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Inpatient Psychiatric

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https://www.readbyqxmd.com/read/29448179/elevated-neutrophil-to-lymphocyte-ratio-in-non-affective-psychotic-adolescent-inpatients-evidence-for-early-association-between-inflammation-and-psychosis
#1
Yael Bustan, Adi Drapisz, David H Ben Dor, Matan Avrahami, Maya Schwartz-Lifshitz, Abraham Weizman, Ran Barzilay
Accumulating data suggest an association between inflammation and schizophrenia and related psychosis. While several studies have established this immune-psychosis association in adult schizophrenia patients, there is very limited data associating inflammation with acute psychosis in children and adolescents. The ratio between neutrophils and lymphocyte, computed from routine blood counts, has been shown to correlate with traditional markers of inflammation, and is therefore considered a proxy-marker for inflammation...
February 12, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29447416/managing-opioid-use-disorder-and-co-occurring-posttraumatic-stress-disorder-among-veterans
#2
Rhonda Snow, Stephanie T Wynn
Support and safety measures are essential for Veterans admitted to acute psychiatric units with co-occurring posttraumatic stress disorder (PTSD) and opioid use disorder (OUD) to avoid unpleasant withdrawal symptoms. A human patient simulator was used to train clinicians to recognize opioid withdrawal symptoms. Clinicians were educated to assess for opioid withdrawal symptoms using the Clinical Opiate Withdrawal Scale. Knowledge was evaluated via pre/posttest. All participants' (N = 12) posttest scores improved...
February 15, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29447415/motivational-interviewing-to-increase-outpatient-attendance-for-adolescent-psychiatric-patients
#3
Laurel Chiappetta, Stacy Stark, Khadejah F Mahmoud, Kyle R Bahnsen, Ann M Mitchell
Motivational interviewing (MI) is a therapeutic technique that has been demonstrated to increase adherence to various treatment regimens. Nonattendance at outpatient appointments is associated with read-mission to psychiatric hospitals. The purpose of the current study was to examine the effectiveness of MI in promoting treatment adherence and increasing pediatric attendance rates at patients' first follow-up appointment after inpatient admission. A sample of 111 patients discharged from one of two child and adolescent units at an urban, inpatient psychiatric hospital in Southwestern Pennsylvania participated in the MI discharge process...
February 15, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29447413/effects-of-a-staff-training-intervention-on-seclusion-rates-on-an-adult-inpatient-psychiatric-unit
#4
Julie Newman, Olimpia Paun, Louis Fogg
The current article presents the effects of a 90-minute staff training intervention aimed at reducing inpatient psychiatric seclusion rates through strengthened staff commitment to seclusion alternatives and improved de-escalation skills. The intervention occurred at an 18-bed adult inpatient psychiatric unit whose seclusion rates in 2015 were seven times the national average. Although the project's primary outcome compared patient seclusion rates before and after the intervention, anonymous staff surveys measured several secondary outcomes...
February 15, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29446186/longterm-persistence-and-nonrecurrence-of-depression-treatment-in-germany-a-four-year-retrospective-follow-up-using-linked-claims-data
#5
Christoph J Wagner, Charalabos Markos Dintsios, Florian G Metzger, Helmut L'Hoest, Ursula Marschall, Bjoern Stollenwerk, Stephanie Stock
OBJECTIVES: To measure persistence and nonrecurrence of depression treatment and investigate potential risk factors. METHODS: We retrospectively observed a closed cohort of insurees with new-onset depression treatment in 2007 and without most psychiatric comorbidity for 16 quarters (plus one to ascertain discontinuation). We linked inpatient/outpatient/drug-data per person and quarter. Person-quarters containing specified depression services were classified as depression-treatment-person-quarters (DTPQ)...
February 15, 2018: International Journal of Methods in Psychiatric Research
https://www.readbyqxmd.com/read/29441444/listening-to-the-patient-perspective-psychiatric-inpatients-attitudes-towards-physical-restraint
#6
Yaniv Spinzy, M Saed, S Aviv, G Cohen-Rappaport
When other options fail, physical restraint is used in inpatient psychiatric units as a means to control violent behavior of agitated inpatients and to prevent them from harm. The professional and social discourse regarding the use of restrictive measures and the absence of the inpatients' attitudes towards these measures is notable. Our research therefore tries to fill this gap by interviewing inpatients about these issues. To assess the subjective experience and attitudes of inpatients who have undergone physical restraint...
February 14, 2018: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29439334/what-do-we-know-about-behavioral-crises-in-dementia-a-systematic-review
#7
Tamara Backhouse, Julieta Camino, Eneida Mioshi
BACKGROUND: Behavioral crises in dementia are represented by a wide variety of symptoms, regularly require external intervention from professionals, and are reported as a risk factor for hospital admission. Little is known about the factors that are associated with them. OBJECTIVE: To determine the factors associated with dementia-related behavioral crises. METHODS: We searched MEDLINE, CINAHL, PsycINFO, EMBASE, and AMED databases. An additional lateral search including reference lists was conducted...
2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29433889/psychiatric-disease-in-surgically-treated-colorectal-cancer-patients
#8
Vanessa P Ho, Emily Steinhagen, Kelsey Angell, Suparna M Navale, Nicholas K Schiltz, Andrew P Reimer, Elizabeth A Madigan, Siran M Koroukian
BACKGROUND: Underlying psychiatric conditions may affect outcomes of surgical treatment for colorectal cancer (CRC) because of complex clinical presentation and treatment considerations. We hypothesized that patients with psychiatric illness (PSYCH) would have evidence of advanced disease at presentation, as manifested by higher rates of colorectal surgery performed in the presence of obstruction, perforation, and/or peritonitis (OPP-surgery). MATERIALS AND METHODS: Using data from the 2007-2011 National Inpatient Sample, we identified patients with a diagnosis of CRC undergoing colorectal surgery...
March 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29431454/a-test-of-the-psychometric-characteristics-of-the-bis-brief-among-three-groups-of-youth
#9
Charles W Mathias, Matthew S Stanford, Yuanyuan Liang, Martin Goros, Nora E Charles, Arielle H Sheftall, Jillian Mullen, Nathalie Hill-Kapturczak, Ashley Acheson, Rene L Olvera, Donald M Dougherty
The Barratt Impulsiveness Scale (BIS-11) is the most widely administered trait impulsiveness questionnaire. Recently a shorter, unidimensional version of the instrument was developed for adults (BIS-Brief). While psychometric characteristics of the BIS-Brief support its use among adults, it also may be more appropriate for youth samples than the complete BIS-11 because it less burdensome and omits items about activities not usually encountered by children and adolescents. This article describes a test of psychometric characteristics of the BIS-Brief among youth...
February 12, 2018: Psychological Assessment
https://www.readbyqxmd.com/read/29430589/factors-associated-with-length-of-stay-in-a-swiss-mental-hospital
#10
Benedikt Habermeyer, Hristijana De Gennaro, Rene Channa Frizi, Patrik Roser, Niklaus Stulz
The aim of this study was to identify factors which are associated with the length of stay in a Swiss mental hospital. Demographical and clinical data of all patients who were admitted to the adult inpatient psychiatric service of the Federal State of Aargau in 2016 were examined regarding their association with the length of stay. The study sample included N = 1479 patients. Mean length of stay was 33 days and the median equalled 26 days. Higher age and a primary diagnosis of psychotic or affective disorder were associated with increased length of stay...
February 12, 2018: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29423350/primary-psychiatric-disorder-masking-the-diagnosis-of-neuropsychiatric-lupus-in-a-patient-with-altered-mental-status-a-case-report
#11
Osman Perez, Kairavee Dave, Aimee Almanzar, Tajul Prodhan, Livasky Concepion
Neuropsychiatric systemic lupus erythematosus (NPSLE) has a wide variety of neurologic and psychiatric features. NPSLE symptoms and the psychotic features of primary psychiatric disorders often overlap with each other. These psychotic features often mask and delay the diagnosis of NPSLE. We present the case of a 59-year-old female previously diagnosed with bipolar disorder and generalized anxiety disorder presenting with altered mental status (AMS), subsequently diagnosed with neuropsychiatric lupus. Initially, medication overdose was suspected as an empty bottle of trazodone was found beside her...
October 23, 2017: Curēus
https://www.readbyqxmd.com/read/29422940/strength-based-assessment-for-future-violence-risk-a-retrospective-validation-study-of-the-structured-assessment-of-protective-factors-for-violence-risk-saprof-japanese-version-in-forensic-psychiatric-inpatients
#12
Hiroko Kashiwagi, Akiko Kikuchi, Mayuko Koyama, Daisuke Saito, Naotsugu Hirabayashi
Background: The Structured Assessment of PROtective Factors for violence risk (SAPROF) was recently developed as a strength-based addition to the risk assessment of future violent behavior. We examined the interrater reliability and predictive accuracy of the SAPROF for violence in forensic mental health inpatient units in Japan. Methods: This retrospective record study provides an initial validation of the SAPROF in a Japanese sample of 95 forensic psychiatric inpatients from a complete 2008-2013 cohort...
2018: Annals of General Psychiatry
https://www.readbyqxmd.com/read/29419369/risks-and-prevalence-of-pressure-ulcers-among-patients-in-an-acute-hospital-in-finland
#13
Marita Koivunen, Anna Hjerppe, Eija Luotola, Tommi Kauko, Paula Asikainen
OBJECTIVE: To quantify pressure ulcer (PU) prevalence and to describe and identify the PU risk factors in acute hospital wards. METHOD: A descriptive quantitative study was performed in 13 wards in a central hospital in Finland. The study included PU risk evaluation using the Braden risk assessment method, and full skin and medical assessment of consenting adult patients. Patients in paediatric, maternity and psychiatric wards, and in the intensive care unit were excluded...
February 1, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29417833/clinical-response-to-treatment-in-inpatients-with-depression-correlates-with-changes-in-activity-levels-and-psychomotor-speed
#14
Ian Re Averill, Marie Crowe, Chris M Frampton, Ben Beaglehole, Cameron J Lacey, Jennifer Jordan, Lynere D Wilson, Katie M Douglas, Richard J Porter
BACKGROUND: Monitoring clinical response to treatment in depressed inpatients, particularly identifying early improvement, may be sub-optimal. This may impact adversely on patients through longer admissions and sub-optimal pharmacotherapy. Psychomotor speed is a prominent neuropsychological function which changes as recovery occurs. This study examines simple techniques used to quantify psychomotor change and their potential to contribute to monitoring recovery. METHODS: Activity levels were continuously monitored in patients diagnosed with a major depressive episode from four acute psychiatric wards using two actigraphs (commercial and scientific) for 3 weeks and linear regression used to calculate a gradient to express rate of change...
February 1, 2018: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/29416202/prevalence-of-metabolic-syndrome-in-the-hospitalized-psychiatric-patients
#15
Khaled A Alswat, Abdullah K Alnemari, Ibrahim Alghamdi, Alhanouf Abdullah Almalki, Bandar Al-Thomali, Talal Mahfouz
Introduction: Metabolic Syndrome (MetS) is one of the most common syndromes that include a set of serious cardiovascular risk factors. MetS is highly prevalent in the high risk population and contributes to reduced lifespan. The primary goal of the study is to assess the prevalence of MetS and its relation to the treatment modalities and the psychiatric diagnosis. Methods: A cross-sectional study for the hospitalized patients in the Mental Health hospital in Taif city, Saudi Arabia that was conducted between Dec 2013 - Nov 2015...
December 2017: Medical Archives
https://www.readbyqxmd.com/read/29415775/effects-of-cumulative-illness-severity-on-hippocampal-gray-matter-volume-in-major-depression-a-voxel-based-morphometry-study
#16
Dario Zaremba, Verena Enneking, Susanne Meinert, Katharina Förster, Christian Bürger, Katharina Dohm, Dominik Grotegerd, Ronny Redlich, Bruno Dietsche, Axel Krug, Tilo Kircher, Harald Kugel, Walter Heindel, Bernhard T Baune, Volker Arolt, Udo Dannlowski
BACKGROUND: Patients with major depression show reduced hippocampal volume compared to healthy controls. However, the contribution of patients' cumulative illness severity to hippocampal volume has rarely been investigated. It was the aim of our study to find a composite score of cumulative illness severity that is associated with hippocampal volume in depression. METHODS: We estimated hippocampal gray matter volume using 3-tesla brain magnetic resonance imaging in 213 inpatients with acute major depression according to DSM-IV criteria (employing the SCID interview) and 213 healthy controls...
February 8, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29415552/eveningness-is-associated-with-poor-sleep-quality-and-negative-affect-in-obsessive-compulsive-disorder
#17
Péter Simor, András Harsányi, Kata Csigó, Gergely Miklós, Alpár Sándor Lázár, Gyula Demeter
Background Obsessive-compulsive disorder (OCD) is characterized by intrusive thoughts and repetitive behaviors that severely encumber daily functioning. OCD patients seem to exhibit sleep disturbances, especially delayed bedtimes that reflect disrupted circadian rhythmicity. Morningness-eveningness is a fundamental factor reflecting individual variations in diurnal preferences related to sleep and waking activities. Eveningness reflecting a delayed sleep-wake timing has repeatedly been associated with sleep problems and negative affect (NA)...
February 8, 2018: Journal of Behavioral Addictions
https://www.readbyqxmd.com/read/29413070/an-analysis-of-the-correlates-of-aggression-in-a-social-learning-program-for-severely-and-persistently-mentally-ill-inpatients
#18
Susan Oehler, Ashleigh Berman, Cecilia Gay, Rose Manguso, Jessica Espinoza
PURPOSE: This study aimed to examine the relationship between behavioral variables and aggression among severely and chronically mentally ill inpatients in a Social Learning Program (SLP) at a state psychiatric facility. METHODS: Using archival data over a 24-month period, a total of 23 severely and chronically mentally ill inpatients comprised the sample in this study. The predictor variables included length of current hospitalization; length of stay on SLP; basic activities of daily living (ADLs); instrumental ADLs; attendance in programming; participation in programming; and the number of minor, major, and intolerable infractions received...
February 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29409473/attention-deficit-hyperactivity-disorder-and-nonsuicidal-self-injury-in-a-clinical-sample-of-adolescents-the-role-of-comorbidities-and-gender
#19
Judit Balázs, Dóra Győri, Lili Olga Horváth, Gergely Mészáros, Dóra Szentiványi
BACKGROUND: The aim of the present study was to investigate the possible association between attention-deficit hyperactivity disorder (ADHD) and non-suicidal self-injury (NSSI) with special focus on the role of comorbidities and gender in a clinical sample of adolescents with both a dimensional and a categorical approach to psychopathology. METHODS: Using a structured interview, the Mini International Neuropsychiatric Interview Kid and a self-rated questionnaire, the Deliberate Self-Harm Inventory, the authors examined 202 inpatient adolescents (aged: 13-18 years) in the Vadaskert Child and Adolescent Psychiatric Hospital and Outpatient Clinic, Budapest, Hungary...
February 6, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29409334/geographic-clustering-of-admissions-to-inpatient-psychiatry-among-adults-with-cognitive-disorders-in-ontario-canada-does-distance-to-hospital-matter
#20
Christopher M Perlman, Jane Law, Hui Luan, Sebastian Rios, Dallas Seitz, Paul Stolee
OBJECTIVE: This study examined relationships among hospital accessibility, socio-economic context, and geographic clustering of inpatient psychiatry admissions for adults with cognitive disorders in Ontario, Canada. METHOD: A retrospective cross-sectional analysis was conducted using admissions data from 71 hospitals with inpatient psychiatry beds in Ontario, Canada between 2011 and 2014. Data included 7,637 unique admissions for 4,550 adults with a DSM-IV diagnosis of Delirium, Dementia, Amnestic and other Cognitive Disorders...
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
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