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The Psychiatric Interview

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https://www.readbyqxmd.com/read/29784231/health-beliefs-and-experiences-of-a-health-promotion-intervention-among-psychiatric-patients-with-substance-use-an-interview-study
#1
Anette Juel, Peter Hjorth, Povl Munk-Jørgensen, Niels Buus
We aimed to explore beliefs about physical health from the perspective of patients with concurrent mental illness and substance use and to explore how a health promotion intervention influenced their personal agency for changing health-related behaviour. Our findings were that patients' beliefs were focused on their present day state of health and that patients had strategies to normalize their health and health-related behaviour. Health promotion to this group of patients should be tailored to fit their particular beliefs...
June 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29784230/re-building-trust-after-physical-restraint-during-involuntary-psychiatric-hospitalization
#2
Anwar Khatib, Mahajne Ibrahim, David Roe
This study attempted to identify the elements which might best minimize the negative consequences of restriction of inpatients and rebuild therapeutic alliance and trust. Through in depth interviews with 15 psychiatric patients who had experience restrained during the last involuntary psychiatric hospitalization. Analysis of the data revealed three major themes with regard to trust between restrained patient and restraining staff members during restriction of the patient's freedom. Duration of Restriction, Contact with a Staff Member while Restrained, Supportive Interactions and Staff's Response to Restricted Patients' Needs were reported by patients as crucial in determining the way restrained is experienced and its later impact...
June 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29784216/physical-and-mechanical-restraint-in-psychiatric-units-perceptions-and-experiences-of-nursing-staff
#3
Kelly Graziani Giacchero Vedana, Danielle Maria da Silva, Carla Aparecida Arena Ventura, Bianca Cristina Ciccone Giacon, Ana Carolina Guidorizzi Zanetti, Adriana Inocenti Miasso, Tatiana Longo Borges
BACKGROUND: Physical restraint in psychiatric units is a common practice but extremely controversial and poorly evaluated by methodologically appropriate investigations. The cultural issues and professionals' perceptions and attitudes are substantial contributors to the frequency of restraint that tend to be elevated. Aim In this qualitative study, we aimed to understand the experiences and perceptions of nursing staff regarding physical restraint in psychiatric units. METHOD: Through theoretical sampling, 29 nurses from two Brazilian psychiatric units participated in the study...
June 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29779551/emerging-roles-for-peer-providers-in-mental-health-and-substance-use-disorders
#4
Susan A Chapman, Lisel K Blash, Kimberly Mayer, Joanne Spetz
INTRODUCTION: The purpose of this study was to identify and assess states with best practices in peer provider workforce development and employment. A growing body of research demonstrates that peer providers with lived experience contribute positively to the treatment and recovery of individuals with behavioral health needs. Increased employment opportunities have led to policy concerns about training, certification, roles, and reimbursement for peer provider services. METHODS: A case study approach included a national panel of subject matter experts who suggested best practice states...
June 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29779548/utilization-and-economic-contribution-of-psychiatric-mental-health-nurse-practitioners-in-public-behavioral-health-services
#5
Susan A Chapman, Bethany J Phoenix, Talia E Hahn, Deborah C Strod
INTRODUCTION: Expanded insurance coverage through the Affordable Care Act and parity in behavioral health coverage have increased demand for services. Yet there is a persistent shortage in the behavioral health workforce. Psychiatric Mental Health Nurse Practitioners (PMHNPs) may be part of the solution to shortages but are not yet fully utilized. The purpose of this study was to describe how PMHNPs are utilized, identify barriers to full utilization, and assess PMHNPs' economic contribution in public behavioral health systems...
June 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29778547/relation-of-inflammatory-markers-with-symptoms-of-psychotic-disorders-a-large-cohort-study
#6
E J Liemburg, I M Nolte, H C Klein, H Knegtering, R Bruggeman, E Visser, A A Bartels-Velthuis, W Veling
AIMS: Immunological mechanisms may play a role in symptomatology of patients with a psychotic disorder. Besides metabolic problems and medication use, inflammatory processes that may occur due to the disorder may cause increased inflammatory markers and concurrent psychiatric symptoms. The aim of this study is to investigate whether levels of C-reactive protein (CRP) and white blood cell count (WBC) are related to positive and negative symptoms of psychotic disorders, and whether age, gender, duration of illness, smoking behavior, haloperidol equivalents, mediation use, body mass, and metabolic syndrome affect this relation...
May 17, 2018: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/29771555/the-quality-of-assessments-for-childhood-psychopathology-within-a-regional-medical-center
#7
Adam F Sattler, Jarrod M Leffler, Nicole L Harrison, Ewa D Bieber, Joseph J Kosmach, Leslie A Sim, Stephen P H Whiteside
Accurate assessment is essential to implementing effective mental health treatment; however, little research has explored child clinicians' assessment practices in applied settings. The current study thus examines practitioners' use of evidence-based assessment (EBA) instruments (i.e., self-report measures and structured interviews), specificity of identified diagnoses (i.e., use of specific diagnostic labels vs. nonstandardized labels, not otherwise specified [NOS] diagnoses, and adjustment disorder diagnoses), and documentation of Diagnostic and Statistical Manual of Mental Disorders (4th ed...
May 17, 2018: Psychological Services
https://www.readbyqxmd.com/read/29765577/perception-of-family-caregivers-about-barriers-of-leisure-in-care-of-individuals-with-chronic-psychiatric-disorders-a-qualitative-study
#8
Batool Mandani, Seyed Ali Hosseini, Mohammad Ali Hosseini, Ashraf Karbalaie Noori, Mohammad Reza Khodaie Ardakani
Background: Family caregivers of individuals with chronic psychiatric disorders play an important role in the management of the patient's conditions, which interferes with other activities of daily living, work, social and leisure activities. Objective: This study was conducted in an Iranian context to explore the perception of family caregivers about barriers of leisure in care of individuals with chronic psychiatric disorders. Methods: The current qualitative study was conducted on the basis of conventional content analysis...
March 2018: Electronic Physician
https://www.readbyqxmd.com/read/29764602/psychiatric-disorders-among-people-living-with-hiv-aids-in-iran-prevalence-severity-service-utilization-and-unmet-mental-health-needs
#9
Behrang Shadloo, Masoumeh Amin-Esmaeili, Abbas Motevalian, Minoo Mohraz, Abbas Sedaghat, Mohammad Mehdi Gouya, Afarin Rahimi-Movaghar
BACKGROUND: HIV and psychiatric disorders are closely correlated and are accompanied by some similar risk factors. OBJECTIVE: The aim of this study was to assess psychiatric comorbidity and health service utilization for mental problems among people living with HIV/AIDS in Iran. METHODS: A total of 250 cases were randomly selected from a large referral center for HIV treatment and care in Tehran, Iran. Psychiatric disorders in the past 12 months including mood, anxiety, and substance use disorders were assessed through face-to-face interview, using a validated Persian translation of the Composite International Diagnostic Interview (CIDI v2...
July 2018: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/29763648/autism-spectrum-disorder-classification-diagnosis-and-therapy
#10
REVIEW
Samata R Sharma, Xenia Gonda, Frank I Tarazi
Autism Spectrum Disorder (ASD) refers to a group of neurodevelopmental disorders including autism, Asperger's syndrome (AS) and pervasive developmental disorder-not otherwise specified (PDD-NOS). The new diagnostic criteria of ASD focuses on two core domains: social communication impairment and restricted interests/repetitive behaviors. The prevalence of ASD has been steadily increasing over the past two decades, with current estimates reaching up to 1 in 36 children. Hereditary factors, parental history of psychiatric disorders, pre-term births, and fetal exposure to psychotropic drugs or insecticides have all been linked to higher risk of ASD...
May 12, 2018: Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/29758472/contributions-of-depression-and-body-mass-index-to-body-image
#11
Nadine P G Paans, Mariska Bot, Ingeborg A Brouwer, Marjolein Visser, Brenda W J H Penninx
Depression and body mass index (BMI) are known to be associated with body image, however, their independent or joint effects on body image in adults are largely unknown. Therefore, we studied associations of depression diagnosis, severity, and BMI with perceptual body size (PBS) and body image dissatisfaction (BID). Cross-sectional data from 882 remitted depressed patients, 242 currently depressed patients and 325 healthy controls from the Netherlands Study of Depression and Anxiety were used. Depressive disorders (DSM-IV based psychiatric interview), standardized self-reported depressive symptoms (Inventory of Depressive Symptomatology) and BMI were separately and simultaneously related to body image (the Stunkard Figure Rating scale) using linear regression analyses...
May 7, 2018: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/29757006/continuity-between-dsm-5-section-ii-and-iii-personality-disorders-in-a-dutch-clinical-sample
#12
Irene M J Orbons, Gina Rossi, Roel Verheul, Mirjam J A Schoutrop, Jan L L Derksen, Daniel L Segal, Sebastiaan P J van Alphen
The goal of this study was to evaluate the continuity across the Section II personality disorders (PDs) and the proposed Section III model of PDs in the Diagnostic and Statistical Manual of Mental Disorders (5th ed. [DSM-5]; American Psychiatric Association, 2013a ). More specifically, we analyzed association between the DSM-5 Section III pathological trait facets and Section II PDs among 110 Dutch adults (M age = 35.8 years, range = 19-60 years) receiving mental health care. We administered the Structured Clinical Interview for DSM-IV Axis II Disorders to all participants...
May 14, 2018: Journal of Personality Assessment
https://www.readbyqxmd.com/read/29756467/the-language-we-use-the-effect-of-writing-mental-health-care-plans-in-the-first-person
#13
Marianne Wyder, Steve Kisely, Carla Meurk, Josie Dietrich, Teresa Fawcett, Dan Siskind, Gail Robinson, David Crompton
OBJECTIVE: This study describes the impact of Motivational Aftercare Planning (MAP) - an intervention to increase consumer/clinician collaboration on the content of mental health recovery plans. The intervention focussed on enhancing existing discharge processes in psychiatric inpatient wards and supporting nursing staff in using motivational interviewing techniques to facilitate the completion of these plans. METHODS: We conducted a qualitative thematic content analysis of the recovery plans completed throughout the study ( n = 110)...
May 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29755375/influence-of-crhr1-polymorphisms-and-childhood-abuse-on-suicide-attempts-in-affective-disorders-a-gxe-approach
#14
Birgit Ludwig, Klemens Kienesberger, Laura Carlberg, Patrick Swoboda, Alexandra Bernegger, Romina Koller, Qingzhong Wang, Michelle Inaner, Melanie Zotter, Nestor D Kapusta, Helmuth Haslacher, Martin Aigner, Siegfried Kasper, Alexandra Schosser
Background: Previous studies have shown that the hypothalamus-pituitary-adrenal-axis (HPA-axis) is closely involved in the development of affective disorders. Given that early life events are also linked to dysregulation of the same system, there might be an association between childhood adversities and suicidal behavior in affective disorders, moderated by HPA-axis genes. We aimed to investigate a potential association between childhood trauma and previous suicide attempts in affective disorder patients, moderated by variants of the corticotropin-releasing hormone receptor 1 (CRHR1) gene...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29751240/temperament-clusters-associate-with-anxiety-disorder-comorbidity-in-depression
#15
Vesa Paavonen, Kaisa Luoto, Antero Lassila, Esa Leinonen, Olli Kampman
BACKGROUND: Individual temperament is associated with psychiatric morbidity and could explain differences in psychiatric comorbidities. We investigated the association of temperament profile clusters with anxiety disorder comorbidity in patients with depression. METHODS: We assessed the temperament of 204 specialized care-treated depressed patients with the Temperament and Character Inventory (TCI-R) and their diagnoses with the Mini International Neuropsychiatric Interview...
April 23, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29750064/review-of-mini-clinical-evaluation-exercise-mini-cex-in-a-psychiatry-clerkship
#16
Edwin Meresh, David Daniels, Aparna Sharma, Murali Rao, Kaushal Mehta, David Schilling
Background: Direct observation of medical students with actual patients is important for the assessment of clinical skills including interviewing and counseling skills. This article describes medical students' experience of mini-clinical evaluation exercise (mini-CEX) during their clerkship in consultation psychiatry. Materials and methods: In our center during inpatient consultation psychiatry clerkship, all rotating students are expected to complete one mini-CEX assessment as part of their clinical training...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29749105/experience-and-the-meaning-of-stigma-in-patients-with-schizophrenia-spectrum-disorders-and-their-families-a-qualitative-study
#17
Fatemeh Rezayat, Eesa Mohammadi, Masoud Fallahi-Khoshknab, Vandad Sharifi
AIM: This study aimed to explore the experiences of stigma in patients with schizophrenia spectrum disorders and their families. METHODS: This qualitative content analysis study was carried out in 2016-2017 in a psychiatric hospital in Tehran, Iran. A total of 16 patients with schizophrenia spectrum disorders and their families were chosen purposefully. In order to collect the data, unstructured interviews were conducted. For the data analysis, an inductive content analysis approach was used...
May 10, 2018: Japan Journal of Nursing Science: JJNS
https://www.readbyqxmd.com/read/29747578/associations-between-health-related-self-efficacy-and-suicidality
#18
Vivian Isaac, Chia-Yi Wu, Craig S McLachlan, Ming-Been Lee
BACKGROUND: Few studies have focused on exploring the association of self-efficacy and suicidal behaviour. In this study, we aim to investigate the association between health-related self-efficacy and suicidality outcomes, including lifetime/recent suicidal ideation, suicidal attempts and future intent of suicide. METHODS: A computer-assisted telephone interview (CATI) system was used to draw potential respondents aged over 15 in Taiwan via telephone numbers, which were selected by a stratified proportional randomization method according to the distribution of population size in different geographic areas of Taiwan...
May 10, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29741237/-walking-the-tightrope-the-role-of-peer-support-workers-in-facilitating-consumers-participation-in-decision-making
#19
Michelle Cleary, Toby Raeburn, Phil Escott, Sancia West, Violeta Lopez
In adult mental health services, the participation of consumers is essential. The aim of this study was to explore the challenges faced by peer support workers when involving mental health consumers in decision-making about their care and the strategies they employed to overcome these challenges so as to improve mental health consumers' participation in decision-making and recovery. Semi-structured individual interviews were conducted with six peer support workers currently employed in psychiatric hospitals and/or community mental health systems...
May 9, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29740352/a-follow-up-on-psychiatric-symptoms-and-post-traumatic-stress-disorders-in-tuareg-refugees-in-burkina-faso
#20
Mauro Giovanni Carta, Daniela Moro, Fadimata Wallet Oumar, Maria Francesca Moro, Mirra Pintus, Elisa Pintus, Luigi Minerba, Federica Sancassiani, Elisabetta Pascolo-Fabrici, Antonio Preti, Dinesh Kumar Bhugra
Introduction: The aim of this study was to carry out a 2-year follow-up of refugees in a camp in Burkina Faso who had been interviewed previously. We also aimed to verify whether the general conditions in which they lived (e.g., protection by international organizations and the conclusion of negotiations and new hope of returning to Mali and reunification with surviving family members) would affect their mental health state. Methods: This is a cross-sectional study repeated over time on a cohort of refugees...
2018: Frontiers in Psychiatry
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