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Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists

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https://read.qxmd.com/read/30990341/dissociation-of-identity-following-left-parietal-haematoma-a-single-case-report
#1
Vyjayanthi Sreenivasa, Prashanth Mayur
OBJECTIVES: Dissociative identity disorder in relation to brain injury has only rarely been reported in literature. This case report, which illustrates a de novo onset of dissociative identity for the first time in an elderly man who had a left parietal haematoma, adds to this scant literature base and supports an integrative view of bridging the dichotomy between organic and functional to explain complex psychiatric phenomena. METHODS: It is a single case report collected through serial semi-structured interviews of the patient and his family over a 12-week period...
April 16, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30983391/outcomes-of-mentoring-programs-in-psychiatry-training-a-literature-review
#2
Daniel You, Warren Kealy-Bateman
OBJECTIVES: This literature review aimed to outline the evidence regarding the outcomes of formal mentoring programs for training psychiatrists. METHODS: An electronic search of Ovid MEDLINE, EMBASE, Ovid PsycINFO and The Cochrane Library was conducted. RESULTS: A total of 17 articles fulfilled inclusion criteria. Positive outcomes of mentorship include promotion of research, perpetuation of further mentorship, increased perceived support and enhancement of teaching skills...
April 15, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30983379/a-sense-of-dread-affect-and-risk-perception-in-people-with-schizophrenia-during-an-influenza-pandemic
#3
Paul A Maguire, Rebecca E Reay, Jeffrey Cl Looi
OBJECTIVE: To explore the role of affect in risk perception and intention to adopt protective measures against pandemic swine influenza in people with schizophrenia. METHODS: A cross-sectional study was conducted exploring the responses of 71 adults with schizophrenia and 238 adults attending general practice settings without schizophrenia. Participants completed a questionnaire that included items relating to: self-predicted affect (affective forecast) were they to contract swine influenza; perceived risk from swine influenza; and willingness to adopt protective measures against swine influenza...
April 15, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30945930/-to-suit-the-occasion-i-wore-my-schizophrenic-fancy-dress-1-the-life-of-janet-frame
#4
Xinhui Lim, Cherrie Galletly
OBJECTIVE: Janet Frame (1924-2004) was one of New Zealand's most celebrated authors. Much of her work stems from her experiences as a psychiatric patient. She was hospitalised for about eight years with a diagnosis of schizophrenia. Treatments included insulin coma therapy and unmodified electroconvulsive therapy. Her doctors then planned for her to have a leucotomy, which was cancelled upon discovery that one of her works had won a prestigious literary award. She subsequently moved to England and was assessed at the Maudsley Hospital by Sir Aubrey Lewis...
April 4, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30931586/the-importance-of-self-awareness-musings-of-a-medical-student
#5
Calina Ouliaris
OBJECTIVE: Self-awareness is essential for combating burnout, promoting self-care, and wellbeing in health professionals. This article examines modern day roadblocks to developing this skill in medical practice and highlights some simple solutions for consideration. CONCLUSION: The capacity for self-awareness is essential to the modern-day physician seeking a long and fulfilling career. Mindfulness meditation and reflective writing are two simple, proven methods that can be easily implemented into medical training...
April 1, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30931584/a-ranzcp-trainee-s-experience-of-working-with-patients-with-an-intellectual-disability-a-case-series
#6
Sheikh Naveed
OBJECTIVES: This study aimed to highlight the interplay of intellectual disability and psychiatric presentation using a case series. METHODS: A brief review of the current literature and an illustrative case series of five intellectually disabled patients with psychiatric patients whose diagnosis were clarified over time who presented with a psychiatric illness are provided. RESULTS: The presence of intellectual disability often compounds the difficulty of establishment of mental-health diagnosis...
April 1, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30931582/beyond-psychiatry-motivations-for-considering-an-australian-wellbeing-program-within-malaysian-health-services
#7
Umi Adzlin Silim, Aida Farhana Suhaimi, Gaye Moore, Brigid Ryan, David J Castle
OBJECTIVES: To explore the relevance and adaptability of the Optimal Health Program for mental and primary healthcare providers in Malaysia. METHODS: Evaluate stakeholder engagement and training programme for psychiatrists, family medicine specialists, public health specialists, physicians, clinical psychologists, counsellors, and representatives from a patient support group. Evaluate the programme for applicability, as well as participant's knowledge and confidence in using key components...
April 1, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30931578/body-parts-of-clinical-concern-in-anorexia-nervosa-versus-body-dysmorphic-disorder-a-cross-diagnostic-comparison
#8
Wei Lin Toh, Sally A Grace, Susan L Rossell, David J Castle, Andrea Phillipou
OBJECTIVES: Anorexia nervosa and body dysmorphic disorder share a hallmark clinical feature of severe body image disturbance. This study aimed to document major demographic and clinical characteristics in anorexia nervosa versus body dysmorphic disorder, and it was the first to compare specific body parts related to body image dissatisfaction across these disorders directly. METHODS: Anorexia nervosa ( n=26) and body dysmorphic disorder ( n=24) patients were administered a range of clinical measures, including key questions about the specificities of their body image concerns...
April 1, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30920305/a-mental-health-rotation
#9
Sam Grace
No abstract text is available yet for this article.
March 28, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30920288/acute-electroconvulsive-therapy-in-the-elderly-with-schizophrenia-and-schizoaffective-disorder-a-literature-review
#10
David Kumagaya, Graeme Halliday
OBJECTIVES: This study reviewed the evidence regarding the efficacy of acute electroconvulsive therapy for primary psychotic conditions in the elderly. METHODS: A literature search was performed using the Medline, Embase and Cochrane databases. RESULTS: Acute electroconvulsive therapy resulted in an improvement of psychotic symptoms in almost all elderly patients, a large proportion of whom had treatment-resistant conditions. No electroconvulsive therapy related fatalities or severe medical complications were encountered...
March 28, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30907115/psychiatrist-burnout-a-meta-analysis-of-maslach-burnout-inventory-means
#11
Sarah Rotstein, Abdul-Rahman Hudaib, Adam Facey, Jayashri Kulkarni
BACKGROUND: Doctors are known to have poor mental health compared with the general population. Psychiatrists are exposed to a number of unique stressors that may increase the risk of poor mental health. The aim of this study was to undertake a meta-analysis of burnout rates in psychiatrists. METHODS: Electronic databases (including MEDLINE, PsycINFO and Embase) were searched. Only studies published since 1999 and using the 22-item Maslach Burnout Inventory were included in the analysis...
March 25, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30896258/-too-much-too-soon-let-me-out-of-here-psychiatric-and-obstetric-implications-of-a-child-s-pregnancy
#12
Sunanda Ghosh, George Bruxner, Alka Kothari
OBJECTIVE: Psychiatrists may become involved in circumstances where a child is seeking termination of pregnancy. Potential roles include capacity advice and advocacy, but ethical and legal uncertainties abound. This paper uses illustrative cases, in an Australian jurisdiction, to exemplify the issues. CONCLUSION: Termination of pregnancy at the youthful extreme raises unique challenges for all involved.
March 21, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30880407/the-physical-health-of-indigenous-people-with-a-mental-illness-in-the-kimberley-is-ongoing-monitoring-effective
#13
Susanne H Stanley, Jonathan DE Laugharne, Murray Chapman, Sivasankaran Balaratnasingam
OBJECTIVE: The aim of this paper is to evaluate the effectiveness of ongoing physical health monitoring for Indigenous Australians with mental health issues in the Kimberley region of Western Australia. METHOD: This longitudinal, within-groups investigation assessed physical health parameters such as blood pressure and blood glucose levels at baseline and at 18 months for the same cohort. No standardised intervention was in place, but action was taken if results were found to be abnormal...
March 18, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30860396/he-korowai-o-ng%C3%A4-t%C3%A4-puna-voice-hearing-and-communication-from-ancestors
#14
Wiremu NiaNia, Jake, Allister Bush, David Epston
OBJECTIVE: This article describes the voice hearing experiences of a young Māori man, and the joint Māori healing and psychiatry assessment he received, in which the Māori healer (WN) concluded that some of the young man's experiences could be accounted for by ancestral kaitiaki (spiritual guardians). CONCLUSIONS: Kaitiaki are commonly accepted in Te Ao Māori (the Māori world) as an explanation for some types of voice hearing experiences. Collaboration between a Māori healer and a psychiatrist can offer Māori whānau (individuals and families) more appropriate mental health assessment and intervention than conventional psychiatric assessment alone when Māori spiritual experiences are suspected...
March 12, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30854868/burnout-and-distress-in-australian-physician-trainees-evaluation-of-a-wellbeing-workshop
#15
Carmen Axisa, Louise Nash, Patrick Kelly, Simon Willcock
OBJECTIVE: To evaluate the effectiveness of a workshop intervention to promote wellbeing for Australian physician trainees using a randomized-controlled design. METHODS: Participants were randomly assigned into intervention and control groups. The intervention group attended a half-day workshop. Outcome measures included depression anxiety stress scale, professional quality of life scale and alcohol use disorders identification test. Demographic and work/life factors were measured...
March 11, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30777445/a-case-study-of-feedback-and-cognitive-assessment-of-a-young-adult-inpatient-with-major-depressive-disorder
#16
Ashleigh M Tickell, Elizabeth M Scott, Ian B Hickie, Daniel F Hermens
OBJECTIVES: Neurocognitive assessment and feedback to a young adult inpatient. METHODS: Computerised neurocognitive assessment and feedback. RESULTS: A collaborative process of personalised intervention. CONCLUSIONS: Personalised feedback in this setting can be employed as a management tool to identify and prioritise care.
February 19, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30773904/impact-of-transcranial-magnetic-stimulation-on-the-symptom-profile-of-major-depressive-episode
#17
Tamara May, Saxby Pridmore
OBJECTIVES: This study aimed to explore the effects of a four-week course of transcranial magnetic stimulation (TMS) on the following symptoms of major depressive episode (MDE): mood, work activities, health concerns, guilt, anxiety and retardation. METHOD: Patients underwent 20 daily sessions of 10 Hz TMS (two sets of 10 daily treatments separated by two days of rest). The six-item Hamilton Depression Rating Scale (HAMD-6) was administered before and after treatment...
February 18, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30773902/te-ara-waiora-a-t%C3%A4-ne-a-kaupapa-m%C3%A4-ori-mental-health-assessment-and-intervention-planning-approach
#18
Allister Bush, Whetu Campbell, Maire Ransfield
OBJECTIVE: The aims of this paper are to describe a Māori approach to assessment and intervention planning using the Māori creation narrative Te Ara a Tāne (The Journey of Tāne) and to outline an evaluation one year after the model was implemented. CONCLUSIONS: Te Ara Waiora a Tāne is a kaupapa Māori (Māori-centred) mental-health engagement, assessment, goal setting and planning approach designed to enhance the mana (spiritual and personal authority) of whānau (individuals and family/families) at the point they enter a Māori service and during ongoing mental-health work...
February 18, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30773897/huarahi-oranga-an-introduction-to-m%C3%A4-ori-concepts-informing-a-m%C3%A4-ori-healing-and-psychiatry-partnership
#19
Wiremu NiaNia, Allister Bush, David Epston
OBJECTIVE: The aim of this article is to give an overview of Māori concepts informing a collaboration between a Māori healer (NiaNia) and psychiatrist (Bush). CONCLUSIONS: Wairua (spiritual) problems can resemble psychiatric disorders or symptoms. Knowledge of relevant Māori concepts such as mauri, tapu, mana, matekite and manaakitanga may assist psychiatrists in collaborating with Māori healers and kaumātua (elders) to enable more appropriate cultural and clinical assessment, as well as helping to build rapport and clinical interactions with Māori whānau (individuals and families)...
February 18, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://read.qxmd.com/read/30763131/applying-mindfulness-training-to-enhance-the-mental-toughness-and-emotional-intelligence-of-amateur-basketball-players
#20
Bita Ajilchi, Hamid Reza Amini, Zahra Pouraghaei Ardakani, Majid Mozafari Zadeh, Steve Kisely
OBJECTIVES: Mindfulness is a proven treatment in clinical settings. Our objective was to examine the feasibility and effect of a mindfulness-training program on the mental resilience and emotional intelligence of amateur basketball players. METHODS: This was a parallel-group, pre- and post- test, randomised controlled trial. Thirty male amateur male basketball players from Tehran, Iran, were assigned randomly into experimental and control groups ( n = 15 each)...
February 14, 2019: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
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