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psychosis, severe mental illness

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https://www.readbyqxmd.com/read/28927865/a-latent-class-analysis-of-brief-postpartum-psychiatric-hospital-admissions
#1
Inbal Shlomi Polachek, Kinwah Fung, Karen Putnam, Samantha Meltzer Brody, Simone N Vigod
Almost 40% of postpartum psychiatric hospital admissions are brief, lasting 72h or less. We aimed to identify unique subgroups of women within this group to inform better intervention. All women in Ontario, Canada with a brief postpartum psychiatric admission (≤ 72h) (2007-2012)(N = 631) were studied using latent class analysis. We identified distinct subtypes of women and compared women within each subtype on post-discharge mental health indicators: physician visits, emergency department (ED) visits and readmissions...
September 11, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28927484/validation-of-telephone-based-behavioral-assessments-in-aging-services-clients
#2
Yeates Conwell, Adam Simning, Nicole Driffill, Yinglin Xia, Xin Tu, Susan P Messing, David Oslin
BACKGROUND: The Behavioral Health Laboratory (BHL), a telephone-based mental health assessment, is a cost-effective approach that can improve mental illness identification and management. The individual BHL instruments, which were originally designed to be administered in-person, have not yet been validated with an in-person BHL assessment. This study therefore aims to characterize the concordance between the BHL data gathered by telephone and in-person interviews. METHODS: A cross-sectional study was conducted with English-speaking aging services network (ASN) clients aged 60 years and older in Monroe County, NY who were randomized to a BHL interview either in-person (n = 55) or by telephone (n = 53)...
September 20, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28886671/canadian-schizophrenia-guidelines-schizophrenia-and-other-psychotic-disorders-with-coexisting-substance-use-disorders
#3
David Crockford, Donald Addington
OBJECTIVE: Persons with schizophrenia and other psychotic disorders frequently have coexisting substance use disorders that require modifications to treatment approaches for best outcomes. The objectives of this review were to identify evidence-based practices best practices that improve outcomes for individuals with schizophrenia and substance used disorders. METHOD: We reviewed guidelines that were published in the last 5 years and that included systematic reviews or meta-analyses...
September 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28880494/clinical-psychopathology-in-youth-at-familial-high-risk-for-psychosis
#4
Jai L Shah, Neeraj Tandon, Debra M Montrose, Diana Mermon, Shaun M Eack, Jean Miewald, Matcheri S Keshavan
AIM: While the course of psychopathology has been explored from an index mental health diagnosis onwards, there are few detailed, prospective studies of the occurrence of clinical psychopathology in youth with familial risk for severe mental illnesses such as psychosis. We sought to describe the appearance of Axis I psychopathology in a unique sample of adolescents with a family history of schizophrenia (FHR). METHODS: One hundred and sixty two first- and second-degree relatives (mean age 15...
September 7, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28867407/childhood-adversities-and-clinical-symptomatology-in-first-episode-psychosis
#5
Maija Lindgren, Teemu Mäntylä, Eva Rikandi, Minna Torniainen-Holm, Isabel Morales-Muñoz, Tuula Kieseppä, Outi Mantere, Jaana Suvisaari
In addition to severe traumatic experiences, milder, more common childhood adversities reflecting psychosocial burden may also be common in people with psychotic disorders and have an effect on symptomatology and functioning. We explored eleven negative childhood experiences and their influence on clinical symptoms among young adults with first-episode psychosis (FEP, n = 75) and matched population controls (n = 51). Individuals with FEP reported more adversities than controls. Specifically serious conflicts within the family, bullying at school, maternal mental health problems, and one's own and parents' serious illness during childhood were experienced by the patients more often than by controls...
August 26, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28844434/targeting-recovery-in-first-episode-psychosis-the-importance-of-neurocognition-and-premorbid-adjustment-in-a-3-year-longitudinal-study
#6
Devi Treen Calvo, Sara Giménez-Donoso, Esther Setién-Suero, Alba Toll Privat, Benedicto Crespo-Facorro, Rosa Ayesa Arriola
INTRODUCTION: Recovery in psychotic disorders remains a major challenge across mental health. Identifying predictors of recovery in first psychotic episodes is a priority in order to increase knowledge on underlying mechanisms of the illness and to obtain objective severity markers at initial phases. In this study we gathered sociodemographic, clinical and cognitive data to explore predictive variables of recovery after three years follow-up in a sample of 399 patients with a first episode of psychosis (FEP)...
August 24, 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/28836376/negotiating-the-boundaries-of-psychosis-a-qualitative-study-of-the-service-provider-perspective-on-treatment-delay-in-community-mental-health
#7
Erling Inge Kvig, Cathrine Moe, Beate Brinchmann, Tor Ketil Larsen, Knut Sørgaard
AIM: Evidence shows that many patients are detected and treated late in their course of illness, and that substantial delay occurs even after entry to mental health services. Although several studies have examined the service user and carer perspectives on treatment delay, few have explored the issue from the service provider perspective. The aim of this study was to broaden our understanding of treatment delay by exploring the service provider perspective on reasons for treatment delay in community mental health services...
August 23, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28830676/gluten-related-illness-and-severe-mental-disorders-a-comprehensive-review
#8
REVIEW
Elisa Brietzke, Raphael O Cerqueira, Rodrigo B Mansur, Roger S McIntyre
The putative role of gluten in the pathophysiology of severe mental illnesses remains uncertain and there is doubt about the possible benefit of gluten-free diets for individuals affected by psychosis and mood disorders. The objective of this review was to summarize the findings linking gluten related conditions to pathophysiological substrates implicated in schizophrenia and mood disorders and review the evidences of potential benefits of glute-free diets in these populations. A literature search was conducted within PubMed and Scielo databases including references from inception until March 1st 2017...
August 19, 2017: Neuroscience and Biobehavioral Reviews
https://www.readbyqxmd.com/read/28776477/care-coordinator-views-and-experiences-of-physical-health-monitoring-in-clients-with-severe-mental-illness-a-qualitative-study
#9
Petra C Gronholm, Oluwadamilola Onagbesan, Poonam Gardner-Sood
BACKGROUND: Excess mortality among people with severe mental illness (SMI) is largely attributed to co-morbid physical illness. Improving the physical health of this population is critically important; however, physical health monitoring among people with SMI is often inadequate. AIMS: This study aimed to facilitate an enhanced understanding of barriers to successfully attend to clients' physical health in mental health settings, through exploring care coordinators' views and experiences regarding their ability to monitor physical health in clients with SMI (specifically, psychosis)...
August 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28758522/explanatory-models-and-distress-in-primary-caregivers-of-patients-with-acute-psychotic-presentations-a-study-from-south-india
#10
Deepa S Joy, S D Manoranjitham, P Samuel, K S Jacob
BACKGROUND: Emotional distress among caregivers of people with mental illness is common, changes overtime and requires appropriate coping strategies to prevent long-term disability. Explanatory models, which underpin understanding of disease and illness, are crucial to coping. AIM: To study the association of explanatory models and distress among caregivers of people with acute psychotic illness. METHOD: A total of 60 consecutive patients and their primary caregivers who presented to the Department of Psychiatry, Christian Medical College, Vellore, were recruited for the study...
July 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28718716/estimating-the-number-of-adults-with-severe-and-persistent-mental-illness-who-have-complex-multi-agency-needs
#11
Harvey Whiteford, Bill Buckingham, Meredith Harris, Sandra Diminic, Emily Stockings, Louisa Degenhardt
OBJECTIVE: A population health approach to mental health service planning requires estimates that align interventions with the needs of people with mental illness. The primary objective was to estimate the number of people in Australia living with severe and persistent mental illness who have complex, multi-agency needs. The secondary objective was to describe the possible service needs of individuals with severe mental illness. METHODS: We disaggregated the estimated 12-month prevalence of adults with severe mental illness into needs-based sub-groups, using multiple data sources...
August 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28693871/-it-s-the-first-time-i-feel-as-one-patients-experience-of-therapeutic-body-wraps-in-swiss-public-adult-inpatient-psychiatric-wards
#12
Krzysztof Skuza, Julie Dubois, Gilles Bangerter
Many patients suffering from serious mental illness experience severe anxiety, and those with psychosis often report feeling that their bodies are falling apart. Expert opinions reported relational benefits and tranquilizing effects of therapeutic body wraps (TBWs). Yet this adjunct nursing therapy has rarely been studied and the existing knowledge is limited to single clinical cases reported from clinicians' perspectives. This study reports on seven adult patients, whose independent accounts of TBWs were audio-recorded, transcribed and cross-analyzed...
August 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/28681264/patterns-of-illness-and-care-over-the-5%C3%A2-years-following-onset-of-psychosis-in-different-ethnic-groups-the-gap-5-study
#13
Olesya Ajnakina, John Lally, Marta Di Forti, Anna Kolliakou, Poonam Gardner-Sood, Javier Lopez-Morinigo, Paola Dazzan, Carmine M Pariante, Valeria Mondelli, James MacCabe, Anthony S David, Fiona Gaughran, Robin M Murray, Evangelos Vassos
PURPOSE: Previous research has not provided us with a comprehensive picture of the longitudinal course of psychotic disorders in Black people living in Europe. We sought to investigate clinical outcomes and pattern of care in Black African and Black Caribbean groups compared with White British patients during the first 5 years after first contact with mental health services for psychosis. METHODS: 245 FEP cases aged 18-65 who presented to psychiatric services in 2005-2010 in South London (UK)...
July 5, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28657186/novel-psychoactive-substances-nps-use-in-severe-mental-illness-smi-patients-potential-changes-in-the-phenomenology-of-psychiatric-diseases
#14
Giuseppe Bersani, Elisabeth Prevete
OBJECTIVE: Literature is quite poor about the clinical effects of novel psychoactive substances (NPS) and the long-term consequences of NPS use in psychiatric patients. Consequently, it is of the greatest interest to examine which effects NPS can exert in patients with previous severe mental illness (SMI), such as psychotic patients. The aim of this work was a comprehensive review about NPS use in patients with SMI. METHODS: We searched Medline or PubMed for relevant English-language citations and reviews describing relationships between NPS use and mental disorders, as well as for the main groups of substances and associated psychiatric manifestations...
May 2017: Human Psychopharmacology
https://www.readbyqxmd.com/read/28622570/the-role-of-premorbid-personality-and-social-cognition-in-suicidal-behaviour-in-first-episode-psychosis-a-one-year-follow-up-study
#15
Manuel Canal-Rivero, J D Lopez-Moriñigo, M L Barrigón, S Perona-Garcelán, C Jimenez-Casado, A S David, J E Obiols-Llandrich, M Ruiz-Veguilla
BACKGROUND: High suicide attempt (SA) rates have been reported in first-episode psychosis (FEP) patients, particularly during the first year after the illness onset. Despite previous studies establishing several risk factors for suicidal behaviour in FEP, premorbid personality and social cognition have not been sufficiently investigated to date. OBJECTIVE: To test whether personality traits and social cognition are associated with SAs in FEP over a 12-month follow-up...
May 31, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28596909/developing-a-scalable-training-model-in-global-mental-health-pilot-study-of-a-video-assisted-training-program-for-generalist-clinicians-in-rural-nepal
#16
B Acharya, J Tenpa, M Basnet, S Hirachan, P Rimal, N Choudhury, P Thapa, D Citrin, S Halliday, S B Swar, C van Dyke, B Gauchan, B Sharma, E Hung, M Ekstrand
BACKGROUND: In low- and middle-income countries, mental health training often includes sending few generalist clinicians to specialist-led programs for several weeks. Our objective is to develop and test a video-assisted training model addressing the shortcomings of traditional programs that affect scalability: failing to train all clinicians, disrupting clinical services, and depending on specialists. METHODS: We implemented the program -video lectures and on-site skills training- for all clinicians at a rural Nepali hospital...
2017: Global Mental Health
https://www.readbyqxmd.com/read/28596468/-the-unitary-psychosis-theory
#17
Hiroki Kikuyama, Tetsufumi Kanazawa, Seiichiro Tarutani, Tatsushi Okayama, Hiroshi Yoneda
Since E. Kraepelin isolated schizophrenia and bipolar disorder as heterogeneous diseases, attempts to categorize mental illnesses have continued to the DSM-5. Meanwhile, cases of psychosis occurring as a result of neurosyphilis have been reported. Whilst in some cases it is useful to divide mental illnesses, in others imposing such classifications may be not be feasible. Since 2008 numerous papers have been published showing that the same genes are related to an increased incidence of several psychiatric diseases including intellectual disorder, autism, ADHD, schizophrenia, bipolar disorder, and depression...
June 2017: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/28545578/the-effect-of-a-mindfulness-based-intervention-in-cognitive-functions-and-psychological-well-being-applied-as-an-early-intervention-in-schizophrenia-and-high-risk-mental-state-in-a-chilean-sample-study-protocol-for-a-randomized-controlled-trial
#18
Álvaro I Langer, Carlos Schmidt, Rocío Mayol, Marcela Díaz, Javiera Lecaros, Edwin Krogh, Aída Pardow, Carolina Vergara, Guillermo Vergara, Bernardita Pérez-Herrera, María José Villar, Alejandro Maturana, Pablo A Gaspar
BACKGROUND: According to the projections of the World Health Organization, 15% of all disabilities will be associated with mental illnesses by 2020. One of the mental disorders with the largest social impacts due to high personal and family costs is psychosis. Among the most effective psychological approaches to treat schizophrenia and other psychotic disorders at the world level is cognitive behavioral therapy. Recently, cognitive behavioral therapy has introduced several tools and strategies that promote psychological processes based on acceptance and mindfulness...
May 25, 2017: Trials
https://www.readbyqxmd.com/read/28504043/insight-in-psychosis-standards-science-ethics-and-value-judgment
#19
K S Jacob
BACKGROUND: The clinical assessment of insight solely employs biomedical perspectives and criteria to the complete exclusion of context and culture and to the disregard of values and value judgments. AIM: The aim of this discussion article is to examine recent research from India on insight and explanatory models in psychosis and re-examine the framework of assessment, diagnosis and management of insight and explanatory models. METHODS: Recent research from India on insight in psychosis and explanatory models is reviewed...
June 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28502243/a-60-week-prospective-rct-of-a-self-management-intervention-for-individuals-with-serious-mental-illness-and-diabetes-mellitus
#20
Martha Sajatovic, Douglas D Gunzler, Stephanie W Kanuch, Kristin A Cassidy, Curtis Tatsuoka, Richard McCormick, Carol E Blixen, Adam T Perzynski, Douglas Einstadter, Charles L Thomas, Mary E Lawless, Siobhan Martin, Corinna Falck-Ytter, Eileen L Seeholzer, Christine L McKibben, Mark S Bauer, Neal V Dawson
OBJECTIVES: A 60-week randomized controlled trial assessed the effects of targeted training in illness management (TTIM) versus treatment as usual among 200 individuals with serious mental illness and diabetes mellitus. METHODS: The study used the Clinical Global Impression (CGI), the Montgomery-Asberg Depression Rating Scale (MADRS), and the Brief Psychiatric Rating Scale (BPRS) to assess psychiatric symptoms; the Global Assessment of Functioning (GAF) and the Sheehan Disability Scale (SDS) to assess functioning; the 36-Item Short-Form Health Survey (SF-36) to assess general health, and serum glycosylated hemoglobin (HbA1c) to assess diabetes control...
May 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
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