keyword
https://read.qxmd.com/read/38576166/antipsychotic-drugs-in-first-episode-psychosis-a-target-trial-emulation-in-the-fep-causal-collaboration
#21
JOURNAL ARTICLE
Alejandro G Szmulewicz, Gonzalo Martínez-Alés, Roger Logan, Maria Ferrara, Christian Kelly, Diane Fredrikson, Juan Gago, Sarah Conderino, Covadonga M Díaz-Caneja, Joaquín Galvañ, Lorna Thorpe, Vinod Srihari, Lakshmi Yatham, Deepak K Sarpal, Ann K Shinn, Celso Arango, Dost Öngür, Miguel A Hernán, On Behalf Of The Fep-Causal Collaboration
Good adherence to antipsychotic therapy helps prevent relapses in First Episode Psychosis (FEP). We used data from the FEP-CAUSAL Collaboration, an international consortium of observational cohorts to emulate a target trial comparing antipsychotics with treatment discontinuation as the primary outcome. Other outcomes included all-cause hospitalization. We benchmarked our results to estimates from EUFEST, a randomized trial conducted in the 2000s. We included 1097 patients with a psychotic disorder and less than 2 years since psychosis onset...
April 3, 2024: American Journal of Epidemiology
https://read.qxmd.com/read/38575115/serious-mental-illness-in-assisted-living-communities-association-with-nursing-home-placement
#22
JOURNAL ARTICLE
Helena Temkin-Greener, Wenhan Guo, Brian McGarry, Shubing Cai
OBJECTIVES: Assess prevalence of serious mental illness (SMI) alone, and co-occurring with Alzheimer disease and related dementias (ADRD), among Medicare beneficiaries in assisted living (AL). Examine the association between permanent nursing home (NH) placement and SMI, among residents with and without ADRD. DESIGN: 2018-2019 retrospective cohort of Medicare beneficiaries in AL. Residents were followed for up to 2 years to track their NH placement. We used data from the Medicare Enrollment Database, the Medicare Beneficiary Summary File, Minimum Data Set, and a national directory of state-licensed AL communities...
April 1, 2024: Journal of the American Medical Directors Association
https://read.qxmd.com/read/38573646/mental-health-conditions-associated-with-strabismus-in-a-diverse-cohort-of-us-adults
#23
JOURNAL ARTICLE
Kimberly Jin, Inas F Aboobakar, Mary C Whitman, Isdin Oke
IMPORTANCE: Greater understanding of the association between strabismus and mental health conditions across sociodemographic backgrounds may inform strategies to improve mental well-being in this population. OBJECTIVE: To describe the association of strabismus with mental health conditions in a diverse cohort of US adults. DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study used data from the National Institutes of Health's All of Us Research Program, an ongoing program launched in 2015...
April 4, 2024: JAMA Ophthalmology
https://read.qxmd.com/read/38573526/a-network-of-transcriptomic-signatures-identifies-novel-comorbidity-mechanisms-between-schizophrenia-and-somatic-disorders
#24
JOURNAL ARTICLE
Youcheng Zhang, Vinay S Bharadhwaj, Alpha T Kodamullil, Carl Herrmann
The clinical burden of mental illness, in particular schizophrenia and bipolar disorder, are driven by frequent chronic courses and increased mortality, as well as the risk for comorbid conditions such as cardiovascular disease and type 2 diabetes. Evidence suggests an overlap of molecular pathways between psychotic disorders and somatic comorbidities. In this study, we developed a computational framework to perform comorbidity modeling via an improved integrative unsupervised machine learning approach based on multi-rank non-negative matrix factorization (mrNMF)...
April 4, 2024: Discov Ment Health
https://read.qxmd.com/read/38571303/use-of-antipsychotic-medication-benzodiazepines-and-psychiatric-hospitalization-in-cannabis-related-versus-cannabis-unrelated-schizophrenia-a-nationwide-register-based-cohort-study
#25
JOURNAL ARTICLE
Carsten Hjorthøj, Anne Stürup, Mette Karlsen, Helene Speyer, Merete Osler, Dost Ongur, Merete Nordentoft
BACKGROUND: Evidence suggests that cannabis may be a causal factor for development of schizophrenia. We aimed to investigate whether use of antipsychotic medication, benzodiazepines, and psychiatric service use differs among patients with schizophrenia depending on whether psychosis was precipitated by a diagnosis of cannabis use disorder (CUD). METHODS: We utilized the nationwide Danish registries to identify all individuals with an incident diagnosis of schizophrenia from 1995 to 2016...
April 4, 2024: Psychological Medicine
https://read.qxmd.com/read/38568605/susceptibility-to-treatment-resistant-depression-within-families
#26
JOURNAL ARTICLE
Chih-Ming Cheng, Mu-Hong Chen, Shih-Jen Tsai, Wen-Han Chang, Chia-Fen Tsai, Wei-Chen Lin, Ya-Mei Bai, Tung-Ping Su, Tzeng-Ji Chen, Cheng-Ta Li
IMPORTANCE: Antidepressant responses and the phenotype of treatment-resistant depression (TRD) are believed to have a genetic basis. Genetic susceptibility between the TRD phenotype and other psychiatric disorders has also been established in previous genetic studies, but population-based cohort studies have not yet provided evidence to support these outcomes. OBJECTIVE: To estimate the TRD susceptibility and the susceptibility between TRD and other psychiatric disorders within families in a nationwide insurance cohort with extremely high coverage and comprehensive health care data...
April 3, 2024: JAMA Psychiatry
https://read.qxmd.com/read/38567823/effects-of-benzodiazepine-exposure-on-real-world-clinical-outcomes-in-individuals-at-clinical-high-risk-for-psychosis
#27
JOURNAL ARTICLE
Nicholas R Livingston, Andrea De Micheli, Robert A McCutcheon, Emma Butler, Marwa Hamdan, Anthony A Grace, Philip McGuire, Alice Egerton, Paolo Fusar-Poli, Gemma Modinos
BACKGROUND AND HYPOTHESIS: Animal models indicate GABAergic dysfunction in the development of psychosis, and that benzodiazepine (BDZ) exposure can prevent the emergence of psychosis-relevant phenotypes. However, whether BDZ exposure influences real-world clinical outcomes in individuals at clinical high risk for psychosis (CHR-P) is unknown. STUDY DESIGN: This observational cohort study used electronic health record data from CHR-P individuals to investigate whether BDZ exposure (including hypnotics, eg, zopiclone) reduces the risk of developing psychosis and adverse clinical outcomes...
April 3, 2024: Schizophrenia Bulletin
https://read.qxmd.com/read/38566269/average-lifespan-variation-among-people-with-mental-disorders-in-denmark-a-nationwide-register-based-cohort-study
#28
JOURNAL ARTICLE
Yan Zheng, Nanna Weye, José Manuel Aburto, Iñaki Permanyer, Oleguer Plana-Ripoll
AIMS: Mortality associated with mental disorders has been estimated using metrics such as mortality rate ratios and life expectancy. However, the variation around the average life expectancy has never been quantified. The main aim of this study was to measure life disparity for people with mental disorders as a measure of inequality at the time of death. METHODS: Using data from Danish registries, average life disparity was introduced and calculated to measure the lifespan variation associated with major types of mental disorders...
April 2, 2024: Scandinavian Journal of Public Health
https://read.qxmd.com/read/38565769/non-suicidal-self-injury-at-a-canadian-paediatric-emergency-department
#29
JOURNAL ARTICLE
Jonathan C Cherry, Eleanor A Fitzpatrick, Navjot K Sandila, David Lovas, Katrina F Hurley
OBJECTIVE: Our primary objective was to determine agreement between non-suicidal self-injury recorded at triage and during subsequent mental health assessment. The secondary objective was to describe patients who reported non-suicidal self-injury. METHODS: This is a health records review of patients aged 12-18 years who had an Emergency Mental Health Triage form on their health record from an ED visit June 1, 2017-May 31, 2018. We excluded patients with diagnoses of autism spectrum disorder or schizophrenia...
April 2, 2024: CJEM
https://read.qxmd.com/read/38556557/genetic-contribution-to-disease-course-severity-and-progression-in-the-super-finland-study-a-cohort-of-10-403-individuals-with-psychotic-disorders
#30
JOURNAL ARTICLE
Anders Kämpe, Jaana Suvisaari, Markku Lähteenvuo, Tarjinder Singh, Ari Ahola-Olli, Lea Urpa, Willehard Haaki, Jarmo Hietala, Erkki Isometsä, Tuomas Jukuri, Olli Kampman, Tuula Kieseppä, Kaisla Lahdensuo, Jouko Lönnqvist, Teemu Männynsalo, Tiina Paunio, Jussi Niemi-Pynttäri, Kimmo Suokas, Annamari Tuulio-Henriksson, Juha Veijola, Asko Wegelius, Mark Daly, Jacob Taylor, Kenneth S Kendler, Aarno Palotie, Olli Pietiläinen
Genetic factors contribute to the susceptibility of psychotic disorders, but less is known how they affect psychotic disease-course development. Utilizing polygenic scores (PGSs) in combination with longitudinal healthcare data with decades of follow-up we investigated the contributing genetics to psychotic disease-course severity and diagnostic shifts in the SUPER-Finland study, encompassing 10 403 genotyped individuals with a psychotic disorder. To longitudinally track the study participants' past disease-course severity, we created a psychiatric hospitalization burden metric using the full-coverage and nation-wide Finnish in-hospital registry (data from 1969 and onwards)...
April 1, 2024: Molecular Psychiatry
https://read.qxmd.com/read/38555909/impact-of-the-early-covid-19-pandemic-on-adult-mental-health-related-dispensed-medications-hospitalizations-and-specialist-outpatient-visits-in-norway-and-sweden-interrupted-time-series-analysis
#31
JOURNAL ARTICLE
David Moreno-Martos, Jing Zhao, Huiqi Li, Fredrik Nyberg, Ludvig Daae Bjørndal, Mohammadhossein Hajiebrahimi, Björn Wettermark, Mia Aakjær, Morten Andersen, Maurizio Sessa, Angela Lupattelli, Hedvig Nordeng, Daniel R Morales
AIMS: Norway and Sweden had different early pandemic responses that may have impacted mental health management. The aim was to assess the impact of the early COVID-19 pandemic on mental health-related care. METHODS: We used national registries in Norway and Sweden (1 January 2018-31 December 2020) to define 2 cohorts: (i) general adult population; and (ii) mental health adult population. Interrupted times series regression analyses evaluated step and slope changes compared to prepandemic levels for monthly rates of medications (antidepressants, antipsychotics, anxiolytics, hypnotics/sedatives, lithium, opioid analgesics, psychostimulants), hospitalizations (for anxiety, bipolar, depressive/mood, eating and schizophrenia/delusional disorders) and specialist outpatient visits...
March 31, 2024: British Journal of Clinical Pharmacology
https://read.qxmd.com/read/38554698/positive-and-negative-symptoms-in-methamphetamine-induced-psychosis-compared-to-schizophrenia-a-systematic-review-and-meta-analysis
#32
REVIEW
Julia Cohen-Laroque, Inès Grangier, Natacha Perez, Matthias Kirschner, Stefan Kaiser, Michel Sabé
BACKGROUND: The clinical profiles of methamphetamine-induced psychosis (MIP) and schizophrenia are largely overlapping making differentiation challenging. In this systematic review and meta-analysis, we aim to compare the positive and negative symptoms of MIP and schizophrenia to better understand the differences between them. STUDY DESIGN: In accordance with our pre-registered protocol (CRD42021286619), we conducted a search of English-language studies up to December 16th, 2022, in PubMed, EMBASE, and PsycINFO, including stable outpatients with MIP and schizophrenia...
March 29, 2024: Schizophrenia Research
https://read.qxmd.com/read/38547601/ketogenic-diet-intervention-on-metabolic-and-psychiatric-health-in-bipolar-and-schizophrenia-a-pilot-trial
#33
JOURNAL ARTICLE
Shebani Sethi, Diane Wakeham, Terrance Ketter, Farnaz Hooshmand, Julia Bjornstad, Blair Richards, Eric Westman, Ronald M Krauss, Laura Saslow
The ketogenic diet (KD, also known as metabolic therapy) has been successful in the treatment of obesity, type 2 diabetes, and epilepsy. More recently, this treatment has shown promise in the treatment of psychiatric illness. We conducted a 4-month pilot study to investigate the effects of a KD on individuals with schizophrenia or bipolar disorder with existing metabolic abnormalities. Twenty-three participants were enrolled in a single-arm trial. Results showcased improvements in metabolic health, with no participants meeting metabolic syndrome criteria by study conclusion...
March 20, 2024: Psychiatry Research
https://read.qxmd.com/read/38534050/antipsychotic-use-and-psychiatric-hospitalization-in-first-episode-non-affective-psychosis-and-cannabis-use-disorder-a-swedish-nationwide-cohort-study
#34
JOURNAL ARTICLE
Alexander Denissoff, Heidi Taipale, Jari Tiihonen, Marta Di Forti, Ellenor Mittendorfer-Rutz, Antti Tanskanen, Antti Mustonen, Solja Niemelä
BACKGROUND AND HYPOTHESIS: There is a paucity of research on treatment outcomes of patients with psychosis and cannabis use disorder (CUD). We aimed to compare the effectiveness of antipsychotics in reducing the risk of hospitalization in patients with first-episode psychosis (FEP) and co-occurring CUD. STUDY DESIGN: We utilized a nationwide Swedish cohort of patients with longitudinal register data from the year 2006 to 2021. Participants were patients with FEP and co-occurring CUD (n = 1820, 84...
March 26, 2024: Schizophrenia Bulletin
https://read.qxmd.com/read/38532509/when-rare-meets-common-treatable-genetic-diseases-are-enriched-in-the-general-psychiatric-population
#35
JOURNAL ARTICLE
Venuja Sriretnakumar, Ricardo Harripaul, James L Kennedy, Joyce So
Mental illnesses are one of the biggest contributors to the global disease burden. Despite the increased recognition, diagnosis and ongoing research of mental health disorders, the etiology and underlying molecular mechanisms of these disorders are yet to be fully elucidated. Moreover, despite many treatment options available, a large subset of the psychiatric patient population is nonresponsive to standard medications and therapies. There has not been a comprehensive study to date examining the burden and impact of treatable genetic disorders (TGDs) that can present with neuropsychiatric features in psychiatric patient populations...
March 26, 2024: American Journal of Medical Genetics. Part A
https://read.qxmd.com/read/38531157/association-between-discrimination-and-subsequent-psychotic-experiences-in-patients-with-covid-19-a-cohort-study
#36
JOURNAL ARTICLE
Zui Narita, Megumi Hazumi, Mayumi Kataoka, Kentaro Usuda, Daisuke Nishi
Although cross-sectional studies have suggested that discrimination has a negative impact on the mental health of patients with COVID-19, no cohort studies with longitudinal data have established a causal relationship. Therefore, this study aimed to investigate the association between COVID-19-related discrimination and subsequent psychotic experiences in individuals who had contracted the disease. Secondary outcomes were PTSD symptoms, psychological distress, and suicidal ideation. We utilized inverse probability weighting and marginal structural models with robust standard errors to analyze the association, accounting for confounders and loss to follow-up...
March 25, 2024: Schizophrenia Research
https://read.qxmd.com/read/38529532/large-scale-animal-model-study-uncovers-altered-brain-ph-and-lactate-levels-as-a-transdiagnostic-endophenotype-of-neuropsychiatric-disorders-involving-cognitive-impairment
#37
JOURNAL ARTICLE
Hideo Hagihara, Hirotaka Shoji, Satoko Hattori, Giovanni Sala, Yoshihiro Takamiya, Mika Tanaka, Masafumi Ihara, Mihiro Shibutani, Izuho Hatada, Kei Hori, Mikio Hoshino, Akito Nakao, Yasuo Mori, Shigeo Okabe, Masayuki Matsushita, Anja Urbach, Yuta Katayama, Akinobu Matsumoto, Keiichi I Nakayama, Shota Katori, Takuya Sato, Takuji Iwasato, Haruko Nakamura, Yoshio Goshima, Matthieu Raveau, Tetsuya Tatsukawa, Kazuhiro Yamakawa, Noriko Takahashi, Haruo Kasai, Johji Inazawa, Ikuo Nobuhisa, Tetsushi Kagawa, Tetsuya Taga, Mohamed Darwish, Hirofumi Nishizono, Keizo Takao, Kiran Sapkota, Kazutoshi Nakazawa, Tsuyoshi Takagi, Haruki Fujisawa, Yoshihisa Sugimura, Kyosuke Yamanishi, Lakshmi Rajagopal, Nanette Deneen Hannah, Herbert Y Meltzer, Tohru Yamamoto, Shuji Wakatsuki, Toshiyuki Araki, Katsuhiko Tabuchi, Tadahiro Numakawa, Hiroshi Kunugi, Freesia L Huang, Atsuko Hayata-Takano, Hitoshi Hashimoto, Kota Tamada, Toru Takumi, Takaoki Kasahara, Tadafumi Kato, Isabella A Graef, Gerald R Crabtree, Nozomi Asaoka, Hikari Hatakama, Shuji Kaneko, Takao Kohno, Mitsuharu Hattori, Yoshio Hoshiba, Ryuhei Miyake, Kisho Obi-Nagata, Akiko Hayashi-Takagi, Léa J Becker, Ipek Yalcin, Yoko Hagino, Hiroko Kotajima-Murakami, Yuki Moriya, Kazutaka Ikeda, Hyopil Kim, Bong-Kiun Kaang, Hikari Otabi, Yuta Yoshida, Atsushi Toyoda, Noboru H Komiyama, Seth G N Grant, Michiru Ida-Eto, Masaaki Narita, Ken-Ichi Matsumoto, Emiko Okuda-Ashitaka, Iori Ohmori, Tadayuki Shimada, Kanato Yamagata, Hiroshi Ageta, Kunihiro Tsuchida, Kaoru Inokuchi, Takayuki Sassa, Akio Kihara, Motoaki Fukasawa, Nobuteru Usuda, Tayo Katano, Teruyuki Tanaka, Yoshihiro Yoshihara, Michihiro Igarashi, Takashi Hayashi, Kaori Ishikawa, Satoshi Yamamoto, Naoya Nishimura, Kazuto Nakada, Shinji Hirotsune, Kiyoshi Egawa, Kazuma Higashisaka, Yasuo Tsutsumi, Shoko Nishihara, Noriyuki Sugo, Takeshi Yagi, Naoto Ueno, Tomomi Yamamoto, Yoshihiro Kubo, Rie Ohashi, Nobuyuki Shiina, Kimiko Shimizu, Sayaka Higo-Yamamoto, Katsutaka Oishi, Hisashi Mori, Tamio Furuse, Masaru Tamura, Hisashi Shirakawa, Daiki X Sato, Yukiko U Inoue, Takayoshi Inoue, Yuriko Komine, Tetsuo Yamamori, Kenji Sakimura, Tsuyoshi Miyakawa
Increased levels of lactate, an end-product of glycolysis, have been proposed as a potential surrogate marker for metabolic changes during neuronal excitation. These changes in lactate levels can result in decreased brain pH, which has been implicated in patients with various neuropsychiatric disorders. We previously demonstrated that such alterations are commonly observed in five mouse models of schizophrenia, bipolar disorder, and autism, suggesting a shared endophenotype among these disorders rather than mere artifacts due to medications or agonal state...
March 26, 2024: ELife
https://read.qxmd.com/read/38526373/dysconnectivity-of-the-nucleus-accumbens-and-amygdala-in-youths-with-thought-problems-a-dimensional-approach
#38
JOURNAL ARTICLE
Chen-Fang Chung, Jules R Dugré, Stéphane Potvin
BACKGROUND: Youths with thought problems (TP) are at risk to develop psychosis and obsessive-compulsive disorder (OCD). Yet, the pathophysiological mechanisms underpinning TP is still unclear. Functional magnetic resonance imaging (fMRI) studies have shown that striatal and limbic alterations are associated with psychosis-like and obsessive-like symptoms in individuals at clinical risk for psychosis, schizophrenia, and OCD patients. More specifically, Nucleus accumbens (NAcc) and amygdala are mainly involved in these associations...
March 25, 2024: Brain Connectivity
https://read.qxmd.com/read/38523642/prediction-of-antipsychotics-efficacy-based-on-a-polygenic-risk-score-a-real-world-cohort-study
#39
JOURNAL ARTICLE
Marco De Pieri, Marco Ferrari, Giorgio Pistis, Franziska Gamma, Franca Marino, Armin Von Gunten, Philippe Conus, Marco Cosentino, Chin-Bin Eap
Background: Response to antipsychotics is subject to a wide interindividual variability, due to genetic and non-genetic factors. Several single nucleotide polymorphisms (SNPs) have been associated with response to antipsychotics in genome-wide association studies (GWAS). Polygenic risk scores (PRS) are a powerful tool to aggregate into a single measure the small effects of multiple risk alleles. Materials and methods: We studied the association between a PRS composed of SNPs associated with response to antipsychotics in GWAS studies (PRSresponse ) in a real-world sample of patients (N = 460) with different diagnoses (schizophrenia spectrum, bipolar, depressive, neurocognitive, substance use disorders and miscellaneous)...
2024: Frontiers in Pharmacology
https://read.qxmd.com/read/38523268/medication-non-adherence-and-self-inflicted-violence-behaviors-among-185-800-patients-with-schizophrenia-in-the-community-a-12-year-cohort-study
#40
JOURNAL ARTICLE
Chuanlong Zuo, Xianmei Yang, Xiangrui Wu, Ruoxin Fan, Jun Liu, Hu Xiang, Yang Li, Xing Zhao, Xiang Liu, Yuanyuan Liu
BACKGROUND: Despite the importance of medication adherence in treatment effectiveness, little is known about the association between medication non-adherence and self-inflicted violence behaviors. We aimed to assess whether medication non-adherence increased the risk of self-inflicted violence behaviors among schizophrenics in communities (hypothesis 1) and whether the dose-response relationship existed (hypothesis 2). METHODS: This 12-year cohort study in western China recruited 292,667 community-dwelling schizophrenics...
March 25, 2024: BMC Medicine
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