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"Partial hospitalization"

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...
October 24, 2016: 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...
September 14, 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
S Sauchelli, J Arcelus, I Sánchez, N Riesco, S Jiménez-Murcia, R Granero, K Gunnard, R Baños, C Botella, R de la Torre, J C Fernández-García, J M Fernández-Real, G Frühbeck, J Gómez-Ambrosi, F J Tinahones, F F Casanueva, J M Menchón, F Fernandez-Aranda
OBJECTIVE: Elevated physical activity has been observed in some patients with anorexia nervosa (AN) despite their emaciated condition. However, its effects on treatment outcome remain unclear. This study aimed to examine objectively measured physical activity in this clinical population and how it might be related to a partial hospitalization therapy response, after considering potential confounders. METHOD: The sample comprised 88 AN patients consecutively enrolled in a day hospital treatment program, and 116 healthy-weight controls...
November 2015: European Psychiatry: the Journal of the Association of European Psychiatrists
Cara Freudenberg, Rebecca A Jones, Genvieve Livingston, Virginia Goetsch, Angela Schaffner, Linda Buchanan
The effectiveness of an individualized outpatient program was investigated in the treatment of bulimia nervosa (BN) and anorexia nervosa (AN). Participants included 151 females who received outpatient eating disorder treatment in the partial hospitalization program, the intensive outpatient program, or a combination of the two programs. Outcome measures included the Eating Disorder Inventory (EDI-2), Beck Depression Inventory (BDI-II), frequency of binge eating and purging, and mean body weight. Findings included significant increases in weight for the AN group, reductions in binge eating frequency for the BN group, and reductions in EDI-2 and BDI-II scores and purging frequency for both groups...
May 2016: Eating Disorders
Lara S Rifkin, Courtney Beard, Kean J Hsu, Lauryn Garner, Thröstur Björgvinsson
Anxiety sensitivity (AS) is associated with various forms of psychopathology. The most common measure of AS is the anxiety sensitivity index-3 (ASI-3). The current study examined the psychometric properties and factor structure of the ASI-3 in an acute and comorbid population seeking treatment for a broad range of psychopathology (N=382). Results confirmed a bi-factor structure and suggested that the ASI-3 demonstrates adequate psychometric properties in a transdiagnostic sample. The ASI-3 also showed adequate sensitivity to change over the course of partial hospital treatment...
December 2015: Journal of Anxiety Disorders
Adam Bryant Miller, Christianne Esposito-Smythers, Richard N Leichtweis
The present prospective study tested a portion of the interpersonal-psychological theory of suicide (IPTS) in an adolescent clinical sample. Participants were 143 adolescents consecutively admitted to a partial hospitalization program who completed assessments at intake and discharge from the program. Results partially supported the IPTS and suggest that (1) perceived burdensomeness may be an important socially based cognition for understanding concurrent risk for suicidal ideation (SI); (2) thwarted belongingness affects depression symptom severity over time, which indirectly predicts SI over a short follow-up time frame; and (3) the IPTS constructs may function differently in a high-risk clinical adolescent sample, compared to adults, although findings are preliminary...
June 2016: Suicide & Life-threatening Behavior
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