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 once mo...
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 importance of context ...
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

Telepsychiatry and Medical Students: a Promising Mental Health Treatment for Medical Student Use Both Personally and Professionally
AbstractPurpose of ReviewWe review recent findings on the use of telepsychiatry while investigating medical students ’ perceptions and willingness to use it for their mental health needs. We explore the impact of COVID-19 on medical school curriculums. We also investigate current education in medical schools surrounding telemedicine.Recent FindingsMedical students experience symptoms of anxiety at a greater rate than the general population. Major barriers to help-seeking behaviors are the refusal to seek treatment due to fear of incurring negative views from supervising faculty, time constraints, and the cost of counseli...
Source: Current Psychiatry Reports - April 13, 2021 Category: Psychiatry Source Type: research

Providing Affirmative Care to Transgender and Gender Diverse Youth: Disparities, Interventions, and Outcomes
AbstractPurpose of ReviewThis paper reviews the evolving body of research on the mental health of transgender and gender diverse (TGD) youth. Minority stress experiences in families, schools, and the community impact the health and well-being of this population due to experiences of stigma, discrimination, and rejection. Poor healthcare access and outcomes may be compounded in youth with intersectional identities.Recent FindingsThere is increasing evidence that gender-affirming interventions improve mental health outcomes for TGD youth. TGD youth report worse mental health outcomes in invalidating school and family environ...
Source: Current Psychiatry Reports - April 13, 2021 Category: Psychiatry Source Type: research

Social and Nonsocial Reward Anticipation in Typical Development and Autism Spectrum Disorders: Current Status and Future Directions
AbstractPurpose of ReviewWhile there has been sustained interest in understanding the role of reward processing in autism spectrum disorder (ASD), researchers are just beginning to focus on the anticipation phase of reward processing in this population. This review aimed to briefly summarize recent advancements in functional imaging studies of anticipatory social and nonsocial reward processing in individuals with and without ASD and provide suggestions for avenues of future research.Recent FindingsReward salience and activation of the complex network of brain regions supporting reward anticipation vary across development ...
Source: Current Psychiatry Reports - April 13, 2021 Category: Psychiatry Source Type: research

The Emerging Circadian Phenotype of Borderline Personality Disorder: Mechanisms, Opportunities and Future Directions
AbstractPurpose of ReviewWe review the recent evidence suggesting that circadian rhythm disturbance is a common unaddressed feature of borderline personality disorder (BPD); amelioration of which may confer substantial clinical benefit. We assess chronobiological BPD studies from a mechanistic and translational perspective and highlight opportunities for the future development of this hypothesis.Recent FindingsThe emerging circadian phenotype of BPD is characterised by a preponderance of comorbid circadian rhythm sleep-wake disorders, phase delayed and misaligned rest-activity patterns and attenuated amplitudes of usually ...
Source: Current Psychiatry Reports - April 9, 2021 Category: Psychiatry Source Type: research