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"Partial hospitalization"

Saniha H Makhzoumi, Janelle W Coughlin, Colleen C Schreyer, Graham W Redgrave, Steven C Pitts, Angela S Guarda
Weight gain is a primary treatment goal for anorexia nervosa (AN); however little is known about heterogeneity in weight gain pattern during treatment. Preliminary evidence suggests weight gain trajectory is associated with treatment outcome. This study grouped patients using mixture modeling into weight gain trajectories, and compared predictors and treatment outcomes between trajectory groups. Women diagnosed with AN or subthreshold AN (N = 211) completed self-report measures at admission and six-months after discharge from an integrated inpatient (IP)-partial hospitalization (PH) behavioral specialty eating disorders program...
February 10, 2017: International Journal of Eating Disorders
Angela S Guarda, Colleen C Schreyer, Laura K Fischer, Jennifer L Hansen, Janelle W Coughlin, Michael J Kaminsky, Evelyn Attia, Graham W Redgrave
OBJECTIVE: Weight restoration in anorexia nervosa (AN) is associated with lower relapse risk; however rate of weight gain and percent of patients achieving weight restoration (BMI ≥ 19 at discharge) vary among treatment programs. We compared both cost/pound of weight gained and cost of weight restoration in a hospital-based inpatient (IP)-partial hospitalization (PH) eating disorders program to estimates of these costs for residential treatment. METHOD: All adult first admissions to the IP-PH program with AN (N = 314) from 2003 to 2015 were included...
January 27, 2017: International Journal of Eating Disorders
Bridget A Hearon, Courtney Beard, Lynne M Kopeski, Jasper A J Smits, Michael W Otto, Thröstur Björgvinsson
Despite evidence for both physical and mental health benefits achieved through regular exercise, most Americans fail to meet minimum recommendations. Altering the behavioral contingency from a focus on long-term health benefits to immediate mood benefits represents a novel method for exercise promotion. The current study examined a single-session exercise-for-mood intervention against two time-matched comparison conditions in 152 patients with serious mental illness attending a partial hospital program, a population marked by significant health disparities...
December 27, 2016: Behavioral Medicine
Jennifer Y Tang, Chieh Li, Rachel F Rodgers, Mary Ballou
Several meta-analyses have demonstrated the effectiveness of treatment utilizing cognitive behavioral therapy (CBT) combined with medication. There is, however, a paucity of research comparing the effectiveness of this combined treatment with psychiatric patients from different ethnic backgrounds. This study is the first of its kind to compare the effectiveness of CBT combined with medication for Asian American and White patients' psychiatric symptom severity levels of depression, anxiety, psychological well-being, and quality of life...
December 2016: Asian Journal of Psychiatry
Laura K Fischer, Colleen C Schreyer, Janelle W Coughlin, Graham W Redgrave, Angela S Guarda
We evaluated the impact of personality on weight restoration in 211 underweight (BMI ≤ 19 kg/m(2)) females admitted to an inpatient-partial hospitalization program for eating disorders. Symptomatology and personality were assessed by questionnaires, and clinical and demographic variables were assessed by chart review. Neuroticism, a personality trait associated with reactivity to stress, was correlated with higher symptomatology, chronicity, length of stay, and income source. Contrary to our hypothesis, neuroticism was positively associated with weight restoration...
January 2017: Eating Disorders
Courtney Beard, Lara S Rifkin, Thröstur Björgvinsson
BACKGROUND: Interpretation bias, the tendency to interpret ambiguous situations negatively (or to lack a positive bias), is a cognitive vulnerability associated with psychopathology. However, there is a lack of research characterizing this bias in psychiatric samples, including whether it is also a risk factor for suicidality. This study characterized interpretation bias in a psychiatric sample at risk for suicide and examined the relationship between interpretation bias and suicidality cross-sectionally and prospectively...
September 28, 2016: Journal of Affective Disorders
C Beard, A J Millner, M J C Forgeard, E I Fried, K J Hsu, M T Treadway, C V Leonard, S J Kertz, T Björgvinsson
BACKGROUND: Researchers have studied psychological disorders extensively from a common cause perspective, in which symptoms are treated as independent indicators of an underlying disease. In contrast, the causal systems perspective seeks to understand the importance of individual symptoms and symptom-to-symptom relationships. In the current study, we used network analysis to examine the relationships between and among depression and anxiety symptoms from the causal systems perspective...
December 2016: Psychological Medicine
César Augusto Trinta Weber, Mario Francisco Juruena
INTRODUCTION: Since the second half of the twentieth century the discussions about mental patient care reveal ongoing debate between two health care paradigms: the biomedical/biopsychosocial paradigm and the psychosocial paradigm. The struggle for hegemony over the forms of care, on how to deal optimally with the experience of becoming ill is underpinned by an intentionality of reorganizing knowledge about the health/disease dichotomy, which is reflected in the models proposed for the implementation of actions and services for the promotion, prevention, care and rehabilitation of human health...
July 2016: Revista da Associação Médica Brasileira
Stephanie M Jarvi, Bridget A Hearon, Kristen L Batejan, Stephanie Gironde, Thröstur Björgvinsson
OBJECTIVE: This research study examines the relationship between past-week physical activity and recent (i.e., within the past 30 days) nonsuicidal self-injury (NSSI) in a sample of treatment-seeking adults.  METHOD: Participants included 353 (49.29% female; mean age = 35.16 years) adults attending a partial hospitalization program for acute psychiatric issues. Data were extracted from the program's admission battery of computer-based self-report measures completed by each participant on the first treatment day...
July 8, 2016: Journal of Clinical Psychology
Marie J C Forgeard, Rebecca L Pearl, Joey Cheung, Lara S Rifkin, Courtney Beard, Thröstur Björgvinsson
BACKGROUND: Beliefs about mental illness affect how individuals cope with their symptoms. Positive beliefs about mental illness (PBMI) refer to perceptions of positive attributes individuals may identify in their illness, such as beneficial consequences, enhanced creativity or cognition, or growth through adversity. METHODS: The present study developed and tested a brief measure of PBMI in 332 adults presenting for partial hospitalization with a variety of acute psychiatric conditions...
November 1, 2016: Journal of Affective Disorders
Andri Bjornsson, Soffia Magnusdottir, Inga Wessman, Courtney Beard, Josephine Lee, Bridget A Hearon, Thröstur Björgvinsson
Body dysmorphic disorder (BDD) is a common disorder that is usually associated with impaired functioning and high levels of suicidality. The current study is the first to assess prevalence of BDD among patients in a partial hospital program and compare patients with and without BDD on demographic and clinical variables. Participants were 207 patients with a variety of Axis I diagnoses. Prevalence of current BDD was 7.2%, and a diagnosis of BDD did not predict worse treatment outcome in the program. Patients with current BDD were more likely to be female and younger and have more comorbid diagnoses than patients without current BDD...
July 2016: Journal of Nervous and Mental Disease
Catherine A Fullerton, Hollis Lin, Peggy L O'Brien, Gregory M Lenhart, Erika L Crable, Tami L Mark
OBJECTIVE: This study examined the effect of intermediate service use on behavioral health inpatient readmissions and subsequent emergency department (ED) visits among Medicaid enrollees. METHODS: Data were from fee-for-service inpatient admissions from the 2008 Medicaid Analytic eXtract files for adults with a primary diagnosis of a mental or substance use disorder. A multivariate survival analysis estimated the association between posthospital services-particularly intermediate services (residential, partial hospital, intensive outpatient, and other rehabilitative services)-and time to readmission or ED visit...
June 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
Keren Friedman, Ana L Ramirez, Stuart B Murray, Leslie K Anderson, Anne Cusack, Kerri N Boutelle, Walter H Kaye
OBJECTIVE: The objective of this study was to review the current eating disorders outcome literature after residential or partial hospitalization programme (PHP) treatment. METHOD: Articles were identified through a systematic search of PubMed and PsycINFO. RESULTS: Twenty-two PHP and six residential treatment studies reported response at discharge and tended to find improvement. Fewer studies (nine PHP and three residential) reported outcome at some interval after discharge from treatment...
July 2016: European Eating Disorders Review: the Journal of the Eating Disorders Association
Courtney Beard, Bridget A Hearon, Josephine Lee, Lynne M Kopeski, Alisa B Busch, Thröstur Björgvinsson
Partial hospitalization is an understudied bridge between outpatient and inpatient care. One of its primary functions is to prevent the need for inpatient hospitalization. We examined potential demographic and clinical risk factors for inpatient hospitalization for current partial hospital patients. We conducted separate multiple logistic regression analyses for patients referred from inpatient care and the community. For individuals referred from inpatient care, suicidal ideation and greater psychotic symptoms upon admission to the partial program were associated with acute inpatient re-hospitalization...
June 2016: Journal of Nervous and Mental Disease
Kenneth J Gill, Michelle Zechner, Ellen Zambo Anderson, Margaret Swarbrick, Ann Murphy
OBJECTIVE: This paper evaluates a pilot multidisciplinary intervention intended to increase health-promoting behaviors and reduce the negative effects of metabolic syndrome disorders among persons with serious mental illnesses. Exercise, nutritional counseling, health literacy education, and peer wellness coaching were provided by allied health professionals and students. METHOD: Participants with serious mental illnesses were recruited from partial hospitalization and supported housing programs...
June 2016: Psychiatric Rehabilitation Journal
Courtney Beard, Aliza T Stein, Bridget A Hearon, Josephine Lee, Kean J Hsu, Thröstur Björgvinsson
OBJECTIVE: Despite the effectiveness of cognitive behavioral therapy (CBT) for depression, a significant number of patients do not respond. Data examining predictors of treatment response in settings in which CBT is delivered naturalistically are lacking. METHOD: Treatment outcome data collected at a CBT-based partial hospital (n = 956) were used to examine predictors of two types of treatment response: (a) a reliable and clinically significant change in depressive symptoms and (b) a self-rating of "very much" or "much" improved...
April 2016: Journal of Clinical Psychology
R Gregory Lande, Miriam Pourzand
This article describes the components of a psychiatric partial hospital military program and the characteristics of referrals received over the 5-year period from 2009 to 2013. The 5-year study period included ongoing combat operations in Iraq and Afghanistan along with their subsequent troop withdrawals and change in mission. A total of 1,194 service members were referred for this level of care, and even with the changing battlefield conditions, the number of psychiatric referrals remained steady throughout the 5-year period, with a significant spike in admissions in 2013...
March 2016: Military Medicine
David M Garner, Michael L Anderson, Christopher D Keiper, Rachel Whynott, Lisa Parker
AIM: The current study examined the frequency of psychotropic prescriptions in a clinical sample of eating disorder (ED) patients confirming earlier research indicating their use is very common but inconsistent with evidence-based recommendations. METHODS: The sample consisted of 501 ED patients admitted to an adult partial hospitalization or adolescent residential program. Patients were divided into two diagnostic groups: anorexia nervosa (AN = 287) and bulimia nervosa (BN = 214), as well as two age groups: adults (age ≥18; N = 318) and adolescents (age <18; N = 183)...
September 2016: Eating and Weight Disorders: EWD
C Beard, K J Hsu, L S Rifkin, A B Busch, T Björgvinsson
BACKGROUND: The PHQ-9 was originally developed as a screener for depression in primary care and is commonly used in medical settings. However, surprisingly little is known about its psychometric properties and utility as a severity measure in psychiatric populations. We examined the full range of psychometric properties of the PHQ-9 in patients with a range of psychiatric disorders (i.e., mood, anxiety, personality, psychotic). METHODS: Patients (n=1023) completed the PHQ-9 upon admission and discharge from a partial hospital, as well as other self-report measures of depression, anxiety, well-being, and a structured diagnostic interview...
March 15, 2016: Journal of Affective Disorders
Paul B Lieberman, Frederick G Guggenheim
OBJECTIVE: This study explored predictors and consequences of nonattendance of a brief, five-day partial hospital program (PHP). METHODS: Patients (N=675; N=744 admissions) who did not attend every day of a PHP, with or without prior excuses, were considered nonattenders and were compared with patients with no missed days on clinical and demographic variables collected from their medical records. Their psychiatrists' conclusions regarding reasons for nonattendance were also collected...
June 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
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