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https://www.readbyqxmd.com/read/28088223/predictors-of-long-term-use-of-psychiatric-services-of-patients-with-recent-onset-schizophrenia-12%C3%A2-years-follow-up
#1
Víðir Sigrúnarson, Rolf W Gråwe, Stian Lydersen, Gunnar Morken
BACKGROUND: The aim of study was to investigate predictors of long term use of psychiatric services of patients with recent-onset schizophrenia. METHODS: A cohort of 50 clinically stable patients with recent-onset schizophrenia was included in a randomized controlled trial comparing early integrated treatment with treatment as usual. Recent onset was defined as emergence of psychotic symptoms for the first time during the preceding 2 years. The follow up period was from the date of randomization and until 12 years after termination of treatment trial, 14 years forward...
January 14, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28081431/clinical-characterization-of-autoimmune-encephalitis-and-psychosis
#2
Qinjian Hao, Dahai Wang, Lanting Guo, Bo Zhang
BACKGROUND AND PURPOSE: Autoimmune disorders are growing alarmingly high in prevalence across the globe. Autoimmune encephalitis has had a dramatic impact on the medical field, effectually altering diagnostic and treatment paradigms in regard to neuropsychiatric disorders. Our primary goal in conducting this study was to analyze the clinical characteristics of autoimmune encephalitis patients, with special focus on psychiatric presentations, in the West China Hospital and report patient prognoses after immunotherapy...
December 27, 2016: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28078089/the-specificity-of-emotion-dysregulation-in-adolescents-with-borderline-personality-disorder-comparison-with-psychiatric-and-healthy-controls
#3
Marina Ibraheim, Allison Kalpakci, Carla Sharp
BACKGROUND: Research has supported the notion that emotion dysregulation is a core feature of BPD. However, given that this feature is typical of healthy adolescents as well as adolescents with other psychiatric disorders, the specificity of emotion dysregulation to BPD in this age group has not yet been determined. The overall aim of this study was to examine emotion dysregulation in adolescent inpatients with BPD compared with non-BPD inpatient adolescents and healthy non-clinical adolescents, taking into account both global emotion dysregulation deficits and more specific impairments...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28076645/is-there-a-correlation-between-physicians-clinical-impressions-and-patients-perceptions-of-change-use-of-the-perceived-change-scale-with-inpatients-with-mental-disorders
#4
Gabriela Pavan, Julia Almeida Godoy, Ricardo Tavares Monteiro, Hugo Karling Moreschi, Eduardo Lopes Nogueira, Lucas Spanemberg
Introduction: Assessment of the results of treatment for mental disorders becomes more complete when the patient's perspective is incorporated. Here, we aimed to evaluate the psychometric properties and application of the Perceived Change Scale - Patient version (PCS-P) in a sample of inpatients with mental disorders. Methods: One hundred and ninety-one psychiatric inpatients answered the PCS-P and the Patients' Satisfaction with Mental Health Services Scale (SATIS) and were evaluated in terms of clinical and sociodemographic data...
October 2016: Trends in Psychiatry and Psychotherapy
https://www.readbyqxmd.com/read/28074349/second-generation-antipsychotic-utilization-and-metabolic-parameter-monitoring-in-an-inpatient-pediatric-population-a-retrospective-analysis
#5
Valerie D Nolt, Alexandra Victoria Kibler, G Lucy Wilkening, Tanya J Fabian
BACKGROUND: Second-generation antipsychotics (SGAs) are prescribed for a variety of indications and are strongly associated with adverse metabolic effects. Studies of pediatric outpatients have revealed several deficiencies in monitoring practices for adverse effects associated with SGAs. OBJECTIVE: Our objective was to characterize SGA prescribing and metabolic parameter monitoring (MPM) in an inpatient pediatric population. METHODS: Patients aged <18 years and discharged on SGA treatment between 1 November 2013 and 30 April 2014 from an inpatient psychiatric institution in Pittsburgh, PA, USA were included...
January 10, 2017: Paediatric Drugs
https://www.readbyqxmd.com/read/28073092/acute-suicidal-affective-disturbance-factorial-structure-and-initial-validation-across-psychiatric-outpatient-and-inpatient-samples
#6
Megan L Rogers, Bruno Chiurliza, Christopher R Hagan, Mirela Tzoneva, Jennifer L Hames, Matthew S Michaels, Mario J Hitschfeld, Brian A Palmer, Timothy W Lineberry, David A Jobes, Thomas E Joiner
BACKGROUND: A new clinical entity, Acute Suicidal Affective Disturbance (ASAD), was recently proposed to characterize rapid-onset, acute suicidality including the cardinal symptom of behavioral intent. This study examines the proposed ASAD criteria factor-analytically and in relation to correlates of suicidal behavior and existing psychiatric disorders in samples of psychiatric outpatients and inpatients. METHODS: Two samples of psychiatric outpatients (N=343, aged 18-71 years, 60...
January 4, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28071178/psychotropic-drugs-and-ventricular-repolarisation-the-effects-on-qt-interval-t-peak-to-t-end-interval-and-qt-dispersion
#7
Tiziano Acciavatti, Giovanni Martinotti, Mariangela Corbo, Eduardo Cinosi, Matteo Lupi, Fabrizio Ricci, Rosa Di Scala, Emilia D'Ugo, Viola De Francesco, Raffaele De Caterina, Massimo di Giannantonio
OBJECTIVE: We aimed to investigate in a clinical setting, the effects of different classes of psychotropic drugs on cardiac electrophysiological measures linked with an increased risk of sudden cardiac death. METHODS: We conducted a cross-sectional study in a population of 1059 psychiatric inpatients studying the effects of various psychotropic drugs on the T-peak to T-end (TpTe) interval, QT dispersion and QT interval. RESULTS: Methadone use showed a strong association with TpTe prolongation (odds ratio (OR)=12...
January 1, 2017: Journal of Psychopharmacology
https://www.readbyqxmd.com/read/28068983/a-comparison-of-two-psychiatric-service-approaches-findings-from-the-consultation-vs-liaison-psychiatry-study
#8
Caroline Lücke, Jürgen M Gschossmann, Alena Schmidt, Juliane Gschossmann, Alexandra Philomena Lam, Charlotte Elizabeth Schneider, Alexandra Philipsen, Helge H Müller
BACKGROUND: Psychiatric comorbidities are common in somatically ill patients. There is a lack of data that can provide clear insights into substantial comparative advantages of different Consultation/Liaison Psychiatry (CLP) services. METHODS: The Consultation versus Liaison Psychiatry-Study collected and analyzed data of 890 primarily somatically ill hospital inpatients presenting with psychiatric symptoms in a prospective observational study design. One group was treated via a liaison-model (LM) with regular consultation hours, the other via an on-demand-model (ODM) with individually requested consultations...
January 10, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28066793/characterizing-failure-to-establish-hepatitis-c-care-of-baby-boomers-diagnosed-in-the-emergency-department
#9
Ricardo A Franco, E Turner Overton, Ashutosh R Tamhane, Jordan M Forsythe, Joel B Rodgers, Julie K Schexnayder, Deanne Guthrie, Suneetha Thogaripally, Anne Zinski, Michael S Saag, Michael J Mugavero, Henry E Wang, James W Galbraith
BACKGROUND: Emergency departments (EDs) are high-yield sites for hepatitis C virus (HCV) screening, but data regarding linkage to care (LTC) determinants are limited. METHODS: Between September 2013 and June 2014, 4371 baby boomers unaware of their HCV status presented to the University of Alabama at Birmingham ED and underwent opt-out screening. A linkage coordinator facilitated referrals for positive cases. Demographic data, International Classification of Diseases, Ninth Revision codes, and clinic visits were collected, and patients were (retrospectively) followed up until February 2015...
October 2016: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/28063614/analysis-of-emergency-department-length-of-stay-for-mental-health-patients-at-ten-massachusetts-emergency-departments
#10
Mark D Pearlmutter, Kristin H Dwyer, Laura G Burke, Niels Rathlev, Louise Maranda, Greg Volturo
STUDY OBJECTIVE: Prolonged boarding times in the emergency department (ED) disproportionately affect mental health patients, resulting in patient and provider dissatisfaction and increased patient morbidity and mortality. Our objective is to quantify the burden of mental health boarding and to elucidate the effect of insurance together with demographic, social, and comorbid factors on length of stay. METHODS: We conducted a cross-sectional observational study of 871 consecutive patients requiring an ED mental health evaluation at one of 10 unaffiliated Massachusetts hospitals...
December 30, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28060602/patient-violence-toward-psychiatric-health-care-workers-in-israel-as-viewed-through-incident-reports
#11
Tal Drori, Hava Guetta, Merav Ben Natan, Yaakov Polakevich
BACKGROUND: Rates of violence perpetrated by patients toward health care workers are known to be higher in psychiatry than in other fields. Objective standardized reports of violent incidents may clarify this phenomenon. OBJECTIVE: The purpose of this study was to assess the characteristics of patient violence, as evident from objective reports. STUDY DESIGN: In this retrospective chart review study, conducted at a large mental health hospital in Israel between 2013 and 2015, reports of violent incidents perpetrated by people diagnosed with mental health problems against health care workers of the hospital were reviewed...
January 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28059786/death-of-dementia-patients-in-psychiatric-hospitals-and-regional-supply-of-psychiatric-services-study-of-the-national-data-from-1996-to-2014-in-japan
#12
Miharu Nakanishi, Junko Niimura, Syudo Yamasaki, Atsushi Nishida
BACKGROUND: Japan designates psychiatric inpatient care for behavior management of individuals with dementia and for helping dementia patients discharge to home. However, there has been no examination of the effectiveness of this strategy. OBJECTIVE: The present study investigated the association between dementia and the discharge destination of patients in psychiatric hospitals. METHODS: Data from the National Patient Survey, which is a nationally representative cross-sectional survey of inpatient care, were used...
December 3, 2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28058799/impact-of-asd-traits-on-treatment-outcomes-of-eating-disorders-in-girls
#13
Catherine S Stewart, Fiona S McEwen, Anna Konstantellou, Ivan Eisler, Mima Simic
Evidence links high levels of Autism Spectrum Disorder Traits in women with chronicity of anorexia nervosa. This study reports through clinical audit the impact of ASD traits on treatment outcomes of girls who were referred for treatment in a specialist eating disorder service. Presence of current, but not early childhood, ASD traits was elevated in comparison with previously reported community samples. Current ASD traits were correlated with emotional disorders and with need for treatment augmentation (psychiatric inpatient or day patient admission), but this relationship was not significant after the contribution of depression had been controlled for...
January 6, 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28054436/low-dose-of-caffeine-enhances-the-efficacy-of-antidepressants-in-major-depressive-disorder-and-the-underlying-neural-substrates
#14
Qing-Shan Liu, Ran Deng, Yuyan Fan, Keqin Li, Fanggang Meng, Xueli Li, Rui Liu
SCOPE: Caffeine is one of the most frequently used psychoactive substances ingested mainly via beverage or food products. Major depressive disorder is a serious and devastating psychiatric disorder. Emerging evidence indicates that caffeine enhances the antidepressant-like activity of common antidepressant drugs in rodents. However, whether joint administration of low dose of caffeine enhances the antidepressant actions in depressed patients remains unclear. METHODS AND RESULTS: A total of 95 male inpatients were assigned to three groups and were asked to take either caffeine (60, 120mg) or placebo (soymilk powder) daily for 4 weeks on the basis of their current antidepressant medications...
January 5, 2017: Molecular Nutrition & Food Research
https://www.readbyqxmd.com/read/28049461/mental-distress-following-inpatient-substance-use-treatment-modified-by-substance-use-comparing-voluntary-and-compulsory-admissions
#15
Adrian R Pasareanu, John-Kåre Vederhus, Anne Opsal, Øistein Kristensen, Thomas Clausen
BACKGROUND: Treatment services to patients with substance use disorders (SUDs), including those mandated to treatment, needs to be evaluated and evidence based. The Norwegian Municipal Health Care Act (NMHCA) calls for compulsory treatment for persons with "severe and life-threatening substance use disorder" if these individuals are not otherwise willing to be voluntarily treated and consequently risk their lives over drug use. Mental distress is known to be high among SUD patients admitted to inpatient treatment...
January 3, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28049441/psychiatric-readmissions-and-their-association-with-physical-comorbidity-a-systematic-literature-review
#16
Lilijana Šprah, Mojca Zvezdana Dernovšek, Kristian Wahlbeck, Peija Haaramo
BACKGROUND: Comorbidity between mental and physical disorder conditions is the rule rather than the exception. It is estimated that 25% of adult population have mental health condition and 68% of them suffer from comorbid medical condition. Readmission rates in psychiatric patients are high and we still lack understanding potential predictors of recidivism. Physical comorbidity could be one of important risk factors for psychiatric readmission. The aim of the present study was to review the impact of physical comorbidity variables on readmission after discharge from psychiatric or general inpatient care among patients with co-occurring psychiatric and medical conditions...
January 3, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28040825/training-patients-with-schizophrenia-to-share-decisions-with-their-psychiatrists-a-randomized-controlled-trial
#17
Johannes Hamann, Anna Parchmann, Nina Sassenberg, Katharina Bronner, Margot Albus, Alwin Richter, Sandra Hoppstock, Werner Kissling
PURPOSE: Many patients with schizophrenia have a desire for shared decision-making (SDM). However, in clinical practice SDM often does not take place. One cause might be that many patients behave passively in the medical encounter, therefore not facilitating SDM. It was the aim of the study to evaluate the effects of a patient directed SDM-training on patients' communicative behavior in the consultation, their attitudes towards decision-making and their long-term adherence. METHODS: Randomized-controlled trial comparing a five-session SDM-training for inpatients with schizophrenia with five sessions of non-specific group training...
December 31, 2016: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28039022/a-single-blind-randomized-control-trial-of-adjunctive-transcranial-direct-current-stimulation-tdcs-for-chronic-pain-among-patients-receiving-specialized-inpatient-multimodal-pain-management
#18
G Janice Jimenez-Torres, Benjamin L Weinstein, Cory R Walker, J Christopher Fowler, Philippa Ashford, Jeffrey J Borckardt, Alok Madan
Available treatments for chronic pain (CP) are modestly effective or associated with iatrogenic harm. Transcranial direct current stimulation (tDCS) is a minimally-invasive brain stimulation technique that may be an effective, adjunctive treatment to non-opioid therapies. In this randomized control trial (RCT), we compare adjunctive active versus sham tDCS among patients in a multimodal inpatient pain management program. The primary objectives of the RCT are to improve pain tolerance and subjective pain experience METHODS AND DESIGN: Patients admitted to the Pain Management Program at The Menninger Clinic in Houston, Texas are eligible for this trial...
December 27, 2016: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28034998/the-methodological-quality-and-effectiveness-of-technology-based-smoking-cessation-interventions-for-disadvantaged-groups-a-systematic-review-and-meta-analysis
#19
REVIEW
Veronica C Boland, Emily A Stockings, Richard P Mattick, Hayden McRobbie, Jamie Brown, Ryan J Courtney
AIMS: To assess the methodological quality and effectiveness of technology-based smoking cessation interventions in disadvantaged groups. METHOD: Four databases (EMBASE, Cochrane, Medline, and PsycInfo) were searched for studies conducted from 1980- May 2016. Randomised controlled trials that compared a behavioural smoking cessation intervention delivered primarily through a technology-based platform (e.g. mobile phone) with a no-intervention comparison group among disadvantaged smokers were included...
December 29, 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/28031595/inpatient-suicide-in-a-psychiatric-hospital-a-nested-case-control-study
#20
Sourav Khanra, Tathagata Mahintamani, Swarnali Bose, Christoday Raja Jayant Khess, Shreekantiah Umesh, Daya Ram
OBJECTIVE: Risk factors for inpatient suicide are different from those in the general population. We examined sociodemographic and clinical variables of patients who committed suicide as an inpatient in a psychiatric hospital in India. METHODS: Matched retrospective nested case-control design was adopted. Ten patients who died by suicide as inpatients between 2000 and 2013 were included, along with fifty controls, matched with respect to age, sex, diagnosis, and period of admission...
November 2016: Indian Journal of Psychological Medicine
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