Risk-Based Temporary Firearm Removal Orders: A New Legal Tool for Clinicians
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - January 1, 2021 Category: Psychiatry Tags: Disruptive Innovation Source Type: research
Introduction: Violence and Mental Illness
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - January 1, 2021 Category: Psychiatry Tags: Introduction Source Type: research
Needing Too Much: Managing Crises in a Patient with Dependent Personality Traits
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - November 1, 2020 Category: Psychiatry Tags: Clinical Challenge Source Type: research
Somatic Symptom Disorder in the Inpatient Setting: The Challenge for Patients and Providers
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - November 1, 2020 Category: Psychiatry Tags: Clinical Challenge Source Type: research
Messaging in Biological Psychiatry: Misrepresentations, Their Causes, and Potential Consequences
Most experts in the field of psychiatry recognize that neuroscience advances have yet to be translated into clinical practice. The main message delivered to laypeople, however, is that mental disorders are brain diseases cured by scientifically designed medications. Here we describe how this misleading message is generated. We summarize the academic studies describing how biomedical observations are often misrepresented in the scientific literature through various forms of data embellishment, publication biases favoring initial and positive studies, improper interpretations, and exaggerated conclusions. These misrepresenta...
Source: Harvard Review of Psychiatry - November 1, 2020 Category: Psychiatry Tags: Perspectives Source Type: research
Mindfulness and Behavior Change
Initiating and maintaining behavior change is key to the prevention and treatment of most preventable chronic medical and psychiatric illnesses. The cultivation of mindfulness, involving acceptance and nonjudgment of present-moment experience, often results in transformative health behavior change. Neural systems involved in motivation and learning have an important role to play. A theoretical model of mindfulness that integrates these mechanisms with the cognitive, emotional, and self-related processes commonly described, while applying an integrated model to health behavior change, is needed. This integrative review (1) ...
Source: Harvard Review of Psychiatry - November 1, 2020 Category: Psychiatry Tags: Reviews Source Type: research
The Role of Stress in Obsessive-Compulsive Disorder: A Narrative Review
Obsessive-compulsive disorder (OCD) has a worldwide prevalence of 2%–3%. Characterized by the presence of either one or two core symptoms—obsessions and compulsions—it generally runs a chronic course and may cause serious functional impairment. Though previously thought to be of psychogenic origin, the pathophysiology of OCD is now understood to be more complex. A multitude of environmental factors have been shown to contribute to the development of OCD, including infection, neonatal complications, childhood trauma, occurrence of stressful events, and brain injury. It has also been proposed that genetic vulnerability...
Source: Harvard Review of Psychiatry - November 1, 2020 Category: Psychiatry Tags: Reviews Source Type: research
Negative Symptoms and Functioning in Youth at Risk of Psychosis: A Systematic Review and Meta-analysis
The objective of this systematic review is to summarize the relationship between negative symptoms and functioning in CHR samples.
Method
Electronic databases CINAHL, EBM, Embase, MEDLINE, and PsycINFO were searched from inception. Studies were selected if they included any study that reported a relationship between negative symptoms and functioning in youth at clinical high risk (CHR). The correlation coefficient r was converted to Cohen’s d, and all random-effects meta-analyses were performed using the transformed values.
Results
Forty-one studies met the inclusion criteria, including a total of 4574 indi...
Source: Harvard Review of Psychiatry - November 1, 2020 Category: Psychiatry Tags: Reviews Source Type: research
The Opioid Crisis and the Inpatient Floor: Considering Injection Drug Use in the Management of Infective Endocarditis and Acute Pain
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - September 1, 2020 Category: Psychiatry Tags: Clinical Challenge Source Type: research
Teaching Ethics in Psychiatry: Time to Reset
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - September 1, 2020 Category: Psychiatry Tags: Education Source Type: research
Substance Use Disorders in Global Mental Health Delivery: Epidemiology, Treatment Gap, and Implementation of Evidence-Based Treatments
Learning objectives
After participating in this activity, learners should be better able to:
• Assess the treatment gap for patients with substance use disorders
• Evaluate treatments and models of implementation for substance use disorders
Substance use disorders (SUDs) account for substantial global morbidity, mortality, and financial and social burden, yet the majority of those suffering with SUDs in both low- and middle-income (LMICs) and high-income countries (HICs) never receive SUD treatment. Evidence-based SUD treatments are available, but access to treatment is severely limited. Stigma and legal discrimin...
Source: Harvard Review of Psychiatry - September 1, 2020 Category: Psychiatry Tags: Perspectives Source Type: research
A Review of Behavioral Therapies in Adolescents with Opioid Use Disorder
A growing evidence base supports the use of medication to treat opioid use disorder (OUD) in adolescents, but little is known about behavioral therapies for adolescents with OUD. A systematic review using PRISMA methodology was conducted on behavioral therapy for adolescent OUD. Only three studies were identified. Combined evidence from two studies indicates initial efficacy of the Adolescent–Community Reinforcement Approach, motivational enhancement therapy, and cognitive-behavioral therapy for reducing opioid use. The only group therapy identified, which involved adolescents and their parents, demonstrated improvement ...
Source: Harvard Review of Psychiatry - September 1, 2020 Category: Psychiatry Tags: Reviews Source Type: research
Systematic Review of Digital Phenotyping and Machine Learning in Psychosis Spectrum Illnesses
Discussion
Many machine-learning techniques have been applied to passively collected digital phenotyping data in schizophrenia and bipolar disorder. Larger studies, and with improved data quality, are needed, as is further research on the application of machine learning to passive digital phenotyping data in early diagnosis and treatment of psychosis. In order to achieve greater comparability of studies, common data elements are identified for inclusion in future studies. (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - September 1, 2020 Category: Psychiatry Tags: Reviews Source Type: research
The Feeling of Emptiness: A Review of a Complex Subjective Experience
A feeling of emptiness is commonly encountered in clinical practice, but it is poorly understood, with incongruent approaches to its definition and possible role in various disorders. This review examines the conceptualization of the feeling of emptiness and its place in psychopathology. We found an imbalance between theoretical approaches to this phenomenon and empirical research, and argue that more studies using adequate assessment tools are needed. Based on our literature review, we propose that a feeling of emptiness is a complex, negative emotional state that is experienced in different ways by different individuals....
Source: Harvard Review of Psychiatry - September 1, 2020 Category: Psychiatry Tags: Reviews Source Type: research
Inpatient Hospitalization for Postpartum Depression: Implications for Mother and Infant
No abstract available (Source: Harvard Review of Psychiatry)
Source: Harvard Review of Psychiatry - July 1, 2020 Category: Psychiatry Tags: Clinical Challenge Source Type: research
