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Eliora Porter, Erin G Romero, Melissa D Barone
Prolonged exposure (PE) therapy is traditionally delivered individually to patients. To engage more veterans in care, an in vivo exposure group treatment was developed in an urban VA medical center. This treatment represented a modification of the in vivo exposure portion of PE, with the addition of in-session, therapist-assisted in vivo exposures. Here, we describe this 12-week treatment and present preliminary outcome data. Demographics and pre- and posttreatment scores on the PTSD Checklist-Specific (PCL-S) and Beck Depression Inventory-II (BDI-II) were extracted from a program evaluation database...
June 20, 2018: Journal of Traumatic Stress
Yeliz Akturk, Serra Ozbal Gunes
PURPOSE: This study aims to determine the normal limits of atlanto-dental interval (ADI), basion-dens interval (BDI), basion-cartilaginous dens interval (BCDI), and prevertebral soft tissue thickness (PVSTT) according to age groups for normal pediatric cases. MATERIALS AND METHODS: CT images of 256 pediatric patients aged between 1 and 15 years were retrospectively evaluated. ADI, BDI, BCDI and PVSTT measurements were performed. RESULTS: Upper normal limit (UNL) values for ADI were 2...
June 19, 2018: Japanese Journal of Radiology
Hossam A Shaltout, Sung W Lee, Catherine L Tegeler, Joshua R Hirsch, Sean L Simpson, Lee Gerdes, Charles H Tegeler
Background: Heart rate variability (HRV) is an indicator of dynamic adaptability of the autonomic nervous system. Few interventions target upstream, cerebral cortex components of the heart-brain system for autonomic management. We report changes in HRV and baroreflex sensitivity (BRS), associated with use of a noninvasive, closed-loop, allostatic, computer-guided, acoustic stimulation neurotechnology. Methods: Over 5 years, 220 subjects with heterogeneous neurological, cardiovascular, and psychophysiological conditions consecutively enrolled in a naturalistic, single-arm study exploring clinical effects associated with use of the neurotechnology...
2018: Frontiers in Public Health
Mohamed Abouelleil, Daanish Siddique, Nader S Dahdaleh
Atlanto-occipital dislocation (AOD) is a craniocervical injury that has serious neurological consequences and is often fatal. High-speed blunt trauma, such as motor vehicle accidents, that extend and put traction on the head can cause this injury. The current recommendation for diagnosis is to measure the condyle-C1 interval (CCI) using a computed tomography (CT) scan in the coronal plane and more recently in the sagittal plane. We report the case of a patient who suffered a motor vehicle accident and had concomitant AOD and atlanto-axial dislocation...
April 16, 2018: Curēus
Mandy X Hu, Brenda W J H Penninx, Eco J C de Geus, Femke Lamers, Dora C-H Kuan, Aidan G C Wright, Anna L Marsland, Matthew F Muldoon, Stephen B Manuck, Peter J Gianaros
OBJECTIVES: This study examined 1) the cross-sectional relationships between symptoms of depression/anxiety and immunometabolic risk factors, and 2) whether these relationships might be explained in part by cardiac vagal activity. METHODS: Data were drawn from the Adult Health and Behavior registries (n=1785), comprised of community dwelling adults (52.8% women, aged 30-54). Depressive symptoms were measured with the Center for Epidemiological Studies Depression Scale (CES-D) and the Beck Depression Inventory-II (BDI-II), and anxious symptoms with the Trait Anxiety scale of the State-Trait Anxiety Inventory (STAI-T)...
June 16, 2018: Brain, Behavior, and Immunity
Giuliana Spadaro, Angelo Romano, Cristina O Mosso
OBJECTIVES: Interpersonal relationships contribute to the psychological adjustments to chronic disease, directly affecting health and, more generally, life satisfaction of patients. Those factors are often threatened by the fear of becoming target of prejudices and discrimination from those who share their daily life with. Thus, this study proposes a contribution to the Italian adaptation and validation of the Chronic Illness Anticipated Stigma Scale (CIASS), a brief questionnaire (12 items) that aims to assess perceived stigma of chronic illness patients in family, work and health care contexts...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Satu Suhonen, Marja Tikka, Seppo Kivinen, Timo Kauppila
Background and aims Medical abortion is often performed at outpatient clinics or gynaecological wards. Yet, some women may stay at home during medical abortion. Pain has been reported to be one of the main side effects of the procedure. Methods We studied whether perceived abortion pain was related to the subjectively evaluated ability to stay at home during medical abortion. The size of the study group was 29 women. We also studied how well these women remembered the intensity and unpleasantness of the abortion pain in a control visit performed 3-6 weeks after abortion...
December 29, 2017: Scandinavian Journal of Pain
G L Olsson, M Kemani, K Jensen, E Kosek, D Kadetoff, K Sorjonen, M Ingvar, R Wicksell
Background Recent developments within cognitive behavior therapy (CBT) have emphasized the utility of acceptance and mindfulness strategies, contrasting interventions focused on reduction or control of symptoms. A study of fMRI changes after CBT in females with fibromyalgia (FM) has been performed and results are presented elsewhere (under review). The aim of the present study was evaluate the effectiveness of Acceptance and Commitment Therapy (ACT)-based intervention for patient diagnosed with FM in comparison with a wait-list control Method Female patients aged 18-55 years, fulfilling the American College of Rheumatology classification criteria for FM, and with a weekly self-reported average pain intensity of >40 (VAS 0-100) were considered eligible for inclusion...
December 29, 2017: Scandinavian Journal of Pain
Shaina Archer, Carson Chrenek, Jennifer Swainson
BACKGROUND: Previous studies have demonstrated ketamine to have a rapid antidepressant effect in some patients with treatment-resistant depression (TRD), but the effect is unfortunately not sustained in the long term. In this study, we report on the clinical use of ongoing maintenance ketamine infusions in a group of patients with TRD, beyond an acute course of 6 to 8 ketamine infusions. METHODS: This retrospective case series reports on 11 patients with TRD who received maintenance ketamine infusions, defined as treatments beyond an initial series of up to 8 infusions...
June 14, 2018: Journal of Clinical Psychopharmacology
Baptiste Chéhère, Valérie Bougault, Cécile Chenivesse, Jean-Marie Grosbois, Benoit Wallaert
BACKGROUND: Pulmonary rehabilitation (PR) improves performance in the 6-min walk test (6MWT) in a subset of patients with fibrotic idiopathic interstitial pneumonia (f-IIP); however, a large proportion of patients do not respond to PR. AIM: To investigate the effects of a PR program on cardiorespiratory responses during a 6MWT and to identify the characteristics of patients who do not show improved performance after PR. DESIGN: An observational study...
June 14, 2018: European Journal of Physical and Rehabilitation Medicine
Anna Holst, Cecilia Björkelund, Alexandra Metsini, Jens-Henrik Madsen, Dominique Hange, Eva-Lisa L Petersson, Maria Cm Eriksson, Marie Kivi, Per-Åke Å Andersson, Mikael Svensson
OBJECTIVE: To perform a cost-effectiveness analysis of a randomised controlled trial of internet-mediated cognitive behavioural therapy (ICBT) compared with treatment as usual (TaU) for patients with mild to moderate depression in the Swedish primary care setting. In particular, the objective was to assess from a healthcare and societal perspective the incremental cost-effectiveness ratio (ICER) of ICBT versus TaU at 12 months follow-up. DESIGN: A cost-effectiveness analysis alongside a pragmatic effectiveness trial...
June 14, 2018: BMJ Open
Margrit Löbner, Alexander Pabst, Janine Stein, Marie Dorow, Herbert Matschinger, Melanie Luppa, Astrid Maroß, Anette Kersting, Hans-Helmut König, Steffi G Riedel-Heller
BACKGROUND: Self-guided computerized cognitive behavior therapy (cCBT) has the potential to be a feasible alternative to current first-step treatment approaches for depression. Yet, research regarding the effectiveness and acceptability of self-guided cCBT as an adjunct element of GP care is controversial. METHODS: Primary care patients with symptoms of mild to moderately severe depression (N = 647) were recruited from 112 GP practices within a cluster randomized controlled trial...
June 5, 2018: Journal of Affective Disorders
Maryam Mazaherioun, Ahmad Saedisomeolia, Mohammad Hassan Javanbakht, Fariba Koohdani, Mahnaz Zarei, Samaneh Ansari, Fatemeh Khoshkhoo Bazargani, Mahmoud Djalali
Background: Type 2 diabetes mellitus (T2DM) is commonly associated with depressive symptoms, which affect prognosis and quality of life. We investigated the antidepressant effects of n-3 fatty acids (n-3FAs) monotherapy (without conventional antidepressants) for T2DM patients with mild to moderate depressive symptoms. Methods: A 10-wk, placebo-controlled, double-blind, parallel-group (1:1 ratio) randomized trial of n-3FAs (2700 mg/day EPA: DHA ratio=2) versus placebo in 88 Iranian diabetic patients with mild to moderate depression based on Beck Depression Inventory II (BDI-II-PERSIAN) was conducted...
April 2018: Iranian Journal of Public Health
Annika Norell-Clarke, Maria Tillfors, Markus Jansson-Fröjmark, Fredrik Holländare, Ingemar Engström
BACKGROUND: Recent treatment studies with cognitive behavioural therapy for insomnia (CBT-I) have demonstrated effects on both sleep problems and depression. Two previous studies have indicated that the beneficial effect from CBT-I on depression may come through improved sleep, although insomnia severity during treatment had not previously been investigated as a mediator. AIMS: Our aim was to investigate if insomnia severity during treatment mediated between CBT-I and depression severity after treatment, in a sample with co-morbid insomnia and depressive symptomology...
June 14, 2018: Behavioural and Cognitive Psychotherapy
Zahra Shahraki, Fatemeh Davari Tanha, Mahsa Ghajarzadeh
BACKGROUND: Women suffering from infertility are at higher risk of experiencing psychological problems. Sexual function and sexual related quality of life is not considered as it should be. We designed this study to assess depression, sexual function and sexual quality of life in Iranian women with infertility. METHODS: Two hundred and sixty four individuals participated in the study (115 healthy controls, 78 with primary and 71 with secondary infertility). All participants were asked to fill a valid and reliable Persian versions of BDI (Beck depression inventory), FSFIS (Female Sexual Function Index) and sexual quality of life-Female (SQOL-F) questionnaires...
June 14, 2018: BMC Women's Health
Marco D T Scanavino, Ana Ventuneac, Carmita H N Abdo, Hermano Tavares, Maria L S Amaral, Bruna Messina, Sirlene C Reis, João P L B Martins, Jeffrey T Parsons
OBJECTIVE: There is a lack of studies on negative mood states and sexual risk behavior in men of all sexual orientations who seek treatment for excessive sexual behavior (ESB). We aim to examine sexual compulsivity (SC), anxiety, depression, and sexual risk behavior in a treatment-seeking sample of men and controls. METHODS: We enrolled 88 (37 [42%] gay or bisexual and 51 [58%] heterosexual) ESB outpatients and 64 controls. Assessments included the Sexual Compulsivity Scale (SCS), the Beck Anxiety Inventory (BAI), the Beck Depression Inventory (BDI), and sexual risk behaviors...
June 11, 2018: Revista Brasileira de Psiquiatria
Sally K da Silva, Carolina Wiener, Gabriele Ghisleni, Jean P Oses, Karen Jansen, Mariane L Molina, Ricardo Silva, Luciano D Souza
OBJECTIVE: To correlate neurotrophic factors - brain-derived neurotrophic factor (BDNF), glial cell line-derived neurotrophic factor (GDNF), and beta-nerve growth factor (beta-NGF) - and severity of depressive symptoms in patients diagnosed with major depressive disorder (MDD) undergoing cognitive-behavioral therapy (CBT). METHODS: In this quasi-experimental study, participants were selected by convenience and received 16 sessions of CBT. The outcomes of interest were severity of depressive symptoms and changes in neurotrophic factor levels after CBT...
June 11, 2018: Revista Brasileira de Psiquiatria
Carlos Bernardo Tauil, Talyta Cortez Grippe, Ronaldo Maciel Dias, Rafael Paternò Castello Dias-Carneiro, Narel Moita Carneiro, Ana Carolina Rodrigues Aguilar, Flávia Martins da Silva, Felipe Bezerra, Leonardo Kenzo de Almeida, Vitoria Lana Massarente, Elaine de Carvalho Giovannelli, Charles Peter Tilbery, Carlos Otávio Brandão, Leonilda Maria B Santos, Leopoldo Dos Santos-Neto
INTRODUCTION: Psychiatric disorders frequently occur in patients with multiple sclerosis (MS); however, limited reports are available on these comorbidities. We aimed to investigate the relationships among MS, anxiety, depression, and suicidal ideation. METHODS: One hundred and thirty two patients with relapsing-remitting MS were evaluated using the Expanded Disability Status Scale, Beck Depression Inventory-II (BDI-II), Beck Scale for Suicide Ideation (BSI), and Hospital Anxiety and Depression Scale...
May 2018: Arquivos de Neuro-psiquiatria
Abdulkadir Aydın, Sibel Çağlar Okur
BACKGROUND The aim of this retrospective study was to investigate the frequency of admissions, reason for admissions, and test socket satisfaction in patients who received a lower-limb prosthesis with or without a test socket in our unit. MATERIAL AND METHODS A total of 88 patients (54 men, 34 women) were included in the study. Patients were divided into 2 groups: the group with test socket (Group I, 44 patients) and the group without test socket (Group II, 44 patients). Variables related to the functional status, frequency of complaints, and test socket satisfaction were investigated in the 2 groups...
June 13, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Jürgen Pahl, Steffen Brand, Holger Elsen, Sjoerd Harder
Cationic Lewis base-free β-diketiminate (BDI) complexes of Mg and Ca have been isolated as their B(C6F5)4- salts. The cation (BDI)Mg+ shows an extraordinarily strong Lewis acidity that can compete with strong Lewis acids like B(C6F5)3 and (BDI)AlMe+. Its highly electrophilic nature is exemplified by isolation of an 3-hexyne adduct.
June 12, 2018: Chemical Communications: Chem Comm
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