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Psychiatric Rehabilitation

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https://www.readbyqxmd.com/read/29143889/beyond-pathologizing-harm-understanding-ptsd-in-the-context-of-war-experience
#1
Patricia Benner, Jodi Halpern, Deborah R Gordon, Catherine Long Popell, Patricia W Kelley
An alternative to objectifying approaches to understanding Post-traumatic Stress Disorder (PTSD) grounded in hermeneutic phenomenology is presented. Nurses who provided care for soldiers injured in the Iraq and Afghanistan wars, and sixty-seven wounded male servicemen in the rehabilitation phase of their recovery were interviewed. PTSD is the one major psychiatric diagnosis where social causation is established, yet PTSD is predominantly viewed in terms of the usual neuro-physiological causal models with traumatic social events viewed as pathogens with dose related effects...
November 16, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/29128343/post-stroke-depression-mechanisms-and-pharmacological-treatment
#2
REVIEW
Roberto Federico Villa, Federica Ferrari, Antonio Moretti
Depression, the most frequent psychiatric disorder following ischaemic stroke, negatively affects survivals' functional outcome, response to rehabilitation and quality of life. Approximately, one-third of them are affected by post-stroke depression (PSD), making it a serious social and public health problem and anti-depressant preventive and curative therapies worth investigating. However, a two-way association between depression and stroke has been also established: stroke increases the risk of PSD, but depression is an independent risk factor for stroke...
November 8, 2017: Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/29128195/-what-support-of-young-presenting-a-first-psychotic-episode-when-schooling-is-being-challenged
#3
M-N Vacheron, H Veyrat-Masson, E Wehbe
Psychiatric disorders (more specifically mood disorders and psychosis) represent the 1st cause of disability among young people. Unemployment rate between 75 to 95% for the person with schizophrenia. It is correlated to poor social integration and bad economic status, worse symptomatology loss of autonomy as well as global bad functioning. It is responsible of more than half of the overall cost of psychosis. The onset of most of psychiatric disorders occur between the age of 25 and 35 years old, a critical time in young adult life when they should build their professional as well as social future...
November 8, 2017: L'Encéphale
https://www.readbyqxmd.com/read/29108886/trajectories-over-the-first-year-of-long-term-care-nursing-home-residence
#4
Shuang Li, Addie Middleton, Kenneth J Ottenbacher, James S Goodwin
OBJECTIVES: To describe the trajectories in the first year after individuals are admitted to long-term care nursing homes. DESIGN: Retrospective cohort study. SETTING: US long-term care facilities. PARTICIPANTS: Medicare fee-for-service beneficiaries newly admitted to long-term care nursing homes from July 1, 2012, to December 31, 2013 (N=535,202). MEASUREMENTS: Demographic characteristics were from Medicare data...
November 3, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29105702/-group-based-rehabilitative-interventions-in-the-department-of-mental-health-of-viterbo-italy
#5
Catia Zucca, Elena Ortolani, Sonia Frattarolo, Teresa Aiello, Giorgia Travaglini, Francesco Cro, Alberto Trisolini
Standard treatment provided by mental health services, mainly based on drug therapy and individual sessions, does not help patients to enhance their capacity to prevent and manage crises. AIM: This paper aims at examining the effectiveness of four group-based rehabilitative interventions carried out in the Acute Psychiatric Inpatient Ward and in the Department of Mental Health of Viterbo, Italy. METHODS: The effectiveness of the four group-based interventions on patients and their relatives was evaluated in both inpatient and outpatient settings in terms of clinical efficacy, disease awareness, quality of life, and ability to cope with stress...
September 2017: Rivista di Psichiatria
https://www.readbyqxmd.com/read/29094261/a-preliminary-report-on-psychiatric-impairments-and-quality-of-life-among-kaohsiung-gas-explosion-victims-6-months-after-the-event
#6
Joh-Jong Huang, Tsyr-En Grace Wu, Yi-Chen Chen, Ju-Yu Chiu, Pesus Chou, Frank Huang-Chih Chou
OBJECTIVE: To investigate the prevalence and related risk factors for probable disaster-related psychiatric disorders, such as major depressive episodes (MDEs) and posttraumatic stress disorder (PTSD), among the victims of a petrochemical gas explosion in Kaohsiung, Taiwan, 6 months after the event. Additionally, the quality of life (QOL) of victims with related risk factors was simultaneously investigated. METHODS: A community-based screening survey with cross-sectional assessments was conducted...
November 1, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/29083235/comorbid-visual-and-psychiatric-disabilities-among-the-chinese-elderly-a-national-population-based-survey
#7
Chao Guo, Zhenjie Wang, Ning Li, Gong Chen, Xiaoying Zheng
PURPOSE: To estimate the prevalence of, and association between, co-morbid visual and psychiatric disabilities among elderly (>65 years-of-age) persons in China. METHODS: Random representative samples were obtained using multistage, stratified, cluster sampling, with probabilities proportional to size. Standard weighting procedures were used to construct sample weights that reflected this multistage, stratified cluster sampling survey scheme. Logistic regression models were used to elucidate associations between visual and psychiatric disabilities...
October 30, 2017: Current Eye Research
https://www.readbyqxmd.com/read/29072182/social-challenges-of-contemporary-psychiatry
#8
N Bouras
Psychiatry and society are interrelated and the biopsychosocial model continues to dominate the clinical psychiatric practice. Some doubts have been expressed in recent years about the value and the wide acceptance of the biopsychosocial model. Ghaemi (2009)1 considers it to be anti-humanistic and advocates the use of less eclectic, less generic, and less vague alternatives. The fundamental changes that have been witnessed in our times across the spectrum of biology, psychology and sociology have made necessary that a conceptual clarity should prevail...
July 2017: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/29061132/depression-among-inmates-in-a-regional-prison-of-eastern-nepal-a-cross-sectional-study
#9
Gambhir Shrestha, Deepak Kumar Yadav, Nidesh Sapkota, Dharanidhar Baral, Birendra Kumar Yadav, Avaniendra Chakravartty, Paras Kumar Pokharel
BACKGROUND: Depression is the most common form of mental disorder among inmates, with a prevalence much higher than in the general population. This study aims to estimate the prevalence of depression among inmates and identify factors associated with it. METHODS: This cross-sectional study was conducted in Jhumka Regional Prison, the largest prison in eastern Nepal, from September 2014 to August 2015. A total of 434 randomly selected inmates were interviewed using a semi-structured questionnaire examining socio-demographic characteristics, detention status, self-reported health problems, substance use status, and suicidal ideation...
October 23, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/29040948/a-prospective-cohort-study-of-community-functioning-among-psychiatric-outpatients
#10
Alan H L Chan, Samuel Y S Wong, Wai-Tong Chien
The present study analyzed the community functioning among Chinese people with common mental disorders and their relationships with different factors under the framework of Model of Human Occupation. The research team followed up a stratified random sample of 238 patients in three public psychiatric specialist outpatient clinics in Hong Kong in one year. The patients completed assessments at baseline and 12-month follow-up in four areas of community functioning (i.e., self-care, independent living skills, social skills, and work skills), self-esteem, self-efficacy, physical functioning, behavioral regulation, mental states, family expressed emotion, and perceived social stigma...
October 10, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29032350/identifying-characteristics-of-the-most-severely-impaired-chronic-pain-patients-treated-at-a-specialized-inpatient-pain-clinic
#11
Eva-Britt Hysing, Lena Smith, Mans Thulin, Rolf Karlsten, Stephen Butler, Torsten Gordh
BACKGROUND AND AIMS: Patients suffering from chronic nonmalignant pain constitute a heterogeneous population in terms of clinical presentation and treatment results. Few data are available about what distinguishes different groups in this huge population of patients with chronic persistent pain (CPP). A subgroup that is poorly studied, consists of the most severely impaired chronic pain patients. At the Uppsala University Hospital Pain Clinic, there is a specialized department accepting the most complex patients for rehabilitation...
October 12, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29016981/prevalence-of-polysubstance-abuse-and-dual-diagnosis-in-patients-admitted-to-alcohol-rehabilitation-units-for-alcohol-related-problems-in-italy-changes-in-15-years
#12
A Zambon, C Airoldi, G Corrao, M Cibin, D Agostini, F Aliotta, M Movalli, F Biondini, P Bizzi, G Zucchi, G Cerizza, A Dattola, A Marmora, G Vittadini, F Girardi, L Liberto, I M Hinnenthal, A Jaretti Sodano, P Vizzuso, E Majolino, D Mioni, L Pedretti, P Ranaletti, M Forghieri, G Spolaor, I Giorgi
Aims: Alcohol abuse has long been known as a disease with social and economic burden to society. Given the complex nature of alcohol treatment, it is worthwhile to examine the change over time of patients admitted to residential alcohol abuse rehabilitation units. Methods: The data were collected from two Italian projects on alcoholics performed in the mid-1990s (ASSALT) and in 2009 (CORRAL), respectively. Categorical variables were considered in terms of absolute and relative frequencies...
September 13, 2017: Alcohol and Alcoholism: International Journal of the Medical Council on Alcoholism
https://www.readbyqxmd.com/read/29016469/relationship-between-lifestyles-that-promote-health-and-quality-of-life-in-patients-with-chronic-schizophrenia-a-cross-sectional-study
#13
Shih-Pi Lin, Chieh-Yu Liu, Chiu-Yueh Yang
BACKGROUND: Over the last few decades, an increasing number of studies have examined quality of life in patients with chronic schizophrenia. However, little research has addressed the relationship between lifestyles that promote health and quality of life issues in these patients. PURPOSE: The aim of this study was to investigate the relationships between lifestyles that promote health and quality of life in patients with chronic schizophrenia. METHODS: A cross-sectional study design was used...
October 10, 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28991149/decisional-informatics-for-psychosocial-rehabilitation-a-feasibility-pilot-on-tailored-and-fluid-treatment-algorithms-for-serious-mental-illness
#14
RANDOMIZED CONTROLLED TRIAL
Jimmy Choi, Paul H Lysaker, Morris D Bell, Lisa Dixon, Paul Margolies, Matthew Gold, Elizabeth Golden-Roose, Warren Thime, Lawrence C Haber, Michael J Dewberry, Michael Stevens, Godfrey D Pearlson, Joanna M Fiszdon
This study introduces a computerized clinical decision-support tool, the Fluid Outpatient Rehabilitation Treatment (FORT), that incorporates individual and ever-evolving patient needs to guide clinicians in developing and updating treatment decisions in real-time. In this proof-of-concept feasibility pilot, FORT was compared against traditional treatment planning using similar behavioral therapies in 52 adults with severe mental illness attending community-based day treatment. At posttreatment and follow-up, group differences and moderate-to-large effect sizes favoring FORT were detected in social function, work readiness, self-esteem, working memory, processing speed, and mental flexibility...
November 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28988122/views-of-people-with-schizophrenia-and-their-caregivers-towards-the-needs-for-psychiatric-rehabilitation-in-urban-and-rural-areas-of-mainland-china
#15
Man C M Tsui, Hector W H Tsang
This qualitative study explores and compares the views of the individuals with schizophrenia and their caregivers in the urban and rural areas of Wuxi towards the needs for psychiatric rehabilitation. The results may more precisely guide the government and policy makers to tailor the corresponding strategies and services. With interview guides, individual face-to-face semi-structured interviews were conducted among a total of 16 participants (four people with schizophrenia and their caregivers in the urban areas and in the rural areas, respectively)...
December 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28987051/financing-of-forensic-psychiatry-in-view-of-treatment-quality-and-threat-to-public-safety
#16
REVIEW
Janusz Heitzman, Inga Markiewicz
Stay in a psychiatric hospital of persons who committed the gravest criminal acts while in a state of insanity aims to ensure their effective treatment (therapeutic function), but above all to prevent the repetition of prohibited acts of significant harm to the community (preventive function). Forensic patients are provided with suitable medical, psychiatric, rehabilitation and resocialization care. The court imposes an indefinite detention. In view of the dual purpose of the stay in a psychiatric hospital, both therapeutic and preventive, the treatment costs generated by forensic wards are higher than those of general psychiatric wards...
August 29, 2017: Psychiatria Polska
https://www.readbyqxmd.com/read/28980577/-depression-and-depression-related-disorders-after-a-subarachnoid-hemorrhage
#17
M A Kutlubaev, L R Akhmadeeva
Psychiatric disorders often develop after subarachnoid hemorrhage (SAH); the most frequent of them are depression and depression-related disorders (anxiety, apathy, pathological fatigue, posttraumatic stress disorder, etc.). Both biological and psychological mechanisms may underlie the development of these disorders. Depression and depression-related disorders decrease patients' quality of life and prevent the full recovery after SAH. Identification and correction of these disorders should take a prominent place in the rehabilitation of post-SAH patients...
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/28975867/the-pharmacogenomics-of-severe-traumatic-brain-injury
#18
Solomon M Adams, Yvette P Conley, Amy K Wagner, Ruchira M Jha, Robert Sb Clark, Samuel M Poloyac, Patrick M Kochanek, Philip E Empey
Pharmacotherapy for traumatic brain injury (TBI) is focused on resuscitation, prevention of secondary injury, rehabilitation and recovery. Pharmacogenomics may play a role in TBI for predicting therapies for sedation, analgesia, seizure prevention, intracranial pressure-directed therapy and neurobehavioral/psychiatric symptoms. Research into genetic predictors of outcomes and susceptibility to complications may also help clinicians to tailor therapeutics for high-risk individuals. Additionally, the expanding use of genomics in the drug development pipeline has provided insight to novel investigational and repurposed medications that may be useful in the treatment of TBI and its complications...
October 4, 2017: Pharmacogenomics
https://www.readbyqxmd.com/read/28972916/psychiatric-morbidity-among-physically-injured-syrian-refugees-in-turkey
#19
Saleem Al-Nuaimi, Samer Aldandashi, Abdul Kadir Saed Easa, Maher Saqqur
OBJECTIVE: To the best of our knowledge, the mental health status of physically injured Syrian refugees has not yet been investigated. The aim of this study was to examine the prevalence of psychiatric morbidity among physically injured Syrian refugees in Turkey receiving treatment at the main rehabilitation centre near the Syrian border. METHOD: This is a cross sectional study. Information was collected from consenting injured Syrian refugees at Dar-el-Shefa'a Hospital in Reyhanlı (Turkey) during a one week period in December 2012 and another one week period in August 2013...
August 26, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28971347/effects-of-the-personalized-recovery-oriented-services-pros-program-on-hospitalizations
#20
Candace White, Eric Frimpong, Steve Huz, Adrienne Ronsani, Marleen Radigan
Though the recovery model has been implemented widely in outpatient mental health settings, there are no large sample evaluations of recovery oriented psychiatric rehabilitation programs that address both serious mental illness (SMI) and co-occurring disorders (COD) using a more comprehensive Medicaid reimbursable approach. This study examined preliminary hospitalization outcomes, for adults with SMI and COD enrolled in the NYS Personalized Recovery Oriented Services (PROS) program. McNemar's chi-square test was used to examine changes in hospitalization rates from pre-PROS admission to post-PROS discharge in a sample of 12,006 adults discharged from PROS...
October 2, 2017: Psychiatric Quarterly
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