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https://www.readbyqxmd.com/read/28521060/diagnostic-and-prognostic-significance-of-dsm-5-attenuated-psychosis-syndrome-in-services-for-individuals-at-ultra-high-risk-for-psychosis
#1
Paolo Fusar-Poli, Andrea De Micheli, Marco Cappucciati, Grazia Rutigliano, Cathy Davies, Valentina Ramella-Cravaro, Dominic Oliver, Ilaria Bonoldi, Matteo Rocchetti, Lauren Gavaghan, Rashmi Patel, Philip McGuire
Background: The diagnostic and prognostic significance of the DSM-5-defined Attenuated Psychosis Syndrome (DSM-5-APS) in individuals undergoing an ultra high risk (UHR) clinical assessment for suspicion of psychosis risk is unknown. Methods: Prospective cohort study including all consecutive help-seeking individuals undergoing both a DSM-5-APS and a Comprehensive Assessment of At Risk Mental States (CAARMS 12/2006) assessment for psychosis risk at the Outreach and Support in South London (OASIS) UHR service (March 2013-April 2014)...
May 17, 2017: Schizophrenia Bulletin
https://www.readbyqxmd.com/read/28511190/psychotherapy-technique-related-to-changes-in-anxiety-symptoms-with-a-transdiagnostic-sample
#2
Seth R Pitman, Mark J Hilsenroth, Joel Weinberger, Francine Conway, Jesse Owen
The current study examined how techniques in a psychodynamic model of therapy (Blagys and Hilsenroth, Clin Psychol Sci Pract. 7, 167-188, 2000) were related to changes in anxiety symptoms across early treatment process among a transdiagnostic sample of patients with primary anxiety disorder, subclinical anxiety disorder, and no anxiety disorder. Secondary analyses examined the use of specific psychodynamic techniques in relation to symptom change. Results revealed that therapists' use of psychodynamic-interpersonal (PI) techniques were significantly and directly related to changes in anxiety symptoms, in line with previous findings (Pitman, Slavin-Mulford, and Hilsenroth, J Nerv Ment Dis...
May 16, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28498576/a-critique-of-the-ultra-high-risk-and-transition-paradigm
#3
Jim van Os, Sinan Guloksuz
The transdiagnostic expression of psychotic experiences in common mental disorder (anxiety/depression/substance use disorder) is associated with a poorer prognosis, and a small minority of people may indeed develop a clinical picture that meets criteria for schizophrenia. However, it appears neither useful nor valid to observe early states of multidimensional psychopathology in young people through the "schizo"-prism, and apply misleadingly simple, unnecessary and inefficient binary concepts of "risk" and "transition"...
June 2017: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
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
#4
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/28493749/maternal-emotion-dysregulation-and-the-functional-organization-of-preschoolers-emotional-expressions-and-regulatory-behaviors
#5
Grace Binion, Maureen Zalewski
Although psychopathology in mothers is known to be a significant risk factor for child outcomes, less is known about how emotion dysregulation, a transdiagnostic feature that cuts across many diagnoses, shapes emotion-related parenting practices and the development of emotion regulation in offspring. Building upon previous research that examined the functional relations between emotions and regulatory actions in children, we sought to examine the association of maternal emotion dysregulation and emotion socialization with these functional links in an at-risk community sample of mother-preschooler (children ages 36-60 months) dyads that oversampled for mothers with elevated symptoms of borderline personality disorder (n = 68)...
May 11, 2017: Emotion
https://www.readbyqxmd.com/read/28493733/dimensional-conceptualizations-of-impulsivity
#6
Sarah A Griffin, Donald R Lynam, Douglas B Samuel
Impulsivity is a transdiagnostic dimension of crucial importance to understanding psychopathology, as it is highly relevant to a wide array of maladaptive life outcomes including substance use, criminality, and other risky behaviors. There exist a variety of operationalizations of impulsivity across the literature distinct nomological networks. In fact, research suggests that "impulsivity" is a multifaceted construct comprised of at least 4 distinct traits that have unique pathways to maladaptive behaviors...
May 11, 2017: Personality Disorders
https://www.readbyqxmd.com/read/28490390/development-and-evaluation-of-acceptance-and-commitment-therapy-delivered-by-psychologists-and-non-psychologists-in-an-nhs-community-adult-mental-health-service-a-preliminary-analysis
#7
Thomas Richardson, Lorraine Bell, Helen Bolderston, Sue Clarke
BACKGROUND: Previous studies have demonstrated that acceptance and commitment therapy (ACT) is effective for depression and may be useful for complex transdiagnostic clients. AIMS: To conduct a preliminary evaluation of whether ACT is feasible and effective when delivered by psychologists and non-psychologists for complex clients in a National Health Service (NHS) community mental health service for adults. METHOD: Staff were trained in ACT and conducted one-to-one therapy with clients...
May 11, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28489323/mild-moderate-meaningful-examining-the-psychological-and-functioning-correlates-of-dsm-5-eating-disorder-severity-specifiers
#8
Loren Gianini, Christina A Roberto, Evelyn Attia, B Timothy Walsh, Jennifer J Thomas, Kamryn T Eddy, Carlos M Grilo, Thomas Weigel, Robyn Sysko
OBJECTIVE: This study evaluated the DSM-5 severity specifiers for treatment-seeking groups of participants with anorexia nervosa (AN), the purging form of bulimia nervosa (BN), and binge eating disorder (BED). METHOD: Hundred and sixty-two participants with AN, 93 participants with BN, and 343 participants with BED were diagnosed using semi-structured interviews, sub-categorized using DSM-5 severity specifiers and compared on demographic and cross-sectional clinical measures...
May 10, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28489288/enhanced-cognitive-behavioral-therapy-for-eating-disorders-adapted-for-a-group-setting
#9
Stephanie Wade, Sue Byrne, Karina Allen
OBJECTIVE: This randomized control trial is an evaluation of the effectiveness of enhanced cognitive behavioral treatment (CBT-E) for eating disorders adapted for a group setting. The study aimed to examine the effects of group CBT-E on eating disorder psychopathology and additional maintaining pathology. METHOD: A transdiagnostic sample of individuals with eating disorders with a BMI ≥ 18 kg/m(2) (N = 40) were randomized to an immediate-start or delayed-start condition so as to compare therapeutic effects of group CBT-E with a waitlist control...
May 10, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28485682/-lumping-and-splitting-medically-unexplained-symptoms-is-there-a-role-for-a-transdiagnostic-approach
#10
Trudie Chalder, Claire Willis
No abstract text is available yet for this article.
May 9, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28481893/evaluation-of-a-transdiagnostic-psychodynamic-online-intervention-to-support-return-to-work-a-randomized-controlled-trial
#11
Rüdiger Zwerenz, Jan Becker, Katharina Gerzymisch, Martin Siepmann, Martin Holme, Ulrich Kiwus, Sieglinde Spörl-Dönch, Manfred E Beutel
OBJECTIVES: Given their flexibility, online interventions may be useful as an outpatient treatment option to support vocational reintegration after inpatient rehabilitation. To that purpose we devised a transdiagnostic psychodynamic online intervention to facilitate return to work, focusing on interpersonal conflicts at the workplace often responsible for work-related stress. RESEARCH DESIGN AND METHODS: In a randomized controlled trial, we included employed patients from cardiologic, psychosomatic and orthopedic rehabilitation with work-related stress or need for support at intake to inpatient rehabilitation after they had given written consent to take part in the study...
2017: PloS One
https://www.readbyqxmd.com/read/28474049/transdiagnostic-stepped-care-in-mental-health
#12
Shane Pm Cross, Ian Hickie
A component of Australia's recent national reform agenda for mental health services is the directive to the Primary Health Networks to develop and implement stepped-care models of service delivery. The current guidance proposes that interventions are aligned to mild, moderate and severe illness categories. Other models in operation are tied to single disorders, such as depression. Both approaches have a number of limitations when applied to real-world, complex clinical practice, especially in primary care. This article outlines some limitations of these models and argues for the development of a transdiagnostic model, based on developments in our work in primary care youth services, which can be generalised to adult populations...
April 27, 2017: Public Health Research & Practice
https://www.readbyqxmd.com/read/28467893/meta-analysis-of-the-effects-of-intranasal-oxytocin-on-interpretation-and-expression-of-emotions
#13
REVIEW
Jenni Leppanen, Kah Wee Ng, Kate Tchanturia, Janet Treasure
Accurate interpretation and appropriate expression of emotions are key aspects of social-cognition. Several mental disorders are characterised by transdiagnostic difficulties in these areas and, recently, there has been increasing interest in exploring the effects of oxytocin on social-emotional functioning. This review consists of 33 studies. Fifteen of the studies included people with autism spectrum disorder, schizophrenia, borderline personality disorder, frontotemporal dementia, anorexia nervosa, bulimia nervosa, post-traumatic stress disorder, depression, and opioid and alcohol dependence...
April 30, 2017: Neuroscience and Biobehavioral Reviews
https://www.readbyqxmd.com/read/28467520/transdiagnostic-associations-between-functional-brain-network-integrity-and-cognition
#14
Julia M Sheffield, Sridhar Kandala, Carol A Tamminga, Godfrey D Pearlson, Matcheri S Keshavan, John A Sweeney, Brett A Clementz, Dov B Lerman-Sinkoff, S Kristian Hill, Deanna M Barch
Importance: Cognitive impairment occurs across the psychosis spectrum and is associated with functional outcome. However, it is unknown whether these shared manifestations of cognitive dysfunction across diagnostic categories also reflect shared neurobiological mechanisms or whether the source of impairment differs. Objective: To examine whether the general cognitive deficit observed across psychotic disorders is similarly associated with functional integrity of 2 brain networks widely implicated in supporting many cognitive domains...
May 3, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28456054/nightmares-and-nonsuicidal-self-injury-the-mediating-role-of-emotional-dysregulation
#15
Chelsea R Ennis, Nicole A Short, Allison J Moltisanti, Caitlin E Smith, Thomas E Joiner, Jeanette Taylor
INTRODUCTION: Nonsuicidal self-injury (NSSI) is a transdiagnostic behavior associated with significant psychopathology. Research has shown a positive association between sleep disturbances, (e.g., nightmares and insomnia), and suicidal behavior, however, the relation between NSSI and sleep disturbances has yet to be examined. Sleep disturbances have been found to have a causal role in problems with emotional dysfunction. Specifically, sleep disturbances inhibit the emotion processing function of sleep...
April 18, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28454571/a-vicious-cycle-among-cognitions-and-behaviors-enhancing-risk-for-eating-disorders
#16
Karolina Zarychta, Barbara Mullan, Magdalena Kruk, Aleksandra Luszczynska
BACKGROUND: Establishing the sequence in which risk factors for eating disorders (ED) emerge would enable more effective ED prevention. Thus, in our study we investigated reciprocal and indirect associations between three cognitive and behavioral ED determinants (appearance orientation, appearance worries, and dieting) emphasized in the transdiagnostic model of ED. METHODS: Data were collected in a non-clinical group of adolescents at Time 1 (T1), and then 2-months (Time 2, T2) and 13-months later (Time 3, T3)...
April 28, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28453905/transdiagnostic-neural-correlates-of-affective-face-processing-in-anxiety-and-depression
#17
Annmarie MacNamara, Heide Klumpp, Amy E Kennedy, Scott A Langenecker, K Luan Phan
BACKGROUND: It is unknown whether there are neurobiologic differences between various anxiety and depressive disorders, or whether they are characterized by shared neurobiologic variation that cuts across diagnostic boundaries. For instance, multiple anxiety disorders and depression may be characterized by abnormalities in blood oxygen-level dependent (BOLD) response during the processing of affective scenes and faces. To interrogate the shared or unique nature of these aberrations, research that examines the influence of transdiagnostic, dimensional predictors across multiple diagnoses is needed...
April 28, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28452080/autism-a-transdiagnostic-dimensional-construct-of-reasoning
#18
Bodil Aggernaes
The concept of autism has changed across time, from the Bleulerian concept, which defined it as one of several symptoms of dementia praecox, to the present-day concept representing a pervasive development disorder. The present theoretical contribution to this special issue of EJN on autism introduces new theoretical ideas and discusses them in light of selected prior theories, clinical examples, and recent empirical evidence. The overall aim is to identify some present challenges of diagnostic practice and autism research and to suggest new pathways that may help direct future research...
April 27, 2017: European Journal of Neuroscience
https://www.readbyqxmd.com/read/28450042/transdiagnostic-models-of-anxiety-disorder-theoretical-and-empirical-underpinnings
#19
REVIEW
Peter J Norton, Daniel J Paulus
Despite the increasing development, evaluation, and adoption of transdiagnostic cognitive behavioral therapies, relatively little has been written to detail the conceptual and empirical psychopathology framework underlying transdiagnostic models of anxiety and related disorders. In this review, the diagnostic, genetic, neurobiological, developmental, behavioral, cognitive, and interventional data underlying the model are described, with an emphasis on highlighting elements that both support and contradict transdiagnostic conceptualizations...
March 27, 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/28441974/evaluating-effectiveness-and-cost-effectiveness-of-a-group-psychological-intervention-using-cognitive-behavioural-strategies-for-women-with-common-mental-disorders-in-conflict-affected-rural-pakistan-study-protocol-for-a-randomised-controlled-trial
#20
Anna Chiumento, Syed Usman Hamdani, Muhammad Naseem Khan, Katie Dawson, Richard A Bryant, Marit Sijbrandij, Huma Nazir, Parveen Akhtar, Aqsa Masood, Duolao Wang, Mark van Ommeren, Atif Rahman
BACKGROUND: The impact of humanitarian disasters upon mental health is well recognised. The evidence for psychological interventions for mental health is mounting, but few interventions have been rigorously tested in humanitarian settings. To be sustainable in humanitarian settings interventions need to be short, simple, deliverable by nonspecialists under supervision, and adopt a transdiagnostic approach where an array of mental health outcomes are addressed simultaneously. These elements have been incorporated into the newly developed WHO Problem Management Plus (PM+) Group intervention...
April 26, 2017: Trials
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