Viola N L S Schilling, Dirk Zimmermann, Julian A Rubel, Kaitlyn S Boyle, Wolfgang Lutz
BACKGROUND: Routine outcome monitoring can support clinicians to detect patients who deteriorate [not-on-track (NOT)] early in psychotherapy. Implemented Clinical Support Tools can direct clinicians' attention towards potential obstacles to a positive treatment outcome and provide suggestions for suitable interventions. However, few studies have compared NOT patients to patients showing expected progress [on-track (OT)] regarding such obstacles. This study aimed to identify domains that have predictive value for NOT trajectories and to compare OT and NOT patients regarding these domains and the items of the underlying scales...
October 21, 2020: Quality of Life Research
Sang-Il Seo, Sung-Youl Choi, Eun-Jung Kim, Byung-Soo Koo, Hyo Won-Jung, Gun-Hee Lee, Geun-Woo Kim
Anxiety disorder is known as the most common disease among psychiatric disorders. However, many studies have not been conducted in the Korean medicine area. This study explores the current state of anxiety disorder treatments of Korean medicine through a survey research. The survey for Korean medicine doctors (KMDs) on Korean medicine (KM) diagnosis and treatments for anxiety disorder was conducted online from December 21, 2016, to December 29, 2016. The results were divided into two groups, KMDs and Korean medicine neuropsychiatric specialists (KMNPS), and comparatively analyzed...
2020: Evidence-based Complementary and Alternative Medicine: ECAM
Corinna Pancheri, Annalisa Maraone, Valentina Roselli, Marta Altieri, Vittorio Di Piero, Massimo Biondi, Massimo Pasquini, Lorenzo Tarsitani
This narrative review addresses the interconnections among stress, mental disorders and migraine with a specific focus on non-pharmacological interventions that may be effective in improving both migraine and the psychiatric comorbidity. Migraine is often comorbid with depression, anxiety, personality disorders, and sleep disorders. Subjective stress and stressors are common triggers for migraine attacks and are risk factors for chronification, whilst mental disorders and stress responses are closely linked in a bidirectional relation...
September 2020: Rivista di Psichiatria
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
Jan Ilhan Kizilhan, Thomas Wenzel
So far, the psychotherapeutic treatment of patients with trauma spectrum disorders has most commonly been based on a disease model in which the normal reaction to trauma results in negative emotions, cognitions and behaviour which, in turn, cause a pathological state of mind or disorder. Here, trauma is associated with distress. This model focuses on identification, classification and treatment of the pathological and maladaptive modulations of the stress response that lead to psychological and social suffering and disability...
October 5, 2020: International Review of Psychiatry
Tony V Pham, Rishav Koirala, Brandon A Kohrt
To explore the relationship between traditional healers and conventional psychotherapy, we conducted a combined ethnographic study and structured observational rating of healers in the middle hill region of central Nepal. We conducted in-depth interviews and ethnographic observations of healing with 84 participants comprising 29 traditional healers and 55 other community members. Overall, our observations and participant responses yielded a range of interventions that improved health through belief, satisfaction in the soul, social support, transference, and symbolic narration...
March 2020: Ethos
Mohsen Baghchechi, Janice L Pelletier, Sharon E Jacob
Onychophagia, commonly referred to as nailbiting is a chronic condition that is repetitive and compulsive in nature, and generally seen in both children and young adults. Multiple factors play a role in the development of nailbiting, ranging from genetic components, to underlying psychiatric conditions. Complications of chronic, compulsive nail-biting range from obvious distortion of the nail bed unit, to ungual and oral infection. Dental hygiene is, typically, less well-maintained in patients with nail-biting disorders: teeth may become chipped or notched, and gums many become inflamed...
September 17, 2020: International Journal of Women's Dermatology
Ghazaleh Aali, Avril Drummond, Roshan das Nair, Farhad Shokraneh
Background : Post-stroke fatigue (PSF) is one of the most common and frustrating outcomes of stroke. It has a high prevalence and it can persist for many years after stroke. PSF itself contributes to a wider range of undesirable outcomes that affect all aspects of daily life. The aim of this review was to identify and summarise the most recent research on PSF, in order to update the evidence base. Methods : We updated an existing review (Hinkle et al . 2017) systematically searching CINAHL, MEDLINE, PsycINFO, and PubMed to cover new research studies between 1 st March 2016 and the search date (19 th January 2020)...
2020: F1000Research
Rainer Matthias Holm-Hadulla
Creativity is the ability to produce something novel and useful that is a valuable contribution to a specific domain. It is a significant common factor in most forms of psychotherapy. Accordingly, it is essential to investigate its role both in psychotherapy in general and in specific approaches like relational, cognitive-behavioural, psychodynamic, systemic, and existential psychotherapy. Positive psychology in particular has pointed up the usefulness of creativity in psychotherapy. Here we draw upon a case example to show how the creative discovery of novel and useful solutions takes place in different dimensions: relational, behavioural, psychodynamic, systemic and existential...
September 4, 2020: International Review of Psychiatry
Garson Leder
Several authors have recently argued that psychotherapy, as it is commonly practiced, is deceptive and undermines patients' ability to give informed consent to treatment. This 'deception' claim is based on the findings that some, and possibly most, of the ameliorative effects in psychotherapeutic interventions are mediated by therapeutic common factors shared by successful treatments (eg, expectancy effects and therapist effects), rather than because of theory-specific techniques. These findings have led to claims that psychotherapy is, at least partly, likely a placebo, and that practitioners of psychotherapy have a duty to 'go open' to patients about the role of common factors in therapy (even if this risks negatively affecting the efficacy of treatment); to not 'go open' is supposed to unjustly restrict patients' autonomy...
August 20, 2020: Journal of Medical Ethics
Gilla K Shapiro, Kenneth Mah, Froukje de Vries, Madeline Li, Camilla Zimmermann, Sarah Hales, Gary Rodin
BACKGROUND: Patients with advanced cancer commonly report depressive symptoms. Examinations of gender differences in depressive symptoms in patients with advanced cancer have yielded inconsistent findings. AIM: The objective of this study was to investigate whether the severity and correlates of depressive symptoms differ by gender in patients with advanced cancer. DESIGN: Participants completed measures assessing sociodemographic and medical characteristics, disease burden, and psychosocial factors...
August 12, 2020: Palliative Medicine
David L Perez, Selma Aybek, Stoyan Popkirov, Kasia Kozlowska, Christopher D Stephen, Jordan Anderson, Robert Shura, Simon Ducharme, Alan Carson, Mark Hallett, Timothy R Nicholson, Jon Stone, W Curt LaFrance, Valerie Voon
Functional neurological (conversion) disorder (FND) is a prevalent and disabling condition at the intersection of neurology and psychiatry. Advances have been made in elucidating an emerging pathophysiology for motor FND, as well as in identifying evidenced-based physiotherapy and psychotherapy treatments. Despite these gains, important elements of the initial neuropsychiatric assessment of functional movement disorders (FND-movt) and functional limb weakness/paresis (FND-par) have yet to be established. This is an important gap from both diagnostic and treatment planning perspectives...
August 11, 2020: Journal of Neuropsychiatry and Clinical Neurosciences
Kelly M Trevino, Neil Iyengar, Qing Li, Jun J Mao
PURPOSE: To define the prevalence and risk factors of anxiety and examine rates and predictors of psychotherapy and integrative medicine service use in breast cancer survivors on aromatase inhibitors (AIs). METHODS: Observational study of patients with histologically confirmed stage 0-III hormone receptor-positive breast cancer taking a third-generation AI at the time of enrollment. Patients completed self-report measures of anxiety and utilization of psychotherapy and integrative medicine services at a single time-point...
August 9, 2020: Breast Cancer Research and Treatment
Sarah Holder
Personality disorders (PDs) have a prevalence of approximately 9% in the United States. Patients with these disorders frequently are encountered in the family medicine setting. It is thought that a combination of unknown genetic factors and life experiences, particularly adverse childhood experiences, contribute to PD development. The diagnosis of patients with PD is complex and should be performed by a psychiatry or psychology subspecialist. The Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) ( DSM-5 ) divides the 10 PDs into three clusters based on descriptive commonalities...
August 2020: FP Essentials
Charles B Nemeroff
Major depressive disorder is a remarkably common and often severe psychiatric disorder associated with high levels of morbidity and mortality. Patients with major depression are prone to several comorbid psychiatric conditions, including posttraumatic stress disorder, anxiety disorders, obsessive-compulsive disorder, and substance use disorders, and medical conditions, including cardiovascular disease, diabetes, stroke, cancer, which, coupled with the risk of suicide, result in a shortened life expectancy. The goal of this review is to provide an overview of our current understanding of major depression, from pathophysiology to treatment...
August 1, 2020: American Journal of Psychiatry
Nardia-Rose Klem, Anne Smith, Peter O'Sullivan, Michelle M Dowsey, Robert Schütze, Peter Kent, Peter F Choong, Samantha Bunzli
BACKGROUND: Patient satisfaction is a common measure of the success of an orthopaedic intervention. However, there is poor understanding of what satisfaction means to patients or what influences it. QUESTIONS/PURPOSES: Using qualitative study methodology in patients undergoing TKA, we asked: (1) What does it mean to be satisfied after TKA? (2) What factors influence satisfaction levels after TKA? METHODS: People in a hospital registry who had completed 12-month follow-up questionnaires and were not more than 18 months post-TKA at the time of sampling were eligible (n = 121)...
August 2020: Clinical Orthopaedics and related Research
Kerstin Paschke, Martin Holtmann, Peter Melchers, Marianne Klein, Gisela Schimansky, Thomas Krömer, Olaf Reis, Lutz Wartberg, Rainer Thomasius
Media-associated disorders in childhood and adolescence: Evidence paper of the joint addiction commision of the German societies and professional associations of child and adolescent psychiatry and psychotherapy Abstract. Media-associated disorders (MAD) describe the problematic use of the internet, certain electronic devices in general as well as digital applications. During childhood and adolescence, digital games and social media are the most commonly used applications. In May 2019, as first MAD "gaming disorder" was included as a clinical diagnosis in the ICD-11...
July 2020: Zeitschrift Für Kinder- und Jugendpsychiatrie und Psychotherapie
Fabian T Ramseyer
Nonverbal behavior is a central factor influencing the therapeutic relationship. Despite broad agreement on its importance, empirical studies assessing nonverbal behavior in counseling and psychotherapy are relatively scarce and often limited to few cases. One restraining factor may be the resources needed when assessing nonverbal behavior. Movement dynamics are an exemplary aspect of nonverbal behavior that can be captured with computer vision-a discipline concerned with the automated analysis of footage captured on video...
July 2020: Journal of Counseling Psychology
Alexandra L Chadderdon, Danielle R Carns, Lauren R Pudalov, Lindsey C McKernan, Justin M Honce
Positive patient care and healthcare facility outcomes are associated with using various psychological interventions during magnetic resonance imaging and interventional radiology procedures. Interventions such as hypnosis, relaxation, guided imagery, and empathic communication can improve anxiety, pain, and hemodynamic stability during procedures, as well as improve claustrophobia and anxiety during magnetic resonance imaging. Little is understood as to the potential underlying mechanisms of how these interventions operate and contribute to positive outcomes...
June 2020: Topics in Magnetic Resonance Imaging: TMRI
Susan McPherson, Claire Wicks, Ilaria Tercelli
BACKGROUND: Globally, national guidelines for depression have prioritised evidence from randomised controlled trials and quantitative meta-analyses, omitting qualitative research concerning patient experience of treatments. A review of patient experience research can provide a comprehensive overview of this important form of evidence and thus enable the voices and subjectivities of those affected by depression to have an impact on the treatments and services they are offered. This review aims to seek a comprehensive understanding of patient experiences of psychological therapies for depression using a systematic and rigorous approach to review and synthesis of qualitative research...
June 18, 2020: BMC Psychiatry
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