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Comprehensive Psychiatry

Ani C Keshishian, Nassim Tabri, Kendra R Becker, Debra L Franko, David B Herzog, Jennifer J Thomas, Kamryn T Eddy
BACKGROUND: Psychiatric comorbidity is common in eating disorders (EDs) and associated with poor outcomes, including increased risk for relapse and premature death. Yet little is known about comorbidity following ED recovery. METHODS: We examined two common comorbidities, major depressive disorder (MDD) and substance use disorder (SUD), in adult women with intake diagnoses of anorexia nervosa and bulimia nervosa who participated in a 22-year longitudinal study. One hundred and seventy-six of 228 surviving participants (77...
January 11, 2019: Comprehensive Psychiatry
Erica D Musser, Joseph S Raiker
Attention-deficit/hyperactivity disorder (ADHD) is characterized by heterogeneous behaviors and symptoms, developmental trajectories, and treatment response. Isolating intermediate phenotypes that are superior to current DSM-based nosology in order to explain such heterogeneity is integral to enhancing etiological theory, improving clinical assessment, predicting treatment response, and developing tailored treatments. To this end, this review provides an integrated developmental psychopathology and National Institute of Mental Health Research Domain Criteria (RDoC) approach to ADHD...
January 9, 2019: Comprehensive Psychiatry
Ksenija Vucurovic, Clémentine Dupont-Gaudin, Delphine Raucher-Chéné, Arthur Kaladjian, Christine-Vanessa Cuervo-Lombard
OBJECTIVE: Self-defining memories (SDMs) are vivid, emotionally intense and well-rehearsed autobiographical memories that provide fundamental information about one's cognitive affective motivational representation of self. Exploring SDMs in fibromyalgia (FM) is of interest for understanding the psychopathology of this disorder and improving clinical interventions. Our aim was to compare patients and healthy controls (HC) on SDM characteristics. METHOD: We included 25 patients with FM and 24 HC matched for age, sex and education level...
January 7, 2019: Comprehensive Psychiatry
Tai-Ling Liu, Peng-Wei Wang, Yi-Hsin Connie Yang, Ray C Hsiao, Yi-Yin Su, Gary Chon-Wen Shyi, Cheng-Fang Yen
OBJECTIVE: Impaired social interaction is one of the core characteristics of autism spectrum disorder (ASD). This study was conducted to compare the facial emotion recognition (FER) abilities and emotional interference of adolescents with and without high-functioning ASD by performing the FER Task (FERT) using the faces of Taiwanese people and the Implicit Association Test (IAT), respectively. METHODS: This study recruited 71 adolescents with high-functioning ASD who aged at 11 to 18 years old as the ASD group and 63 adolescents without ASD from the Taiwanese community as the non-ASD group...
January 4, 2019: Comprehensive Psychiatry
Chien-Chuan Wang, Yu-Ping Chang, Yi-Hsin Yang, Huei-Fan Hu, Cheng-Fang Yen
BACKGROUND: Harassment victimization is prevalent among gay and bisexual men and may negatively impact the victims' mental health. AIMS: To examine the relationships between traditional and cyber harassment and self-identity confusion among Taiwanese gay and bisexual men in emerging adulthood. PROCEDURES: A total of 305 gay or bisexual men (age, 20-25 years) in Taiwan were recruited. Participants' self-identity confusion and the experiences of traditional and cyber harassment were assessed...
December 30, 2018: Comprehensive Psychiatry
Mark Zimmerman, Reina Kiefer, Sophie Kerr, Caroline Balling
BACKGROUND: To evaluate the efficacy of rapidly effective treatments it is necessary to use measures that are designed to assess symptom severity over short intervals. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, we modified our previously published anxiety scale and examined the reliability and validity of a daily version of the Clinically Useful Anxiety Outcome Scale (CUXOS-D, D indicates daily version). METHODS: Two thousand four hundred and ninety-one patients presenting for treatment to a partial hospital program completed the CUXOS-D as part of their initial paperwork and on a daily basis thereafter...
December 28, 2018: Comprehensive Psychiatry
Maud De Venter, Jela Illegems, Rita Van Royen, Greta Moorkens, Bernard G C Sabbe, Filip Van Den Eede
No abstract text is available yet for this article.
December 27, 2018: Comprehensive Psychiatry
H Oh, K Waldman, A Stickley, J E DeVylder, A Koyanagi
AIMS: Psychotic experiences are associated with physical health conditions, though the associations have not always been consistent in the literature. The current study examines the associations between psychotic experiences and several physical health conditions across four racial groups in the United States. METHODS: We analyzed data from the Collaborative Psychiatric Epidemiology Surveys to examine the associations between psychotic experiences and physical health conditions across four racial groups (White, Black, Asian, Latino)...
December 26, 2018: Comprehensive Psychiatry
Esther E Palacios-Barrios, Jamie L Hanson
In the United States, over 40% of youth under the age of 18 live at or near the federal poverty line. Several decades of research have established clear links between exposure to child poverty and the development of psychopathology, yet the mechanisms that convey this risk remain unclear. We review research in developmental science and other allied disciplines that identify self-regulation as a critical factor that may influence the development of psychopathology after exposure to poverty. We then connect this work with neurobiological research in an effort to further inform these associations...
December 21, 2018: Comprehensive Psychiatry
Evrim Özkorumak Karagüzel, Filiz Civil Arslan, Emel Korkmaz Uysal, Selim Demir, Demet Sağlam Aykut, Mustafa Tat, Süleyman Caner Karahan
BACKGROUND: Cognitive dysfunction and immune system disorders are two actual issues for the patients with Obsessive Compulsive Disorder (OCD). The cognitive dysfunctions have been considered to substantial part of clinical phenomenon of OCD but exploration of various etiopathogenesis of cognitive dysfunction is needed. Immune dysfuncion has been implicated to be important part of pathopysiology of OCD and different lines of evidence suggests immune abnormalities in OCD. But whether these immune changes are traits of disease or secondary to clinical burden of the disease such as cognitive dysfunctions has not been determined...
December 21, 2018: Comprehensive Psychiatry
Mi Jin Park, Kwan Woo Choi, Eun Jin Na, Jin Pyo Hong, Maeng Je Cho, Maurizio Fava, David Mischoulon, Hong Jin Jeon
OBJECTIVE: Somatic pain is an important risk factor for suicide and suicidal behaviors. However, the association between the number of somatic pain conditions and lifetime suicide attempts (LSA) has not been well established yet. Therefore, the objective of this study was to examine associations between LSA and multiple somatic pain (MSP), singe pain, and no pain in a nationwide survey. METHODS: A total of 12,532 adults were randomly selected from the population using the one-person-per-household method...
December 19, 2018: Comprehensive Psychiatry
Corrie L Vilsaint, Amanda NeMoyer, Mirko Fillbrunn, Ekaterina Sadikova, Ronald C Kessler, Nancy A Sampson, Kiara Alvarez, Jennifer Greif Green, Katie A McLaughlin, Ruijia Chen, David R Williams, James S Jackson, Margarita Alegría
BACKGROUND: Despite equivalent or lower lifetime and past-year prevalence of mental disorder among racial/ethnic minorities compared to non-Latino Whites in the United States, evidence suggests that mental disorders are more persistent among minorities than non-Latino Whites. But, it is unclear how nativity and socioeconomic status contribute to observed racial/ethnic differences in prevalence and persistence of mood, anxiety, and substance disorders. METHOD: Data were examined from a coordinated series of four national surveys that together assessed 21,024 Asian, non-Latino Black, Latino, and non-Latino White adults between 2001 and 2003...
December 19, 2018: Comprehensive Psychiatry
Laura Palagini, Giada Cipollone, Isabella Masci, Danila Caruso, Francescoluigi Paolilli, Giulio Perugi, Dieter Riemann
INTRODUCTION: Insomnia symptoms are very common in Bipolar Disorder. Our aim was to assess the potential association between insomnia, emotion dysregulation and suicidality in subjects with Bipolar Disorder. METHODS: Seventy-seven subjects with Bipolar Disorder type II with a depressive episode with mixed features were recruited. Patients were assessed with SCID-DSM-5, the Insomnia Severity Index (ISI), the Difficulties in Emotion Regulation Scale (DERS), the Scale for Suicide Ideation (SSI) while evaluating manic and depressive symptoms...
December 19, 2018: Comprehensive Psychiatry
Ji Young Choi
INTRODUCTION: We explored the predictors of co-occurring depressive disorder (DD) in individuals with posttraumatic stress disorder (PTSD) in an outpatient psychiatric setting. METHODS: Participants (N = 170; mean age = 40.78, SD = 16.15 years; 58.8% women) included 71 adult patients who met the criteria for a PTSD diagnosis and 99 adult patients who met the criteria for a comorbid PTSD/DD diagnosis. Potential predictors included trauma types (focusing on trauma characteristics), history of previous traumatic experiences (i...
December 18, 2018: Comprehensive Psychiatry
Hans Dietrich, Radwan Al Ali, Sefik Tagay, Johannes Hebebrand, Volker Reissner
INTRODUCTION: In January 2016, 2057 refugees from civil war-torn Syria and Iraq, aged 18.0 to 24.9 years, were first-time entrants into the German unemployment register and thus potentially eligible for the labor market. Civil war and forced migration may affect individuals' mental health. Traumatic experiences in particular are assumed to represent a major barrier, e.g., to labor-market integration. This study aimed to screen the rates of posttraumatic stress disorder (PTSD). Former refugee studies have reported PTSD screening rates between 3% and 44%...
December 14, 2018: Comprehensive Psychiatry
Ali Bani-Fatemi, Samia Tasmim, Ariel Graff, Philip Gerretsen, Oluwagbenga O Dada, James L Kennedy, Nuwan Hettige, Clement Zai, Danilo de Jesus, Andrea de Bartolomeis, Vincenzo De Luca
BACKGROUND: Treatment resistance is a common issue among schizophrenia patients undergoing antipsychotic treatment. According to the American Psychiatric Association (APA) guidelines, treatment-resistant status is defined as little or no symptom reduction to at least two antipsychotics at a therapeutic dose for a trial of at least six weeks. The aim of the current study is to determine whether ethnicity and migration are associated with treatment resistance. METHODS: In a sample of 251 participants with schizophrenia spectrum disorders, we conducted cross-sectional assessments to collect information regarding self-identified ethnicity, immigration and treatment history...
December 7, 2018: Comprehensive Psychiatry
Tal Kessler, Shaul Lev-Ran
BACKGROUND: Though schizophrenia is associated with substantial psychiatric comorbidity, data pertaining to multiple comorbid psychiatric disorders among individuals with schizophrenia is missing. Furthermore, despite abundant research indicating that the course of schizophrenia is characterized by relapses, often leading to psychiatric emergency room visits and consequent hospitalizations, data regarding the association between different comorbid psychiatric diagnoses among schizophrenia patients, and these hospitalization-related factors is lacking...
December 7, 2018: Comprehensive Psychiatry
C Hyung Keun Park, Jae Won Lee, Sang Yeol Lee, Se-Hoon Shim, Shin Gyeom Kim, Jeewon Lee, Min-Hyuk Kim, Jong-Woo Paik, Seong-Jin Cho, Jung-Joon Moon, Dong-Wook Jeon, Seokho Kim, Jae-Hyun Park, Sungeun You, Hong Jin Jeon, Yong Min Ahn
BACKGROUND: Despite heterogeneity of older people in suicidal behavior, research identifying characteristics by age groups is scarce. We examined baseline features of older community-dwelling suicidal ideators by dichotomized age groups and the 6-month trajectory of their suicidal ideation along with its related psychopathology. Predictors of suicidal ideation within each group were investigated. METHODS: Older community-dwelling suicidal ideators enrolled in the Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior study were subdivided into the "young-old (65-74 years)" and "old-old (≥75 years)" group...
December 6, 2018: Comprehensive Psychiatry
Nirit Haruvi-Lamdan, Shiri Lebendiger, Ofer Golan, Danny Horesh
BACKGROUND AND OBJECTIVES: Previous research indicates that individuals with Autism Spectrum Disorder (ASD) face an increased risk of experiencing traumatic events. Autistic Traits (AT), characteristic of ASD, are continuously distributed across the general population. Our main objective was to examine the association between AT and PTSD (Post Traumatic Stress Disorder), a topic rarely assessed before. METHODS: One hundred and three college students from 3 academic areas, previously found to be associated with different degrees of AT, completed self-report questionnaires tapping PTSD (the PCL-5; PTSD Checklist for DSM-5), AT (AQ; the Autism Spectrum Quotient), and traumatic life events...
December 6, 2018: Comprehensive Psychiatry
Siu-Man Ng, Chi-Hung Yeung, Siyu Gao
PURPOSE: Although high expressed emotions (EE) is one of the most significant predictors for schizophrenic relapse, the assessment of EE is often impeded by the demanding Camberwell Family Interview (CFI) that is required to be conducted by specifically trained staff. To enable a more efficient assessment of EE, we developed the 12-item Concise Chinese Level of Expressed Emotion Scale (CCLEES) and reported its predictive and concurrent validity in this study. METHODS: A one-year prospective study design was adopted...
December 5, 2018: Comprehensive Psychiatry
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