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Evidence-based Psychiatry

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https://www.readbyqxmd.com/read/29789268/making-individual-prognoses-in-psychiatry-using-neuroimaging-and-machine-learning
#1
REVIEW
Ronald J Janssen, Janaina Mourão-Miranda, Hugo G Schnack
Psychiatric prognosis is a difficult problem. Making a prognosis requires looking far into the future, as opposed to making a diagnosis, which is concerned with the current state. During the follow-up period, many factors will influence the course of the disease. Combined with the usually scarcer longitudinal data and the variability in the definition of outcomes/transition, this makes prognostic predictions a challenging endeavor. Employing neuroimaging data in this endeavor introduces the additional hurdle of high dimensionality...
April 22, 2018: Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
https://www.readbyqxmd.com/read/29776348/the-influence-of-cross-sectoral-treatment-models-on-patients-with-mental-disorders-in-germany-study-protocol-of-a-nationwide-long-term-evaluation-study-eva64
#2
Anne Neumann, Enno Swart, Dennis Häckl, Roman Kliemt, Stefanie March, Denise Küster, Katrin Arnold, Thomas Petzold, Fabian Baum, Martin Seifert, Jessika Weiß, Andrea Pfennig, Jochen Schmitt
BACKGROUND: Close, continuous and efficient collaboration between different professions and sectors of care is necessary to provide patient-centered care for individuals with mental disorders. The lack of structured collaboration between in- and outpatient care constitutes a limitation of the German health care system. Since 2012, a new law in Germany (§64b Social code book (SGB) V) has enabled the establishment of cross-sectoral and patient-centered treatment models in psychiatry. Such model projects follow a capitation budget, i...
May 18, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29739532/psychodynamic-psychiatry-clinical-practical-patient-centered-and-evidence-based
#3
EDITORIAL
Thomas N Franklin
No abstract text is available yet for this article.
June 2018: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/29717479/improving-socio-emotional-health-for-pupils-in-early-secondary-education-with-pyramid-a-school-based-early-intervention-model
#4
Michelle Jayman, Maddie Ohl, Bronach Hughes, Pauline Fox
BACKGROUND: Policymakers are focusing increased attention on the role of schools to promote and support children's mental health, and evidence-based models of good practice are in demand. Pyramid Club is a school-based, socio-emotional intervention, demonstrably effective with primary-aged pupils. AIMS: This study extends previous Pyramid Club evaluations by examining effectiveness with pupils in early secondary education; service users' perceptions and experiences were investigated to increase understanding of Pyramid's impact, thus supporting enhanced practice...
May 1, 2018: British Journal of Educational Psychology
https://www.readbyqxmd.com/read/29716665/cognitive-remediation-in-large-systems-of-psychiatric-care
#5
Alice Medalia, Alice M Saperstein, Matthew D Erlich, Lloyd I Sederer
IntroductionWith the increasing enthusiasm to provide cognitive remediation (CR) as an evidence-based practice, questions arise as to what is involved in implementing CR in a large system of care. This article describes the first statewide implementation of CR in the USA, with the goal of documenting the implementation issues that care providers are likely to face when bringing CR services to their patients. METHODS: In 2014, the New York State Office of Mental Health set up a Cognitive Health Service that could be implemented throughout the state-operated system of care...
May 2, 2018: CNS Spectrums
https://www.readbyqxmd.com/read/29697715/catatonia-in-the-medically-ill-etiology-diagnosis-and-treatment-the-academy-of-consultation-liaison-psychiatry-evidence-based-medicine-subcommittee-monograph
#6
Lex Denysenko, Nicole Sica, Thomas M Penders, Kemuel L Philbrick, Audrey Walker, Scott Shaffer, Paula Zimbrean, Oliver Freudenreich, Nicole Rex, Brendan T Carroll, Andrew Francis
BACKGROUND: Catatonia in medically ill patients is rare but often unrecognized. This monograph summarizes current knowledge on the diagnosis, epidemiology, etiology, and management of catatonia occurring in the medical setting. METHODS: PubMed searches were used to identify relevant articles from 1962 to present. RESULTS: More than 3,000 articles were obtained and reviewed for relevance, including references of articles identified by the initial search...
May 2018: Annals of Clinical Psychiatry: Official Journal of the American Academy of Clinical Psychiatrists
https://www.readbyqxmd.com/read/29691958/brain-based-treatment-a-new-approach-or-a-well-forgotten-old-one
#7
Vanya Matanova, Zlatomira Kostova, Martin Kolev
For a relatively long period of time, mental functioning was mainly associated with personal profile while brain functioning went by the wayside. After the 90s of the 20th century, or the so called "Decade of the Brain", today, contemporary specialists work on the boundary between fundamental science and medicine. This brings neuroscience, neuropsychology, psychiatry, and psychotherapy closer to each other. Today, we definitely know that brain structures are being built and altered thanks to experience...
April 24, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29662521/evaluating-training-programs-for-primary-care-providers-in-child-adolescent-mental-health-in-canada-a-systematic-review
#8
Sandra Gotovac, Stacey Espinet, Reza Naqvi, Lorelei Lingard, Margaret Steele
Introduction: The need for child/adolescent mental health care in Canada is growing. Primary care can play a key role in filling this gap, yet most providers feel they do not have adequate training. This paper reviews the Canadian literature on capacity building programs in child and adolescent psychiatry for primary care providers, to examine how these programs are being implemented and evaluated to contribute to evidence-based initiatives. Methods: A systematic literature review of peer-reviewed published articles of capacity building initiatives in child/adolescent mental health care for primary care practitioners that have been implemented in Canada...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29651656/using-lithium-in-children-and-adolescents-with-bipolar-disorder-efficacy-tolerability-and-practical-considerations
#9
REVIEW
B Grant, J A Salpekar
Lithium has been an intriguing treatment option in psychiatry for over a century. While seemingly just a simple elemental compound, it has powerful treatment effects for both depression and bipolar disorder. The evidence base for treatment of pediatric bipolar disorder is relatively small, but, in recent years, additional clinical trial data have enabled lithium to re-emerge as a valuable and, in many cases, preferred treatment. Pharmacologically, lithium is complex, with varied effects at both intracellular and extracellular levels...
April 12, 2018: Paediatric Drugs
https://www.readbyqxmd.com/read/29621822/-web-based-field-studies-on-diagnostic-classification-and-code-assignment-of-mental-disorders-comparison-of-icd-11-and-icd-10
#10
Wolfgang Gaebel, Mathias Riesbeck, Jürgen Zielasek, Ariane Kerst, Eva Meisenzahl-Lechner, Volker Köllner, Matthias Rose, Tobias Hofmann, Ingo Schäfer, Annett Lotzin, Peer Briken, Verena Klein, Franziska Brunner, Jared W Keeley, Tahilia J Rebello, Howard F Andrews, Geoffrey M Reed, Nenad F I Kostanjsek, Alkomiet Hasan, Pamina Russek, Peter Falkai
The German Society for Psychiatry, Psychosomatics and Psychotherapy (DGPPN,) conducted a comprehensive field study (principal investigator WG) funded by the German Federal Ministry of Health in cooperation with 4 other German medical societies in the field of mental health (DGPM, DGPPR, DeGFS, DGfS) * to support WHO's development of the ICD-11 (Chapters 6 and 17). The objective of the web-based field study was to compare ICD-10 and ICD-11 (beta draft) for selected mental disorders, regarding consistency, accuracy and assessment of utility...
March 2018: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/29614851/the-make-biomarker-discovery-for-enhancing-antidepressant-treatment-effect-and-response-study-design-and-methodology
#11
Hee-Ju Kang, Ju-Wan Kim, Seon-Young Kim, Sung-Wan Kim, Hee-Young Shin, Myung-Geun Shin, Jae-Min Kim
Objective: Depression is associated with a major disease burden, and many individuals suffer from depressive symptoms due to an insufficient response to ostensibly adequate antidepressant treatment. Therefore, it is important to identify reliable treatment response predictors for use in developing personalized treatment strategies. Methods: The MAKE Biomarker discovery for Enhancing anTidepressant Treatment Effect and Response (MAKE BETTER) study was performed to identify predictors of antidepressant response using a 2-year naturalistic prospective design...
April 5, 2018: Psychiatry Investigation
https://www.readbyqxmd.com/read/29596725/antagonists-in-the-medical-management-of-opioid-use-disorders-historical-and-existing-treatment-strategies
#12
REVIEW
Adam Bisaga, Paolo Mannelli, Maria A Sullivan, Suzanne K Vosburg, Peggy Compton, George E Woody, Thomas R Kosten
BACKGROUND AND OBJECTIVES: Opioid use disorder (OUD) is a chronic condition with potentially severe health and social consequences. Many who develop moderate to severe OUD will repeatedly seek treatment or interact with medical care via emergency department visits or hospitalizations. Thus, there is an urgent need to develop feasible and effective approaches to help persons with OUD achieve and maintain abstinence from opioids. Treatment that includes one of the three FDA-approved medications is an evidence-based strategy to manage OUD...
April 2018: American Journal on Addictions
https://www.readbyqxmd.com/read/29593578/mental-disorder-the-need-for-an-accurate-definition
#13
Diogo Telles-Correia, Sérgio Saraiva, Jorge Gonçalves
There are several reasons why a definition for mental disorder is essential. Among these are not only reasons linked to psychiatry itself as a science (nosology, research) but also to ethical, legal, and financial issues. The first formal definition of mental disorder resulted from a deep conceptual analysis led by Robert Spitzer. It emerged to address several challenges that psychiatry faced at the time, namely to serve as the starting point for an atheoretical and evidence-based classification of mental disorders, to justify the removal of homosexuality from classifications, and to counter the arguments of antipsychiatry...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29593577/predicting-medical-students-current-attitudes-toward-psychiatry-interest-in-psychiatry-and-estimated-likelihood-of-working-in-psychiatry-a-cross-sectional-study-in-four-european-countries
#14
Ingeborg Warnke, Alex Gamma, Maria Buadze, Roman Schleifer, Carlos Canela, Bernd Strebel, Tamás Tényi, Wulf Rössler, Nicolas Rüsch, Michael Liebrenz
Psychiatry as a medical discipline is becoming increasingly important due to the high and increasing worldwide burden associated with mental disorders. Surprisingly, however, there is a lack of young academics choosing psychiatry as a career. Previous evidence on medical students' perspectives is abundant but has methodological shortcomings. Therefore, by attempting to avoid previous shortcomings, we aimed to contribute to a better understanding of the predictors of the following three outcome variables: current medical students' attitudes toward psychiatry, interest in psychiatry, and estimated likelihood of working in psychiatry...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29588829/the-effectiveness-of-clinical-teaching-of-mental-health-courses-in-nursing-using-clinical-supervision-and-kirkpatrick-s-model
#15
Maryam Maddineshat, Mitra Hashemi, Reza Besharati, Sepideh Gholami, Fatemeh Ghavidel
Background: Clinical experience associated with the fear and anxiety of nursing students in the psychiatric unit. Mental health nursing instructors find it challenging to teach nursing students to deal with patients with mental disorders in an environment where they need to provide patient teaching and clinical decision-making based on evidence and new technology. Objective: To measure the effectiveness of clinical teaching of mental health courses in nursing using clinical supervision and Kirkpatrick's model evaluation in the psychiatry unit of Imam Reza Hospital, Bojnurd, Iran...
January 2018: Electronic Physician
https://www.readbyqxmd.com/read/29588046/meta-analyses-in-child-and-adolescent-psychiatry-getting-closer-to-clinical-practice
#16
EDITORIAL
Samuele Cortese
Rigorously conducted meta-analyses provide evidence synthesis that has the potential to inform daily clinical decision making and development of clinical guidelines. In the past decade, there has been an increasing number of studies on pharmacologic and non-pharmacologic treatments for childhood and adolescent psychiatric disorders. Given this large body of research, busy clinicians might tend to rely on meta-analyses, rather than individual trials, to keep abreast of the evidence base supporting intervention strategies in child and adolescent psychiatry...
April 2018: Journal of the American Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29571072/european-psychiatric-association-epa-guidance-on-forensic-psychiatry-evidence-based-assessment-and-treatment-of-mentally-disordered-offenders
#17
Birgit A Völlm, Martin Clarke, Vicenç Tort Herrando, Allan O Seppänen, Paweł Gosek, Janusz Heitzman, Erik Bulten
Forensic psychiatry in Europe is a specialty primarily concerned with individuals who have either offended or present a risk of doing so, and who also suffer from a psychiatric condition. These mentally disordered offenders (MDOs) are often cared for in secure psychiatric environments or prisons. In this guidance paper we first present an overview of the field of forensic psychiatry from a European perspective. We then present a review of the literature summarising the evidence on the assessment and treatment of MDOs under the following headings: The forensic psychiatrist as expert witness, risk, treatment settings for mentally disordered offenders, and what works for MDOs...
March 20, 2018: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/29567371/a-pilot-study-on-immuno-psychiatry-in-the-22q11-2-deletion-syndrome-a-role-for-th17-cells-in-psychosis
#18
Elfi Vergaelen, Carmen Schiweck, Kristof Van Steeland, Jacqueline Counotte, Wim Veling, Ann Swillen, Hemmo Drexhage, Stephan Claes
BACKGROUND: A growing body of evidence supports a role for immune alterations in Schizophrenia Spectrum Disorders (SSD). A high prevalence (25% - 40%) of SSD has been found in patients with 22q11.2 deletion syndrome (22q11.2DS), which is known for T-cell deficits due to thymus hypoplasia. This study is the first to explore the association between the T-cell subsets and psychotic symptoms in adults with 22q11.2DS. METHODS: 34 individuals (aged 19-38 yrs.) with 22q11...
March 19, 2018: Brain, Behavior, and Immunity
https://www.readbyqxmd.com/read/29564546/sports-psychiatry-mental-health-and-mental-disorders-in-athletes-and-exercise-treatment-of-mental-disorders
#19
REVIEW
Andreas Ströhle
Sports psychiatry has developed for the past 3 decades as an emerging field within psychiatry and sports medicine. An International society has been established in 1994 and also national interest groups were implemented, mostly within the national organizations for psychiatry, some also containing the topic of exercise treatment of mental disorders. Where are we now 30 years later? We systematically but also selectively review the medical literature on exercise, sport, psychiatry, mental health and mental disorders and related topics...
March 21, 2018: European Archives of Psychiatry and Clinical Neuroscience
https://www.readbyqxmd.com/read/29535651/reduced-frequency-of-cases-with-seclusion-is-associated-with-opening-the-doors-of-a-psychiatric-intensive-care-unit
#20
Lisa Hochstrasser, Alexander Voulgaris, Julian Möller, Tatjana Zimmermann, Regine Steinauer, Stefan Borgwardt, Undine E Lang, Christian G Huber
Background: Implementing an open door policy is a complex intervention comprising changes in therapeutic stance, team processes, and a change from locked to open doors. Recent studies show that it can lead to a reduction of seclusion and forced medication, but the role of the physical change of door status is still unclear. Aims: The aims of this study is to examine the transition from closed to predominantly open doors on a psychiatric intensive care unit (PICU) and its associations with the frequency of seclusion and forced medication...
2018: Frontiers in Psychiatry
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