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https://www.readbyqxmd.com/read/29593017/electroacupuncture-plus-standard-of-care-for-managing-refractory-functional-dyspepsia-protocol-of-a-pragmatic-trial-with-economic-evaluation
#1
Vincent C H Chung, Charlene H L Wong, Jessica Y L Ching, Wai Zhu Sun, Yan Li Ju, Sheung Sheung Hung, Wai Ling Lin, Ka Chun Leung, Samuel Y S Wong, Justin C Y Wu
INTRODUCTION: This trial proposes to compare the effectiveness and cost-effectiveness of electroacupuncture (EA) plus on-demand gastrocaine with waiting list for EA plus on-demand gastrocaine in providing symptom relief and quality-of-life improvement among patients with functional dyspepsia (FD). METHODS AND ANALYSIS: This is a single-centre, pragmatic, randomised parallel-group, superiority trial comparing the outcomes of (1) EA plus on-demand gastrocaine group and (2) waiting list to EA plus on-demand gastrocaine group...
March 27, 2018: BMJ Open
https://www.readbyqxmd.com/read/29574965/predicting-suicide-attempts-for-racial-and-ethnic-groups-of-patients-during-routine-clinical-care
#2
Karen J Coleman, Eric Johnson, Brian K Ahmedani, Arne Beck, Rebecca C Rossom, Susan M Shortreed, Greg E Simon
The aim of this study was to examine variation in suicide ideation and its relationship to risk of suicide attempt in the subsequent 90 days by race and ethnicity. Participants were adults who completed the Patient Health Questionnaire depression module (PHQ9) during an outpatient encounter between January 10, 2010, and December 12, 2012 (N = 509,945 patients; N = 1,228,308 completed PHQ9). Data came from the Virtual Data Warehouse from four health care systems in the Mental Health Research Network. The sample was majority female (73...
March 24, 2018: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/29557704/discontinuation-of-disease-modifying-therapy-in-patients-with-multiple-sclerosis-over-age-60
#3
Le H Hua, Tracey H Fan, Devon Conway, Nicolas Thompson, Tyler G Kinzy
BACKGROUND: The risk-benefit ratio of continuing immunomodulating disease-modifying therapy (DMT) in older multiple sclerosis (MS) patients is unknown. OBJECTIVE: To evaluate clinical and patient-reported outcomes after stopping DMT in older MS patients. METHODS: Retrospective, observational study identifying patients from our MS clinics who were aged over 60 and on DMT > 2 years. Cause-specific Cox proportional hazards regression modeled time to discontinuation and time to reinitiation of therapy...
March 1, 2018: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/29530267/efficacy-of-guided-icbt-for-depression-and-mediation-of-change-by-cognitive-skill-acquisition
#4
Nicholas R Forand, Jeffrey G Barnett, Daniel R Strunk, Mohammed U Hindiyeh, Jason E Feinberg, John R Keefe
Guided internet CBT (iCBT) is a promising treatment for depression; however, it is less well known through what mechanisms iCBT works. Two possible mediators of change are the acquisition of cognitive skills and increases in behavioral activation. We report results of an 8-week waitlist controlled trial of guided iCBT, and test whether early change in cognitive skills or behavioral activation mediated subsequent change in depression. The sample was 89 individuals randomized to guided iCBT (n = 59) or waitlist (n = 30)...
March 2018: Behavior Therapy
https://www.readbyqxmd.com/read/29525351/the-prevalence-and-correlates-of-severe-depression-in-a-cohort-of-mexican-teachers
#5
Rene Soria-Saucedo, Ruy Lopez-Ridaura, Martin Lajous, Veronika J Wirtz
BACKGROUND: Depression is among the 10 major causes of disability in Mexico. Yet, local contextual factors associated to the disorder remain poorly understood. We measured the impact of several factors on severe depression such as demographics, pharmacotherapy, multimorbidity, and unhealthy behaviors in Mexican teachers. METHODS: A total of 43,845 Mexican female teachers from 12 Mexican states answered the Patient Health Questionnaire (PHQ9). Data were part the Mexican Teacher's Cohort prospective study, the largest ongoing cohort study in Latin America...
July 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29516342/responsiveness-of-the-anxiety-depression-dimension-of-the-3-and-5-level-versions-of-the-eq-5d-in-assessing-mental-health
#6
Katelynn Crick, Fatima Al Sayah, Arto Ohinmaa, Jeffrey A Johnson
BACKGROUND: Anxiety and depression disorders are associated with significantly lower health-related quality of life (HRQL). The EQ-5D is a commonly used generic measure of HRQL; it captures mental health through a single domain-the anxiety/depression dimension. Evidence on the responsiveness of this measure in assessing changes in mental health changes is limited. OBJECTIVE: To examine the performance of the anxiety/depression dimension (A/D) of the 3- and 5-level (3L and 5L) versions of the EQ-5D in assessing changes in mental health...
June 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29514682/a-feasibility-study-for-non-traditional-providers-to-support-the-management-of-elderly-people-with-anxiety-and-depression-the-notepad-study-protocol
#7
Heather Burroughs, Bernadette Bartlam, Mo Ray, Tom Kingstone, Tom Shepherd, Reuben Ogollah, Janine Proctor, Waquas Waheed, Peter Bower, Peter Bullock, Karina Lovell, Simon Gilbody, Della Bailey, Stephanie Butler-Whalley, Carolyn Chew-Graham
BACKGROUND: Anxiety and depression are common among older people, with up to 20% reporting such symptoms, and the prevalence increases with co-morbid chronic physical health problems. Access to treatment for anxiety and depression in this population is poor due to a combination of factors at the level of patient, practitioner and healthcare system. There is evidence to suggest that older people with anxiety and/or depression may benefit both from one-to-one interventions and group social or educational activities, which reduce loneliness, are participatory and offer some activity...
March 7, 2018: Trials
https://www.readbyqxmd.com/read/29513716/a-descriptive-analysis-of-depression-and-pain-complaints-among-patients-with-cancer-in-a-low-income-country
#8
Melkam Alemayehu, Negussie Deyessa, Girmay Medihin, Abebaw Fekadu
BACKGROUND: In high income countries, cancer is one of the leading causes of death, with co-morbid depression contributing to the risk of increased mortality. However, both cancer and depression are neglected conditions in low income countries. The current study assessed the magnitude of depression and the association of pain complaints with depression among patients with cancer in a low income country. METHOD: In this cross-sectional study participants were 390 patients with established diagnosis of cancer, who were recruited consecutively when visiting a tertiary treatment centre in Addis Ababa, Ethiopia...
2018: PloS One
https://www.readbyqxmd.com/read/29495049/-restricted-sleep-as-a-secondary-psychosocial-consequence-of-facial-palsy
#9
Susanne Worrack, Orlando Guntinas-Lichius, Gerd Fabian Volk, Magdalena C Kaczmarek, Julia Mühleck, Katja Brenk-Franz, Bernhard M Strauß, Uwe Altmann
BACKGROUND: Facial palsy (FP) is a paralysis of facial muscles and one of the most common motor failures. It is associated with intense impairment of health related quality of life and depressive symptoms. Sleep disorders as a result of FP are often attributed to illness-related impairments, although psychosocial problems might also be the cause. This study examined the direct and indirect effects of FP on sleep quality. METHODS: The sample of this cross-sectional study included N = 81 patients with FP...
March 1, 2018: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/29488133/examining-difference-in-immigration-stress-acculturation-stress-and-mental-health-outcomes-in-six-hispanic-latino-nativity-and-regional-groups
#10
Richard C Cervantes, Karina A Gattamorta, Jodi Berger-Cardoso
Little is known about the specific behavioral health impact of acculturation stressors that affect Hispanic/Latino immigrant sub-groups. These immigration-related stressors and traumatic events may have differential impact on depression depending on country/region of origin. Using a measure of immigration and acculturation stress, the current study sought to determine differences in the impact of stress on six sub-groups of Hispanic immigrants. Data on stress and depression were examined using a large, representative adult immigrant sample (N = 641)...
February 27, 2018: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/29198237/risk-correlates-for-physical-mental-multimorbidities-in-south-africa-a-cross-sectional-study
#11
I Petersen, S Rathod, T Kathree, O Selohilwe, A Bhana
AIMS: The aim of this study was to identify the risk correlates for coexisting common mental disorders (CMDs) in the chronic care population in South Africa, with the view to identifying particularly vulnerable patient populations. METHODS: The sample comprised 2549 chronic care patients enrolled in the baseline and endline rounds of a facility detection survey conducted by the Programme for Improving Mental Health Care in three large facilities in the Dr Kenneth Kaunda district in the North West province of South Africa...
December 4, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29192508/screening-for-depression-and-psychological-distress-in-a-currently-serving-military-population-the-diagnostic-accuracy-of-the-k10-and-the-phq9
#12
Amelia K Searle, Miranda Van Hooff, Alexander C McFarlane, Christopher E Davies, Thao Tran, Stephanie E Hodson, Helen P Benassi, Nicole M Steele
This study is the first to examine the diagnostic accuracy of two depression screening scales-the Kessler Psychological Distress Scale (K10) and the Patient Health Questionnaire (PHQ)-in an entire regular-serving military population. Currently serving Australian Defence Force personnel ( n = 24,481) completed the K10 and PHQ9. Then a targeted subsample (i.e., the analysis sample, n = 1,730) completed a diagnostic interview to identify DSM-IV 30-day disorder. Weighted results represented the entire population ( N = 50,049)...
October 1, 2017: Assessment
https://www.readbyqxmd.com/read/28953840/the-use-of-the-phq9-self-rating-scale-to-assess-depression-within-primary-care
#13
Ankita Sahni, Mark Agius
The PHQ-9 is effective in screening patients for depressionas well as monitoring progress in a variety of situations. Using the PHQ-9 after a pre-assessment with the PHQ-2 increases its specificity, as well as preventing under-diagnosis. Although it is not suitable as a stand-alone tool for a diagnosis, it is a cost-effective, efficient method of screening patients in primary care.
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28878812/an-arabic-translation-reliability-and-validation-of-patient-health-questionnaire-in-a-saudi-sample
#14
Ahmad N AlHadi, Deemah A AlAteeq, Eman Al-Sharif, Hamdah M Bawazeer, Hasan Alanazi, Abdulaziz T AlShomrani, Raafat M Shuqdar, Reem AlOwaybil
BACKGROUND: Psychological disorders including depression and anxiety are not rare in primary care clinics. The Patient Health Questionnaire (PHQ) is a clinical diagnostic tool that is widely utilized by primary health care physicians worldwide because it provides a practical in-clinic tool to screen for psychological disorders. This study evaluated the validity of the Arabic version of the PHQ in all six modules including depression, anxiety, somatic, panic, eating, and alcohol abuse disorders...
2017: Annals of General Psychiatry
https://www.readbyqxmd.com/read/28584406/the-relationship-between-psychosocial-factors-and-cognition-in-multiple-sclerosis
#15
Fahad D Alosaimi, Alaa AlMulhem, Mario Moscovici, Hanan AlShalan, Mohammad Alqazlan, Abdulgader Aldaif, Sanjeev Sockalingam
INTRODUCTION: Multiple sclerosis (MS) is a common disorder in some regions of the world, with over 2.3 million people diagnosed worldwide. Cognitive impairment is one of the earliest symptoms to present in the course of the disease and can cause significant morbidity. We proposed a study to explore the psychosocial predictors of cognitive impairment in MS patients in Saudi Arabia, a previously unexplored patient population. METHODS: Demographic data, depression scale (PHQ9), symptom burden (PHQ15), anxiety (GAD7), disease duration, and Montreal Cognitive Assessment (MOCA) scores were collected from 195 patients in a neurology clinic in Ryiadh, Saudi Arabia...
2017: Behavioural Neurology
https://www.readbyqxmd.com/read/28440902/between-visit-changes-in-suicidal-ideation-and-risk-of-subsequent-suicide-attempt
#16
Gregory E Simon, Susan M Shortreed, Eric Johnson, Arne Beck, Karen J Coleman, Rebecca C Rossom, Ursula S Whiteside, Belinda H Operskalski, Robert B Penfold
BACKGROUND: While clinicians are expected to routinely assess and address suicide risk, existing data provide little guidance regarding the significance of visit-to-visit changes in suicidal ideation. METHODS: Electronic health records from four large healthcare systems identified patients completing the Patient Health Questionnaire or PHQ9 at outpatient visits. For patients completing two questionnaires within 90 days, health system records and state vital records were used to identify nonfatal and fatal suicide attempts...
September 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28431526/recognition-of-depression-by-primary-care-clinicians-in-rural-ethiopia
#17
MULTICENTER STUDY
Abebaw Fekadu, Girmay Medhin, Medhin Selamu, Tedla W Giorgis, Crick Lund, Atalay Alem, Martin Prince, Charlotte Hanlon
BACKGROUND: Depression is a common health condition affecting up to a third of patients attending primary care, where most of the care for people with depression is provided. Adequate recognition of depression is the critical step in the path to effective care, particularly in low income countries. As part of the Programme for Improving Mental healthcare (PRIME), a project supporting the implementation of integrated mental healthcare in primary care, we evaluated the level of recognition of depression by clinicians working in primary care in rural Ethiopia prior to in service training...
April 21, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28426917/internet-cognitive-behavioral-therapy-for-depression-in-older-adults-with-knee-osteoarthritis-a-randomized-controlled-trial
#18
Kathleen A O'moore, Jill M Newby, Gavin Andrews, David J Hunter, Kim Bennell, Jessica Smith, Alishia D Williams
OBJECTIVE: To determine the efficacy of an internet-based cognitive-behavioral therapy (iCBT) program for depression in older adults with osteoarthritis (OA) of the knee and comorbid major depressive disorder (MDD). METHODS: We conducted a randomized controlled trial in 69 adults (ages ≥50 years) meeting criteria for MDD and OA of the knee with 1-week postintervention (week 11) and 3-month followup (week 24) end points. Patients were allocated to either a 10-week iCBT program for depression added to treatment as usual (TAU) or to a TAU control group...
January 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/28326514/complete-response-to-acupuncture-therapy-in-female-patients-with-refractory-interstitial-cystitis-bladder-pain-syndrome
#19
Mehmet Giray Sönmez, Betül Kozanhan
OBJECTIVES: Interstitial Cystitis/Bladder Pain syndrome (IC/BPS) is a considerable issue in urology and gynecology and unfortunately, the treatment options recommended are not fully efficient. Therefore, in this study we aimed to determine the effectiveness of acupuncture treatment in patients with refractory IC/BPS. MATERIAL AND METHODS: 12 refractory IC/BPS female patients received ten sessions of acupuncture twice a week. The visual analog score (VAS), interstitial cystitis symptom index (ICSI), interstitial cystitis problem index (ICPI), O'Leary-Saint symptom score (OSS), Patient Health Questionnaire (PHQ9), Pelvic pain and urgency & frequency patient symptom scale tests (PUF) and maximum voided volume (MVV) was completed in 1st, 3rd, 6th and 12th months following the treatment...
2017: Ginekologia Polska
https://www.readbyqxmd.com/read/28319695/suicidal-ideation-reported-on-the-phq9-and-risk-of-suicidal-behavior-across-age-groups
#20
Rebecca C Rossom, Karen J Coleman, Brian K Ahmedani, Arne Beck, Eric Johnson, Malia Oliver, Greg E Simon
OBJECTIVE: The Joint Commission recommends all patients be screened for suicide. However, differences in suicide attempt and death rates may affect how well tools predict risk across age groups. Our objective was to determine whether item 9 of the Patient Health Questionnaire (PHQ9) predicts risk for suicide attempts and deaths across age groups. METHODS: PHQ9s completed by adult outpatients treated for mental health conditions in 2010-2012 at four Mental Health Research Network-affiliated healthcare systems were used to measure depression severity and suicidal ideation...
June 2017: Journal of Affective Disorders
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