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Alan M Steinberg, Christopher M Layne, Ernestine C Briggs, Li-Jung Liang, Melissa J Brymer, Thomas R Belin, John A Fairbank, Robert S Pynoos
OBJECTIVE: To evaluate potential differences in therapeutic outcomes between youths who completed a full course of treatment as planned compared to youths who terminated treatment prematurely. METHOD: Using longitudinal data from the National Child Traumatic Stress Network (NCTSN) Core Data Set, the present study examined demographic characteristics, trauma history, scores on standardized measures, and ratings of functional impairment and behavior problems in a large clinical sample of children and adolescents exposed to trauma who received treatment at NCTSN centers across the United States...
February 8, 2019: Psychiatry
Kevin G Saulnier, Nicholas P Allan, Amanda M Raines, Norman B Schmidt
Depression is often modeled as a unidimensional construct despite evidence for distinct symptom dimensions (i.e., cognitive, affective, and somatic symptoms). Intolerance of uncertainty (IU; a cognitive bias that increases distress in uncertain situations) is a risk factor implicated in the development of depression. However, it is unclear how IU lower-order dimensions (i.e., inhibitory IU, the fear of future unpredictable events; prospective IU, avoidance due to fear of uncertain events) relate to depressive symptoms...
February 7, 2019: Psychiatry
Susie Fu, Nikolai Czajkowski, Anne-Kari Torgalsbøen
OBJECTIVE: This study examined the development in cognition, work, and social functioning in a group of fully recovered first-episode schizophrenia (FES) patients across six-eight years and inspected whether changes in outcome were similar when individuals were off medication as when they were on medication. METHOD: Ten out of 28 participants were identified as fully recovered by the eighth follow-up. Assessments were conducted yearly, apart from the first year, when assessments were conducted every six months...
January 4, 2019: Psychiatry
Jon Frederickson
No abstract text is available yet for this article.
December 13, 2018: Psychiatry
Jon G Allen
No abstract text is available yet for this article.
November 19, 2018: Psychiatry
Richard C Fritsch
No abstract text is available yet for this article.
November 19, 2018: Psychiatry
Becky Wyatt, Theresa A Gannon, Troy E McEwan, Lona Lockerbie, Alisha O'Connor
OBJECTIVE: In this study, we examined the risk-related characteristics of mentally disordered patients who had either been (1) involved in a firesetting incident or (2) involved in a nonfiresetting comparison incident while under the care of the National Health Service (NHS). METHOD: A total of 132 participants were recruited from an NHS Care Group in England (66 mentally disordered firesetters, 66 mentally disordered comparisons). Logistic regression was used to model the ability of static, dynamic, and incident-related factors in predicting whether a patient had set a fire (including gender-sensitive subanalyses), whether a patient firesetter was male or female, and a one-time or repeat firesetter...
November 8, 2018: Psychiatry
Robert Michels
No abstract text is available yet for this article.
November 8, 2018: Psychiatry
Ella Schwartz, Amit Shrira
OBJECTIVE: The goal of the current study is to examine whether social connectedness among older adults mitigates the risk of poor health due to exposure to warfare and related symptoms of posttraumatic stress disorder (PTSD). Prior research has indicated a protective role for social connectedness in the face of trauma in general. However, this same association has not been examined among older adults exposed to warfare, even though they are potentially a more vulnerable population with unique social needs...
November 7, 2018: Psychiatry
Richard M Waugaman
No abstract text is available yet for this article.
October 31, 2018: Psychiatry
Daniel F Gros, Mary E Oglesby
No abstract text is available yet for this article.
October 19, 2018: Psychiatry
Bradley E Belsher, Michael C Freed, Daniel P Evatt, Charles C Engel, Xian Liu, Laura Novak, Douglas F Zatzick
OBJECTIVE: Epidemiologic studies suggest high rates of posttraumatic stress disorder (PTSD) and depression among military members and veterans. To meet the needs of this population, evidence-based treatments are recommended as first-line interventions, based on their clinical efficacy and not the proportion of the target population that the intervention reaches. We apply a public health framework to examine the population impact of an enhanced collaborative care model on a targeted population that takes into account effectiveness and reach...
October 17, 2018: Psychiatry
Yuval Palgi, Sharon Avidor, Amit Shrira, Ehud Bodner, Menachem Ben-Ezra, Oleg Zaslavsky, Yaakov Hoffman
OBJECTIVE: This study examined how inner perceptions that develop in the aftermath of exposure to trauma attenuate the association between posttraumatic symptoms across time and what the reciprocal relations between inner perceptions of trauma and posttraumatic symptoms are. METHOD: The present article is based on two studies. The data in Study 1 are drawn from three waves of a longitudinal study of community-dwelling midlife adults and older adults residing in the south of Israel...
September 14, 2018: Psychiatry
Ian H Stanley, Joseph W Boffa, Thomas E Joiner
OBJECTIVE: A suicide attempt is at least somewhat life-threatening by definition and is, for some, traumatic. Thus, it is possible that some individuals may develop posttraumatic stress disorder (PTSD) from a suicide attempt. METHOD: In this article, we consider whether one's suicide attempt could fulfill Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for a PTSD Criterion A event and contribute to the development of attendant PTSD symptoms (e...
September 5, 2018: Psychiatry
Amanda L Adrian, Jeffrey L Thomas, Amy B Adler
OBJECTIVE: The present study investigated the association between previous deployment experience and somatic symptoms, mental health, unit climate perceptions, anger, and risk taking among junior-enlisted soldiers who were preparing to deploy or who were in garrison, or home duty station. The study also investigated potential differences in these variables based on unit leader deployment history. METHOD: Soldiers in a combat unit were surveyed either in a predeployment (n = 1,554; one week before deployment) or garrison setting (n = 1,326)...
August 17, 2018: Psychiatry
Craig J Bryan, David C Rozek, T Scott Burch, Bruce Leeson, Tracy A Clemans
No abstract text is available yet for this article.
August 17, 2018: Psychiatry
Zahava Solomon, Rahel Bachem, Yafit Levin, Laura Crompton, Karni Ginzburg
OBJECTIVE: Long-term trajectories of posttraumatic stress disorder (PTSD) may fluctuate over time and typically conform to four heterogeneous patterns: resilience, recovery, delayed-onset, and chronic symptomatology. However, such fluctuations are typically short ranged and have rarely been investigated over the course of decades after the trauma. Moreover, existing studies have used a variety of measurements, either employing a categorical Diagnostic and Statistical Manual of Mental Disorders (DSM)-oriented approach or a continuous measure of symptom severity...
July 18, 2018: Psychiatry
Harvey B Pollard
No abstract text is available yet for this article.
2018: Psychiatry
Robert J Ursano
No abstract text is available yet for this article.
2018: Psychiatry
Umberto Volpe, Carlo Gianoglio, Luca Autiero, Maria Luisa Marino, Diana Facchini, Armida Mucci, Silvana Galderisi
OBJECTIVE: Previous studies have proposed music therapy (MT) as a useful rehabilitation approach for patients with psychosis, but few studies have focused on acute settings. The aim of the study was to evaluate the effects of a structured MT program on clinical and social functioning indices of patients with psychosis while hospitalized in an emergency psychiatric ward. METHOD: The intervention followed a modified approach to Benenzon's MT model and was delivered biweekly to 61 patients with psychosis consecutively admitted to our ward...
2018: Psychiatry
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