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Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie

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https://read.qxmd.com/read/31096757/internet-interventions-for-adults-with-anxiety-and-mood-disorders-a-narrative-umbrella-review-of-recent-meta-analyses
#1
Gerhard Andersson, Per Carlbring, Nickolai Titov, Nils Lindefors
Internet-delivered cognitive behaviour therapy (ICBT) has existed for 20 years and there are now several controlled trials for a range of problems. In this paper, we focused on recent meta-analytic reviews of the literature and found moderate to large effects reported for panic disorder, social anxiety disorder, generalized anxiety disorder, posttraumatic stress disorder, and major depression. In total, we reviewed 9 recent meta-analytic reviews out of a total of 618 meta-analytic reviews identified using our search terms...
May 16, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/31088133/-long-acting-antipsychotics-the-qaapaple-algorithm-review
#2
Emmanuel Stip, Amal Abdel-Baki, Marc-André Roy, David Bloom, Sylvain Grignon
BACKGROUND: Eight years ago, a committee of experts from 4 Quebec university psychiatry departments has provided the QAAPAPLE algorithm in order to guide clinicians in their use of long-acting antipsychotics (LAAP) for patients with psychotic disorders. OBJECTIVE: Update the QAAPAPLE algorithm. METHODS: Using a qualitative and selective literature review, the experts have focused on several aspects related to the use of LAAP and the relevance of modifying the algorithm: 1) new data on LAAP (including polypharmacy and co-prescription with clozapine, dose frequency/interval); 2) perception and attitude regarding algorithms and evidence; 3) difficulties in implementing algorithms; 4) polypharmacy involving LAAP and co-prescriptions with clozapine; 5) partner patients perspective on the algorithm...
May 14, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/31084204/open-for-business-chatbots-e-therapies-and-the-future-of-psychiatry
#3
David Gratzer, David Goldbloom
No abstract text is available yet for this article.
May 13, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/31067994/workplace-antistigma-programs-at-the-mental-health-commission-of-canada-part-2-lessons-learned
#4
Andrew Szeto, Keith Dobson, Dorothy Luong, Terry Krupa, Bonnie Kirsh
The Opening Minds Initiative of the Mental Health Commission of Canada has worked with many workplaces to implement and evaluate mental illness stigma reduction programs. This article describes the lessons learned from Opening Minds' research and programming initiatives in the workplace target group and details some of the most valuable learnings from collaborating with workplace partners. These insights range from issues such as the recruitment of potential partners to the implementation of evaluation in the workplace...
May 8, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/31060370/the-decline-of-child-sexual-abuse-in-canada-evidence-from-the-2014-general-social-survey
#5
Margot Shields, Lil Tonmyr, Wendy E Hovdestad
OBJECTIVE: To provide evidence of trends in child sexual abuse (CSA) in Canada. METHODS: Using data from 15,801 males and 18,669 females who responded to the 2014 General Social Survey (GSS), we compared the prevalence of CSA by age cohorts. Age cohort patterns were examined for several sub-populations including males, females, Indigenous peoples, and people living in low-income households. RESULTS: After an increase in the post-World War II period, there has been a decline in CSA in Canada since the early 1990s...
May 6, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/31060361/bipolar-ii-disorder-is-a-myth
#6
Gin S Malhi, Tim Outhred, Lauren Irwin
No abstract text is available yet for this article.
May 6, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/31056932/implementation-uptake-and-culture-change-results-of-a-key-informant-study-of-a-workplace-mental-health-training-program-in-police-organizations-in-canada
#7
Stephanie Knaak, Dorothy Luong, Robyn McLean, Andrew Szeto, Keith Dobson
BACKGROUND: Organizational characteristics and attributes are critical issues to consider when implementing and evaluating workplace training. This study was a qualitative examination of the organizational context as it pertained to the implementation of a workplace mental health program called Road to Mental Readiness (R2MR) in police organizations in Canada. METHODS: We conducted a qualitative key informant study in 9 different policing organizations in Canada...
May 5, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/31046432/mental-health-recovery-narratives-and-their-impact-on-recipients-systematic-review-and-narrative-synthesis
#8
Stefan Rennick-Egglestone, Kate Morgan, Joy Llewellyn-Beardsley, Amy Ramsay, Rose McGranahan, Steve Gillard, Ada Hui, Fiona Ng, Justine Schneider, Susie Booth, Vanessa Pinfold, Larry Davidson, Donna Franklin, Simon Bradstreet, Simone Arbour, Mike Slade
OBJECTIVE: Mental health recovery narratives are often shared in peer support work and antistigma campaigns. Internet technology provides access to an almost unlimited number of narratives, and yet little is known about how they affect recipients. The aim of this study was to develop a conceptual framework characterizing the impact of recovery narratives on recipients. METHOD: A systematic review of evidence about the impact of mental health recovery narratives was conducted...
May 2, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/31046429/identifying-individuals-with-eating-disorders-using-health-administrative-data
#9
Paul Kurdyak, Claire de Oliveira, Tomi Iwajomo, Susan Bondy, Kathryn Trottier, Patricia Colton
OBJECTIVE: Eating disorders are common and have a high public health burden. However, existing clinically relevant data sources are scarce, limiting the capacity to accurately measure the burden of eating disorders. This study tests the feasibility of generating a large clinically relevant cohort of individuals with eating disorders using health administrative data. METHODS: We developed 3 clinically relevant eating disorder prevalence cohorts using health administrative data from Ontario, Canada, between 1990 and 2014...
May 2, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/31043062/personality-trait-predictive-utility-and-stability-in-transcranial-magnetic-stimulation-rtms-for-major-depression-dissociation-of-neuroticism-and-self-criticism
#10
Daniel C Kopala-Sibley, Gabrielle B Chartier, Shiv Bhanot, Jaeden Cole, Peter Y Chan, Marcelo T Berlim, Alexander McGirr
BACKGROUND: Cost-efficient and non-invasive predictors of antidepressant response to repetitive transcranial magnetic stimulation (rTMS) are required. The personality vulnerabilities-neuroticism and self-criticism-are associated with antidepressant outcomes in other modalities; however, self-criticism has not been examined in response to rTMS, and the literature on neuroticism and rTMS is inconsistent. METHODS: This naturalistic, 4-week study involved daily dorsolateral prefrontal cortex (DLFPC) rTMS for major depression (15 unipolar, 2 bipolar)...
May 1, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/31010293/the-road-to-mental-readiness-for-first-responders-a-meta-analysis-of-program-outcomes
#11
Andrew Szeto, Keith S Dobson, Stephanie Knaak
OBJECTIVES: First-responder mental health, especially in Canada, has been a topic of increasing interest given the high incidence of poor mental health, mental illness, and suicide among this cohort. Although research generally suggests that resiliency and stigma reduction programs can directly and indirectly affect mental health, little research has examined this type of training in first responders. The current paper examines the efficacy of the Road to Mental Readiness for First Responders program (R2MR), a resiliency and anti-stigma program...
April 22, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/30935214/testing-the-effectiveness-of-implementing-a-model-of-mental-healthcare-involving-trained-lay-health-workers-in-treating-major-mental-disorders-among-youth-in-a-conflict-ridden-low-middle-income-environment-part-ii-results
#12
Ashok Malla, Mushtaq Margoob, Srividya Iyer, Abdul Majid, Shalini Lal, Ridha Joober, Bilal Issaoui Mansouri
OBJECTIVES: To report the outcomes of young people (aged 14-30 years) treated for major mental disorders in a lay health worker (LHW) intervention model in a rural district of conflict-ridden Kashmir, India. METHODS: Over a 12-month follow-up, LHWs collected data on symptoms, functioning, quality of life and disability, and patients' and families' service engagement and satisfaction. RESULTS: Forty trained LHWs (18 males and 22 females) identified 262 individuals who met the criteria for a diagnosis of a major mental disorder, connected them with specialists for treatment initiation (within 14 days), and provided follow-up and support to patients and families...
April 1, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/30917693/a-model-of-mental-health-care-involving-trained-lay-health-workers-for-treatment-of-major-mental-disorders-among-youth-in-a-conflict-ridden-low-middle-income-environment-part-i-adaptation-and-implementation
#13
Ashok Malla, Mushtaq Margoob, Srividya Iyer, Ridha Joober, Shalini Lal, Rangawsamy Thara, Huda Mushtaq, Bilal Issaoui Mansouri
OBJECTIVES: In low- and middle-income countries (LMIC), major mental disorders often remain untreated because of barriers related to access and resources. In rural areas and in conflict-ridden regions, the problem can be exacerbated by increased rates of mental illness and by reduced access to care. This paper describes a project designed to provide mental health services for major mental disorders among youth using a low-cost model in a rural district of the troubled Kashmir valley. METHODS: We describe the geographic and political context, the guiding principles and adaptation of the service model (through partnership with a voluntary organization and use of technology), and the implementation of the model using Theory of Change framework...
March 27, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/30909727/reflections-on-the-life-and-career-of-%C3%A3-migr%C3%A3-german-canadian-psychiatrist-sebastian-klaus-littmann-1931-1986
#14
Frank W Stahnisch, Benjamin W Hunt, Stephen Pow
OBJECTIVE: This article explores the life and career of Sebastian K. Littmann. He was a foundational figure of the University of Calgary's Department of Psychiatry in his role as its second chair and, before this, as an influential administrator at Toronto's Queen Street Mental Health Centre and Clarke Institute during a transitional period in the 1970s-1980s. According to McGill University's Heinz Lehmann, this transitional period was when the field of psychiatry underwent an identity crisis that threatened to dissolve the discipline and see its functions increasingly filled by counsellors, neurologists, and primary physicians...
March 25, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/30905165/an-observational-study-of-suicide-deaths-by-self-poisoning-with-opioids-in-toronto-1998-2015
#15
Mark Sinyor, Marissa Williams, Sanil Gulati, Ayal Schaffer
OBJECTIVE: Opioid self-poisoning is a common suicide method in North America. However, there is limited information about who dies by this method and whether legislation on opioid access has resulted in lower suicide rates by self-poisoning. The primary research question was whether the rate of suicide involving opioids has diminished since the implementation of Ontario's Narcotics Safety and Awareness Act (NSAA) (1998-2011 vs. 2012-2015). METHODS: This study examined all suicides by intentional self-poisoning with or without an opioid in Toronto (1998-2015), and tested the mean change after NSAA by one-way ANOVA...
March 24, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/30897957/chatbots-and-conversational-agents-in-mental-health-a-review-of-the-psychiatric-landscape
#16
Aditya Nrusimha Vaidyam, Hannah Wisniewski, John David Halamka, Matcheri S Kashavan, John Blake Torous
OBJECTIVE: The aim of this review was to explore the current evidence for conversational agents or chatbots in the field of psychiatry and their role in screening, diagnosis, and treatment of mental illnesses. METHODS: A systematic literature search in June 2018 was conducted in PubMed, EmBase, PsycINFO, Cochrane, Web of Science, and IEEE Xplore. Studies were included that involved a chatbot in a mental health setting focusing on populations with or at high risk of developing depression, anxiety, schizophrenia, bipolar, and substance abuse disorders...
March 21, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/30895808/mental-disorders-and-suicide-attempts-in-the-pregnancy-and-postpartum-periods-compared-with-non-pregnancy-a-population-based-study
#17
Natalie P Mota, Mariette Chartier, Okechukwu Ekuma, Yao Nie, Jennifer M Hensel, Leonard MacWilliam, Chelsey McDougall, Simone Vigod, James M Bolton
OBJECTIVE: To compare the rate of mental disorders (i.e., mood and anxiety, substance use, psychotic disorders) and suicide attempts within the same group of women across the pre-pregnancy, pregnancy, and postpartum periods, and between this perinatal cohort and a non-perinatal reference group. METHOD: Data were from an administrative repository of residents in Manitoba, Canada. The perinatal cohort consisted of women aged 18 to 45 years who experienced >1 live birth pregnancy between 2011 and 2014 ( n = 45,362)...
March 20, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/30895806/service-users-knowledge-and-views-on-outpatients-compulsory-community-treatment-orders-a-cross-sectional-matched-comparison-study
#18
Arash Nakhost, Alexander I F Simpson, Frank Sirotich
OBJECTIVE: Community treatment orders (CTOs) have been used in the treatment of some individuals with serious mental illness who fail to adhere to their psychiatric treatment, leading to frequent hospitalization. This article examines perceptions and knowledge of CTOs amongst outpatient service users in Toronto, Canada. METHOD: Service users under a CTO were matched to a comparison control group of voluntary outpatients ( n = 69 in each group). Participants were interviewed using a series of questionnaires aimed at assessing instead of evaluating their knowledge and perceptions of CTOs, as well as understanding their views about the utility and impact of CTOs in the treatment of individuals with mental health issues...
March 20, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/30808206/-inflammatory-biomarkers-and-postpartum-depression-a-systematic-review-of-literature
#19
Mathilde Lambert, Florence Gressier
OBJECTIVE: Postpartum Depression (PPD) affects over 15% new mothers. Its etiology is multifactorial and still partly unknown. Some hypotheses suggest a link with inflammation. This review aims to explore the existence of inflammatory biomarkers associated with PPD. The possibility of potential adjunct treatments, linked with these biomarkers, will be discussed. METHOD: The systematic review of literature was performed using in PubMed, PsycInfo and Embase, and 25 articles were included...
February 26, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://read.qxmd.com/read/30803265/closed-for-business-using-a-mixture-model-to-explore-the-supply-of-psychiatric-care-for-new-patients
#20
David Rudoler, Claire de Oliveira, Juveria Zaheer, Paul Kurdyak
OBJECTIVE: To investigate the degree to which psychiatrists are accessible to new outpatients and the factors that predict whether psychiatrists will see new outpatients. METHODS: We used administrative health data on all practicing full-time psychiatrists in Ontario, Canada, over a 5-year period (2009-2010 to 2013-2014). We used a regression model to estimate the number of new outpatients seen, accounting for case mix, outpatient volume, and psychiatrist practice characteristics...
February 25, 2019: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
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