Evidence of Phone vs Video-Conferencing for Mental Health Treatments: A Review of the Literature
AbstractPurpose of ReviewThe goal of this paper is to provide a comparative review of using phone (audio-only) or video for mental health treatments. Our review includes evidence of phone and video ’s effectiveness in terms of reduced symptomology, retention, satisfaction, therapeutic alliance, and other outcomes of interest. This review also discusses how patients and providers’ experiences and attitudes differ between these two modalities. Finally, we present information on different usa ge rates of phone and video across patient populations and mental health provider types, and different implementation strategies.Re...
Source: Current Psychiatry Reports - September 2, 2022 Category: Psychiatry Source Type: research
Physical Activity and Sedentary Behavior in Children During the COVID-19 Pandemic: Implications for Mental Health
AbstractPurpose of ReviewThis paper examines children ’s physical activity and sedentary behavior and associated psychological outcomes coincident with the COVID-19 pandemic.Recent FindingsGenerally, the research has found decreased physical activity and increased sedentary behavior, both of which are associated with various psychological outcomes. The research on sedentary behavior has focused on screen time with minimal consideration of other sedentary behaviors or of specific physical activities or the context in which these behaviors occurred.SummaryChanges in children ’s daily routines and activities have received...
Source: Current Psychiatry Reports - September 1, 2022 Category: Psychiatry Source Type: research
Nip it in the Bud: Botanicals for Anxiety — a Practical Prescriber’s Guide
AbstractPurpose of ReviewThe goal of this paper is to summarize the evidence for the use of botanical medicines for the treatment of anxiety disorders. We sought to make this review practical for psychiatrists and psychiatric prescribers.Recent FindingsIn 2018, the Natural Medicines database produced a Clinical Management of Anxiety guide that summarized the conventional and natural treatments of anxiety disorders. Based on this guide, four herbal supplements (also referred to as botanicals) were selected for deeper study including kava, lavender, lemon balm and passionflower. All four were considered possibly safe and pos...
Source: Current Psychiatry Reports - September 1, 2022 Category: Psychiatry Source Type: research
Clinical Implications of ICD-11 for Diagnosing and Treating Personality Disorders
AbstractPurpose of ReviewThe International Classification of Diseases 11th revision (ICD-11) introduced a new approach to personality disorders and related traits. This paper reviews recent literature on the assessment of ICD-11 personality disorders and implications for clinical diagnosis, decision-making, and treatment.Recent FindingsWe reviewed findings on two measures developed for the ICD-11 model of personality dysfunction and six inventories for the ICD-11 trait specifiers. The psychometric qualities of these tools are promising, and they allow for both rapid screening and fine-grained assessment. Implications for c...
Source: Current Psychiatry Reports - August 24, 2022 Category: Psychiatry Source Type: research
Digital Phenotyping for Mental Health: Reviewing the Challenges of Using Data to Monitor and Predict Mental Health Problems
AbstractPurpose of ReviewWe review recent developments within digital phenotyping for mental health, a field dedicated to using digital data for diagnosing, predicting, and monitoring mental health problems. We especially focus on recent critiques and challenges to digital phenotyping from within the social sciences.Recent FindingsThree significant strands of criticism against digital phenotyping for mental health have been developed within the social sciences. This literature problematizes the idea that digital data can be objective, that it can be unbiased, and argues that it has multiple ethical and practical challenges...
Source: Current Psychiatry Reports - August 24, 2022 Category: Psychiatry Source Type: research
Orexin Receptor Antagonists and Insomnia
AbstractPurpose of ReviewWe review recent evidence on the use of orexin receptor antagonists (ORAs) for treating insomnia. We evaluate studies on five dual ORAs and one selective ORA.Recent FindingsResearch on suvorexant in recent years gradually focus on comorbid insomnia, while lemborexant and daridorexant were still being validated in primary insomnia. Almorexant is now mainly used as a commercial specific inhibitor of the orexin system in animal studies due to safety issues. Although filorexant has also shown a certain sleep-promoting effect, there are few clinical or experimental studies on sleep-related aspects of fi...
Source: Current Psychiatry Reports - August 16, 2022 Category: Psychiatry Source Type: research
E-Mental Health for People with Personality Disorders: A Systematic Review
AbstractPurpose of ReviewProvision of mental health services through digital technologies (e-mental health) can potentially expand access to treatments for personality disorders (PDs). We evaluated studies on e-mental health for PDs published over the last 3 years (2019–2022).Recent FindingsStudies published in English that used e-mental health to treat people with PDs or PD-related symptoms were identified. We identified 19 studies, including four randomized controlled trials and one meta-analysis. Most interventions were based on Dialectical Behavior Therapy and delivered through smartphone applications for adults wi...
Source: Current Psychiatry Reports - August 16, 2022 Category: Psychiatry Source Type: research
Five Ways Providers Can Improve Mental Healthcare for Autistic Adults: A Review of Mental Healthcare Use, Barriers to Care, and Evidence-Based Recommendations
AbstractPurpose of ReviewWe reviewed the literature from 2017 to 2022 on autistic adults ’ use of mental healthcare and barriers to care. To encourage immediate improvement in mental healthcare, we provide five strategies mental health providers can use to better care for autistic adults.Recent FindingsMost autistic adults use mental healthcare and use it more often than non-autistic adults. Autistic adults ’ experiences with mental healthcare are characterized by (1) lack of providers knowledgeable about autism, (2) use of treatments that may not be accommodating to individual needs, and (3) difficulty navigating the ...
Source: Current Psychiatry Reports - August 15, 2022 Category: Psychiatry Source Type: research
Complementary and Integrative Medicine for Neurocognitive Disorders and Caregiver Health
AbstractPurpose of ReviewIntegrative medicine is the practice of combining conventional medical treatments with “alternative” or “complementary” therapies. Integrative psychiatry is a holistic, person-centered approach to neuropsychiatric disorders that emphasizes a person’s physical, emotional, interpersonal, behavioral, nutritional, environmental, and spiritual dimensions to achieve well-being. Ol der adults are more prone to physical injury, interpersonal loss, chronic illnesses, and physical and cognitive decline that can manifest as anxiety, depression, with functional decline and inability to care for self....
Source: Current Psychiatry Reports - August 13, 2022 Category: Psychiatry Source Type: research
Psilocybin Efficacy and Mechanisms of Action in Major Depressive Disorder: a Review
AbstractPurpose of the ReviewWe aim to provide an overview of the current state of knowledge about the efficacy of psilocybin in the treatment of depression, as well as its mechanisms of action.Recent FindingsPsilocybin has a large, rapid, and persistent clinical effect in the treatment of resistant or end-of-life depression. Tolerance is good, with mild side effects limited to a few hours after dosing. The studies conducted to date have had small sample sizes. One clinical trial has been conducted against a reference treatment (escitalopram) without showing a significant superiority of psilocybin in the main outcome. The ...
Source: Current Psychiatry Reports - August 12, 2022 Category: Psychiatry Source Type: research
Cultural Factors in Disaster Response Among Diverse Children and Youth Around the World
AbstractPurpose of ReviewDisasters and traumatic events are ever present globally but disproportionally impact culturally diverse low resource environments. Culture is an important context through which people experience disasters, develop adaptive strategies, and process external aid and support. This is even more critical for children and youth who are in the process of forming their cultural/ethnic identities. This review identifies literature on these important aspects of culture in disaster response.Recent FindingsThe literature supports that culture influences the experience of disasters, the development of coping an...
Source: Current Psychiatry Reports - August 12, 2022 Category: Psychiatry Source Type: research
Telehealth-Based Delivery of Medication-Assisted Treatment for Opioid Use Disorder: a Critical Review of Recent Developments
AbstractPurpose of ReviewTelehealth-delivered medication-assisted treatment for opioid use disorder (tele-MOUD) has received increased attention, with the intersection of the opioid epidemic and COVID-19 pandemic, but research on recent developments is scattered. We critically review recent literature on tele-MOUD and synthesize studies reporting primary data under four themes: clinical effectiveness, non-clinical effectiveness, perceptions, and regulatory considerations.Recent FindingsDespite increasing publications, most failed to include long-term comprehensive assessments. Findings indicate favorable outcomes such as...
Source: Current Psychiatry Reports - July 27, 2022 Category: Psychiatry Source Type: research
Technology-Based Approaches for Supporting Perinatal Mental Health
AbstractPurpose of ReviewThis review explores advances in the utilization of technology to address perinatal mood and anxiety disorders (PMADs). Specifically, we sought to assess the range of technologies available, their application to PMADs, and evidence supporting use.Recent FindingsWe identified a variety of technologies with promising capacity for direct intervention, prevention, and augmentation of clinical care for PMADs. These included wearable technology, electronic consultation, virtual and augmented reality, internet-based cognitive behavioral therapy, and predictive analytics using machine learning. Available e...
Source: Current Psychiatry Reports - July 23, 2022 Category: Psychiatry Source Type: research
Addressing the Behavioral Health Needs of Sexual and Gender Minorities During the COVID-19 Pandemic: a Review of the Expanding Role of Digital Health Technologies
AbstractPurpose of ReviewTo review the role of digital health technologies in behavioral health treatment and promotion for sexual and gender minorities (SGM).Recent FindingsDigital technologies have advantages and limitations at multiple levels in addressing SGM ’s behavioral health needs. For patients, digital technologies improve convenience and may reduce stigma; however, privacy concerns in the home may limit their utilization. Providers also benefit from the convenience of these technologies; however, not all providers are comfortable delivering virt ual care to SGM. For society, digital technologies reduce transpo...
Source: Current Psychiatry Reports - July 16, 2022 Category: Psychiatry Source Type: research
Adapting and Implementing Apps for Mental Healthcare
AbstractPurpose of ReviewTo describe examples of adapting apps for use in mental healthcare and to formulate recommendations for successful adaptation in mental healthcare settings.Recent FindingsInternational examples are given to explore implementation procedures to address this multitude of challenges.SummaryThere are only few published examples of adapting apps for use in mental healthcare. From these examples and from results of studies in implementation science in general clinical settings, it can be concluded that the process of adapting apps for mental healthcare needs to address clinician training and information ...
Source: Current Psychiatry Reports - July 15, 2022 Category: Psychiatry Source Type: research
