Constantine D Della, David Teo Choon Liang, Feranindhya Agiananda, Chaichana Nimnuan
Psychotherapy provides substantial benefits for patients with medical illness. Western-based psychotherapies are commonly practiced by consultation-liaison psychiatrists in Asia. Although such interventions benefit Asian patients, they are limited by their cultural applicability. Sociocultural factors shape the meaning, expression, and treatment of medical illnesses. In helping patients with medical problems, it is imperative that psychiatrists be mindful of the value of culture in their clinical work. The concept of the self, religion, spirituality, adaptation, coping, and defense mechanisms are all culturally determined...
October 19, 2020: Asia-Pacific Psychiatry: Official Journal of the Pacific Rim College of Psychiatrists
Mahboubeh Dadfar, Ahmed M Abdel-Khalek, David Lester
Aim: The aims of this study were as follows: (a) to investigate the psychometric properties of the Love of Life Scale (LLS); (b) to explore sex differences in LLS scores; (c) to explore LLS correlations with spiritual health and psychological well-being; and (d) to compare the mean LLS score with previous studies. Design: A cross-sectional study. Methods: A sample of 191 Iranian psychiatric outpatients was recruited from clinics at the School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), which is affiliated with the Iran University of Medical Sciences...
November 2020: Nursing Open
Richard Jarrett Rushmore, Peter Wilson-Braun, George Papadimitriou, Isaac Ng, Yogesh Rathi, Fan Zhang, Lauren Jean O'Donnell, Marek Kubicki, Sylvain Bouix, Edward Yeterian, Jean-Jacques Lemaire, Evan Calabrese, G Allan Johnson, Ron Kikinis, Nikos Makris
The brainstem, a structure of vital importance in mammals, is currently becoming a principal focus in cognitive, affective, and clinical neuroscience. Midbrain, pontine and medullary structures serve as the conduit for signals between the forebrain and spinal cord, are the epicenter of cranial nerve-circuits and systems, and subserve such integrative functions as consciousness, emotional processing, pain, and motivation. In this study, we parcellated the nuclear masses and the principal fiber pathways that were visible in a high-resolution T2-weighted MRI dataset of 50-micron isotropic voxels of a postmortem human brainstem...
2020: Frontiers in Neuroanatomy
Ian Freckelton Qc
This editorial charts the history of publications by the Australian and New Zealand Association of Psychiatry, Psychology and Law (ANZAPPL) from 1985 to 2020. It identifies values that have underpinned Psychiatry, Psychology and Law, and it refers to some of the influential articles that have been published since the commencement of the journal in 1994. It highlights the journal's relationship with the Cunningham Dax Collection, which has supplied images for the covers of the journal since 2008, and makes reference to the role of metrics and impact factors as one of the measures of a journal's influence...
2020: Psychiatry, Psychology, and Law: An Interdisciplinary Journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law
Hidenori Yamasue, Kenji Sugiyama
As in many Western countries, deep brain stimulation (DBS) is already being used daily in Japan to clinically treat neurological diseases such as Parkinson's disease, essential tremor, and dystonia. Additionally, in both Europe and the United States, numerous case reports as well as multicenter randomized controlled trials have examined its use for treatment-refractory mental illnesses such as obsessive compulsive disorder (OCD) and major depressive disorder. Based on a number of the reports, the European Union (EU) and the USA Food and Drug Administration (FDA) granted limited approval of DBS for treatment-resistant OCD in 2009...
October 16, 2020: Neurologia Medico-chirurgica
Ehsan Mirzaei, Mahtabalsadat Mirjalili, Leila Jahangard, Mohammad Haghighi, Fatemeh Yasrebifar, Younes Mohammadi, Amir Larki-Harchagani, Maryam Mehrpooya
BACKGROUND: Preliminary evidence is promising regarding the anxiolytic effects of statins in animal models of anxiety. Hence, this study aimed to evaluate the efficacy of simvastatin augmentation versus placebo in the treatment of patients with generalized anxiety disorder (GAD) with residual symptoms despite treatment with selective serotonin reuptake inhibitors (SSRIs). METHODS: A double-blind, 8-week controlled trial was conducted from August 2018 to December 2019 in an outpatient psychiatry clinic in Hamadan, Iran...
October 16, 2020: Neuropsychobiology
(no author information available yet)
No abstract text is available yet for this article.
November 2020: Lancet Psychiatry
Erik Johnsen, Rune A Kroken, Else-Marie Løberg, Maria Rettenbacher, Inge Joa, Tor Ketil Larsen, Solveig Klæbo Reitan, Berit Walla, Renata Alisauskiene, Liss Gøril Anda, Christoffer Bartz-Johannessen, Jan Øystein Berle, Jill Bjarke, Farivar Fathian, Kenneth Hugdahl, Eirik Kjelby, Igne Sinkeviciute, Silje Skrede, Lena Stabell, Vidar M Steen, W Wolfgang Fleischhacker
BACKGROUND: Amisulpride, aripiprazole, and olanzapine are first-line atypical antipsychotics that have not previously been compared head-to-head in a pragmatic trial. We aimed to compare the efficacy and safety of these agents in a controlled trial. METHODS: This pragmatic, rater-blind, randomised controlled trial was done in three academic centres of psychiatry in Norway, and one in Austria. Eligible patients were aged 18 years or older, met ICD-10 criteria for schizophrenia-spectrum disorders (F20-29), and had symptoms of active psychosis...
November 2020: Lancet Psychiatry
The Lancet Psychiatry
No abstract text is available yet for this article.
November 2020: Lancet Psychiatry
Xiacan Chen, Jiajun Xu, Hongren Wang, Jiaguo Luo, Zheng Wang, Gang Chen, Dan Jiang, Ruochen Cao, Haolan Huang, Dan Luo, Xiao Xiao, Junmei Hu
Understanding the violence behaviors in schizophrenia patients has always been the focus of forensic psychiatry. Although many studies show gut microbiota could regulate behavior, to our knowledge, no studies have profiled the gut microbiota structure in schizophrenia patients with violence. We profiled the characteristics of gut microbiota structure in 26 schizophrenia patients with violence (V.SCZ) by comparing with that of 16 schizophrenia patients without violence (NV.SCZ) under the control of confounders, and found the differences of gut microbiota structure between the two groups...
October 16, 2020: International Journal of Legal Medicine
Shane N Glackin, Tom Roberts, Joel Krueger
In addiction, apparently causally significant phenomena occur at a huge number of levels; addiciton is affected by biomedical, neurological, pharmacological, clinical, social, and politico-legal factors, among many others. In such a complex, multifaceted field of inquiry, it seems very unlikely that all the many layers of explanation will prove amenable to any simple or straightforward, reductive analysis; if we are to unify the many different sciences of addiction while respecting their causal autonomy, then, what we are likely to need is an integrative framework...
October 13, 2020: Behavioural Brain Research
Stéphane Raffard, Cindy Lebrun, Yasmine Laraki, Delphine Capdevielle
BACKGROUND: Assessing an individual's capacity to consent to treatment is a complex and challenging task for psychiatrists and health-care professionals. Diminished capacity to consent to pharmacological treatment is a common concern in individuals with schizophrenia. The MacArthur Competence Assessment Tool for Treatment (MacCAT-T) is the most common tool used in individuals with schizophrenia to evaluate the decision-making abilities for judgments about competence to consent to treatment...
October 16, 2020: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
Jobi Mol J, Nisha Chacko Kunjumon, Johnson Pradeep Ruben, Harshad Devarbhavi
BACKGROUND: Previous studies have identified risk factors for relapse in patients with alcohol use disorders in deaddiction or community settings. There are limited studies comparing the stressful life events, social support, and risk of relapse in relapsed harmful alcohol users between psychiatry and gastroenterology departments. OBJECTIVE: To compare the stressful life events, social support, and risk of relapse in relapsed harmful alcohol users between psychiatry and gastroenterology departments...
October 16, 2020: Journal of Addictive Diseases
Laura Hirshbein
The early decades of the pastoral care movement were characterized by a remarkable collaboration with psychiatry. While historians of the religious aspects of this movement have noted the reliance of pastoral care on psychiatry and psychology, it has been less clear how and why mental health professionals elected to work with clergy. This paper uses the Michigan Society of Pastoral Care (MSPC), one of the early training programs for hospital chaplains on the model of the Boston-based Institute for Pastoral Care, as a window to explore the interactions between psychiatry and religion at mid century...
October 15, 2020: Journal of the History of the Behavioral Sciences
Michael D Jibson, Nahid Keshavarzi
OBJECTIVE: The American Board of Psychiatry and Neurology (ABPN) requires applicants to successfully complete at least 3 Clinical Skills Evaluations (CSE) as part of the credentialing requirements to sit for the psychiatry certification examination. The authors examined a database of CSE assessments conducted at a single site to determine the interrater and test-retest reliability of the evaluation. METHODS: The authors examined 159 CSE assessments of 51 practicing psychiatrists who completed residency prior to the implementation of CSEs, but did not previously sit for the ABPN examination and later required CSEs to do so...
October 15, 2020: Academic Psychiatry
Matthew Morrissette, William Fleisher
No abstract text is available yet for this article.
October 15, 2020: Academic Psychiatry
Carly A Rainey, Melissa C Palmer
The objective of this data analysis was to assess the impact of the addition of a clinical psychiatric pharmacist to a community hospital inpatient psychiatric consult liaison team. Consult liaison psychiatry deals with medically ill patients in general hospital settings and involves the timely recognition and treatment of mental health conditions while coordinating with other medical providers. Each patient consulted to the psychiatry team was reviewed by the clinical pharmacist. Recommendations made by the clinical pharmacist were tracked over a 9-month period...
September 2020: Mental Health Clinician
Kelly C Lee, Estelle Kim, Jaye Kim, Benjamin Malcolm, Grace M Kuo, Anne Bird, David Feifel
Pharmacist-psychiatrist collaborative clinic models in specialty mental health clinics are limited, and there has been only 1 report of a clinic focused on adult attention-deficit hyperactivity disorder (ADHD). In this article, we describe the successful implementation of a pharmacist-psychiatrist collaborative practice agreement in an adult ADHD clinic at an academic medical center. Adult patients diagnosed with ADHD after a comprehensive assessment, including a full neuropsychological evaluation, were enrolled in the collaborative treatment clinic...
September 2020: Mental Health Clinician
Eduardo D Espiridion, Christina Fleckenstein, Patrick Boyle, Adeolu O Oladunjoye
Pseudocyesis is a rare condition in which a person has a false belief of being pregnant, accompanied by objective signs and symptoms of pregnancy, despite not being pregnant. Confirmation of pseudocyesis is achieved with a negative result of beta-human chorionic gonadotropin in the blood and/or urine and negative ultrasound finding. Most cases of pseudocyesis occur in the setting of major depressive disorder or psychotic disorder, with very few occurring during a manic episode of bipolar disorder. Hence, we present a 30-year-old woman with pseudocyesis in the setting of bipolar disorder, specifically within a current manic episode with features of psychosis...
September 10, 2020: Curēus
Addo Boafo, Stephanie Greenham, Paula Cloutier, Shanika Abraham, Michele Dumel, Valerie Gendron, Derek Rowsell
Purpose: This article describes steps taken by a mental health inpatient multidisciplinary team to develop a clinical pathway for the assessment and management of suicidality in a pediatric psychiatric inpatient unit. Patients and Methods: The setting for this project is a 19-bed inpatient psychiatry unit providing care for children and adolescents (6-17 years of age) in a tertiary care pediatric hospital in Ontario, Canada. Three Lean methodologies were used: 1) The A3 process was used to articulate a problem statement and help clarify expectations, determine goals, and uncover, address and encourage discussion of potential issues; 2) Process mapping was used to show how work process activities are sequenced from the time of the patient's admission to discharge; and 3) Standard work, where consideration was given to the breakdown of the work into categories which are sequenced, organized and repeatedly followed...
2020: Adolescent Health, Medicine and Therapeutics
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