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https://www.readbyqxmd.com/read/29924866/a-mobile-clinic-approach-to-the-delivery-of-community-based-mental-health-services-in-rural-haiti
#1
J Reginald Fils-Aimé, David J Grelotti, Tatiana Thérosmé, Bonnie N Kaiser, Giuseppe Raviola, Yoldie Alcindor, Jennifer Severe, Emmeline Affricot, Katherine Boyd, Rupinder Legha, Shin Daimyo, Stephanie Engel, Eddy Eustache
This study evaluates the use of a mental health mobile clinic to overcome two major challenges to the provision of mental healthcare in resource-limited settings: the shortage of trained specialists; and the need to improve access to safe, effective, and culturally sound care in community settings. Employing task-shifting and supervision, mental healthcare was largely delivered by trained, non-specialist health workers instead of specialists. A retrospective chart review of 318 unduplicated patients assessed and treated during the mobile clinic's first two years (January 2012 to November 2013) was conducted to explore outcomes...
2018: PloS One
https://www.readbyqxmd.com/read/29924506/clinical-predictors-of-extrapyramidal-symptoms-associated-with-aripiprazole-augmentation-for-the-treatment-of-late-life-depression-in-a-randomized-controlled-trial
#2
Jonathan H Hsu, Benoit H Mulsant, Eric J Lenze, Marcos Sanches, Jordan F Karp, Charles F Reynolds, Daniel M Blumberger
OBJECTIVE: Augmentation with aripiprazole is an effective pharmacotherapy for treatment-resistant late-life depression (LLD). However, aripiprazole can cause extrapyramidal symptoms (EPS) such as akathisia and parkinsonism; these symptoms are distressing and can contribute to treatment discontinuation. We investigated the clinical trajectories and predictors of akathisia and parkinsonism in older patients receiving aripiprazole augmentation for treatment-resistant LLD. METHODS: Between 2009 and 2013, depressed older adults who did not remit with venlafaxine were randomized to aripiprazole or placebo in a 12-week trial...
June 19, 2018: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/29923970/vortioxetine-overdose-in-a-suicidal-attempt-a-case-report
#3
Mario Gennaro Mazza, Aurora Rossetti, Eugenia Rossana Botti, Massimo Clerici
RATIONALE: Vortioxetine is a new multimodal antidepressant approved by the Food and Drug Administration for the treatment of Major Depressive Disorder and recently introduced in Europe. While antidepressant properties of vortioxetine and its tolerability have been demonstrated by preclinical and clinical studies data on the safety of vortioxetine after overdose are still lacking. PATIENT CONCERNS: A 50-year-old Caucasian man presenting a severe depressive episode that in a suicide attempt he took vortioxetine at 250 mg...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29923046/new-method-for-insomnia-mongolian-mind-body-interactive-psychotherapy-in-the-assessment-of-chronic-insomnia-a-retrospective-study
#4
Nagongbilige He, Wu Lan, Aruna Jiang, Haserden Jia, Shuzhi Bao, Longmei Bao, Altansha Qin, Orgel Bao, Shinjiltu Bao, Nandin Wang, Suyaltu Bao, Shuangfu Dai, Sarula Bao, Sarnai Arlud
INTRODUCTION: Insomnia is a common clinical complaint, and if not addressed it can increase the risk of developing other underlying diseases such as hypertension, depression and anxiety. The use of Mongolian mind-body interactive therapy as a comprehensive psychotherapeutic approach in chronic insomnia has been shown in this retrospective study. METHODS: Subjects who had suffered insomnia for more than 1 month participated in the Mongolian mind-body interactive psychotherapy program between June 2012 and February 2014...
June 19, 2018: Advances in Therapy
https://www.readbyqxmd.com/read/29923027/acute-intoxications-involving-%C3%AE-pyrrolidinobutiophenone-%C3%AE-pbp-results-from-the-swedish-strida-project
#5
Lisa Franzén, Matilda Bäckberg, Olof Beck, Anders Helander
INTRODUCTION: Many new psychoactive substances (NPS) introduced as recreational drugs have been associated with severe intoxication and death. METHODS: Blood and/or urine samples were collected from intoxicated patients treated at Swedish hospitals that participated in the STRIDA project, a nationawide effort to address the growing problem of NPS. In patients undergoing evaluation for drug overdose, α-PBP was identified using liquid chromatography-mass spectrometry...
June 19, 2018: Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology
https://www.readbyqxmd.com/read/29922690/quality-of-life-predictors-in-physically-disabled-people
#6
Fatemeh Rajati, Hosein Ashtarian, Nader Salari, Masood Ghanbari, Zahra Naghibifar, Seyed Younes Hosseini
BACKGROUND: Physically disabled people experience more restrictions in social activities than healthy people, which are associated with lower level of well-being and poor quality of life (QoL). STUDY DESIGN: A cross-sectional study was conducted. METHODS: This study was investigated on among 302 eligible physically disabled people. The predictive role of the demographics and clinical characteristics, anxiety and depression, physical activity, and self-efficacy on the 36-Item Short Form Health Survey (SF-36) was examined...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29922641/improvements-in-heart-rate-variability-baroreflex-sensitivity-and-sleep-after-use-of-closed-loop-allostatic-neurotechnology-by-a-heterogeneous-cohort
#7
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
https://www.readbyqxmd.com/read/29922522/delayed-post-hypoxic-leukoencephalopathy-a-case-series-and-review-of-the-literature
#8
Nakul Katyal, Naureen Narula, Pravin George, Premkumar Nattanamai, Christopher R Newey, Jonathan M Beary
Delayed post-hypoxic leukoencephalopathy (DPHL) is a unique clinical entity that presents with cognitive impairment days to weeks after an episode of acute hypoxic brain injury. Frequently hypoxia is unrecognized as a mechanism for clinical decline and extensive workup ensues. We present two cases of DPHL highlighting the neuroimaging findings. In both patients, a cerebral hypoxic event was followed by a recovery phase with subsequent delayed clinical decline. Patient 1 suffered hypoxia from drug-induced respiratory depression and lack of post-operative positive airway pressure (PAP) support...
April 15, 2018: Curēus
https://www.readbyqxmd.com/read/29922224/neuroendocrine-abnormalities-following-traumatic-brain-injury-an-important-contributor-to-neuropsychiatric-sequelae
#9
REVIEW
Amir M Molaie, Jamie Maguire
Neuropsychiatric symptoms following traumatic brain injury (TBI) are common and contribute negatively to TBI outcomes by reducing overall quality of life. The development of neurobehavioral sequelae, such as concentration deficits, depression, anxiety, fatigue, and loss of emotional well-being has historically been attributed to an ambiguous "post-concussive syndrome," considered secondary to frank structural injury and axonal damage. However, recent research suggests that neuroendocrine dysfunction, specifically hypopituitarism, plays an important role in the etiology of these symptoms...
2018: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/29922189/aberrant-neural-activity-in-patients-with-bipolar-depressive-disorder-distinguishing-to-the-unipolar-depressive-disorder-a-resting-state-functional-magnetic-resonance-imaging-study
#10
Meihui Qiu, Huifeng Zhang, David Mellor, Jun Shi, Chuangxin Wu, Yueqi Huang, Jianye Zhang, Ting Shen, Daihui Peng
This study aims to explore the intrinsic patterns of spontaneous activity of bipolar depression (BD) patients by analyzing the fractional amplitude of low frequency fluctuation (fALFF) that help differentiate BD from unipolar depressive disorder(UD). Twenty eight patients with BD, 47 patients with UD and 29 healthy controls were enrolled to receive the resting-state functional magnetic resonance imaging (rs-fMRI) scans. The group differences of fALFF values were calculated among three groups. In addition, the correlations between the clinical variables and mfALFF values were estimated...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29922187/using-information-and-communication-technologies-to-prevent-suicide-among-secondary-school-students-in-two-regions-of-chile-a-randomized-controlled-trial
#11
Franco Mascayano, Sara Schilling, Eric Tapia, Felipe Santander, María S Burrone, Lawrence H Yang, Rubén Alvarado
Background: There is an increasing concern for addressing suicide among adolescents in Latin America. Recent mental health policies encourage the development and implementation of preventive interventions for suicide. Such initiatives, however, have been scarcely developed, even in countries with solid mental health services such as Chile. The use of information and communications technology (ICT) might contribute to create accessible, engaging, and innovative platforms to promote well-being and support for adolescents with mental health needs and suicide risk...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29922131/adult-hippocampal-neurogenesis-regulation-and-possible-functional-and-clinical-correlates
#12
REVIEW
Pedro Baptista, José P Andrade
The formation of new neurons in the adult central nervous system (CNS) has been recognized as one of the major findings in neuroanatomical research. The hippocampal formation (HF), one of the main targets of these investigations, holds a neurogenic niche widely recognized among several mammalian species and whose existence in the human brain has sparked controversy and extensive debate. Many cellular features from this region emphasize that hippocampal neurogenesis suffers changes with normal aging and, among regulatory factors, physical exercise and chronic stress provoke opposite effects on cell proliferation, maturation and survival...
2018: Frontiers in Neuroanatomy
https://www.readbyqxmd.com/read/29922129/sex-differences-in-psychiatric-disease-a-focus-on-the-glutamate-system
#13
REVIEW
Megan M Wickens, Debra A Bangasser, Lisa A Briand
Alterations in glutamate, the primary excitatory neurotransmitter in the brain, are implicated in several psychiatric diseases. Many of these psychiatric diseases display epidemiological sex differences, with either males or females exhibiting different symptoms or disease prevalence. However, little work has considered the interaction of disrupted glutamatergic transmission and sex on disease states. This review describes the clinical and preclinical evidence for these sex differences with a focus on two conditions that are more prevalent in women: Alzheimer's disease and major depressive disorder, and three conditions that are more prevalent in men: schizophrenia, autism spectrum disorder, and attention deficit hyperactivity disorder...
2018: Frontiers in Molecular Neuroscience
https://www.readbyqxmd.com/read/29922060/a-review-of-ketamine-s-role-in-ect-and-non-ect-settings
#14
REVIEW
Vytautas Jankauskas, Candace Necyk, James Chue, Pierre Chue
Up to 20% of depressed patients demonstrate treatment resistance to one or more adequate antidepressant trials, resulting in a disproportionately high burden of illness. Ketamine is a non-barbiturate, rapid-acting general anesthetic that has been increasingly studied in treatment resistant depression (TRD), typically at sub-anesthetic doses (0.5 mg/kg over 40 min by intravenous infusion). More recent data suggest that ketamine may improve response rates to electroconvulsive therapy (ECT) when used as an adjunct, but also as a sole agent...
2018: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/29922049/sarcopenic-obesity-and-cognitive-performance
#15
Magdalena I Tolea, Stephanie Chrisphonte, James E Galvin
Background: Sarcopenia and obesity both negatively impact health including cognitive function. Their coexistence, however, can pose an even higher threat likely surpassing their individual effects. We assessed the relationship of sarcopenic obesity with performance on global- and subdomain-specific tests of cognition. Patients and methods: The study was a cross-sectional analysis of data from a series of community-based aging and memory studies. The sample consisted of a total of 353 participants with an average age of 69 years with a clinic visit and valid cognitive (eg, Montreal Cognitive Assessment, animal naming), functional (eg, grip strength, chair stands), and body composition (eg, muscle mass, body mass index, percent body fat) measurements...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29921741/neutrophil-lymphocyte-ratio-and-c-reactive-protein-level-in-patients-with-major-depressive-disorder-before-and-after-pharmacotherapy
#16
A Adhikari, R Dikshit, S Karia, S Sonavane, N Shah, A De Sousa
BACKGROUND: Neutrophil-lymphocyte ratio (NLR) and C-reactive protein (CRP) level are useful biomarkers of inflammation. This study aimed to assess NLR and CRP level in patients with major depressive disorder before and after pharmacotherapy to determine whether NLR or CRP could be used as biomarkers of severity of major depression and whether there was any sex difference. METHODOLOGY: Patients with major depression who received no pharmacotherapy 1 month prior to the study were included...
June 2018: East Asian Archives of Psychiatry: Official Journal of the Hong Kong College of Psychiatrists
https://www.readbyqxmd.com/read/29921562/severely-burdened-individuals-do-not-need-to-be-excluded-from-internet-based-and-mobile-based-stress-management-effect-modifiers-of-treatment-outcomes-from-three-randomized-controlled-trials
#17
Kiona Krueger Weisel, Dirk Lehr, Elena Heber, Anna-Carlotta Zarski, Matthias Berking, Heleen Riper, David Daniel Ebert
BACKGROUND: Although internet-based and mobile-based stress management interventions (iSMIs) may be a promising strategy to reach employees suffering from high chronic stress, it remains unknown whether participants with high symptom severity of depression or anxiety also benefit from iSMIs or should be excluded. OBJECTIVE: This study aimed to evaluate the efficacy of iSMIs in subgroups with high symptom severity and to test whether baseline symptom severity moderates treatment outcome...
June 19, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29921514/poorer-cardiovascular-health-is-associated-with-psychiatric-comorbidity-results-from-the-elsa-brasil-study
#18
Claudia Szlejf, Claudia K Suemoto, Itamar S Santos, Andre R Brunoni, Maria Angélica Nunes, Maria Carmen Viana, Sandhi Maria Barreto, Paulo A Lotufo, Isabela M Benseñor
BACKGROUND: Common psychiatric symptoms may hinder achieving ideal cardiovascular health (ICH). We aimed to investigate the association between the ICH score and psychiatric disorders in Brazilian adults. METHODS: In this cross-sectional analysis, 13,743 participants free of cardiovascular disease from the ELSA-Brasil study were assessed using the American Heart Association ICH score. Cardiovascular health was classified as poor (0-2 ideal metrics), intermediate (3-4 ideal metrics), and optimal (5-7 ideal metrics)...
June 12, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29921234/patient-satisfaction-with-primary-healthcare-services-are-there-any-links-with-patients-symptoms-of-anxiety-and-depression
#19
Rima Kavalnienė, Aušra Deksnyte, Vytautas Kasiulevičius, Virginijus Šapoka, Ramūnas Aranauskas, Lukas Aranauskas
BACKGROUND: The aim of our study was to determine the association of anxiety and depression symptoms, as well as the main socio-demographic factors, with patients' satisfaction with primary healthcare services. METHODS: The respondents were asked to fill out an anonymous questionnaire that included information on the patients' gender, age, place of residence, education, ethnicity, the type of clinic they visited and the presence of chronic diseases. Patient satisfaction was evaluated by using a short version of the Patient Satisfaction Questionnaire...
June 19, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29921144/a-randomized-controlled-trial-of-parent-child-psychotherapy-targeting-emotion-development-for-early-childhood-depression
#20
Joan L Luby, Deanna M Barch, Diana Whalen, Rebecca Tillman, Kenneth E Freedland
OBJECTIVE: Clinical depression in children as young as age 3 has been validated, and prevalence rates are similar to the school-age disorder. Homotypic continuity between early and later childhood depression has been observed, with alterations in brain function and structure similar to those reported in depressed adults. These findings highlight the importance of identifying and treating depression as early as developmentally possible, given the relative treatment resistance and small effect sizes for treatments later in life...
June 20, 2018: American Journal of Psychiatry
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