psychiatric and psychosocial consequences of the disease and treatment is a major topic for both cancer patients and their caregivers. Among cancer patients, psychiatric (e.g. adjustment, anxiety, depressive disorders) and neuropsychiatric disorders (e.g. cognitive disorders secondary to treatment, delirium) have been shown to affect an average of 30-35% patients, with differences according to stage and type of cancer. Also other psychosocial syndromes (e...
July 28, 2017: International Review of Psychiatry
https://www.readbyqxmd.com/read/28704701/-developing-culturally-sensitive-affect-scales-for-global-mental-health-research-and-practice-emotional-balance-not-named-syndromes-in-indian-adivasi-subjective-well-being
#8
Jeffrey G Snodgrass, Michael G Lacy, Chakrapani Upadhyay
We present a perspective to analyze mental health without either a) imposing Western illness categories or b) adopting local or "native" categories of mental distress. Our approach takes as axiomatic only that locals within any culture share a cognitive and verbal lexicon of salient positive and negative emotional experiences, which an appropriate and repeatable set of ethnographic procedures can elicit. Our approach is provisionally agnostic with respect to either Western or native nosological categories, and instead focuses on persons' relative frequency of experiencing emotions...
June 27, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28653044/neuroclinical-framework-for-the-role-of-stress-in-addiction
#9
Laura E Kwako, George F Koob
Addiction has been conceptualized as a three-stage cycle-binge/intoxication, withdrawal/negative affect, and preoccupation/anticipation-that worsens over time and involves allostatic changes in hedonic function via changes in the brain reward and stress systems. Using the withdrawal/negative affect stage and negative reinforcement as an important source of motivation for compulsive drug seeking, we outline the neurobiology of the stress component of the withdrawal/negative affect stage and relate it to a derivative of the Research Domain Criteria research construct for the study of psychiatric disease, known as the Addictions Neuroclinical Assessment...
February 2017: Chronic stress
https://www.readbyqxmd.com/read/28580656/prepartum-psychosis-and-neonaticide-rare-case-study-and-forensic-psychiatric-synthesis-of-literature
#10
Maria-Valeria Karakasi, Maria Markopoulou, Ioannis K Tentes, Panagiotis N Tsikouras, Epameinondas Vasilikos, Pavlos Pavlidis
Peripartum psychosis is a rare but serious psychiatric disorder characterized by the presence of a mood episode with psychotic features. Although controversy surrounds the nosological status of peripartum mental disorders, these conditions continue to be of exceptional interest to the medical and forensic mental health communities. The aim of this study was to report a rare case of prepartum psychosis which escalated to the endpoint of neonaticide and summarize literature on peripartum mental disorders and infanticide...
June 5, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28541234/psychiatric-specialty-training-in-greece
#11
EDITORIAL
M Margariti, V Kontaxakis, D Ploumpidis
The reform and development of psychiatric services require, in addition to financial resources, reserves in specialized human resources. The role of psychiatrists in this process, and at reducing the consequences of mental morbidity is evident. Psychiatrists are required to play a multifaceted role as clinicians, as experts in multidisciplinary team environments and as advisors in the recognition of public needs in mental health issues, as teachers and mentors for students and other health professionals, as researchers in order to enrich our knowledge in the scientific field of psychiatry, and as public health specialists in the development of the mental health services system...
January 2017: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/28495012/what-do-clinicians-treat-diagnoses-or-symptoms-the-incremental-validity-of-a-symptom-based-dimensional-characterization-of-emotional-disorders-in-predicting-medication-prescription-patterns
#12
Monika A Waszczuk, Mark Zimmerman, Camilo Ruggero, Kaiqiao Li, Annmarie MacNamara, Anna Weinberg, Greg Hajcak, David Watson, Roman Kotov
BACKGROUND: Although practice guidelines are based on disorders specified in diagnostic manuals, such as the DSM, practitioners appear to follow symptoms when making treatment decisions. Psychiatric medication is generally prescribed in a transdiagnostic manner, further highlighting how symptoms, not diagnoses, often guide clinical practice. A quantitative approach to nosology promises to provide better guidance as it describes psychopathology dimensionally and its organization reflects patterns of covariation among symptoms...
April 18, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28482691/the-philosophy-of-nosology
#13
Peter Zachar, Kenneth S Kendler
Many scholars believe that psychiatric nosology is undergoing a crisis of confidence. Some of the issues up for debate hark back to the introduction of the natural history approach to classification in the seventeenth century. Natural histories map sameness and difference rather than speculate about causes. In contrast, the natural classification approach aspires to carve nature at the joints by demarcating classifications by causes. Natural classifications are more ideal scientifically, but speculation about causality has had a poor track record in psychiatric nosology...
May 8, 2017: Annual Review of Clinical Psychology
https://www.readbyqxmd.com/read/28444578/experimental-psychosis-research-and-schizophrenia-similarities-and-dissimilarities-in-psychopathology
#14
Leo Hermle, Rainer Kraehenmann
The aim of experimental psychopathology is to delineate overlapping functional disorders of psychoneurobiologically-defined systems where a set of common symptoms may correspond to a variety of nosological entities. According to the vulnerability model of psychosis, experimental research needs to go beyond categories such as "schizophrenia". Prospective studies of the effects of psychoactive substances in normal control subjects offer several methodological advantages over routine clinical reviews of schizophrenic patients, especially in terms of standardization...
April 26, 2017: Current Topics in Behavioral Neurosciences
https://www.readbyqxmd.com/read/28393994/-psychiatry-and-occupational-diseases-act-in-chile-historical-and-critical-review-of-a-complex-relationship
#15
Juan C Almonte, Cristián Mena, Sofía Ortiz, Juan P Osorio
The Work Accidents and Occupational Diseases Act exists in Chile since 1968. It uses a single model for the understanding and management of both somatic diseases like silicosis and psychiatric disorders. During the last decade in Chile, the consultation rates due to psychiatric conditions of probable labor origin has rose over 1,000%, a factor that underscored the deficiencies of this model. The aim of this paper is to analyze the consequences of the application of this act in the psychiatric field for almost 50 years after its promulgation...
December 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/28343453/a-trans-diagnostic-perspective-on-obsessive-compulsive-disorder
#16
C M Gillan, N A Fineberg, T W Robbins
Progress in understanding the underlying neurobiology of obsessive-compulsive disorder (OCD) has stalled in part because of the considerable problem of heterogeneity within this diagnostic category, and homogeneity across other putatively discrete, diagnostic categories. As psychiatry begins to recognize the shortcomings of a purely symptom-based psychiatric nosology, new data-driven approaches have begun to be utilized with the goal of solving these problems: specifically, identifying trans-diagnostic aspects of clinical phenomenology based on their association with neurobiological processes...
March 27, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28325146/hypersexuality-as-a-neuropsychiatric-disorder-the-neurobiology-and-treatment-options
#17
Hatta Sidi, Muna Asiff, Jaya Kumar, Srijit Das, Nurul Hazwani Hatta, Cesar Alfonso
Hypersexuality refers to abnormally increased or extreme involvement in any sexual activity. It is clinically challenging, presents trans-diagnostically and there is extensive medical literature addressing nosology, pathogenesis and neuropsychiatric aspects. Classification includes deviant behaviours, diagnosable entities related to impulsivity, and obsessional phenomena. Some clinicians view an increase in sexual desire as 'normal' while psychodynamic theorists consider it ego-defensive at times alleviating unconscious anxiety rooted in intrapsychic conflicts...
March 21, 2017: Current Drug Targets
https://www.readbyqxmd.com/read/28317470/anthropology-brokerage-and-collaboration-in-the-development-of-a-tongan-public-psychiatry-local-lessons-for-global-mental-health
#18
Mike Poltorak
The Global Mental Health (GMH) movement has raised questions of the translatability of psychiatric concepts and the challenges of community engagement. In Tonga, the local psychiatrist Dr Puloka successfully established a publicly accessible psychiatry that has improved admission rates for serious mental illnesses and addressed some of the stigma attached to diagnosis. On the basis of historical analysis and ethnographic fieldwork with healers, doctors, and patients since 1998, this article offers an ethnographic contextualization of the development and reception of Puloka's three key interventions during the 1990s: (a) collaboration with traditional healers; (b) translation of psychiatric diagnoses into local cultural concepts; and (c) encouraging freedom of movement and legal appeal to involuntary admission...
December 2016: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28300946/kraepelin-s-views-on-obsessive-neurosis-a-comparison-with-dsm-5-criteria-for-obsessive-compulsive-disorder
#19
Holger Steinberg, Dirk Carius, Leonardo F Fontenelle
Emil Kraepelin (1856-1926) is considered one of the founders of modern psychiatric nosology. However, his conceptualization of obsessive-compulsive phenomena is relatively understudied. In this article, we compare and contrast excerpts from the eighth edition (1909-1915) of Kraepelin's Textbook of Clinical Psychiatry focusing on what Kraepelin called "obsessive neurosis" and related "original pathological conditions" with the current DSM-5 criteria for obsessive-compulsive disorder (OCD). Consistently with DSM-5 OCD, Kraepelin described obsessive neurosis as characterized by obsessive ideas, compulsive acts, or both together...
March 13, 2017: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/28289276/david-skae-and-his-nineteenth-century-etiologic-psychiatric-diagnostic-system-looking-forward-by-looking-back
#20
K S Kendler
The Kraepelinian syndromal approach to diagnosis taken by DSM-III and its successors, which defines disorders by their clinical phenomenon, has come under rising criticism with increasing calls for an etiologically based nosology. The relative virtues of a syndromal versus etiologic psychiatric nosology have actually been debated within our field for a long time. To deepen and historically contextualize our current discussion, I review in detail the proposal for etiologic diagnostic systems for insanity by David Skae (1814-1873)...
June 2017: Molecular Psychiatry
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