Care Pathways Before First Diagnosis of a Psychotic Disorder in Adolescents and Young Adults.

CONCLUSIONS: Most patients receiving a first diagnosis of a psychotic disorder had some indication of mental health care need during the previous year. General use of primary care or mental health services, however, does not clearly distinguish people who later receive a diagnosis of a psychotic disorder from those who later receive a diagnosis of unipolar depression. Use of inpatient or emergency department mental health care is a more specific indicator of risk. PMID: 29361848 [PubMed - as supplied by publisher]
Source: The American Journal of Psychiatry - Category: Psychiatry Authors: Tags: Am J Psychiatry Source Type: research

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Publication date: Available online 21 September 2019Source: Multiple Sclerosis and Related DisordersAuthor(s): Ellen Skorve, Astri J. Lundervold, Øivind Torkildsen, Kjell-Morten MyhrAbstractBackgroundCognitive impairment is a common symptom in all stages of multiple sclerosis (MS), yet it is underreported and not routinely evaluated. The Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) is a short and easily administered test battery for screening of cognitive impairment in MS that can be completed within 15 minutes and incorporated into routine clinical practice. The test battery consists of ...
Source: Multiple Sclerosis and Related Disorders - Category: Neurology Source Type: research
Publication date: Available online 21 September 2019Source: Brain, Behavior, and ImmunityAuthor(s): Michael Roman, Michael R. IrwinAbstractDepression, one of the most common mental health disorders, is among the leading causes of health-related disability worldwide. Although antidepressant treatment has been available for decades, depression remains largely refractory to the prevailing limited treatment approach of monoamine transmission modulation. Fortunately, recent evidence points to a link between depression and inflammatory factors within the innate and the adaptive immune system. The purpose of this review is to eva...
Source: Brain, Behavior, and Immunity - Category: Neurology Source Type: research
This study will evaluate in a large, independent, randomized controlled trial (RCT) the comparative effectiveness of a specific type of Chinese herbal granule with half-dose PPI and full-dose PPI in managing nonerosive reflux disease.Methods and analysisThis trial will be a multicenter, randomized, double-blind, placebo-controlled RCT. A total of 204 participants will be enrolled and randomized (1:1) to each group: herb granules plus 10 mg omeprazole plus 10 mg dummy omeprazole; and dummy herb granules plus 20 mg omeprazole. The efficacy measures will be the changes in scores in the Gastroesophageal Re...
Source: European Journal of Integrative Medicine - Category: Complementary Medicine Source Type: research
Nearly 130 Americans kill themselves every day. Last fall, one of my friends was among them. Here’s what I’ve learned.
Source: Washington Post: To Your Health - Category: Consumer Health News Authors: Source Type: news
Publication date: October 2019Source: European Psychiatry, Volume 62Author(s): Peter Youssef, Siddharth Nath, Gary A Chaimowitz, Sebastien S. PratAbstractThis review aims to consolidate the available information on use of electroretinography as a diagnostic tool in psychiatry. The electroretinogram (ERG) has been found to have diagnostic utility in cocaine withdrawal (reduced light-adapted b-wave response), major depressive disorder (reduced contrast gain in pattern ERG), and schizophrenia (reduced a- and b-wave amplitudes). This review examines these findings as well as the applicability of ERG to substance use disorder, ...
Source: European Psychiatry - Category: Psychiatry Source Type: research
Conclusions1 in 5 depressed older patients have a course with functional recovery. Combining functional and symptomatic recovery points to a subgroup of older patients that might profit from more rigorous psychiatric treatment targeted at psychiatric comorbidity and a group of frail depressed older patients that might profit from integrated geriatric rehabilitation.
Source: European Psychiatry - Category: Psychiatry Source Type: research
Publication date: October 2019Source: European Psychiatry, Volume 62Author(s): Massimiliano Buoli, Bruno Mario Cesana, Giuseppe Maina, Andreas Conca, Andrea Fagiolini, Luca Steardo, A. Carlo Altamura, Bernardo Dell’Osso, on behalf of the ISBD Italian Chapter Epidemiologic GroupAbstractBackgroundwe aimed to compare socio-demographic and clinical differences between patients with versus without current RC in order to detect clinical factors that may favor early diagnosis and personalized treatment.MethodsA total of 1675 patients (males: n = 714 and females: n = 961; bipolar 1: n = 1042 and bipolar 2: n =...
Source: European Psychiatry - Category: Psychiatry Source Type: research
Authors: Martinho SM, Poças A PMID: 31538750 [PubMed - in process]
Source: The Primary Care Companion for CNS Disorders - Category: Primary Care Tags: Prim Care Companion CNS Disord Source Type: research
Abstract BACKGROUND: Cancer treatment can be a great source of anxiety and depression for patients. Patients who experience anxiety and depression may be treated with a variety of nonpharmacologic treatments, such as guided imagery. OBJECTIVES: The purpose of this article is to determine the effect of guided imagery on patients' anxiety, depression, and other selected side effects prompted by chemotherapy. METHODS: This pre- and postintervention assessment randomly selected patients with various types of cancer who were undergoing chemotherapy to listen to a guided imagery audio file for 20 minutes per d...
Source: Clinical Journal of Oncology Nursing - Category: Nursing Authors: Tags: Clin J Oncol Nurs Source Type: research
Abstract BACKGROUND: The prevalence of pain among patients undergoing radiation therapy (RT) is not well described. OBJECTIVES: The purpose of this study was to assess the prevalence and management of pain in patients undergoing RT. METHODS: 94 patients undergoing RT were surveyed at two time points during the course of their treatment. Patients reported on pain, fatigue, nausea, headache, and depressive symptoms, as well as on the use of pharmacologic and nonpharmacologic or alternative methods for symptom management. FINDINGS: The mean severity of pain did not change significantly between the firs...
Source: Clinical Journal of Oncology Nursing - Category: Nursing Authors: Tags: Clin J Oncol Nurs Source Type: research
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