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https://www.readbyqxmd.com/read/28922738/mixed-symptoms-in-major-depressive-and-bipolar-disorders-a-systematic-review
#1
REVIEW
Gustavo H Vázquez, María Lolich, Casimiro Cabrera, Ruzica Jokic, Dusan Kolar, Leonardo Tondo, Ross J Baldessarini
BACKGROUND: The DSM-5 mixed features specifier for mood disorders encourages renewed interest in mixed states and led us to pool research findings regarding prevalence of mixed features in episodes of major depressive (MDD) and bipolar disorders (BD). METHODS: We systematically searched to July 2017 for reports on mixed symptoms in depressive episodes of MDD and in depression and mania or hypomania in types I and II BD. For primary mood-states and diagnostic groups we compared rates of the presence of mixed symptoms: as defined by DSM-5 (≥3 features opposite to the dominant mood-polarity but not overlapping those of the primary disorder) or as having any ≥3 features of opposite polarity...
September 8, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28922589/higher-baseline-proinflammatory-cytokines-mark-poor-antidepressant-response-in-bipolar-disorder
#2
Francesco Benedetti, Sara Poletti, Thomas A Hoogenboezem, Clara Locatelli, Harm de Wit, Annemarie J M Wijkhuijs, Cristina Colombo, Hemmo A Drexhage
BACKGROUND: The clinical relevance of raised levels of circulating cytokines in bipolar disorder is still unclear. Cytokines influence neurotransmitters, neuroplasticity, and white matter integrity. An inconsistent literature suggests that higher cytokine levels could hamper antidepressant response. Total sleep deprivation (TSD) and light therapy (LT) prompt a rapid antidepressant response and can provide a model treatment to study predictors of response. METHODS: We studied at baseline 15 immune-regulating compounds in 37 consecutively admitted inpatients with a major depressive episode in the course of bipolar disorder (DSM-5 criteria) and in 24 controls...
September 12, 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/28922210/screening-for-dsm-5-somatic-symptom-disorder-diagnostic-accuracy-of-self-report-measures-within-a-population-sample
#3
Johannes A C Laferton, Nikola M Stenzel, Winfried Rief, Kristina Klaus, Elmar Brähler, Ricarda Mewes
OBJECTIVE: The new Diagnostic and Statistical Manual of Mental Disorders 5 Somatic Symptom Disorder was introduced to improve the diagnosis of persons suffering from what used to be called somatoform disorders. So far, it is unclear whether existing self-report measures are useful to detect the new Somatic Symptom Disorder. This study investigates the diagnostic accuracy of three self-report questionnaires, measuring somatic complaints (15 item Patient Health Questionnaire; PHQ-15) and psychological features (7 item Whiteley Index;WI-7; Scale for Assessing Illness Behavior; SAIB), in detecting Somatic Symptom Disorder...
September 15, 2017: Psychosomatic Medicine
https://www.readbyqxmd.com/read/28921930/big-five-aspects-of-personality-interact-to-predict-depression
#4
Timothy A Allen, Bridget E Carey, Carolina McBride, R Michael Bagby, Colin G DeYoung, Lena C Quilty
OBJECTIVE: Research has shown that three personality traits-neuroticism, extraversion, and conscientiousness-moderate one another in a three-way interaction that predicts depressive symptoms in healthy populations. We test the hypothesis that this effect is driven by three-lower order traits: withdrawal, industriousness, and enthusiasm. We then replicate this interaction within a clinical population for the first time. METHOD: Sample 1 included 376 healthy adults...
September 16, 2017: Journal of Personality
https://www.readbyqxmd.com/read/28919609/psychiatric-disorders-in-drop-out-from-educational-attainment-attending-mental-health-facilities-a-descriptive-cross-sectional-study
#5
M S Islam, M H Rashid, M N Uddin, R K Singha, M A Rahman, M A Haque, C K Saha, M F Abedin
Studies of the impact of mental disorders on educational attainment are rare. Mental disorders, those beginning in childhood or adolescence may increase the risk of early drop out from education. The latter has been shown to have adverse life-course consequences on individuals such as greater demand on social welfare entitlements. A descriptive cross sectional study was carried out at the department of Psychiatry, Comilla Medical College, Comilla, Bangladesh. All cases were selected from patients attending at Comilla Medical College Hospital and Private Mental Health Facilities in Comilla City from March 2015 to February 2016...
July 2017: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/28917443/alternative-models-of-dsm-5-ptsd-examining-diagnostic-implications
#6
Siobhan Murphy, Maj Hansen, Ask Elklit, Yoke Yong Chen, Siti Raudzah Ghazali, Mark Shevlin
The factor structure of DSM-5 posttraumatic stress disorder (PTSD) has been extensively debated with evidence supporting the recently proposed seven-factor Hybrid model. However, despite myriad studies examining PTSD symptom structure few have assessed the diagnostic implications of these proposed models. This study aimed to generate PTSD prevalence estimates derived from the 7 alternative factor models and assess whether pre-established risk factors associated with PTSD (e.g., transportation accidents and sexual victimisation) produce consistent risk estimates...
September 9, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28917394/childhood-maltreatment-severity-and-alcohol-use-in-adult-psychiatric-inpatients-the-mediating-role-of-emotion-regulation-difficulties
#7
Christina D Dutcher, Anka A Vujanovic, Daniel J Paulus, Brooke A Bartlett
OBJECTIVE: Emotion regulation difficulties are a potentially key mechanism underlying the association between childhood maltreatment and alcohol use in adulthood. The current study examined the mediating role of emotion regulation difficulties in the association between childhood maltreatment severity (i.e., Childhood Trauma Questionnaire total score) and past-month alcohol use severity, including alcohol consumption frequency and alcohol-related problems (i.e., number of days of alcohol problems, ratings of "bother" caused by alcohol problems, ratings of treatment importance for alcohol problems)...
September 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28910217/substance-and-evaluation-in-personality-disorder-diagnoses
#8
Daniel Leising, Stefan Scherbaum, Pia Packmohr, Johannes Zimmermann
Like person judgments in everyday life, diagnoses of personality disorders (PDs) reflect at least two influences: first, the actual characteristics of the target person (substance), and second, the more positive or negative view that the perceiver has of the target person (evaluation). In this article, we present a systematic account of substance and evaluation in PD diagnoses, using a modified version of Brunswik's (1956) lens model. An empirical study shows that the items of the alternative DSM-5 model for personality disorders (AMPD) are in fact saturated with evaluation, that this evaluation is largely the same as "social desirability," and that the two mandatory components of the AMPD (criterion A and B) are not easily distinguishable from one another in that regard...
September 14, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28910213/the-challenge-of-transforming-the-diagnostic-system-of-personality-disorders
#9
Sabine C Herpertz, Steven K Huprich, Martin Bohus, Andrew Chanen, Marianne Goodman, Lars Mehlum, Paul Moran, Giles Newton-Howes, Lori Scott, Carla Sharp
While the DSM-5 alternative model of personality disorder (PD) diagnosis allows the field to systematically compare categorical and dimensional classifications, the ICD-11 proposal suggests a radical change by restricting the classification of PDs to one category, deleting all specific types, basing clinical service provision exclusively upon a severity dimension, and restricting trait domains to secondary qualifiers without defining cutoff points. This article reflects broad international agreement about the state of PD diagnosis...
September 14, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28906602/addressing-diagnosis-and-treatment-gaps-in-adults-with-attention-deficit-hyperactivity-disorder
#10
Rakesh Jain, Saundra Jain, C Brendan Montano
Attention-deficit/hyperactivity disorder (ADHD) was originally defined in children but is now recognized to persist into adulthood for some patients. Despite this recognition, adult ADHD remains underdiagnosed. This narrative review describes the negative impact of ADHD across multiple functional domains, diagnostic guidelines for adult ADHD and its clinical features, the importance of screening tools and clinical interviews to help evaluate adults for ADHD, and adult ADHD treatment options. Diagnostic guidelines for ADHD now incorporate adult-specific symptoms and behavioral manifestations, which may aid in diagnosing adult ADHD...
September 7, 2017: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/28905166/efficacy-of-a-self-help-treatment-for-at-risk-and-pathological-gamblers
#11
Catherine Boudreault, Isabelle Giroux, Christian Jacques, Annie Goulet, Hélène Simoneau, Robert Ladouceur
Available evidence suggests that self-help treatments may reduce problem gambling severity but inconsistencies of results across clinical trials leave the extent of their benefits unclear. Moreover, no self-help treatment has yet been validated within a French Canadian setting. The current study therefore assesses the efficacy of a French language self-help treatment including three motivational telephone interviews spread over an 11-week period and a cognitive-behavioral self-help workbook. At-risk and pathological gamblers were randomly assigned to the treatment group (n = 31) or the waiting list (n = 31)...
September 13, 2017: Journal of Gambling Studies
https://www.readbyqxmd.com/read/28903799/a-comparison-of-outcomes-according-to-different-diagnostic-systems-for-delirium-dsm-5-dsm-iv-cam-and-drs-r98
#12
Dimitrios Adamis, David Meagher, Siobhan Rooney, Owen Mulligan, Geraldine McCarthy
Studies indicate that DSM-5 criteria for delirium are relatively restrictive, and identify different cases of delirium compared with previous systems. We evaluate four outcomes of delirium (mortality, length of hospital stay, institutionalization, and cognitive improvement) in relation to delirium defined by different DSM classification systems. Prospective, longitudinal study of patients aged 70+ admitted to medical wards of a general hospital. Participants were assessed up to a maximum of four times during two weeks, using DSM-5 and DSM-IV criteria, DRS-R98 and CAM scales as proxies for DSM III-R and DSM III...
September 14, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28899532/the-association-between-disruptive-mood-dysregulation-disorder-symptoms-and-sleep-problems-in-children-with-and-without-adhd
#13
James G Waxmonsky, Susan D Mayes, Susan L Calhoun, Julio Fernandez-Mendoza, Daniel A Waschbusch, Brianna H Bendixsen, Edward O Bixler
BACKGROUND: Many youth experience persistent irritability and recurrent temper outbursts, conceptualized by DSM-5 as Disruptive Mood Dysregulation Disorder (DMDD). Sleep deprivation impairs emotion regulation which could increase rates of DMDD symptoms, especially in those with preexisting regulatory impairments, as seen with ADHD. However, there has been little examination of the relationship between chronic sleep problems and DMDD symptoms. METHODS: Associations between DMDD symptoms and sleep parameters in children were assessed using parent-report and objective measures of sleep in a general population sample (N = 665) and an ADHD sample (N = 784)...
September 2017: Sleep Medicine
https://www.readbyqxmd.com/read/28899197/personality-psychopathology-and-health-through-the-lens-of-interpersonal-relatedness-and-self-definition
#14
Patrick Luyten
Sidney Blatt's seminal contributions in the domain of personality development, psychopathology, and health rank among the best researched and most empirically supported theories in psychoanalysis. Blatt is known primarily for his two-polarities model of personality development, which he viewed as evolving through a dialectical, synergistic interaction between two fundamental processes across the lifespan: the development of interpersonal relatedness on the one hand, and of self-definition on the other. In this model, psychopathology is viewed as an attempt to find a balance, however distorted, between relatedness and self-definition...
June 2017: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/28895460/comparison-of-neuropsychological-functioning-between-adults-with-early-and-late-onset-dsm-5-adhd
#15
Yu-Ju Lin, Susan Shur-Fen Gau
OBJECTIVE: We aimed to compare the visually dependent neuropsychological functioning among adults with Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) ADHD who recalled symptom onset by and after age 7 and non-ADHD controls. METHOD: We divided the participants, aged 17 to 40 years, into three groups-(a) ADHD, onset <7 years (early-onset, n = 142); (b) ADHD, onset between 7 and <12 years (late-onset, n = 41); (c) non-ADHD controls ( n = 148)-and compared their neuropsychological functioning, measured by the Cambridge Neuropsychological Testing Automated Battery...
September 1, 2017: Journal of Attention Disorders
https://www.readbyqxmd.com/read/28890913/markers-of-cardiovascular-dysfunction-in-adolescents-with-anorexia-nervosa
#16
Reshmi Morris, Aparna Prasad, Joseph Asaro, Marla Guzman, Leslie Sanders, Amanda Hauck, Gautam K Singh, Philip T Levy
Background. Cardiovascular complications contribute to the high morbidity and mortality rate among children with anorexia nervosa (AN). Advances in cardiac imaging permit a more comprehensive assessment of myocardial performance in children that could not be previously obtained with conventional imaging. Myocardial strain analysis is an emerging quantitative echocardiographic technique to characterize global and regional ventricular function in children. Objective. To assess global and regional left ventricular (LV0 function in children newly diagnosed with AN with conventional and quantitative 2-dimensional speckle tracking echocardiographic (2DSTE)-derived strain imaging...
2017: Global Pediatric Health
https://www.readbyqxmd.com/read/28886571/adolescent-social-media-use-and-mental-health-from-adolescent-and-parent-perspectives
#17
Christopher T Barry, Chloe L Sidoti, Shanelle M Briggs, Shari R Reiter, Rebecca A Lindsey
This study investigated adolescent and parent reports of adolescent social media use and its relation to adolescent psychosocial adjustment. The sample consisted of 226 participants (113 parent-adolescent dyads) from throughout the United States, with adolescents (55 males, 51 females, 7 unreported) ranging from ages 14 to 17. Parent and adolescent reports of the number of adolescents' social media accounts were moderately correlated with parent-reported DSM-5 symptoms of inattention, hyperactivity/impulsivity, ODD, anxiety, and depressive symptoms, as well as adolescent-reported fear of missing out (FoMO) and loneliness...
September 5, 2017: Journal of Adolescence
https://www.readbyqxmd.com/read/28872468/sexual-disorders-beyond-dsm-5-the-unfinished-affaire
#18
Felipe Navarro-Cremades, Chiara Simonelli, Angel L Montejo
PURPOSE OF REVIEW: To provide an overview of post-The Diagnostic and Statistical Manual of Mental Disorders, 5th ed. classifications related to human sexuality. After reviewing the literature on classification and clinical practice of sexual disorders, some of the most important contributions on main sexological classifications and frameworks were selected, especially from January 2016 till June 2017. RECENT FINDINGS: New relevant contributions on psychiatric and sexological classifications and frameworks have been proposed, such as the international classification of diseases 11th revision (ICD-11), research domain criteria, the third edition of the Diagnostic Manual in Sexology and the person-centered psychiatry perspective...
September 1, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28870126/innovative-biomarkers-in-psychiatric-disorders-a-major-clinical-challenge-in-psychiatry
#19
Madia Lozupone, Davide Seripa, Eleonora Stella, Maddalena La Montagna, Vincenzo Solfrizzi, Nicola Quaranta, Federica Veneziani, Alberto Cester, Rodolfo Sardone, Caterina Bonfiglio, Gianluigi Giannelli, Paola Bisceglia, Roberto Bringiotti, Antonio Daniele, Antonio Greco, Antonello Bellomo, Giancarlo Logroscino, Francesco Panza
Currently, the diagnosis of psychiatric illnesses is based upon DSM-5 criteria. Although endophenotype-specificity for a particular disorder is discussed, the identification of objective biomarkers is ongoing for aiding diagnosis, prognosis, or clinical response to treatment. We need to improve the understanding of the biological abnormalities in psychiatric illnesses across conventional diagnostic boundaries. The present review investigates the innovative post-genomic knowledge used for psychiatric illness diagnostics and treatment response, with a particular focus on proteomics...
September 11, 2017: Expert Review of Proteomics
https://www.readbyqxmd.com/read/28867944/cognitive-behavioral-therapy-for-generalized-anxiety
#20
Lucas Borza
As a form of therapy, cognitive behavioral therapy (CBT) is more than a mere "toolbox." CBT allows us to better understand how the human mind is functioning because it is based on neuroscience and experimental and scientific psychology. At the beginning, the Diagnostic and Statistical Manual of Mental Disorders (DSM) was "nontheoretical," but nowadays (the most recent version being DSM-5), it is increasingly based on CBT paradigms (with the insertion of important notions such as cognitions and behaviors). This Brief Report presents what we currently know about generalized anxiety disorder (GAD) and how we can treat this condition by nonpharmaceutical means...
June 2017: Dialogues in Clinical Neuroscience
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