COVID-19 Pandemic and Eating Disorders: What Can We Learn About Psychopathology and Treatment? A Systematic Review
AbstractPurpose of ReviewThis systematic review aims to collect evidence regarding the impact of the SarsCov-2 pandemic on people affected by eating disorders (EDs) targeting the following variables: psychopathology changes, mechanisms of vulnerability or resilience, and perception of treatment modifications during the pandemic.Recent FindingsSince the beginning of the pandemic, a mental health deterioration has been detected in the general population and especially in people affected by pre-existing psychiatric conditions. Furthermore, mental healthcare has moved toward online treatment.SummaryED people showed a trend tow...
Source: Current Psychiatry Reports - October 21, 2021 Category: Psychiatry Source Type: research

Child and Adolescent Psychosocial Support Programs Following Natural Disasters —a Scoping Review of Emerging Evidence
AbstractPurpose of ReviewThis review aimed to identify and describe evidence published in the past 3  years from trials of psychosocial support programs for children and adolescents affected by natural disasters.Recent FindingsPrevious reviews have indicated these programs are beneficial overall. Positive impacts were documented in school-based programs conducted by trained teachers and paraprofessionals with stronger effects achieved by more qualified professionals.SummaryThe review found supporting evidence for positive impacts of post-disaster psychosocial programs. However, the strength of evidence is limited due ...
Source: Current Psychiatry Reports - October 15, 2021 Category: Psychiatry Source Type: research

Impact of Racial Discrimination on the Mental Health of Minoritized Youth
AbstractPurpose of ReviewThe impacts of racism and discrimination on developing minoritized youth are increasingly shown as having the potential to create long-lasting adverse outcomes on children ’s developmental trajectories.Recent FindingsFrom the quality of the schools they attend, to the level and amount of toxicants in the air they breathe, to equitable access to health care, and within interpersonal relationships and experiences with their peers, multiple forms of racism, systemic/structural, interpersonal/personally mediated, and internalized shape the health status of Black, Indigenous, and people of color (...
Source: Current Psychiatry Reports - October 14, 2021 Category: Psychiatry Source Type: research

Children and Adolescents with Disabilities and Exposure to Disasters, Terrorism, and the COVID-19 Pandemic: a Scoping Review
AbstractPurpose of ReviewThis paper reviews the empirical literature on exposures to disaster or terrorism and their impacts on the health and well-being of children with disabilities and their families since the last published update in 2017. We also review the literature on studies examining the mental health and functioning of children with disabilities during the COVID-19 pandemic.Recent FindingsFew studies have examined the effects of disaster or terrorism on children with disabilities. Research shows that children with disabilities and their families have higher levels of disaster exposure, lower levels of disaster p...
Source: Current Psychiatry Reports - October 13, 2021 Category: Psychiatry Source Type: research

Recent Updates in Psychopharmacology for the Core and Associated Symptoms of Autism Spectrum Disorder
This article aims to review the recent literature pertaining to psychopharmacology for the core and associated symptoms of ASD including social impairment, repetitive behaviors, irritability, and language impairment.Recent FindingsRecent medication trials targeting social impairment in ASD have focused on neuropeptides (oxytocin and vasopressin) and memantine. None of these three medications has demonstrated consistent benefit for social impairment in ASD; however, additional studies are underway. Two double-blind, placebo-controlled studies on selective serotonin reuptake inhibitors (SSRIs) provide evidence against the us...
Source: Current Psychiatry Reports - October 13, 2021 Category: Psychiatry Source Type: research

Premenstrual Exacerbations of Mood Disorders: Findings and Knowledge Gaps
AbstractPurpose of ReviewIn contrast to premenstrual dysphoric disorder (PMDD), premenstrual exacerbations (PMEs) of ongoing mood disorders are understudied. The aim of this review is to describe diagnostic issues, epidemiology, underlying mechanisms, and treatment for PME in unipolar depression and bipolar disorder, and to discuss clinical and research implications.Recent FindingsCommunity-based and clinical studies estimate that in women with mood disorders around 60% report PME, while some women with bipolar disorder also show symptom exacerbations around ovulation. In general, PME predicts a more severe illness course ...
Source: Current Psychiatry Reports - October 9, 2021 Category: Psychiatry Source Type: research

Review of Changes in the Reinforcing Effects of Alcohol in Weight Loss Surgery Patients
AbstractPurpose of ReviewThe reinforcing effects of alcohol are well documented, and they have been shown to play a role in the development of alcohol use disorders (AUDs). Also well established is the fact that post-weight loss surgery (WLS) patients are at an increased risk for AUDs. In the current manuscript, we review the notion that the reinforcing effects of alcohol may change from before to after WLS and discuss a number of determinants of alcohol reinforcement change in WLS patients.Recent FindingsIt has been increasingly well understood that WLS patients are at an increased risk for AUD, but empirical support for ...
Source: Current Psychiatry Reports - October 6, 2021 Category: Psychiatry Source Type: research

Correlates of Quality of Life in Anxiety Disorders: Review of Recent Research
AbstractPurpose of ReviewAnxiety disorders are highly prevalent conditions that have a detrimental impact on quality of life (QOL), particularly when left untreated. In the present review, we summarize recent literature, published within the last 3  years, on QOL in anxiety disorders, with a focus on factors that may play a role in the relationship between anxiety and QOL.Recent FindingsWe organize our findings into four categories: (1) subjective distress, (2) behavioral responses, (3) functional impairment, and (4) clinical factors. Results indicate that greater anxiety symptom severity is linked with poorer QOL, an...
Source: Current Psychiatry Reports - October 6, 2021 Category: Psychiatry Source Type: research

The Impact of Social Media on College Mental Health During the COVID-19 Pandemic: a Multinational Review of the Existing Literature
AbstractPurpose of ReviewDuring the COVID-19 pandemic, both social media use and rates of anxiety and depression among college students have increased significantly. This begs the question, what is the relationship between social media use and college student mental health during the COVID-19 pandemic?Recent FindingsPrior studies have found mixed results regarding the relationship between social media use and college student mental health. This relationship has become increasingly complex during the COVID-19 pandemic. We found that excessive or problematic social media use during the COVID-19 pandemic was correlated with w...
Source: Current Psychiatry Reports - October 6, 2021 Category: Psychiatry Source Type: research

Children ’s Reactions to War, Armed Conflict and Displacement: Resilience in a Social Climate of Support
AbstractPurpose of ReviewThe aim of this review was to unravel recent evidence for children ’s reactions to war and armed conflict focusing on resilience factors mitigating adverse psychological and psychiatric consequences.Recent FindingsThree categories of mitigating resilience factors emerged from the literature — personal, family, and community factors. In addition, a unifying model of moderating resilience factors emerged, proposing a higher-tier environmental dimension conceptualized here as social climate of support.SummaryWars and armed conflict affect children both by direct exposure to threats, and by...
Source: Current Psychiatry Reports - October 6, 2021 Category: Psychiatry Source Type: research

Premenstrual Mood Symptoms in the Perimenopause
AbstractPurpose of ReviewThis review considers how reproductive aging may impact the trajectory of menstrually related mood disorders (MRMDs) such as premenstrual dysphoric disorder and considers how the treatment of MRMDs might require adjustment as patients approach midlife.Recent FindingsThe early menopause transition is accompanied by important hormonal changes that may exacerbate existing MRMDs. Indeed, recent research confirms that an important subset of women experiences depressive mood in response to perimenopausal elevations in ovarian hormones. In addition, a subset of women with an MRMD may exhibit an increased ...
Source: Current Psychiatry Reports - October 6, 2021 Category: Psychiatry Source Type: research

Gonadal Hormone Influences on Sex Differences in Binge Eating Across Development
AbstractPurpose of ReviewBinge eating is a transdiagnostic symptom that disproportionately affects females. Sexually dimorphic gonadal hormones (e.g., estradiol, testosterone) substantially impact eating behavior and may contribute to sex differences in binge eating. We examine recent evidence for the role of gonadal hormones in binge eating risk across development.Recent FindingsBoth organizational (long-lasting impact on the central nervous system (CNS)) and activational (transient influences on the CNS) hormone effects may contribute to sex differences in binge eating. Gonadal hormones also impact within-sex variability...
Source: Current Psychiatry Reports - October 6, 2021 Category: Psychiatry Source Type: research

Beam Me Out: Review of Emergency Department Telepsychiatry and Lessons Learned During COVID-19
AbstractPurpose of ReviewThe aim of this review is to critically evaluate recent literature on the use of telepsychiatry in emergency departments (EDTP) and synthesize the evidence on telepsychiatry during public health emergencies. We also report on experiences and success stories from a state-wide EDTP program in South Carolina during the COVID-19 pandemic.Recent FindingsWe identified 12 peer-reviewed articles published between January 2019 and February 2021 that evaluated EDTP interventions and their impact on patient outcomes. The recent evidence on EDTP shows a significant association between EDTP implementation or us...
Source: Current Psychiatry Reports - October 6, 2021 Category: Psychiatry Source Type: research

Children ’s Psychological Reactions to the COVID-19 Pandemic
AbstractPurpose of ReviewThis paper reviews the literature on the psychological effects of the COVID-19 pandemic on children and the reactions of vulnerable children.Recent FindingsResearch reveals increases in clinically significant depression, suicidal ideation and behavior, and some anxiety symptoms. Substance use studies suggest an inadvertent decrease in substance use in some youth though findings are inconsistent across substances and for males and females. Children with pre-existing emotional and behavioral problems are especially vulnerable though some children appear to improve in the context of public health meas...
Source: Current Psychiatry Reports - October 6, 2021 Category: Psychiatry Source Type: research

Obsessive –Compulsive Disorder During the COVID-19 Pandemic: a Systematic Review
AbstractPurpose of ReviewThis systematic review evaluated the impact of the COVID-19 pandemic on obsessive –compulsive symptoms.Recent FindingsMost studies showed that obsessive –compulsive symptoms worsened during the early stages of the pandemic, particularly for individuals with contamination-related obsessive–compulsive disorder (OCD), though other symptoms dimensions were found to worsen as well. Many patients and individuals in the general population experienced n ew obsessive–compulsive-like symptoms centered on COVID-19. Self-reported rates of symptom exacerbation and COVID-19-focused sympto...
Source: Current Psychiatry Reports - October 6, 2021 Category: Psychiatry Source Type: research

Biological and Psychological Factors Determining Neuropsychiatric Outcomes in COVID-19
We present biological and psychological factors implicated in psychiatric manifestations of SARS-CoV-2, as well as its neuroinvasive capability and immune pathophysiology.Recent FindingsPreexisting mental illness leads to worse clinical outcomes in COVID-19. The presence of the virus was reported in the cerebrospinal fluid (CSF) and brain tissue post-mortem. Most common psychiatric manifestations include delirium, mood disorders, anxiety disorders, and posttraumatic stress disorder. “Long-COVID” non-syndromal presentations include “brain-fogginess,” autonomic instability, fatigue, and insomnia.Summa...
Source: Current Psychiatry Reports - October 1, 2021 Category: Psychiatry Source Type: research

Women ’s Mental Health in the U.S. Military — Where Are We Now? A Review of Recent Research
AbstractPurpose of ReviewThe field of women ’s mental health has grown in the military healthcare system, which has begun to acknowledge and address the sex-specific differences in mental health for service women. The purpose of this review is to examine recent research in active duty populations addressing perinatal mental health, post-tra umatic stress disorder (PTSD), depression, and gender isolation.Recent FindingsWithin the examined literature focused on active duty populations, analyses by sex and gender continue to exist as notable gaps, and a majority of studies reviewed either do not aim to examine sex or ge...
Source: Current Psychiatry Reports - September 29, 2021 Category: Psychiatry Source Type: research

Mental Health Services for Autistic Individuals Across the Lifespan: Recent Advances and Current Gaps
AbstractPurpose of ReviewThis synthesis of recent mental health services research with autistic individuals presents significant advances, current gaps, and recommendations for improving mental healthcare for this population.Recent FindingsRecent advances include improved understanding of co-occurring mental health conditions among autistic individuals, a growing evidence base for interventions to address them, the development and implementation of new service models to support mental health for this population, and a substantial increase in mental health services and implementation research focused on autism. Ongoing chal...
Source: Current Psychiatry Reports - August 17, 2021 Category: Psychiatry Source Type: research

Challenges for Child Mental Health Raised by School Closure and Home Confinement During the COVID-19 Pandemic
AbstractPurpose of ReviewThe closure of schools during the COVID-19 pandemic has interrupted the education of children worldwide. This paper reviews the psychological effects of this action on children and the impact on school-based services.Recent FindingsEmerging epidemiologic findings have generated an intense debate about the need for, and potential benefit of, school closure in the context of COVID-19. International research reveals reactions in children that are not typically considered in the disaster literature as well as those that arise in other disasters. School closure also has curtailed the delivery of mental ...
Source: Current Psychiatry Reports - August 16, 2021 Category: Psychiatry Source Type: research

Motor Skill Differences in Autism Spectrum Disorder: a Clinically Focused Review
AbstractPurpose of ReviewThis review synthesizes recent, clinically relevant findings on the scope, significance, and centrality of motor skill differences in autism spectrum disorder (ASD).Recent FindingsMotor challenges in ASD are pervasive, clinically meaningful, and highly underrecognized, with up to 87% of the autistic population affected but only a small percentage receiving motor-focused clinical care. Across development, motor differences are associated with both core autism symptoms and broader functioning, though the precise nature of those associations and the specificity of motor profiles to ASD remain unestabl...
Source: Current Psychiatry Reports - August 13, 2021 Category: Psychiatry Source Type: research

Neuropsychological Assessment in Autism Spectrum Disorder
AbstractPurpose of ReviewNeuropsychological assessment involves the comprehensive evaluation of intellectual, attentional, executive, social-cognitive, language, and motor functioning. Such assessments are used to characterize areas of strength and weakness, inform differential diagnosis, guide treatment planning, and evaluate change over time. Individuals with autism spectrum disorder (ASD) present with varied clinical presentations, which can make the design of testing batteries and subsequent interpretation of results challenging. Here we provide an overview of neuropsychological domains as they relate to the evaluation...
Source: Current Psychiatry Reports - July 30, 2021 Category: Psychiatry Source Type: research

Disparities in Health Care and the Digital Divide
AbstractPurpose of ReviewDisparities in health outcomes are a well documented and worrisome part of our health care system. These disparities persist in spite of, and are occasionally exacerbated by, new technologies that are intended to improve health care. This results in a “digital divide” in which populations that have poorer health outcomes continue to have poorer health outcomes despite technological improvements.Recent FindingsIn many ways, the digitical divide is already shrinking via improved access to internet and technology/process improvements. For example, people with schizophrenia, PTSD, and bipol...
Source: Current Psychiatry Reports - July 23, 2021 Category: Psychiatry Source Type: research

The Effect of Virtual Mindfulness-Based Interventions on Sleep Quality: A Systematic Review of Randomized Controlled Trials
AbstractPurpose of ReviewWe summarized peer-reviewed literature investigating the effect of virtual mindfulness-based interventions (MBIs) on sleep quality. We aimed to examine the following three questions: (1) do virtual MBIs improve sleep quality when compared with control groups; (2) does the effect persist long-term; and (3) is the virtual delivery method equally feasible compared to the in-person delivery method?Recent FindingsFindings suggest that virtual MBIs are equivalent to evidence-based treatments, and to a limited extent, more effective than non-specific active controls at reducing some aspects of sleep distu...
Source: Current Psychiatry Reports - July 23, 2021 Category: Psychiatry Source Type: research

Technology and Sexual Offending
AbstractPurpose of ReviewThis review examines the literature on technology-facilitated sexual violence (TFSV). The prevalence, perpetrators, harms, and victims of a selection of types of TFSV are covered. Particularly, the topics of image-based sexual abuse, video voyeurism, sending of unsolicited sexual images, and the use of technology to facilitate in-person sexual violence are discussed.Recent FindingsThe literature suggests that the types of TFSV discussed are prevalent and the impacts far-reaching. There is emerging evidence outlining the characteristics associated with and motivations behind these acts of TFSV. The ...
Source: Current Psychiatry Reports - July 19, 2021 Category: Psychiatry Source Type: research

Childhood Traumatic Experiences and Dimensional Models of Personality Disorder in DSM-5 and ICD-11: Opportunities and Challenges
AbstractPurpose of ReviewChildhood trauma is an important risk factor for the development of personality disorders (PDs), yet most research has been devoted to categorical models of personality pathology. Considering the introduction of a dimensional PD model with ICD-11, we review current findings related to various forms of childhood trauma, and PDs, operationalized in the form of personality functioning and maladaptive traits. We focus on the magnitude of associations and examine specific relationships between emotional and physical trauma with areas of personality functioning and single traits.Recent FindingsTwo studie...
Source: Current Psychiatry Reports - July 19, 2021 Category: Psychiatry Source Type: research

Understanding Vulnerability to Late-Life Suicide
AbstractPurpose of ReviewWe review recent evidence on suicide among older adults, examine risk factors contributing to vulnerability to late-life suicide, and summarize possible interventions.Recent FindingsWe found a steadily increasing rate of late-life suicide in the USA in the past decade. Evidence supporting the integration of depression care managers into primary care for risk reduction is among the strongest to date. Pharmacologic and neuromodulation studies should be considered in geriatric depression complicated by suicidality. Broad societal campaigns about suicide education, as well as active outreach to psychia...
Source: Current Psychiatry Reports - July 17, 2021 Category: Psychiatry Source Type: research

Digital Hazards for Feeding and Eating: What We Know and What We Don't
We examined available evidence to ascertain any direct influences from online activities on feeding and eating disorders, thereby shedding light on putative mechanisms by which those influences may occur.Recent FindingsMany facets of problematic usage of the Internet correlate cross sectionally with eating disorder and related psychopathology. There is evidence to suggest that significant effects do exist in the direction of specific Internet activities contributing to eating disorder symptoms, viewed dimensionally. Putative mechanisms are discussed. However, a significant number of eating disorder phenotypes and Internet-...
Source: Current Psychiatry Reports - July 15, 2021 Category: Psychiatry Source Type: research

Virtual Standardized Patients for Mental Health Education
AbstractPurpose of ReviewThe training of psychiatrists and other mental health professionals requires education on a range of interpersonal, communication, and psychotherapy techniques. Classroom and workshop training must be augmented by experiential learning with feedback for skill implementation with fidelity. Virtual standardized patients (VSPs) are computerized conversational agents that can support experiential learning through standardized, consequence-free training environments at reduced costs.Recent FindingsResearch on mental health VSPs is rife with feasibility and acceptability pilot studies across various trai...
Source: Current Psychiatry Reports - July 15, 2021 Category: Psychiatry Source Type: research

Clinical Neuropsychological Evaluation in Older Adults With Major Depressive Disorder
AbstractPurpose of the ReviewOlder adults with major depressive disorder are particularly vulnerable to MDD-associated adverse cognitive effects including slowed processing speed, decreased attention, and executive dysfunction. The purpose of this review is to describe the approach to a clinical neuropsychological evaluation in older adults with MDD. Specifically, this review compares and contrasts neurocognitive screening and clinical neuropsychological evaluation procedures and details the multiple components of the clinical neuropsychological evaluation.Recent FindingsResearch has shown that neurocognitive screening ser...
Source: Current Psychiatry Reports - July 13, 2021 Category: Psychiatry Source Type: research

School-Implemented Interventions for Preschool to High School Students with Autism: An Update on Recent Research
AbstractPurpose of ReviewThe purpose of this review is to provide an update on the recent research (2016 –2021) that evaluates the effectiveness of school-implemented interventions for students with autism (3–21 years old) from preschool to high school.Recent FindingsOverall, the recent literature demonstrated that there are EBPs that help students with autism acquire a variety of skills across domains (academic, social communication). Though many educators and peers were able to achieve high-fidelity implementation, there remains variable fidelity of intervention use in some studies.SummaryThough there is some...
Source: Current Psychiatry Reports - July 10, 2021 Category: Psychiatry Source Type: research

The Use of Psychological First Aid in Children Exposed to Mass Trauma
AbstractPurpose of ReviewPsychological first aid (PFA) has been widely disseminated and promoted as an intervention to support short-term coping and long-term functioning after disasters. Despite its popularity, earlier reviews cite a startling lack of empirical outcome studies. The current review explores recent studies of PFA, especially pertaining to its use with children.Recent FindingsInitial studies of PFA show that it is well received by youth, families, and providers as well as being linked to decreases in depressive and posttraumatic stress symptoms, improved self-efficacy, increased knowledge about disaster prepa...
Source: Current Psychiatry Reports - July 7, 2021 Category: Psychiatry Source Type: research

Mental Health Outcomes of Unaccompanied Refugee Minors: a Rapid Review of Recent Research
AbstractPurposeTo examine mental health outcomes of unaccompanied refugee minors during global policy shift. Additionally, to consider mental health service delivery and placement type for this group.MethodsA rapid systematic search of research published since 2018 which related to mental health outcomes of unaccompanied refugee minors. Data extracted, risk of bias assessed and outcomes reviewed qualitatively.Research FindingsWe found 181 papers, of which 14 met inclusion criteria. This review found consistently high levels of PTSD and PTSS among URMs in various contexts. Exposure to trauma, being unaccompanied (compared t...
Source: Current Psychiatry Reports - July 1, 2021 Category: Psychiatry Source Type: research

The Impact of 9/11 and the War on Terror on Arab and Muslim Children and Families
AbstractPurpose of ReviewThere is a growing body of work that documents the impact of 9/11 and the war on terror on Arab and Muslim children and families. This review is designed to provide a brief overview and suggest new ways to better understand this understudied population.Recent FindingsSeveral studies show anti-Arab and anti-Muslim sentiments at its highest levels since 9/11. There is strong evidence that Arab and Muslim children and families experience some of the highest levels of discrimination, and as a result, they report higher levels of mental health symptoms.SummaryGiven the limited data, we need future studi...
Source: Current Psychiatry Reports - July 1, 2021 Category: Psychiatry Source Type: research

Sexual Violence Risk Assessment With Indigenous Men: Context, Controversies, and Current Findings
AbstractPurpose of ReviewWe review the issues, controversies, and main findings from the sexual violence risk assessment literature with Indigenous men. An argument is presented for the incorporation of structured and validated risk assessment measures as part of a comprehensive assessment to inform risk management and the prevention of sexual violence.Recent FindingsExtant research demonstrates that Canadian Indigenous men convicted for sexual offenses tend to score higher on sexual violence risk measures and to have higher rates of sexual and violent recidivism. Established static and dynamic tools, however, have moderat...
Source: Current Psychiatry Reports - July 1, 2021 Category: Psychiatry Source Type: research

Does Treatment for Sexual Offending Work?
AbstractPurpose of ReviewWe review and synthesize the literature on the effectiveness of offense-focused treatment for sexual offending. Specifically, we consider whether the extant literature suggests treatment is effective in reducing sexual reoffending and features of effective interventions. We also consider how the design of program evaluations may influence treatment outcomes.Recent FindingsRecent research suggests that offense-focused psychological treatment for sexual offending shows some level of effectiveness in reducing both sexual and general reoffending. Further, there appear to be key program, individual, and...
Source: Current Psychiatry Reports - July 1, 2021 Category: Psychiatry Source Type: research

Disruption of Child Environments and Its Psychological Consequences After the Fukushima Disaster: a Narrative Review Based on the Ecological Systems Model
AbstractPurpose of ReviewA high prevalence of clinically significant mental health problems was found in children affected by the Fukushima disaster in Japan. We reviewed the literature on child mental health to examine how disasters impacted children in Fukushima.Recent FindingsChildren ’s environments, such as family and peer systems, were disrupted by radiation concerns and evacuation. As children struggled with less resources at home and school, they also had to deal with discrimination. Various interventions were implemented, ranging from government financial assistance to se veral mental health services provide...
Source: Current Psychiatry Reports - July 1, 2021 Category: Psychiatry Source Type: research

The Structure, Covariates, and Etiology of Hypersexuality: Implications for Sexual Offending
AbstractPurpose of ReviewA substantial increase in research on the structure, covariates, and etiology of hypersexuality has emerged during the last decade. It is the goal of this review to summarize and integrate this research and to indicate some practical implications for clinical and forensic practice, especially as applied to those who have sexually offended.Recent FindingsStudies from the last half-decade converge on the conclusion that hypersexuality has both problematic and high sexual drive components. Both aspects have consistently been found to be distributed dimensionally and not categorically. Each subdimensio...
Source: Current Psychiatry Reports - July 1, 2021 Category: Psychiatry Source Type: research

The Integration of People Convicted of a Sexual Offence Into the Community and Their (Risk) Management
AbstractPurpose of ReviewWe are reviewing recent research into the community integration of men convicted of a sexual offence and their (risk) management. This is a high-profile political issue that binds together research in psychology, criminology, politics, health, public health, and policy studies. The review will demonstrate that a multi-disciplinary, life course, EpiCrim-oriented approach is the most effective way of reducing re-offending and promoting desistance in this population.Recent FindingsResearch demonstrates that life course development, especially from psychology and criminology, has an impact on whether p...
Source: Current Psychiatry Reports - July 1, 2021 Category: Psychiatry Source Type: research

Three Dimensional Approaches to Personality Disorders: a Review on Personality Functioning, Personality Structure, and Personality Organization
AbstractPurpose of ReviewThe concept of personality functioning (Alternative DSM-5 Model of Personality Disorders) has led to increased interest in dimensional personality disorder diagnosis. While differing markedly from the current categorical classification, it is closely related to the psychodynamic concepts of personality structure and personality organization. In this review, the three dimensional approaches, their underlying models, and common instruments are introduced, and empirical studies on similarities and differences between the concepts and the categorical classification are summarized. Additionally, a case ...
Source: Current Psychiatry Reports - June 28, 2021 Category: Psychiatry Source Type: research

Taking Care of Those Who Care: Attending Psychological Needs of Health Workers in a Hospital in Madrid (Spain) During the COVID-19 Pandemic
We described a psychological support plan designed and implemented with the aim of providing mental health care for health professionals. Such programmes should be easily accessible to professionals, preferably in their own work environments. (Source: Current Psychiatry Reports)
Source: Current Psychiatry Reports - June 19, 2021 Category: Psychiatry Source Type: research

Correction to: Beyond Burnout: Responding to the COVID-19 Pandemic Challenges to Self-care
A Correction to this paper has been published:https://doi.org/10.1007/s11920-021-01257-5 (Source: Current Psychiatry Reports)
Source: Current Psychiatry Reports - May 27, 2021 Category: Psychiatry Source Type: research

Issues in Working with Transgender Individuals Who Sexually Harm
AbstractPurpose of ReviewI review the recent literature related to the assessment, treatment, and management of transgender individuals who sexually harm.Recent FindingsThere are no empirical research studies directly focused on the care of this group of individuals that have only recently been identified as an important sub-population among people who sexually harm. Related empirical research and other important professional literature do exist to inform clinicians regarding treatment guidelines for transgender mental healthcare.SummaryResearch is needed to determine how best to assess sexual violence recidivism risk and ...
Source: Current Psychiatry Reports - May 19, 2021 Category: Psychiatry Source Type: research

Use of Ecological Momentary Assessment to Study Suicidal Thoughts and Behavior: a Systematic Review
AbstractPurpose of ReviewEcological momentary assessment (EMA) is a recently introduced approach to patient evaluation that consists of asking patients questions in real time and in their usual habitat. This method seeks to contribute to suicide prevention by providing psychiatrists with detailed information about suicidal thoughts and behavior, how these fluctuate over short periods of time, and the short-term risk factors presented by patients. We conducted a systematic review of published research using EMA to study suicidal thoughts and behavior.Recent FindingsSeveral systematic reviews of EMA in mental health have bee...
Source: Current Psychiatry Reports - May 18, 2021 Category: Psychiatry Source Type: research

Psychiatric Evaluation and Management in Pediatric Spinal Cord Injuries: a Review
AbstractPurpose of ReviewTo summarize current key recommendations in the evaluation and management of mental health disorders associated with spinal cord injuries (SCI) among pediatric patients, based on a review of recent evidence-based literature and clinical experience.Recent FindingsAnticipating potential mental health risks among youth with SCI and implementing early multidisciplinary management improves physical and mental health outcomes. When caregivers of youth with SCI model healthy coping strategies, it promotes healthy coping strategies in patients themselves. Peer mentor programs can be instrumental in patient...
Source: Current Psychiatry Reports - May 11, 2021 Category: Psychiatry Source Type: research

New Developments in the Use of Atypical Antipsychotics in the Treatment of Bipolar Disorder: a Systematic Review of Recent Randomized Controlled Trials
AbstractPurpose of ReviewAtypical antipsychotics are increasingly used in the treatment of bipolar disorder (BD). This systematic review provides an overview of recently published randomized controlled trials (RCTs) on the efficacy and safety of atypical antipsychotics in BD.Recent FindingsSeveral studies supported efficacy of quetiapine monotherapy in acute bipolar I (BDI) and bipolar II (BDII) depression. Moreover, quetiapine adjunctive therapy showed superior efficacy to placebo in treatment-resistant bipolar depression. Cariprazine 1.5  mg was effective in treating bipolar I depression. Aripiprazole 400 mg IM...
Source: Current Psychiatry Reports - May 8, 2021 Category: Psychiatry Source Type: research

Digital Clinics and Mobile Technology Implementation for Mental Health Care
AbstractPurpose of ReviewInterest in digital mental health, especially smartphone apps, has expanded in light of limited access to mental health services and the need for remote care during COVID-19. Digital clinics, in which apps are blended into routine care, offer a potential solution to common implementation challenges including low user engagement and lack of clinical integration of apps.Recent FindingsWhile the number of mental health apps available in commercial marketplaces continues to rise, there are few examples of successful implementation of these apps into care settings. We review one example of a digital cli...
Source: Current Psychiatry Reports - May 7, 2021 Category: Psychiatry Source Type: research

Dissociation in Borderline Personality Disorder: Recent Experimental, Neurobiological Studies, and Implications for Future Research and Treatment
AbstractPurpose of ReviewThe aim of this review article is to give an overview over recent experimental neurobiological research on dissociation in borderline personality disorder (BPD), in order to inform clinicians and to stimulate further research. First, we introduce basic definitions and models that conceptualize dissociation from a transdiagnostic perspective. Then, we discuss recent findings in BPD.Recent FindingsStress-related dissociation is a key symptom of BPD, closely linked to other core domains of the disorder (emotion dysregulation, identity disturbances, and interpersonal disturbances). The understanding of...
Source: Current Psychiatry Reports - April 28, 2021 Category: Psychiatry Source Type: research

Polycystic Ovary Syndrome, Affective Symptoms, and Neuroactive Steroids: a Focus on Allopregnanolone
AbstractPurpose of ReviewTo provide an overview of existing studies on alterations in gonadal and neuroactive steroids (NASs) and mood symptoms among women with polycystic ovary syndrome (PCOS).Recent FindingsRecent studies have demonstrated a previously underappreciated association between PCOS and comorbid depression and anxiety. However, most studies on affective symptoms among women with PCOS have been cross-sectional, limiting our knowledge about fluctuations in symptoms over the menstrual cycle and reproductive lifespan for women with PCOS, as well as the potential interplay between NAS alterations and mood symptoms....
Source: Current Psychiatry Reports - April 21, 2021 Category: Psychiatry Source Type: research

Biopsychosocial Model Social Anxiety and Substance Use Revised
AbstractPurpose of ReviewTo review data published in the past 5  years to evaluate the utility of our biopsychosocial model of social anxiety’s relation to substance misuse to evaluate the model’s utility and update it.Recent FindingsData support the utility of our revised model —e.g., socially anxious persons report using substances to manage subjective anxiety, despite evidence that some substances may not have a direct effect on physiological responding. Other factors with promise include social influence, cognitive processes (e.g., post-event processing), and avoidanc e. Data highlight the import...
Source: Current Psychiatry Reports - April 17, 2021 Category: Psychiatry Source Type: research

Beyond Baby Siblings —Expanding the Definition of “High-Risk Infants” in Autism Research
AbstractPurpose of ReviewMuch of our understanding of early development in children with autism spectrum disorder (ASD) comes from studies of children with a family history of autism. We reviewed the current literature on neurodevelopmental profiles and autism prevalence from other high-risk infant groups to expose gaps and inform next steps. We focused on infants with early medical risk (e.g., preterm birth) and genetic risk (tuberous sclerosis complex [TSC]).Recent FindingsAbout 7% of very preterm infants are later diagnosed with ASD. Prospective studies of early development outside of familial-risk infants are rare; how...
Source: Current Psychiatry Reports - April 16, 2021 Category: Psychiatry Source Type: research