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https://www.readbyqxmd.com/read/29655386/a-comparative-network-analysis-of-eating-disorder-psychopathology-and-co-occurring-depression-and-anxiety-symptoms-before-and-after-treatment
#1
Kathryn E Smith, Tyler B Mason, Ross D Crosby, Li Cao, Rachel C Leonard, Chad T Wetterneck, Brad E R Smith, Nicholas R Farrell, Bradley C Riemann, Stephen A Wonderlich, Markus Moessner
BACKGROUND: Network analysis is an emerging approach in the study of psychopathology, yet few applications have been seen in eating disorders (EDs). Furthermore, little research exists regarding changes in network strength after interventions. Therefore the present study examined the network structures of ED and co-occurring depression and anxiety symptoms before and after treatment for EDs. METHOD: Participants from residential or partial hospital ED treatment programs (N = 446) completed assessments upon admission and discharge...
April 15, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29600509/integrated-family-based-partial-hospital-treatment-for-complex-pediatric-illness
#2
Thomas A Roesler, Jack H Nassau, Michelle L Rickerby, Rebecca S Laptook, Diane DerMarderosian, Pamela C High
This paper describes a unique treatment program for complex pediatric illness. The Hasbro Children's Partial Hospital Program uses a family systems orientation, integrated care, and a partial hospital setting to treat children with a wide range of pediatric illnesses that have failed outpatient and inpatient treatments. We have treated more than 2000 children with at least 80 different ICD-9 diagnoses. The multidisciplinary treatment team functions as a meta-family for children and their families who present with illness and family beliefs that impede successful outcomes with standard care...
March 30, 2018: Family Process
https://www.readbyqxmd.com/read/29542211/efficacy-of-a-partial-hospital-programme-for-adults-with-eating-disorders
#3
Tiffany A Brown, Anne Cusack, Leslie K Anderson, Julie Trim, Tiffany Nakamura, Mary Ellen Trunko, Walter H Kaye
Partial hospital programmes (PHPs) have demonstrated efficacy in the treatment of eating disorders (EDs); however, few programmes have examined long-term outcomes across diagnoses, including subtypes of anorexia nervosa (AN). The present study examined the effectiveness of PHP for adult patients (n = 243) with AN-restricting subtype (n = 79), AN binge/purge subtype (n = 46), and bulimia nervosa (n = 118). These patients tended to have long-standing courses of illness (43%, illness duration >7 years) and high levels of psychiatric comorbidity (92...
March 14, 2018: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/29493804/outcomes-of-low-weight-patients-with-avoidant-restrictive-food-intake-disorder-and-anorexia-nervosa-at-long-term-follow-up-after-treatment-in-a-partial-hospitalization-program-for-eating-disorders
#4
Amanda E Bryson, Anna M Scipioni, Jamal H Essayli, Johnna R Mahoney, Rollyn M Ornstein
OBJECTIVE: To assess long-term outcomes of patients with avoidant/restrictive food intake disorder (ARFID) treated in a partial hospitalization program (PHP) for eating disorders (ED). METHOD: A cross-sectional study comparing patients with ARFID to those with anorexia nervosa (AN) who had been discharged from a PHP for at least 12 months was performed. Percent median body mass index (%MBMI), scores on the Children's Eating Attitudes Test (ChEAT), and treatment utilization were assessed, with intake and discharge data collected via retrospective chart review...
March 1, 2018: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/29419948/treatment-refractory-obsessive-compulsive-disorder-in-adults-a-cost-effectiveness-analysis-of-treatment-strategies
#5
Sean T Gregory, Brian Kay, Joseph Smith, Kristin Hall, Alessandro S De Nadai, Troy Quast, Bradley C Riemann, Eric A Storch
OBJECTIVE: This study sought to assess the cost-effectiveness of 7 treatment strategies for treatment-refractory obsessive-compulsive disorder (OCD) in adults. METHODS: A model was developed to evaluate treatment alternatives for adults (18-64 years old) that consisted of 2 parts: a decision analytic model and a Markov model. The decision analytic model stratified 7 outpatient treatment strategies, and the Markov model accumulated benefits and costs across the life expectancy of a simulated cohort of individuals...
February 6, 2018: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/29407359/characterizing-gender-differences-in-nonsuicidal-self-injury-evidence-from-a-large-clinical-sample-of-adolescents-and-adults
#6
Sarah E Victor, Jennifer J Muehlenkamp, Nicole A Hayes, Gregory J Lengel, Denise M Styer, Jason J Washburn
While nonsuicidal self-injury (NSSI) is common in both men and women, research exploring the intersection of NSSI and gender has been limited by the use of small samples of males drawn primarily from non-clinical populations. To address these limitations, we analyzed data from a large sample of patients enrolled in an NSSI partial hospitalization program (PHP) to compare males and females across several variables, including NSSI characteristics, correlates, and pre-post treatment outcomes. Results indicated similar NSSI characteristics and treatment outcomes for males and females, with few exceptions...
February 2, 2018: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29315455/home-versus-in-patient-treatment-for-deep-vein-thrombosis
#7
REVIEW
Richard Othieno, Emmanuel Okpo, Rachel Forster
BACKGROUND: Deep vein thrombosis (DVT) occurs when a blood clot blocks blood flow through a vein, which can occur after surgery, after trauma, or when a person has been immobile for a long time. Clots can dislodge and block blood flow to the lungs (pulmonary embolism (PE)), causing death. DVT and PE are known by the term venous thromboembolism (VTE). Heparin (in the form of unfractionated heparin (UFH)) is a blood-thinning drug used during the first three to five days of DVT treatment...
January 9, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29303947/outcomes-of-acute-partial-hospital-treatment-comparison-of-two-programs-and-a-waiting-list-control
#8
Paul B Lieberman, Rendueles Villalba, Samantha G Farris
OBJECTIVE: To investigate the effectiveness of acute, very brief partial hospital treatment, and the comparative benefits of different types of partial hospitalization programs (PHPs), this exploratory study examined changes in psychiatric symptoms and elements of cognitive functioning during an acute PHP compared with a waiting list control, and also compared such changes in 2 PHPs that treated similar patient groups but used different treatment approaches. METHODS: Patients were admitted to 2 PHPs, one utilizing cognitive-behavioral therapy and the other interpersonal and existential psychotherapy...
November 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29303070/is-there-a-role-for-lifestyle-interventions-in-obsessive-compulsive-and-related-disorders
#9
Leonardo F Fontenelle, Julliana N Quintas, Murat Yücel
Many of the currently available treatments for obsessive-compulsive and related disorders (OCRDs) such as pharmacotherapy augmentation strategies, partial hospitalization programs, deep brain stimulation, and neurosurgery are efficacious for individuals suffering from more severe forms of these conditions. Unfortunately, the application of these treatments in milder forms of illness and subclinical samples, which affect a substantial portion of the population, is not justifiable by their costs (e.g. cognitive-behavioral therapy) and/or potential for side effects (serotonin-reuptake inhibitors associated sexual side effects)...
January 4, 2018: Current Medicinal Chemistry
https://www.readbyqxmd.com/read/29189033/comparing-treatment-response-between-lgbq-and-heterosexual-individuals-attending-a-cbt-and-dbt-skills-based-partial-hospital
#10
Courtney Beard, Norik Kirakosian, Alexandra L Silverman, Jeffrey P Winer, Lauren P Wadsworth, Thröstur Björgvinsson
OBJECTIVE: Despite a greater need for mental health treatment in individuals identifying as lesbian, gay, bisexual, queer, and other sexual minority identities (LGBQ+), no prior study has examined mental health treatment outcomes for LGBQ+ populations receiving standard care. We compared individuals identifying as LGBQ+ or heterosexual on treatment outcomes following a partial hospital program based on cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). METHOD: A total of 441 participants (19% LGBQ+; mean age = 34...
December 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29168261/-impact-of-drug-reimbursement-policies-on-prescribing-a-case-study-of-a-newly-marketed-long-acting-injectable-antipsychotic-among-relapsed-schizophrenia-patients
#11
John W Jackson, Lisa Fulchino, James Rogers, Helen Mogun, Jennifer Polinski, David C Henderson, Sebastian Schneeweiss, Michael A Fischer
OBJECTIVE: To quantify and explain variation in use of long-acting injectable antipsychotics (LAIs) in the United States, and understand the relationship between patient characteristics, drug reimbursement policies, and LAI prescribing after relapse. METHODS: A cohort of recently relapsed patients with schizophrenia ages 18 to 64, were identified immediately after discharge from a related inpatient hospitalization, partial hospitalization, or emergency room visit, drawn from 2004 to 2006 Medicaid claims, and followed for 90 days until LAI initiation...
January 2018: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/29164350/predictors-of-partial-hospital-readmission-for-young-children-with-oppositional-defiant-disorder
#12
John R Boekamp, Richard T Liu, Sarah E Martin, Lauren R Mernick, Mia DeMarco, Anthony Spirito
This study aimed to: (1) examine rates of readmission among young children with oppositional defiant disorder (ODD) following discharge from a psychiatric partial hospital treatment program, and (2) examine child factors (i.e., age, sex, co-occurring diagnoses, suicidality) and family factors (i.e., parental depression, stress) as prospective predictors of readmission. Participants were 261 children (ages 3-7 years) who entered the study at the time of their initial program admission and who met DSM-IV criteria for ODD...
November 21, 2017: Child Psychiatry and Human Development
https://www.readbyqxmd.com/read/29142754/inviting-eating-disorder-patients-to-discuss-the-academic-literature-a-model-program-for-psychoeducation
#13
Lauren Belak, Tara Deliberto, Matthew Shear, Sean Kerrigan, Evelyn Attia
Background: Psychoeducation initiatives in which patients read primary scientific literature have not yet been studied as a treatment intervention for eating disorders. In this paper, we discuss and evaluate the acceptability of a novel psychoeducational journal club for individuals with anorexia and bulimia nervosa in inpatient and partial hospitalization program settings. Primary literature about eating disorders is presented and discussed with patients. By presenting scientifically-supported information, our "Psychoeducational Research Group" is designed to help patients restructure disordered thoughts and encourage adherence to evidence-based treatment...
2017: Journal of Eating Disorders
https://www.readbyqxmd.com/read/29068721/adjunctive-use-of-olanzapine-in-the-treatment-of-avoidant-restrictive-food-intake-disorder-in-children-and-adolescents-in-an-eating-disorders-program
#14
Timothy D Brewerton, Meredith D'Agostino
OBJECTIVE: There is little information about the pharmacological treatment of avoidant and restrictive food intake disorder (ARFID), a challenging feeding disorder associated with marked impairment and developmental arrest. This brief clinical report seeks to fill this gap. METHODS: A retrospective chart review of nine patients with ARFID treated in an eating disorder (ED) program (residential, partial hospital, and intensive outpatient levels of care) with adjunctive olanzapine was undertaken...
October 25, 2017: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/29057604/perfectionism-group-treatment-for-eating-disorders-in-an-inpatient-partial-hospitalization-and-outpatient-setting
#15
Cheri A Levinson, Leigh C Brosof, Irina A Vanzhula, Laura Bumberry, Stephanie Zerwas, Cynthia M Bulik
Perfectionism is elevated in individuals with eating disorders and is posited to be a risk factor, maintaining factor, and treatment barrier. However, there has been little literature testing the feasibility and effectiveness of perfectionism interventions in individuals specifically with eating disorders in an open group format. In the current study, we tested the feasibility of (a) a short cognitive behavioural therapy for perfectionism intervention delivered in an inpatient, partial hospitalization, and outpatient for eating disorders setting (combined N = 28; inpatient n = 15; partial hospital n = 9; outpatient n = 4), as well as (b) a training for disseminating the treatment in these settings (N = 9)...
November 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/29056986/adjunctive-trazodone-and-depression-outcome-in-adolescents-treated-with-serotonin-re-uptake-inhibitors
#16
Meshal A Sultan, Darren B Courtney
OBJECTIVES: Recent published evidence suggests that adjunctive trazodone treatment may limit serotonin reuptake inhibitor (SRI) response in depressed adolescents in the context of a controlled trial. This study examined the effects of adjunctive trazodone on depression outcome in adolescents in a naturalistic treatment environment. METHODS: We conducted a cohort study through chart review of a clinical sample. Patients in our sample were 15 to 18 years of age treated with either a selective serotonin reuptake inhibitor or serotonin and norepinephrine reuptake inhibitor...
2017: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29043085/a-pilot-open-series-of-lamotrigine-in-dbt-treated-eating-disorders-characterized-by-significant-affective-dysregulation-and-poor-impulse-control
#17
Mary Ellen Trunko, Terry A Schwartz, Laura A Berner, Anne Cusack, Tiffany Nakamura, Ursula F Bailer, Joanna Y Chen, Walter H Kaye
BACKGROUND: There is little effective psychopharmacological treatment for individuals with eating disorders who struggle with pervasive, severe affective and behavioral dysregulation. METHODS: This pilot open series evaluated lamotrigine, a mood stabilizer, in the treatment of patients with eating disorders who did not respond adequately to antidepressant medications. Nine women with anorexia nervosa- or bulimia nervosa-spectrum eating disorders in partial hospital or intensive outpatient dialectical behavior therapy (DBT)-based eating disorder treatment took lamotrigine for 147 ± 79 days (mean final dose = 161...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/29031217/quality-of-life-and-burden-in-caregivers-of-youth-with-obsessive-compulsive-disorder-presenting-for-intensive-treatment
#18
Monica S Wu, Rebecca Hamblin, Joshua Nadeau, Jessica Simmons, Ashley Smith, Meredith Wilson, Stephanie Eken, Brent Small, Vicky Phares, Eric A Storch
BACKGROUND: Pediatric obsessive-compulsive disorder (OCD) is associated with deleterious familial effects; caregivers are often enmeshed in the disorder and can experience considerable burden and decreased quality of life (QoL). Consequently, this study examined burden and QoL in caregivers of youth with OCD enrolled in an intensive outpatient or partial hospitalization program. METHOD: The relationships between caregiver QoL and burden and the following variables were investigated: OCD symptom severity, functioning (youth functional impairment, general family functioning), family (family accommodation, parental relationship satisfaction, positive aspects of caregiving), and comorbid psychopathology (caregiver anxiety and depressive symptoms, youth internalizing and externalizing behaviors)...
January 2018: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28916011/family-based-integrated-care-fbic-in-a-partial-hospital-program-for-complex-pediatric-illness-fostering-shifts-in-family-illness-beliefs-and-relationships
#19
REVIEW
Michelle L Rickerby, Diane DerMarderosian, Jack Nassau, Christopher Houck
The heuristic model of family-based integrated care (FBIC) was developed from 1998 to 2016 in the context of the development of the Hasbro Children's Partial Hospital Program (HCPHP) along with the development of a family therapy training program for Brown University child psychiatry and triple board residents. The clinical experience of the HCPHP team in treating more than 2000 patients and families in combination with the authors' experience in training residents for diverse practice settings highlights the usefulness of the FBIC paradigm for interdisciplinary family-based treatment for a broad range of illnesses and levels of care...
October 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28846988/emotional-reactivity-in-a-clinical-sample-of-patients-with-eating-disorders-and-nonsuicidal-self-injury
#20
Kathryn E Smith, Nicole A Hayes, Denise M Styer, Jason J Washburn
Emotional reactivity is theorized to contribute to both eating disorders (ED) and nonsuicidal self-injury (NSSI). Although EDs and NSSI frequently co-occur, no study has examined emotional reactivity in individuals with both conditions. This study examined the following hypotheses in a large clinical sample (N = 648): (1) patients with co-occurring ED and NSSI would report higher emotional reactivity and more severe clinical characteristics; (2) among those with EDs, patients with bulimia nervosa (BN) would be more likely to report NSSI and evidence higher emotional reactivity compared to those with anorexia nervosa (AN); and (3) higher emotional reactivity would be associated with worse treatment outcomes...
November 2017: Psychiatry Research
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