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Current opinion in psychiatry

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https://www.readbyqxmd.com/read/28641960/-involuntary-commitment-of-the-psychiatric-patient-legal-regulations-and-critical-aspects
#1
M Ibáñez Bernáldez, M Casado Blanco
Traditionally, medical care received by psychiatric patients involved their separation from the society through their isolation in closed institutions, thereby setting a stigmatising trend on the sick, and by extension on mental illness, a practice that somehow has remained until now. The profound changes in the field of psychiatry have been important and are reflected in the therapeutic field, as well as in the legislative one, and have contributed to establish changes concerning the social opinion about psychiatric patients...
June 19, 2017: Semergen
https://www.readbyqxmd.com/read/28636480/the-emerging-role-of-pimavanserin-in-the-management-of-parkinson-s-disease-psychosis
#2
Neal Hermanowicz, Gustavo Alva, Fernando Pagan, Alberto J Espay, Amita Patel, Katya Cruz Madrid, Daniel Kremens, Jim Kenney, Sheila Arquette, Gary Tereso, Maria Lopes, Carolyn Farnum
A panel of experts drawn from neurology, psychiatry, geropsychiatry, geriatrics, and pharmacy representatives of 3 health plans convened in New York City on July 30, 2016, with the objective of sharing opinions, ideas, and information regarding the optimal management of Parkinson's disease psychosis (PDP). Three key points emerged from the discussion: (1) Because of the nature of Parkinson's disease and PDP, finding appropriate treatment can prove challenging; (2) emerging therapies may present an opportunity for effective disease management; and (3) moving forward, provider and patient education regarding PDP and available treatment options is essential for well-managed symptoms and better quality of life...
June 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28613366/-transitional-psychiatry-in-the-netherlands-experiences-and-views-of-mental-health-professionals
#3
S E Gerritsen, G C Dieleman, M A C Beltman, A A M Tangenbergh, A Maras, T A M J van Amelsvoort, A L van Staa
Psychopathology manifests itself primarily in late adolescence and continues into adulthood. Continuity of care is essential during this phase of life. The current care service distinguishes between child/adolescent (CAMHS) and adult mental health services (AMHS). The separation of services can interfere with the continuity of care.<br/> AIM: To map professionals' experiences of and views on the transition and associated problems that young people can experience as they are transferred from CAMHS to AMHS...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28439360/psychiatry-residents-perceptions-and-reported-practices-in-providing-primary-care
#4
Lisa M Wehr, Erik R Vanderlip, Patrick H Gibbons, Jess G Fiedorowicz
BACKGROUND: Patients with psychiatric disorders have higher rates of chronic medical conditions and decreased life expectancy. Integrating medical and psychiatric care is likely to improve health outcomes for these patients. OBJECTIVE: This study examined what proportion of psychiatry residents viewed psychiatry as a primary care specialty, how important they felt it was to provide primary care to patients, and how this perception altered self-reported comfort and practice patterns in providing screening and treatment for select general medical conditions...
April 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28334565/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-for-improvement
#5
Amber T Pincavage, Michael J Donnelly, John Q Young, Vineet M Arora
BACKGROUND: Year-end clinic handoffs in resident continuity clinics are an important patient safety issue. METHODS: Intervention articles addressing the year-end resident clinic handoff were identified in a targeted literature search. These articles were reviewed and abstracted to summarize the current literature. On the basis of these reviews and consensus expert opinion, recommendations to improve year-end clinic handoffs were developed. RESULTS: Of 23 identified articles, 10 intervention articles in the fields of internal medicine, internal medicine-pediatrics, psychiatry, and family medicine were ultimately included...
February 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28291033/assessing-suicide-risk-what-is-commonly-missed-in-the-emergency-room
#6
Nazanin Alavi, Taras Reshetukha, Eric Prost, Kristen Antoniak, Dianne Groll
OBJECTIVE: Although risk assessment for suicide has been extensively studied, it is still an inexact process. The current study determined how busy emergency clinicians actually assessed and documented suicide risk, while also examining the differences between psychiatric and emergency medicine opinions on the importance of various suicide predictors. METHOD: Phase 1 of the study involved the administration of a survey on the relative importance of various suicide predictors for the specialties of psychiatry and emergency medicine...
March 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28216782/indian-psychiatric-society-survey-on-clinical-practice-guidelines
#7
Sandeep Grover, Ajit Avasthi
AIM: This survey aimed to assess the utility of the earlier published clinical practice guidelines (CPGs) by IPS and to understand the expectations of members of Indian Psychiatric Society from the proposed revised CPGs. In addition, the survey also evaluated the current level of practice of psychiatry in terms of availability of different investigation facilities, prescription patterns in terms of use of polypharmacy, and competence in carrying out certain nonpharmacological treatments...
January 2017: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/27955830/inverse-agonists-what-do-they-mean-for-psychiatry
#8
David Nutt, Stephen Stahl, Pierre Blier, Filippo Drago, Joseph Zohar, Sue Wilson
The nomenclature of drugs is a critical aspect of science, since it can direct research and optimize treatment choices. Traditionally drugs acting on CNS receptors have been classified as either agonists or antagonists. Recently a new class of ligand, the inverse agonist, has been identified in some receptor systems. Inverse agonists have opposite actions to those of agonists but the effects of both of these can be blocked by antagonists. Pimavanserin is a new 5-HT2A receptor acting drug that has been given market authorization for psychosis in Parkinson׳s disease...
January 2017: European Neuropsychopharmacology: the Journal of the European College of Neuropsychopharmacology
https://www.readbyqxmd.com/read/27928251/%C3%A2-factors-affecting-the-choice-of-psychiatry-as-a-specialty-in-%C3%A2-psychiatry-residents-in-iran
#9
Seyed Saeed Sadr, Razieh Nayerifard, Seyed Mehdi Samimi Ardestani, Massood Namjoo
Objective: The aim of this study was to investigate the current factors affecting the choice of ‎psychiatry as a specialty and to detect the main factors in their choice.‎ Method: This descriptive study included 75 first year psychiatry residents in the academic year of ‎‎2014/2015. A Likert-type anonymous questionnaire consisting of academic and ‎demographic data with 43 questions, which evaluated the reason for choosing ‎psychiatry as a specialty, was given to the residents.‎ Results: The participants had a positive opinion about 28 items of the questionnaire, meaning that ‎these items had a positive effect in choosing psychiatry as a specialty (questions with P ‎value less than 0...
July 2016: Iranian Journal of Psychiatry
https://www.readbyqxmd.com/read/27810113/prediction-of-occupational-disability-from-psychological-and-neuropsychological-evidence-in-forensic-context
#10
Izabela Z Schultz, Ada K Law, Leanna C Cruikshank
Within the fields of psychiatry, psychology, and neuropsychology, medical examiners are often tasked with providing an opinion about an injured individual's health prognosis and likelihood of returning to work. Traditionally, examiners have conducted such assessments by employing clinical intuition, expert knowledge, and judgment. More recently, however, an accumulation of research on factors predictive of disability has allowed examiners to provide prognostications using specific empirically supported evidence...
November 2016: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/27776499/does-the-recent-intensification-of-nationalistic-and-xenophobic-attitudes-in-eastern-european-countries-adversely-affect-public-mental-health
#11
Andrzej Brodziak, Alicja Różyk-Myrta, Agnieszka Wolińska
BACKGROUND: The authors postulate that the recent intensification of the nationalist and xenophobic attitude in Poland and other Eastern European countries is detrimental to public mental health. The xenophobic attitude is accompanied by a higher incidence of anxiety and depression, disputes due to the polarization of opinions, a sense of embarrassment and a sense of contradictions with so-called Christian values, unfavorable demographic predictions and reduced life satisfaction. DISCUSSION: The authors attempt to describe the sequence of adverse events that led to the intensification of xenophobia and characterize the current state of public mental health in European countries...
October 24, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27414748/current-viewpoints-on-dsm-5-in-japan
#12
REVIEW
Toshihide Kuroki, Makoto Ishitobi, Yoko Kamio, Genichi Sugihara, Toshiya Murai, Keisuke Motomura, Kazuyoshi Ogasawara, Hiroyuki Kimura, Branko Aleksic, Norio Ozaki, Tomohiro Nakao, Kazuo Yamada, Kazuhiro Yoshiuchi, Nobuo Kiriike, Toshio Ishikawa, Chiharu Kubo, Chiaki Matsunaga, Hisatsugu Miyata, Takashi Asada, Shigenobu Kanba
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was published in 2013, and its official Japanese version was published in 2014. The Japanese Government uses classifications from the 10th revision of the I nternational C lassification of D iseases (ICD-10) to categorize disorders and determine treatment fees. However, since the publication of the DSM-III, the use of the DSM system has become prevalent in research and educational settings in Japan. In addition to traditional psychiatry, both the ICD and the DSM are taught by many Japanese medical schools, and virtually all clinical research and trials refer to the DSM to define targeted disorders...
September 2016: Psychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/27362823/-critical-evaluation-of-current-diagnostic-classification-systems-in-psychiatry-the-case-of-dsm-5
#13
Mario Luciano, Gaia Sampogna, Valeria Del Vecchio, Corrado De Rosa, Umberto Albert, Giuseppe Carrà, Bernardo Dell'Osso, Giorgio Di Lorenzo, Silvia Ferrari, Giovanni Martinotti, Maria Giulia Nanni, Federica Pinna, Maurizio Pompili, Umberto Volpe, Francesco Catapano, Andrea Fiorillo
Since its first edition, the Diagnostic and Statistical manual of Mental disorders (DSM) has had a great impact on the scientific community and the public opinion as well. In 2013, the American Psychiatric Association released the fifth edition of the manual and - as for the previous versions - several criticisms raised. In particular, the persistence of the categorical approach to mental disorders represents one of the main debated topics, as well as the introduction of new diagnostic syndromes, which are not based on an adequate evidences...
May 2016: Rivista di Psichiatria
https://www.readbyqxmd.com/read/27075222/-contextual-psychiatry-a-re-evaluation-focusing-on-family-system-therapy
#14
E van Meekeren, J Baars
BACKGROUND: Mental health services are currently in a state of flux and psychiatry is being affected by cost-cutting measures and is seeking a new direction. In this article we advocate the re-evaluation of contextual psychiatry. We focus primarily on the position of caregivers in view of the Dutch government's political decision that mental health care problems should, if at all possible, be solved in the intimacy of the family, involving care givers and family members. This decision has put these people, who are already over-burdened, under extra pressure if they do not receive additional support...
2016: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/26927780/relax-stress-and-anxiety-relief
#15
(no author information available yet)
FINDING TIME to relax can be difficult. Research published in the journal Current Opinion in Psychiatry suggests that chronic stress and anxiety can damage those areas of the brain that deal with memory and thinking, so relaxation is important.
March 2016: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/26860167/relax-stress-and-anxiety-relief-app
#16
(no author information available yet)
Finding time to relax can be difficult. Research published in the journal Current Opinion in Psychiatry has shown that chronic stress and anxiety can damage areas of the brain dealing with memory and thinking - so relaxation is important.
February 10, 2016: Nursing Standard
https://www.readbyqxmd.com/read/25844409/-psychotherapy-for-pregnant-women-with-psychiatric-disorders
#17
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/25754081/evaluating-historical-candidate-genes-for-schizophrenia
#18
REVIEW
M S Farrell, T Werge, P Sklar, M J Owen, R A Ophoff, M C O'Donovan, A Corvin, S Cichon, P F Sullivan
Prior to the genome-wide association era, candidate gene studies were a major approach in schizophrenia genetics. In this invited review, we consider the current status of 25 historical candidate genes for schizophrenia (for example, COMT, DISC1, DTNBP1 and NRG1). The initial study for 24 of these genes explicitly evaluated common variant hypotheses about schizophrenia. Our evaluation included a meta-analysis of the candidate gene literature, incorporation of the results of the largest genomic study yet published for schizophrenia, ratings from informed researchers who have published on these genes, and ratings from 24 schizophrenia geneticists...
May 2015: Molecular Psychiatry
https://www.readbyqxmd.com/read/25672664/switching-antipsychotic-medication-to-aripiprazole-position-paper-by-a-panel-of-italian-psychiatrists
#19
Andrea Fagiolini, Roberto Brugnoli, Guido Di Sciascio, Sergio De Filippis, Giuseppe Maina
INTRODUCTION: Patients with schizophrenia or bipolar disorder treated with antipsychotic medication can frequently experience lack of efficacy and persistent side-effects, so much so that switching from one antipsychotic to another with a different side-effect profile has become a recommended strategy for improving the tolerability and safety of long-term antipsychotic treatment. Aripiprazole is an atypical antipsychotic with proven efficacy in schizophrenia and bipolar I disorder, with a pharmacological profile distinct from other available antipsychotics and a side-effect profile that is different from other agents in the class; these characteristics make it a possible alternative in patients requiring a change in antipsychotic treatment due to lack of efficacy or persistent side-effects...
April 2015: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/25596883/the-pharmacodynamic-properties-of-lurasidone-and-their-role-in-its-antidepressant-efficacy-in-bipolar-disorder
#20
REVIEW
Konstantinos N Fountoulakis, Maria Gazouli, John Kelsoe, Hagop Akiskal
The treatment of bipolar depression is one of the most challenging issues in contemporary psychiatry. Currently only quetiapine, the olanzapine-fluoxetine combination and recently lurasidone are officially FDA-approved against this condition. The neurobiology of bipolar depression and the possible targets of bipolar antidepressant therapy remain elusive. The current study investigated whether the pharmacodynamic properties of lurasidone fit to a previously developed model which was the first to be derived on the basis of the strict combination of clinical and preclinical data with no input from theory or opinion...
March 2015: European Neuropsychopharmacology: the Journal of the European College of Neuropsychopharmacology
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