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Effects of psychiatric diagnosis at a young age and quality of health

Willem Kuyken, Rachel Hayes, Barbara Barrett, Richard Byng, Tim Dalgleish, David Kessler, Glyn Lewis, Edward Watkins, Nicola Morant, Rod S Taylor, Sarah Byford
BACKGROUND: Individuals with a history of recurrent depression have a high risk of repeated depressive relapse/recurrence. Maintenance antidepressant medication (m-ADM) for at least 2 years is the current recommended treatment, but many individuals are interested in alternatives to m-ADM. Mindfulness-based cognitive therapy (MBCT) has been shown to reduce the risk of relapse/recurrence compared with usual care but has not yet been compared with m-ADM in a definitive trial. OBJECTIVES: To establish whether MBCT with support to taper and/or discontinue antidepressant medication (MBCT-TS) is superior to and more cost-effective than an approach of m-ADM in a primary care setting for patients with a history of recurrent depression followed up over a 2-year period in terms of preventing depressive relapse/recurrence...
September 2015: Health Technology Assessment: HTA
Lidia M V R Moura, Diego Yacaman Mendez, Jonathan De Jesus, Rogger A Andrade, Joel S Weissman, Barbara G Vickrey, Daniel B Hoch
OBJECTIVE: We assessed the relationship between adherence to epilepsy quality measures (EQM) and seizure control over 2-3 years in a retrospective cohort study. METHODS: 6150 patients were identified at two large academic medical centers with a primary or secondary diagnosis of epilepsy, were 18-85 years old and seen in outpatient general neurology or epilepsy units between June 2011 and May 2014. Patients were included if: their initial visit was between June 2011 and June 2012, treatment was with ≥1 anti-seizure drug, there was ≥1 visit per year during the timeframe, and seizure frequency was documented at initial and final visits, yielding 162 patients/1055 visits from which socio-demographic, clinical and care quality data were abstracted...
November 2015: Epilepsy Research
Antoine Poncet, Baris Gencer, Marc Blondon, Marianne Gex-Fabry, Christophe Combescure, Dipen Shah, Peter J Schwartz, Marie Besson, François R Girardin
IMPORTANCE: Sudden cardiac death is a leading cause of mortality in psychiatric patients. Long QT (LQT) is common in this population and predisposes to Torsades-de-Pointes (TdP) and subsequent mortality. OBJECTIVE: To estimate the cost-effectiveness of electrocardiographic screening to detect LQT in psychiatric inpatients. DESIGN, SETTING, AND PARTICIPANTS: We built a decision analytic model based on a decision tree to evaluate the cost-effectiveness and utility of LQT screening from a health care perspective...
2015: PloS One
Karen Lizzete Ramírez-Cervantes, José María Remes-Troche, María Del Pilar Milke-García, Viridiana Romero, Luis F Uscanga
BACKGROUND: Celiac disease (CD) is a global health problem and its prevalence is underestimated, especially in Latin American populations. Our aim was to evaluate the clinical features, psychological factors, and health-related quality of life (QoL), before and after diagnosis, in a representative sample of adult Mexican Mestizo patients presenting with CD. METHODS: A cross-sectional analysis was conducted on patients seen at two tertiary referral centers in Mexico...
2015: BMC Gastroenterology
T Hirvikoski, E Waaler, T Lindström, S Bölte, J Jokinen
The aim of this pilot study was to investigate the feasibility and effectiveness of a new psychoeducative intervention program (PEGASUS) for adults with ADHD and their significant others in a psychiatric outpatient context. At three outpatient psychiatric clinics, adults with ADHD and their significant others took part in PEGASUS, a psychoeducational program based on theories from cognitive behavioral therapy, neuropsychology, and cross-disciplinary evidence regarding ADHD. In total, 108 adults were allocated to treatment (51 with ADHD and their 57 significant others)...
March 2015: Attention Deficit and Hyperactivity Disorders
Mio Ishii, Yasuyuki Okumura, Naoya Sugiyama, Hana Hasegawa, Toshie Noda, Yoshio Hirayasu, Hiroto Ito
BACKGROUND: Shared decision making is a promising model for patient-centred medicine, resulting in better clinical outcomes overall. In the mental health field, interventions that consider the patient-centred perspective--such as patient quality of life, involvement in the treatment, treatment satisfaction, and working alliance--have increased and better clinical outcomes discovered for patients with schizophrenia. However, few studies have examined the efficacy of shared decision making for schizophrenia treatment...
April 14, 2014: BMC Psychiatry
Bhanu Prakash Kolla, Terry Schneekloth, Joanna Biernacka, Meghna Mansukhani, Jennifer Geske, Victor Karpyak, Daniel Hall-Flavin, Larissa Louikianova, Mark A Frye
INTRODUCTION: Understanding the course and determinants of sleep disturbances in alcoholic patients may help identify patients at high risk of persistent sleep problems, relapse and guide treatment interventions. METHODS: We prospectively administered the Pittsburgh Sleep Quality Index (PSQI) to all patients (N = 196) admitted to a 1-month residential treatment program. Our analysis excluded patients with active drug abuse/dependence. Demographic data, psychiatric diagnoses, Patient Health Questionnaire-9 (PHQ-9), Alcohol Use Disorders Identification Test (AUDIT) and Inventory of Drug Taking Situations (IDTS) scores were obtained...
January 2014: American Journal on Addictions
Emanuela Terzian, Gianni Tognoni, Renata Bracco, Edoardo De Ruggieri, Rita Angela Ficociello, Roberto Mezzina, Giuseppe Pillo
OBJECTIVE: To evaluate the efficacy and feasibility of actions intended to implement or improve patients' social network within the Italian National Health Service community mental health services. METHODS: We conducted a randomized clinical trial through a network of 47 community mental health services on patients with a diagnosis in the schizophrenia spectrum (F20 in the International Classification of Diseases, 10th Revision), who were young (aged younger than 45 years), and with a poor social network (less than 5 relationships)...
November 2013: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
Valentina Candini, Chiara Buizza, Clarissa Ferrari, Maria Teresa Caldera, Roberta Ermentini, Alberto Ghilardi, Gianluigi Nobili, Rosaria Pioli, Margherita Sabaudo, Emilio Sacchetti, Francesco Maria Saviotti, Giuseppe Seggioli, Amneris Zanini, Giovanni de Girolamo
BACKGROUND: Recent reviews of evidence-based guidelines for the clinical management of Bipolar Disorders (BD) have recommended that "all patients with BD be offered group or individual psychoeducation" to prevent relapse, improve treatment adherence, quality of life, and functioning. The present study evaluated the effectiveness of psychoeducation in routine mental health services in reducing number of hospitalisations and number of days spent in hospital, at a 1-year follow-up. METHODS: A total of 102 outpatients were recruited from two Italian Departments of Mental Health...
October 2013: Journal of Affective Disorders
Carl Eduard Scheidt, Elisabeth Waller, Katharina Endorf, Stefan Schmidt, Ralf König, Almut Zeeck, Andreas Joos, Michael Lacour
OBJECTIVE: There are no studies investigating the efficacy of short-term psychodynamic psychotherapy in primary fibromyalgia syndrome (FMS). We conducted a randomized controlled trial evaluating an adapted form of individual short-term psychodynamic psychotherapy (ASTPP) versus primary care management (TAU). The study focused on FMS patients with psychiatric comorbidity. METHODS: Forty-six female patients with FMS and an International Classification of Diseases, 10th Revision diagnosis of a comorbid depression or anxiety disorder were recruited in a hospital setting...
March 2013: General Hospital Psychiatry
Mauro Garcia-Toro, Miquel Roca, Saray Monzón, Margalida Vives, Bárbara Oliván, Enric Vicens, Joan Salva, Margalida Gili
BACKGROUND: Depression is a highly prevalent and disabling mental disorder with an incidence rate which appears to be increasing in the developed world. This fact seems to be at least partially related to lifestyle factors. Some hygienic-dietary measures have shown their efficacy as a coadjuvant of standard treatment. However, their effectiveness has not yet been proved enough in usual clinical practice. METHODS: Multicenter, randomized, controlled, two arm-parallel, clinical trial involving 300 patients over 18 years old with a diagnosis of Major Depression...
November 16, 2012: BMC Psychiatry
M Luckhoff, E Jordaan, Y Swart, K J Cloete, L Koen, D J H Niehaus
In developing countries such as South Africa, not much is known about the prevalence of assaults and seclusion occurring in mental health wards over time. Here, we describe a 5-year trend in assaults and seclusions, stratified by gender, at Stikland Hospital, South Africa. A retrospective review of clinical records of patients admitted to the acute psychiatric admission wards at Stikland and involved in assault and secluded was undertaken between 1 January 2005 and 31 December 2010. Data on the number of patient and staff assaults as well as seclusions, gender, age, marital status, level of education, level of income, duration of hospital admission and primary psychiatric diagnosis were collected...
October 2013: Journal of Psychiatric and Mental Health Nursing
Ana Carolina Rosa, Juliana Belo Diniz, Victor Fossaluza, Albina Rodrigues Torres, Leonardo Franklin Fontenelle, Alice Simões De Mathis, Maria da Conceição Rosário, Eurípedes Constantino Miguel, Roseli Gedanke Shavitt
BACKGROUND: Patients with obsessive-compulsive disorder (OCD) frequently show poor social adjustment, which has been associated with OCD severity. Little is known about the effects that age at symptom onset, specific OCD symptoms, and psychiatric comorbidities have on social adjustment. The objective of this study was to investigate the clinical correlates of social functioning in OCD patients. METHODS: Cross-sectional study involving 815 adults with a primary DSM-IV diagnosis of OCD participating in the Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders...
October 2012: Journal of Psychiatric Research
Alexa B Kimball, Eric Q Wu, Annie Guérin, Andrew P Yu, Magda Tsaneva, Shiraz R Gupta, Yanjun Bao, Parvez M Mulani
BACKGROUND: Symptoms of psoriasis can be embarrassing and distressing, and may increase risk of developing psychiatric disorders in young people. OBJECTIVE: We sought to compare incidences of psychiatric disorders between pediatric patients with psoriasis and psoriasis-free control subjects. METHODS: Patients (<18 years) with continuous health plan enrollment 6 months before and after first psoriasis diagnosis (index date) were selected (Thomson Reuters MarketScan database, 2000-2006 [Thomson Reuters, New York, NY])...
October 2012: Journal of the American Academy of Dermatology
Mary McMurran, Mike J Crawford, Joseph G Reilly, Paul McCrone, Paul Moran, Hywel Williams, Clive E Adams, Conor Duggan, Juan Delport, Diane Whitham, Florence Day
BACKGROUND: Impairment in social functioning is a key component of personality disorder. Therefore psycho-education and problem solving (PEPS) therapy may benefit people with this disorder. Psycho-education aims to educate, build rapport, and motivate people for problem solving therapy. Problem solving therapy aims to help clients solve interpersonal problems positively and rationally, thereby improving social functioning and reducing distress. PEPS therapy has been evaluated with community adults with personality disorder in an exploratory trial...
August 24, 2011: Trials
Shinsuke Koike, Atsushi Nishida, Syudo Yamasaki, Kayo Ichihashi, Sanae Maegawa, Tatsunobu Natsubori, Hirohiko Harima, Kiyoto Kasai, Izumi Fujita, Masanori Harada, Yuji Okazaki
INTRODUCTION: Comprehensive approaches for patients with psychotic symptoms play essential roles in the symptomatic and functional outcomes of patients, especially during disease onset. In Japan, the shortage of mental health services, particularly for outpatients, and community-based supports has been a major problem. The purpose of this trial is to investigate the effectiveness and affordability of 18-month comprehensive early intervention services for patients with first-episode psychosis compared with typical treatment...
2011: Trials
Jaakko Erkkilä, Marko Punkanen, Jörg Fachner, Esa Ala-Ruona, Inga Pöntiö, Mari Tervaniemi, Mauno Vanhala, Christian Gold
BACKGROUND: Music therapy has previously been found to be effective in the treatment of depression but the studies have been methodologically insufficient and lacking in clarity about the clinical model employed. Aims To determine the efficacy of music therapy added to standard care compared with standard care only in the treatment of depression among working-age people. METHOD: Participants (n = 79) with an ICD-10 diagnosis of depression were randomised to receive individual music therapy plus standard care (20 bi-weekly sessions) or standard care only, and followed up at baseline, at 3 months (after intervention) and at 6 months...
August 2011: British Journal of Psychiatry: the Journal of Mental Science
Stefan Priebe, Rosemarie McCabe, Matthias Schützwohl, Andrzej Kiejna, Petr Nawka, Jirí Raboch, Ulrich Reininghaus, Duolao Wang, Thomas W Kallert
OBJECTIVE: The study aimed to identify patient characteristics associated with differences in outcomes of acute treatment in day hospitals and conventional hospital wards. METHODS: Data were from the European Day Hospital Evaluation (EDEN) (2000-2003), a multicenter randomized controlled trial comparing acute treatment in day hospitals and conventional wards in five European countries. All 880 adult patients in the EDEN study who had a diagnosis of schizophrenia, mood disorders, neurotic disorders, and behavioral syndromes (ICD-10 codes F20-F59) and complete data on baseline variables were included...
March 2011: Psychiatric Services: a Journal of the American Psychiatric Association
Inger Schou Bredal, Leiv Sandvik, Rolf Karesen, Oivind Ekeberg
OBJECTIVE: The purpose was to investigate whether self-reported health-related quality-of-life (HRQOL) parameters at time of diagnosis and/or 1-year follow-up are prognostic for disease-free survival (DFS) in early-stage breast cancer patients. METHODS: Data from 195 women, diagnosed with early-stage breast cancer, who had filled in the EORTC QLQ-C30 and the Hospital Anxiety and Depression Scale (HADS) at time of diagnosis and 1 year after surgery, were analyzed...
October 2011: Psycho-oncology
Anna Bartak, Marieke D Spreeuwenberg, Helene Andrea, Lot Holleman, Piet Rijnierse, Bert V Rossum, Elisabeth F M Hamers, Anke M M A Meerman, Janneke Aerts, Jan J V Busschbach, Roel Verheul, Theo Stijnen, Paul M G Emmelkamp
BACKGROUND: No previous studies have compared the effectiveness of different modalities of psychotherapeutic treatment, as defined by different settings and durations, for patients with cluster C personality disorders. The aim of this multicentre study was to compare the effectiveness of 5 treatment modalities for patients with cluster C personality disorders in terms of psychiatric symptoms, psychosocial functioning, and quality of life. The following treatment modalities were compared: long-term outpatient (more than 6 months), short-term day hospital (up to 6 months), long-term day hospital, short-term inpatient, and long-term inpatient psychotherapy...
2010: Psychotherapy and Psychosomatics
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