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Light therapy psychiatry

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https://www.readbyqxmd.com/read/28637048/use-of-light-therapy-by-office-based-physicians
#1
Edda Winkler-Pjrek, Marie Spies, Pia Baldinger-Melich, Lisa Perkmann, Siegfried Kasper, Dietmar Winkler
BACKGROUND: Light therapy (LT) is a non-pharmacological biological treatment that has been used in psychiatry since the 1980s. Previous research has investigated the usage of LT in hospitals. The aim of this study was to examine the pattern of use of LT by office-based physicians. METHODS: A questionnaire was sent by mail to 400 randomly selected doctors in Austria. We made sure that the sample was equally representative of general practitioners (GPs) and psychiatrists, public health service doctors and private doctors, physicians in cities and in the country as well as male and female doctors...
2016: Neuropsychobiology
https://www.readbyqxmd.com/read/28608853/genetic-tests-in-major-psychiatric-disorders-integrating-molecular-medicine-with-clinical-psychiatry-why-is-it-so-difficult
#2
REVIEW
U Demkow, T Wolańczyk
With the advent of post-genomic era, new technologies create extraordinary possibilities for diagnostics and personalized therapy, transforming todays' medicine. Rooted in both medical genetics and clinical psychiatry, the paper is designed as an integrated source of information of the current and potential future application of emerging genomic technologies as diagnostic tools in psychiatry, moving beyond the classical concept of patient approach. Selected approaches are presented, starting from currently used technologies (next-generation sequencing (NGS) and microarrays), followed by newer options (reverse phenotyping)...
June 13, 2017: Translational Psychiatry
https://www.readbyqxmd.com/read/28392702/hepatic-encephalopathy-what-the-multidisciplinary-team-can-do
#3
REVIEW
Andy Liu, Eric R Yoo, Osama Siddique, Ryan B Perumpail, George Cholankeril, Aijaz Ahmed
Hepatic encephalopathy (HE) is a complex disease requiring a multidisciplinary approach among specialists, primary care team, family, and caregivers. HE is currently a diagnosis of exclusion, requiring an extensive workup to exclude other possible etiologies, including mental status changes, metabolic, infectious, traumatic, and iatrogenic causes. The categorization of HE encompasses a continuum, varying from the clinically silent minimal HE (MHE), which is only detectable using psychometric tests, to overt HE, which is further divided into four grades of severity...
2017: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/28049075/abnormal-brain-oscillations-persist-after-recovery-from-bipolar-depression
#4
P Canali, S Casarotto, M Rosanova, G Sferrazza-Papa, A G Casali, O Gosseries, M Massimini, E Smeraldi, C Colombo, F Benedetti
When directly perturbed in healthy subjects, premotor cortical areas generate electrical oscillations in the beta range (20-40Hz). In schizophrenia, major depressive disorder and bipolar disorder (BD), these oscillations are markedly reduced, in terms of amplitude and frequency. However, it still remains unclear whether these abnormalities can be modulated over time, or if they can be still observed after treatment. Here, we employed transcranial magnetic stimulation (TMS) combined with EEG to assess the frontal oscillatory activity in eighteen BD patients before/after antidepressant treatments (sleep deprivation and light therapy), relative to nine healthy controls...
March 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/28025607/tonsillectomy-remains-a-questionable-option-for-pediatric-autoimmune-neuropsychiatric-disorders-associated-with-streptococcal-infections-pandas
#5
REVIEW
Jochen P Windfuhr
Background: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is a disease attributed to children with obsessive compulsive disorders (OCD) or tic disorders associated with streptococcal infections. Because otolaryngologists examine a large number of pediatric patients with recurrent streptococcal infections, tonsillectomy (TE) is a common option of therapy. This study was conducted to evaluate the efficacy of TE in patients presenting with verified PANDAS. Material and methods: A PubMed review was performed using search terms "tonsillectomy" and "PANDAS", "OCD", "compulsive" "pediatric autoimmune", "chorea" and "tic" limited by publication date of January 1, 1995, to July 31, 2015...
2016: GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery
https://www.readbyqxmd.com/read/27722905/cultural-psychiatry-a-spotlight-on-the-experience-of-clinical-social-workers-encounter-with-jewish-ultra-orthodox-mental-health-clients
#6
Anat Freund, Tova Band-Winterstein
Community is a complex issue, especially in two particular populations overlap: Haredi society, which embraces cultural codes common to closed communities, and the mental health population characterized by its own unique needs. The present study explores the encounter experience of social workers with the cultural perceptions of mental health clients in the Haredi community in light of Community Cultural Psychiatry. A qualitative-phenomenological approach was adopted. In-depth semi-structured interviews were conducted with 27 social workers, mental health professionals, who are in contact with ultra-Orthodox Jewish clients...
October 8, 2016: Community Mental Health Journal
https://www.readbyqxmd.com/read/27259079/the-relation-between-chronotype-and-treatment-outcome-with-light-therapy-on-a-fixed-time-schedule
#7
Stefan E Knapen, Marijke C M Gordijn, Ybe Meesters
BACKGROUND: Seasonal affective disorder (SAD) is characterized by recurrent episodes of major depression in a seasonal pattern. The therapy of choice is light therapy (LT). It is suggested that LT should be administered relative to the chronotype of the patient, with the optimal timing earlier for morning than for evening types. This study aims to retrospectively investigate the relation between chronotype and the effect of LT on a fixed time in the morning in a population of SAD patients...
September 15, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27128396/-tonsillectomy-for-pandas
#8
J P Windfuhr
BACKGROUND: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is a disease attributed to children with obsessive compulsive or tic disorders associated with streptococcal infections. Because otolaryngologists evaluate a large number of pediatric patients with recurrent streptococcal infections, tonsillectomy (TE) is a common option of therapy. This study was undertaken to evaluate the efficacy of tonsillectomy in patients presenting with a verified PANDAS...
April 2016: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/26100538/huntington-s-disease-cerebrospinal-fluid-seeds-aggregation-of-mutant-huntingtin
#9
Z Tan, W Dai, T G M van Erp, J Overman, A Demuro, M A Digman, A Hatami, R Albay, E M Sontag, K T Potkin, S Ling, F Macciardi, W E Bunney, J D Long, J S Paulsen, J M Ringman, I Parker, C Glabe, L M Thompson, W Chiu, S G Potkin
Huntington's disease (HD), a progressive neurodegenerative disease, is caused by an expanded CAG triplet repeat producing a mutant huntingtin protein (mHTT) with a polyglutamine-repeat expansion. Onset of symptoms in mutant huntingtin gene-carrying individuals remains unpredictable. We report that synthetic polyglutamine oligomers and cerebrospinal fluid (CSF) from BACHD transgenic rats and from human HD subjects can seed mutant huntingtin aggregation in a cell model and its cell lysate. Our studies demonstrate that seeding requires the mutant huntingtin template and may reflect an underlying prion-like protein propagation mechanism...
November 2015: Molecular Psychiatry
https://www.readbyqxmd.com/read/26035199/comparison-of-venlafaxine-alone-versus-venlafaxine-plus-bright-light-therapy-combination-for-severe-major-depressive-disorder
#10
RANDOMIZED CONTROLLED TRIAL
Pınar Güzel Özdemir, Murat Boysan, Michael H Smolensky, Yavuz Selvi, Adem Aydin, Ekrem Yilmaz
OBJECTIVE: Phototherapy, ie, bright light therapy, is an effective and safe treatment of major depressive disorder (MDD). It exerts rapid mood-elevating activity, similar to antidepressant medications, most likely mediated through both monoaminergic and circadian system melatonergic mechanisms. We assessed the efficiency of bright light therapy as an adjuvant treatment to antidepressant pharmacotherapy in patients with severe MDD randomized by Hamilton Depression Rating Scale (HDRS) score to either (1) 150 mg venlafaxine hydrochloride daily at 7:00 AM or (2) 150 mg venlafaxine plus 60-minute light of 7000 lux the initial week of clinical management (venlafaxine + bright light therapy) daily at 7:00 AM...
May 2015: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/25844409/-psychotherapy-for-pregnant-women-with-psychiatric-disorders
#11
REVIEW
Łukasz Müldner-Nieckowski, Katarzyna Cyranka, Bogna Smiatek-Mazgaj, Michał Mielimąka, Jerzy Sobański, Krzysztof Rutkowski
Pregnancy is a major life change for many women. The related biological changes, especially complications in its course and in the course of delivery, carry a risk of developing a variety of psychological problems and mental disorders. However, their treatment is challenging due to the teratogenic effects of most psychoactive drugs and specific requirements for entering different psychotherapeutic programs. Mental disorders during pregnancy are undoubtedly an important issue for both gynecology and psychiatry...
January 2015: Psychiatria Polska
https://www.readbyqxmd.com/read/25839643/the-psychiatry-of-light
#12
REVIEW
Richard S Schwartz, Jacqueline Olds
Bright light therapy and the broader realm of chronotherapy remain underappreciated and underutilized, despite their empirical support. Efficacy extends beyond seasonal affective disorder and includes nonseasonal depression and sleep disorders, with emerging evidence for a role in treating attention-deficit/hyperactivity disorder, delirium, and dementia. A practical overview is offered, including key aspects of underlying biology, indications for treatment, parameters of treatment, adverse effects, and transformation of our relationship to light and darkness in contemporary life...
May 2015: Harvard Review of Psychiatry
https://www.readbyqxmd.com/read/25815545/-prevalence-of-specific-learning-disorders-in-a-cohort-of-children-with-school-failure
#13
Sonia Missaoui, Naoufel Gaddour, Lotfi Gaha
BACKGROUND: Specific learning disorders (SLD) are poorly known and studied in Tunisia. A National research project on their prevalence was launched recently. Aim of this study was to estimate prevalence of SLD in a cohort of children with school failure. METHODS: Cross-sectional descriptive study with a population of 287 First and Third grade Primary School students, screened by their teachers as facing learning problems through a systematic screening process based on achievement and behavior...
August 2014: La Tunisie Médicale
https://www.readbyqxmd.com/read/25377290/-circadian-rhythm-sleep-disorders-in-psychiatric-diseases
#14
REVIEW
Vivien Bromundt
Circadian rhythm sleep disorders are prevalent among psychiatric patients. This is most probable due to a close relationship between functional disturbances of the internal clock, sleep regulation and mental health. Mechanisms on molecular level of the circadian clock and neurotransmitter signalling are involved in the development of both disorders. Moreover, circadian disorders and psychiatric diseases favour each other by accessory symptoms such as stress or social isolation. Actimetry to objectively quantify the rest-activity cycle and salivary melatonin profiles as marker for the circadian phase help to diagnose circadian rhythm sleep disorders in psychiatric patients...
November 2014: Therapeutische Umschau. Revue Thérapeutique
https://www.readbyqxmd.com/read/24535767/-sabina-spielrein-child-psychiatrist-avant-la-lettre
#15
J De Vleminck
BACKGROUND: Nowadays Sabine Spielrein is remembered primarily because of her very early work (directly influenced by Sigmund Freud and Carl Gustav Jung) or because of her 'amour fou' with Jung. As a result, we tend to forget her role as a pioneer of child psychiatry and psychology and as a contributor to child analysis and play therapy. AIM: To cast new light on Spielrein as a forgotten pioneer of child psychiatry. METHOD: A review of the primary and secondary literature...
2014: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/24348695/german-psychiatrists-observation-and-interpretation-of-religiosity-spirituality
#16
Eunmi Lee, Klaus Baumann
The purpose of this study was to explore how contemporary German psychiatrists think about religiosity/spirituality (ReS) in regard to their therapies. We conducted an anonymous survey among the clinical staff of psychiatry and psychotherapy departments in German university hospitals and faith-based clinics in the same cities. Two main instruments were used, the Duke University Religion Index (DUREL) and the questionnaire from Curlin et al. "Religion and Spirituality in Medicine: Physicians' Perspectives." A total of 123 psychiatrists participated in this survey...
2013: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/24151806/neuroimaging-as-a-potential-biomarker-to-optimize-psychiatric-research-and-treatment
#17
REVIEW
Esther Walton, Jessica A Turner, Stefan Ehrlich
Complex, polygenic phenotypes in psychiatry hamper our understanding of the underlying molecular pathways and mechanisms of many diseases. The unknown aetiology, together with symptoms which often show a large variability both across individuals and over time and also tend to respond comparatively slowly to medication, can be a problem for patient treatment and drug development. We argue that neuroimaging has the potential to improve psychiatric treatment in two ways. First, by reducing phenotypic complexity, neuroimaging intermediate phenotypes can help to identify disease-related genes and can shed light into the biological mechanisms of known risk genes...
October 2013: International Review of Psychiatry
https://www.readbyqxmd.com/read/23879318/world-federation-of-societies-of-biological-psychiatry-wfsbp-guidelines-for-biological-treatment-of-unipolar-depressive-disorders-part-1-update-2013-on-the-acute-and-continuation-treatment-of-unipolar-depressive-disorders
#18
Michael Bauer, Andrea Pfennig, Emanuel Severus, Peter C Whybrow, Jules Angst, Hans-Jürgen Möller
OBJECTIVES: This 2013 update of the practice guidelines for the biological treatment of unipolar depressive disorders was developed by an international Task Force of the World Federation of Societies of Biological Psychiatry (WFSBP). The goal has been to systematically review all available evidence pertaining to the treatment of unipolar depressive disorders, and to produce a series of practice recommendations that are clinically and scientifically meaningful based on the available evidence...
July 2013: World Journal of Biological Psychiatry
https://www.readbyqxmd.com/read/23842085/opportunities-threats-and-limitations-of-neuroscience-data-in-forensic-psychiatric-evaluation
#19
REVIEW
Luca Casartelli, Cristiano Chiamulera
PURPOSE OF REVIEW: In the last decade, a number of studies have been published to shed light on the interaction between neuroscience and the law, notably on the introduction of neuroscience data in forensic psychiatric evaluation (FPE). Even if there is a growing consensus on the relevance of neuroscience in clinical practice, the role of neuroscience in FPE is still controversial. RECENT FINDINGS: The use of neuroscience data in FPE can support the detection of psychopathological disabilities (e...
September 2013: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/23777594/frequency-and-relevance-of-psychoeducation-in-psychiatric-diagnoses-results-of-two-surveys-five-years-apart-in-german-speaking-european-countries
#20
Christine Rummel-Kluge, Michael Kluge, Werner Kissling
BACKGROUND: Psychoeducation has been shown to reduce relapse rates in several psychiatric disorders. Studies investigating for which psychiatric diagnoses psychoeducation is offered and assessing its perceived relevance compared to other interventions are lacking. METHODS: A two-part questionnaire addressing these questions was sent to the heads of all psychiatric hospitals in Germany, Austria and Switzerland. Results were compared with those from a similar survey 5 years earlier...
2013: BMC Psychiatry
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