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Ethics in Psychiatry

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153 papers 100 to 500 followers Articles highlighting ethical issues (and other interesting stuff). Worth reflecting on, discussing...
https://www.readbyqxmd.com/read/28093059/insurance-coverage-and-treatment-use-under-the-affordable-care-act-among-adults-with-mental-and-substance-use-disorders
#1
Brendan Saloner, Sachini Bandara, Marcus Bachhuber, Colleen L Barry
OBJECTIVE: Many adults who have mental or substance use disorders or both experience insurance-related barriers to care, contributing to low treatment utilization. Expanded insurance under the Affordable Care Act (ACA) could improve coverage and access. The study identified changes in coverage and treatment use following 2014 ACA insurance expansions. METHODS: Data from the National Survey on Drug Use and Health were used to identify individuals ages 18-64 screening positive for any mental disorder (N=29,962) or substance use disorder (N=19,243) for two periods: 2011-2013 and 2014...
January 17, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28097303/clinicians-expectations-of-the-benefits-and-harms-of-treatments-screening-and-tests-a-systematic-review
#2
Tammy C Hoffmann, Chris Del Mar
Importance: Inaccurate clinician expectations of the benefits and harms of interventions can profoundly influence decision making and may be contributing to increasing intervention overuse. Objective: To systematically review all studies that have quantitatively assessed clinicians' expectations of the benefits and/or harms of any treatment, test, or screening test. Evidence Review: A comprehensive search strategy of 4 databases (MEDLINE, EMBASE, Cumulative Index of Nursing and Allied Health Literature, and PsycINFO) from the start years to March 17-20, 2015, with no language or study type restriction, was performed...
January 9, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27965314/how-voter-turnout-varies-between-different-chronic-conditions-a-population-based-register-study
#3
Reijo Sund, Hannu Lahtinen, Hanna Wass, Mikko Mattila, Pekka Martikainen
BACKGROUND: While poor self-rated health is known to decrease an individual's propensity to vote, disaggregation of the components of health on turnout has thus far received only little attention. This study deepens on the understanding of such relationships by examining the association between chronic diseases and voting. METHODS: The study uses an individual-level register-based data set that contains an 11% random sample of the entire electorate in the 1999 Finnish parliamentary elections...
December 13, 2016: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/27993918/conflicts-of-interest-and-expertise-of-independent-commenters-in-news-stories-about-medical-research
#4
Michael T M Wang, Andrew Grey, Mark J Bolland
BACKGROUND: Media coverage of medical research influences the views and behaviours of clinicians, scientists and members of the public. We examined how frequently commenters in news stories about medical research have relevant expertise and have academic and financial conflicts, how often such conflicts are reported and whether there are associations between the conflicts and the disposition of the comments toward the findings of the source research. METHODS: We analyzed 104 independent comments in news stories on original clinical research published in high-impact medical journals from Jan...
December 19, 2016: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/27932600/delineating-the-fine-line-between-the-mad-and-the-bad-victorian-prisons-and-insane-asylums-1856-1914
#5
LETTER
Anthea Sutton
No abstract text is available yet for this article.
December 8, 2016: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28040825/training-patients-with-schizophrenia-to-share-decisions-with-their-psychiatrists-a-randomized-controlled-trial
#6
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/27932319/teaching-medical-ethics-useful-or-useless
#7
Daniel Sokol
No abstract text is available yet for this article.
December 8, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27956433/a-universal-basic-income-the-answer-to-poverty-insecurity-and-health-inequality
#8
EDITORIAL
Anthony Painter
No abstract text is available yet for this article.
December 12, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28011462/making-patient-relevant-clinical-research-a-reality
#9
EDITORIAL
Sally Crowe, Ceinwen Giles
No abstract text is available yet for this article.
December 23, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27607056/the-ethics-of-behavioral-health-information-technology-frequent-flyer-icons-and-implicit-bias
#10
Michelle Joy, Timothy Clement, Dominic Sisti
No abstract text is available yet for this article.
October 18, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27727381/escitalopram-and-outcomes-among-patients-with-depression-and-heart-failure-reply
#11
LETTER
Christiane E Angermann, Jürgen Deckert, Georg Ertl
No abstract text is available yet for this article.
October 11, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27893121/euthanasia-or-assisted-suicide-in-patients-with-psychiatric-illness
#12
LETTER
Martina A Hodel, Manuel Trachsel
No abstract text is available yet for this article.
November 22, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27893124/euthanasia-or-assisted-suicide-in-patients-with-psychiatric-illness-reply
#13
LETTER
Emilie Olié, Philippe Courtet
No abstract text is available yet for this article.
November 22, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27834248/the-risks-of-using-workplace-wellness-programs-to-foster-a-culture-of-health
#14
Kristin M Madison
In many respects, employers are well positioned to take a leading role in helping create a culture of health. Employers have access to many programs that could be beneficial to their employees' health. The potential for financial gains related to health improvement may motivate employers to offer these programs, and if the gains are realized, they may help finance the programs. At the same time, employers' involvement in such programs may create substantial risks. Enthusiasm about the financial and health gains that wellness programs might yield coexists with concerns about health costs shouldered by employees, the possibility of employment discrimination, and the potential for employers' invasion of employees' privacy...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834250/cohesive-neighborhoods-where-social-expectations-are-shared-may-have-positive-impact-on-adolescent-mental-health
#15
Louis Donnelly, Sara McLanahan, Jeanne Brooks-Gunn, Irwin Garfinkel, Brandon G Wagner, Wade C Jacobsen, Sarah Gold, Lauren Gaydosh
Adolescent mental health problems are associated with poor health and well-being in adulthood. We used data from a cohort of 2,264 children born in large US cities in 1998-2000 to examine whether neighborhood collective efficacy (a combination of social cohesion and control) is associated with improvements in adolescent mental health. We found that children who grew up in neighborhoods with high collective efficacy experienced fewer depressive and anxiety symptoms during adolescence than similar children from neighborhoods with low collective efficacy...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27908899/undertreatment-of-people-with-major-depressive-disorder-in-21-countries
#16
Graham Thornicroft, Somnath Chatterji, Sara Evans-Lacko, Michael Gruber, Nancy Sampson, Sergio Aguilar-Gaxiola, Ali Al-Hamzawi, Jordi Alonso, Laura Andrade, Guilherme Borges, Ronny Bruffaerts, Brendan Bunting, Jose Miguel Caldas de Almeida, Silvia Florescu, Giovanni de Girolamo, Oye Gureje, Josep Maria Haro, Yanling He, Hristo Hinkov, Elie Karam, Norito Kawakami, Sing Lee, Fernando Navarro-Mateu, Marina Piazza, Jose Posada-Villa, Yolanda Torres de Galvis, Ronald C Kessler
BACKGROUND: Major depressive disorder (MDD) is a leading cause of disability worldwide. AIMS: To examine the: (a) 12-month prevalence of DSM-IV MDD; (b) proportion aware that they have a problem needing treatment and who want care; (c) proportion of the latter receiving treatment; and (d) proportion of such treatment meeting minimal standards. METHOD: Representative community household surveys from 21 countries as part of the World Health Organization World Mental Health Surveys...
February 2017: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/26917806/off-label-drug-use-whose-interests-are-served
#17
LETTER
Alain Braillon, Joel Lexchin
No abstract text is available yet for this article.
May 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27565817/response-to-off-label-drug-use
#18
Xiulu Ruan, Alan David Kaye
No abstract text is available yet for this article.
January 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27783917/unlearning-our-helplessness-coexisting-serious-mental-and-medical-illness
#19
Lisa Rosenbaum
No abstract text is available yet for this article.
October 27, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27797313/closing-the-mortality-gap-mental-illness-and-medical-care
#20
Lisa Rosenbaum
No abstract text is available yet for this article.
October 20, 2016: New England Journal of Medicine
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