The assessment of affective temperament and life quality in myofascial pain syndrome patients.
CONCLUSION: This research assesses for the first time of the affective temperament characteristics of MPS patients. KEY POINTS Myofascial pain syndrome patients have distinct temperaments than the control group. Myofascial pain syndrome patients had remarkably higher TEMPS-A depressive, cyclothymic, and anxious scores than the healthy control group. Life quality, clinical severity, and courses can be affected by differences in temperament. Clinicians can readily apply the TEMPS-A temperament scale in patient application to demonstrate these differences. The anticipation of a psychiatric situation plays a more significant r...
Source: International Journal of Psychiatry in Clinical Practice - October 23, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Changing patterns of prenatal depression and anxiety status in different trimesters and modified form of Zung scales for pregnant women.
CONCLUSION: Pregnant women had higher severity of depression and anxiety status in 1st trimester than that in 2nd and 3rd trimester. The modified form of SDS/SAS may be more brief and suitable to assess the depression and anxiety status in pregnant women. KEY POINTS Pregnant women had a higher severity of depression and anxiety status in the 1st trimester than that in the 2nd and 3rd trimester. The present study suggests that prenatal depression and anxiety status are prevalent in Chinese pregnant women. Prevention or treatments focus on high-score items of SDS and SAS would be beneficial for rectifying prenatal depression...
Source: International Journal of Psychiatry in Clinical Practice - October 21, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Relationship between impulsivity, comorbid anxiety and neurocognitive functions in bipolar disorder.
CONCLUSION: Anxiety disorder comorbidity increases impulsivity in bipolar disorder. KEYPOINTS In the presence of anxiety disorder spectrum comorbidity, bipolar disorder patients will have increased impulsivity and the clinical course may be more severe. Trait anxiety levels and anxiety sensitivity may be predictive factors for impulsivity. In the presence of anxiety disorder spectrum comorbidity, it should be taken into consideration that these patients may be more impulsive and should be treated with more care in terms of evaluation of the disorder. PMID: 33063587 [PubMed - as supplied by publisher] (Source: Internati...
Source: International Journal of Psychiatry in Clinical Practice - October 20, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Pituitary-adrenal axis hormones in early-onset versus late-onset panic disorder.
CONCLUSIONS: These findings suggest that the two onset-groups demonstrate significant differences in the hypothalamic-pituitary-adrenal axis functioning, at least when acutely-ill. Key points Early-onset panic disorder (EOPD) may differ biologically from late-onset PD (LOPD). EOPD was correlated with greater adrenocorticotropic hormone (ACTH) plasma levels. EOPD was correlated with greater dehydroepiandrosterone sulphate plasma levels. In EOPD only, ACTH levels were positively correlated with panic and anxiety symptoms. PMID: 33043745 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - October 14, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

How does adolescent motherhood affect mother-infant/toddler relationship and emotional availability.
Authors: Cikili Uytun M, Yurumez E, Oztop DB, Mentese Babayigit T, Efendi GY, Kilic BG Abstract BACKGROUND: The present study examined the different aspects of infant-mother relationships in adolescent mothers and compared them in adult mothers. METHODS: Children aged 18-40 months who were referred to our outpatient Infant Mental Health Department were analysed retrospectively. Sociodemographic data, Parent-Infant Relationship Global Assessment Scale (PIR-GAS) scores, and Emotional Availability (EA) Scales scores were analysed. Twenty-nine adolescent mothers being younger than 20 years at the begi...
Source: International Journal of Psychiatry in Clinical Practice - October 8, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Delirium associated with the use of macrolide antibiotics: a review.
CONCLUSIONS: Considering that these drugs may be a possible cause of delirium, clinicians should be aware that timely recognition of this possible side effect can lead to earlier discontinuation of the culprit drug, reduce time spent in a delirious state and improve patients' outcomes. KEY POINTS Cases of delirium which satisfied inclusion criteria were found for clarithromycin, azithromycin, erythromycin and telithromycin. Cases of delirium were described in patients of various age groups, including children. Drug-drug interactions may have contributed to the occurrence of delirium in some of the cases. Time to onset of d...
Source: International Journal of Psychiatry in Clinical Practice - October 8, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Hikikomori: psychopathology and differential diagnosis of a condition with epidemic diffusion.
CONCLUSIONS: Hikikomori could represent the clinical answer to a social evolution, similarly to other phenomena such as binge behaviours and use of psychoactive substances. Further studies are needed to clarify diffusion, diagnosticassessment and differential diagnosis. Key points Hikikomori is now considered a contemporary society-bound syndrome linked to modern society changes. Hikikomori might be a coping strategy to avoid relationships, social judgement and possible failures. Hikikomori might represent an extreme suffering that needs to be identified early: it is linked to severe form of modern type depression and it i...
Source: International Journal of Psychiatry in Clinical Practice - September 30, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Dimensions of Anger Reactions (DAR-5): a useful screening tool for anger in the general population.
CONCLUSIONS: The shortness of the DAR-5, along with its cost-effective applicability, qualifies this measuring tool as a useful instrument for inclusion in the routine assessment of anger reactions in the general population. Key points This is the first time the validity of DAR-5 has been demonstrated in a developing country. The Portuguese version of DAR-5 has appropriate sensitivity and high specificity. The DAR-5 demonstrated to be a reliable and stable instrument, irrespective of sex. PMID: 32975451 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - September 27, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Wernicke Encephalopathy in schizophrenia: a systematic review.
CONCLUSIONS: The development of a full triad and additional symptomatology suggests a late recognition of signs and symptoms of WE in schizophrenia. Prophylactic thiamine checks and treatment in patients with schizophrenia are relevant, and if WE is suspected adequate parenteral thiamine supplementation is necessary. Key points Only few cases of schizophrenia-related WE have been published in the literature, though challenges in diagnosing and recognising WE suggest that the vast majority of cases go undetected. Acute thiamine deficiency leads to Wernicke's Encephalopathy. Patients diagnosed with schizophrenia are at risk ...
Source: International Journal of Psychiatry in Clinical Practice - September 24, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

The incidence and economic impact of aggression in closed long-stay psychiatric wards.
CONCLUSIONS: The current study found a high rate of aggression incidents in closed long-stay psychiatric wards. Reports of aggression on these types of wards are scarce. Nevertheless, aggression seems to have a severe impact on invested time and related costs, which suggests a need for aggression-prevention and de-escalating programs. Key points Aggression incidents are highly prevalent and are accompanied by high costs. The effect of aggression incidents on the workload for staff members is high, especially for nursing staff. Studies across countries on the incidence and the costs of aggression among psychiatric inpatient...
Source: International Journal of Psychiatry in Clinical Practice - September 22, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

A medical algorithm for Cotard delusion based on more than 300 literature cases.
CONCLUSIONS: Despite its challenging diagnosis, the delusion can be treated with readily available care. Hopefully, this work can be a useful tool to doctors when encountering this odd affliction. PMID: 32935595 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - September 18, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

The relationship between nomophobia and psychiatric symptoms in adolescents.
CONCLUSIONS: Since anxiety and hyperactivity were predictors of nomophobia according to the study, adolescents with attention deficit hyperactivity disorder or anxiety disorder should be examined for nomophobia as well. Key points Nomophobia levels of internalising and externalising disordered groups did not differ. Internalising group had higher scores in two sub-dimensions of nomophobia. All anxiety and depression symptoms correlated with nomophobia. Hyperactivity and oppositional symptoms correlated with nomophobia. Total anxiety and hyperactivity were predictors of nomophobia. PMID: 32940094 [PubMed - as supplied b...
Source: International Journal of Psychiatry in Clinical Practice - September 18, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Culturally adapted family intervention for schizophrenia in Pakistan: a feasibility study.
CONCLUSIONS: Importantly, this study determines that pathways into a psychosocial intervention can be established in Pakistan. A combination of factors contribute to low levels of access to psychiatric care including different explanatory models of illness, small numbers of trained staff, limited resources and reliance on traditional healers. These results support the feasibility, acceptability and merit of conducting a full-scale trial of CulFI in comparison with standard care. ClinicalTrials.gov Identifier: NCT02167347 KEY POINTS The significant treatment gap in LMICs leaves families providing much of the care for people...
Source: International Journal of Psychiatry in Clinical Practice - September 17, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Editorial.
Authors: Kasper S PMID: 32909469 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - September 12, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Negative symptoms in schizophrenia, assessed by the brief negative symptom scale, self-evaluation of negative symptom scale, and social cognition: a gender effect.
CONCLUSIONS: Gender differences were found in the assessment of negative symptoms by a clinical scale and the relationship between negative symptoms and social cognition. KEY POINTS Female patients scored better in the BNSS, PSP and both parts of the Faux-Pas test Gender differences were present in the assessment of negative symptoms by clinical (BNSS) but not the self-assessment (SNS) scale. Female patients obtained a significant correlation between the results of the SNS scale, BNSS, PSP, and the affective part of the Faux-Pas test what was not the case in male subjects. PMID: 32862741 [PubMed - as supplied by publis...
Source: International Journal of Psychiatry in Clinical Practice - September 1, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Precision psychiatry in clinical practice.
Authors: Zanardi R, Prestifilippo D, Fabbri C, Colombo C, Maron E, Serretti A Abstract The treatment of depression represents a major challenge for healthcare systems and choosing among the many available drugs without objective guidance criteria is an error-prone process. Recently, pharmacogenetic biomarkers entered in prescribing guidelines, giving clinicians the possibility to use this additional tool to guide prescription and improve therapeutic outcomes. This marked an important step towards precision psychiatry, which aim is to integrate biological and environmental information to personalise treatments. Only...
Source: International Journal of Psychiatry in Clinical Practice - August 29, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Sex differences in maturation and aging of human personality on the basis of a recently developed complex hierarchical model of temperament and character.
CONCLUSIONS: While there is stability with the two top factors of personality, there are age-related changes in lower-level modules probably indicating maturation, adaptation or changes in orientation through the adult life span. Gender differences in all levels including the two top superfactors, higher and lower modules reflect and explain differences in multiple aspects of internal experience, interaction and behaviour in the two genders. The results are clinically essential for incorporating age and gender-related differences of experience and behaviour in understanding temperamental implications in affective disorders...
Source: International Journal of Psychiatry in Clinical Practice - August 26, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Elevated neutrophil-to-lymphocyte ratio in children and adolescents with attention-deficit/hyperactivity disorder.
CONCLUSIONS: Our findings suggest that NLR and PLR may be inflammation biomarkers in children and adolescents with ADHD. Moreover, the significance of NLR is not influenced by medication use, age and sex. Prospective studies that address alterations in NLR and PLR and other pro-inflammatory cytokines following ADHD treatment may provide additional information about the inflammatory mechanisms in ADHD. Key points The mean NLR and PLR were significantly higher in patients than in controls. The significance of NLR is not influenced by medication use, age and sex. No associations were found between NLR and PLR and ADHD symptom...
Source: International Journal of Psychiatry in Clinical Practice - August 15, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Satisfaction with antipsychotics as a medication: the role of therapeutic alliance and patient-perceived participation in decision making in patients with schizophrenia spectrum disorder.
Authors: Torrecilla-Olavarrieta R, Pérez-Revuelta J, García-Spínola E, López Martín Á, Mongil-SanJuan JM, Rodríguez-Gómez C, Villagrán-Moreno JM, González-Saiz F Abstract OBJECTIVES: The aim of this study was to identify independent predictors of satisfaction with antipsychotics in patients with schizophrenia spectrum disorders treated in a mental health catchment area. METHODS: Observational analytical study of patients (n = 150) recruited through a convenience sampling method from five mental health units. Satisfaction with th...
Source: International Journal of Psychiatry in Clinical Practice - August 15, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

COVID-19 and acute inpatient psychiatry: the shape of things to come.
Authors: Boland X, Dratcu L Abstract Psychiatric services that provide acute inpatient care have to respond to the challenges brought about by the COVID-19 pandemic to consistently deliver high standards of treatment to patients and ensure the safety of staff. This can only be achieved by fostering a culture that rewards initiative and empowers inpatient teams to implement and comply with changes which everyone understands and benefits from. The experience of an inner London acute psychiatric unit has shown the value of combining proactive leadership, multidisciplinary decision making and good communication in adap...
Source: International Journal of Psychiatry in Clinical Practice - August 14, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Serum zonulin and claudin-5 levels in children with attention-deficit/hyperactivity disorder.
CONCLUSION: These findings provide additional evidence for dysregulation of the blood-brain barrier, especially abnormalities in claudin-5 function, which may be involved in the aetiology of ADHD. Key points ADHD is one of the most common neurodevelopmental disorders of childhood. Although ADHD is quite common, its aetiology has yet to be fully explained. In recent years, studies on the relationship between intestinal and blood-brain brain barrier permeability and psychiatric disorders have increased. In our study, serum claudin-5 levels were higher in the ADHD group compared to the control group, while serum zonulin level...
Source: International Journal of Psychiatry in Clinical Practice - August 14, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Intensive intervention for adolescents with autism spectrum disorder: comparison of three rehabilitation treatments.
CONCLUSIONS: A high intensity intervention ameliorates the core symptoms of ASD, enriching evidence of effectiveness regarding adolescents with ASD. KEY POINTS Individuals with ASD need lifespan support and they struggle to access employment, independent living and community inclusion. There are several rehabilitative interventions for individuals with ASD but the evidence of their effectiveness in adolescents is insufficient. The main purpose of this study was to evaluate the possible enhancement produced by three intensive interventions (ABA, TEACCH, BEI) of symptom severity and adaptive functions. Results show that inde...
Source: International Journal of Psychiatry in Clinical Practice - August 5, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Risk of suicide after discharge from inpatient psychiatric care: a systematic review.
CONCLUSIONS: The findings of this review suggest that significant suicide predictors both common and unique to those established for suicide in the general population exist and can be utilised in a clinically meaningful way, despite the difficulties inherent in studying this population. KEY POINTS The risk of suicide after psychiatric hospitalisation is high. Factors that predict suicide after psychiatric hospitalisation overlap only partially with risk factors for suicide in general. Important risk factors for suicide in the post-discharge period include male sex, a history of self-harm, a history of suicide attempts, the...
Source: International Journal of Psychiatry in Clinical Practice - August 5, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

The ongoing discussion on termination of life on request. A review from a German/European perspective.
CONCLUSIONS: Experience from the Netherlands shows that widening criteria for EAS has problematic consequences. KEY POINTS Termination of life on request, which a subgroup of people support, is a matter of ongoing debate. Because of several problematic aspects, including ethical considerations, only a few countries in the world allow active euthanasia or assisted suicide. Even if euthanasia is well regulated, legalising it can have problematic consequences that are difficult to control, such as an unwanted excessive increase in euthanasia cases. The well-documented experiences with the euthanasia law in the Netherlands ser...
Source: International Journal of Psychiatry in Clinical Practice - August 1, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Relapse prevention in recurrent major depressive disorder. A comparison of different treatment options based on clinical experience and a critical review of the literature.
CONCLUSIONS: The sequential model appears to be particularly indicated in recurrent depression. KEY POINTS Relapse is a major challenge of depressive disorders treatment Treatment options currently available include long-term antidepressants, intermittent antidepressants, addition of psychotherapy to pharmacotherapy in the sequential model Maintenance with antidepressants in recurrent depression has recently been questioned The sequential model appears to be particularly indicated in recurrent depression. PMID: 32716222 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - July 29, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Contextual assessment: evaluating a novel self-guided online therapeutic assessment.
CONCLUSIONS: Evidence supports further exploration of CA as a self-guided diagnostic and therapeutic resource. Key points Results demonstrate feasibility and utility of online self-guided therapeutic assessment. Described model is associated with increased perceived diagnostic and therapeutic benefits. Described model illustrates therapeutic benefits over time. Results demonstrate that even self-guided assessment can have therapeutic implications. PMID: 32701050 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - July 25, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

"Influence of modifiable and non-modifiable variables on functioning in bipolar disorder: a path analytical study".
CONCLUSIONS: Initiatives focussed on modifiable factors such as depressive symptoms and cognitively stimulating activities, which increase cognitive reserve, may be a useful complement to existing treatments and help patients achieve functional recovery. KEY POINTS Individual functioning was influenced by cognitive performance, cognitive reserve, age, diagnosis and depressive symptoms. Executive functioning mediated the influence of age and cognitive reserve on individual functioning. Interventions focussed on depressive symptoms and cognitive stimulation may help patients achieve functional recovery. PMID: 32692269 [P...
Source: International Journal of Psychiatry in Clinical Practice - July 23, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Vagus nerve stimulation for treatment-resistant depression: is this therapy distinct from other antidepressant treatments?
CONCLUSIONS: The antidepressant effects of this procedure remain controversial. The clinical trials have produced mixed results, but VNS therapy for TRD has two distinct features that differentiate it from other antidepressant treatments: a sustained therapeutic response obtained in highly resistant depressive disorders, a favourable safety profile and guaranteed compliance. PMID: 32677482 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - July 19, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Suicidal ideation, hopelessness, and affective temperament in patients with blepharospasm.
CONCLUSION: Our findings suggest the presence of suicidal ideation and severe hopelessness in BSP patients. KEY POINTS BSP patients as compared to controls more frequently reported the presence of a psychiatric disorder and more severe anxiety and depressive symptoms, psychopathology on the CGI, suicidal ideation, and hopelessness. BSP patients with prevalent cyclothymic temperament had more severe suicidal ideation, suggesting an increased suicide risk most likely due to difficulties in psychological adaptation to changing environments, including the neurological disease. A psychiatric assessment is recommended for patien...
Source: International Journal of Psychiatry in Clinical Practice - July 18, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Psychological effect of COVID-19 on medical health-care workers.
CONCLUSIONS: Social support is a cornerstone in facing COVID-19 and uplifting the spirits of both patients and their doctors along with the whole medical staff dealing with the pandemic. PMID: 32672078 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - July 18, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Anxiety and depression and its correlates in patients with coronavirus disease 2019 in Wuhan.
CONCLUSIONS: Patients with COVID-19 especially those who had family members diagnosed with COVID-19 or died from COVID-19 were more susceptible to depression and anxiety than were other patients. Effective strategies should be pursued to improve the mental health of this patient population. Key points Patients with COVID-19 showed a significantly high prevalence of depression and anxiety. Female patients were associated with higher risk of depression. Patients with family members diagnosed as COVID-19 or died from this disease were associated with higher risk of depression and anxiety. PMID: 32662692 [PubMed - as suppl...
Source: International Journal of Psychiatry in Clinical Practice - July 16, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Selective serotonin reuptake inhibitors in major depression disorder treatment: an umbrella review on systematic reviews.
CONCLUSION: The descriptive analysis of the included articles showed that generally, escitalopram was more effective than other defined SSRIs in terms of response rate, remission rate, and withdrawal rate. Keypoints This work compiles evidence from multiple meta-analyses based on systematic reviews and provides a clearer picture for assessing the efficacy of SSRIs, clarify current gaps and direction of future research in this category of antidepressants. A minority of included articles attained the high-quality rank according to AMSTAR-2. The descriptive analysis of the included articles showed that generally, escitalopram...
Source: International Journal of Psychiatry in Clinical Practice - July 16, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Personality traits as predictors of exercise treatment adherence in major depressive disorder: lessons from a randomised clinical trial.
CONCLUSIONS: To adhere to a study protocol involving exercise or to a clinical exercise programme, MDD patients need substantial personal support. Measurement of personality traits and the severity of depression as potential predictors of adherence could be considered for this purpose. Keypoints Adherence to exercise and study protocols in a randomised controlled trial was low Patients with severe major depressive disorder need substantial personal support Measurement of personality traits could be considered. PMID: 32657194 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - July 15, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Syrian female war refugees: preliminary fibromyalgia and insomnia screening and treatment trends.
CONCLUSIONS: Fibromyalgia prevalence is high among female refugees and is associated with insomnia. The treatment is suboptimal. The early screening and raising awareness of FM diagnosis and treatments are highly recommended. Key Points Fibromyalgia is an overlooked disorder especially among female war refugees The prevalence of severe fibromyalgia was about (30%), with a significant correlation with insomnia Fibromyalgia among the Syrian female refugees is mistreated perhaps due to lack of the proper diagnosis. PMID: 32657625 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - July 15, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Buying-shopping disorder, emotion dysregulation, coping and materialism: a comparative approach with gambling patients and young people and adolescents.
CONCLUSIONS: The results of the interaction of the variables could be useful to design prevention and treatment approaches addressed to specific groups of age and sex. KEY POINTS Buying-shopping disorder (BSD) has been compared in clinical and community samples. The clinical sample was constituted by Gambling disorder (GD) patients. The variables emotion dysregulation, coping and materialism have been considered. Variables impacted BSD severity differently according to sex and age covariates. PMID: 32643498 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - July 10, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Impact of spirituality and religiosity on suicidal risk among a sample of lebanese psychiatric in-patients.
CONCLUSION: Spiritual well-being might be considered an important factor to explore among psychiatric patients. Psychiatric inpatients have a high risk for suicide; the challenge remains for clinicians to identify upon admission patients that are most likely to die from suicide. Key points A positive family history of suicide and depression was significantly associated with higher suicidality. Higher spirituality, but not religiosity, was significantly associated with lower suicidality. Spiritual well-being might be considered an important factor to explore among psychiatric patients. The challenge remains for clinicians t...
Source: International Journal of Psychiatry in Clinical Practice - July 10, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Psychotic disorders and electrocardiogram abnormalities in the acute psychiatric setting: more than the metabolic syndrome alone.
Authors: Philip AB, Dratcu L Abstract Medical comorbidity in severe mental illness (SMI) is high and often severe, accounting for reduced life expectancy in this group. We assessed the rate and degree of electrocardiogram (ECG) abnormalities in acutely unwell SMI male patients by reviewing the case notes of 50 consecutive admissions to an inpatient psychiatric unit. 82% were admitted with a psychotic disorder with a median age of 35 (range 19 - 72 years). Of the 29 patients who had an ECG during admission or recently (
Source: International Journal of Psychiatry in Clinical Practice - July 9, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Impulsivity, hostility and suicidality in patients diagnosed with obsessive compulsive disorder.
Conclusion: Higher severity of OCD symptoms is associated with both suicide ideation and attempts. And while hopelessness was related to suicidal thoughts, cognitive impulsivity may have acted as a facilitating factor for suicide attempts. Higher frequency of symptoms like religious/ aggressive obsessions was also associated with suicidality. It is vital that patients with OCD undergo detailed assessment for suicide risk.Key pointsOCD is associated with a high risk for suicidal behaviour.Suicide ideation was associated with high levels of hopelessness, OCD severity, and the presence of aggressive obsessions.Suicide attempt...
Source: International Journal of Psychiatry in Clinical Practice - July 8, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Interventions to improve medication adherence in mental health: the update of a systematic review of cost-effectiveness.
Conclusions: Interventions to improve medication adherence in adults with mental health problems could be cost-effective, especially those based on financial incentives, although more research is needed.KEYPOINTSThere are several types of interventions designed to enhance medication adherence in patients with mental health problems. Few of them have demonstrated cost-effectiveness.Two studies found that a financial incentive per depot injection in patients with psychotic disorders improved the medication adherence.Two other studies found improvement in adherence due to two specific interventions: a value-based benefit desi...
Source: International Journal of Psychiatry in Clinical Practice - July 3, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Beck depression inventory, second edition, Czech version: demographic correlates, factor structure and comparison with foreign data.
Conclusions: We recommend the usage of the BDI-II total score while taking into account also the cognitive-affective and somatic factor subscores. The comparison of our results with other foreign findings shows the need for the development of locally specific normative values for self-reported depression scales.KEY POINTSWomen scored higher in the BDI-II than men.Participants with lower education scored higher in the BDI-II than participants with higher education.CFA confirmed two factors: cognitive-affective and somatic.Preliminary normative data for the Czech version of the BDI-II are stratified according to gender and e...
Source: International Journal of Psychiatry in Clinical Practice - June 20, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

ECT augmentation of antipsychotics in severely ill schizophrenia: a naturalistic, observational study.
Conclusions: Augmentation of ECT seems to increase responsiveness during acute treatment of severely ill schizophrenia patients. The mean percentage reduction in PANSS scores by 25% following antipsychotic treatment can help identify patients that will benefit from ECT after psychotic relapse in future.Key pointsThere is positive evidence to support the role of ECT in the treatment of schizophrenia; however, it remains unclear to what extent this growing evidence reflects the actual situation in clinical practice.Augmentation of ECT seems to increase responsiveness during acute treatment of severely ill schizophrenia patie...
Source: International Journal of Psychiatry in Clinical Practice - June 18, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Effectiveness of the methadone programme in the treatment of patients on a mephedrone binge and dependent on heroin: a retrospective study, 2010-19.
Authors: Ordak M, Nasierowski T, Pawlik K, Muszynska E, Bujalska-Zadrozny M Abstract Objectives: The purpose of this research was to investigate the effectiveness of the methadone programme in a group of patients taking mephedrone with heroin.Methods: The research involved 230 people who took part in the methadone programme between 2010 and 2019: 101 people on a mephedrone binge and taking heroin and 129 people addicted to heroin.Results: Number of re-hospitalisations was higher in a group of patients on a mephedrone binge taking heroin in comparison to heroin dependent patients (91.9 vs 79.8%, p 
Source: International Journal of Psychiatry in Clinical Practice - June 5, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Maintenance phase treatment of psychotic disorders in outpatients from Serbia - focus on long-term benzodiazepine use.
Conclusion: The present study demonstrated new information regarding the prescription patterns of psychotropic drugs in outpatients with PSD in Serbia, amplified with clinically relevant information. This study also revealed distinct prescription patterns concerning antipsychotic/benzodiazepine polypharmacy. Overall, such findings are likely to contribute to improving clinical practice and care for patients with PSD in general.KeypointsPresent exploratory research aimed to elucidate trends of antipsychotics polypharmacy and concomitant use of psychotropic medications including benzodiazepines in the maintenance treatment o...
Source: International Journal of Psychiatry in Clinical Practice - May 29, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Editorial issue 2/2020.
Authors: Kasper S PMID: 32423266 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - May 21, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Relaxation techniques for depressive disorders in adults: a systematic review and meta-analysis of randomised controlled trials.
Conclusions: Relaxation techniques are cost-effective, safe, and low-risk techniques that can be easily taught and used. Consequently, they have several benefits if practised regularly daily for more than an 8-week period.KEY POINTS/HIGHLIGHTSThe implication of this study for practice is that these relaxation techniques, cost-effective, safe, and low-risk techniques that can be easily taught and used.Consequently, practitioners will access benefits if practised regularly daily for more than an 8-week period.The relaxation technique is not complex, does not need any special device or place, does not need any change in lifes...
Source: International Journal of Psychiatry in Clinical Practice - May 21, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Implication of core beliefs about negative-self in neuroticism.
Conclusions: The present study suggests that core beliefs about negative-self are deeply implicated in neuroticism.Key PointsImplication of core beliefs about negative-self in neuroticism was examined.Neuroticism was predicted by higher levels of these core beliefs.These core beliefs may be involved in negative emotionality of neuroticism. PMID: 32401567 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - May 14, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Childhood and adult attention deficit hyperactivity disorder symptoms in fibromyalgia: associations with depression, anxiety and disease impact.
Authors: Karaş H, Çetingök H, İlişer R, Çarpar E, Kaşer M Abstract Objective: The first aim of this study was to determine the prevalence of childhood and current attention deficit hyperactivity disorder (ADHD) symptoms in patients with fibromyalgia. The second aim is to assess the role of depression and anxiety on the relationship between childhood and adult ADHD symptoms with disease impact in this population.Methods: Sixty-four patients with fibromyalgia were compared to matched 58 healthy controls. All participants completed the Wender Utah Rating Scale (WURS), Adult ADHD Self-Report Scal...
Source: International Journal of Psychiatry in Clinical Practice - May 14, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Anxiety sensitivities, anxiety and depression levels, and personality traits of patients with chronic subjective tinnitus: a case-control study.
Conclusion: To the best of our knowledge, few studies have evaluated anxiety sensitivity, anxiety and depression levels, and personality traits and no studies evaluating patients and controls together. In cases where tinnitus and psychiatric diseases are comorbid, both conditions should be treated to achieve the best outcomes for the patients' quality of life.KEY POINTSAlthough patients with tinnitus were selected among cases without any psychiatric treatment history, we found that depressive symptoms in this group were high.The participants' anxiety sensitivity, anxiety, and neuroticism scores increased as the severity of...
Source: International Journal of Psychiatry in Clinical Practice - May 7, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Evaluation of official procedures for suicide prevention in hospital from a forensic psychiatric and a risk management perspective.
Conclusions: The public procedures on suicide prevention in Italian hospitals present general indications, leaving room for interpretation. Public procedures should be implemented with greater attention to the elements of judgement in the assessment of suicidal risk.KEY POINTSProcedures for suicide prevention are of uttermost importance for psychiatrist working in hospital.Standards in suicide risk evaluations are needed.Comparison between procedures can improve risk assessment and evaluation. PMID: 32362180 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - May 6, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Is sustained attention deficit related to subclinical obsessive thoughts in children and adolescents with ADHD?
Conclusion: The nature of thought content in individuals with ADHD should be linked to executive dysfunction rather than attentional impairment. This could be of importance in the therapeutic strategy choice, addressing the importance of executive function remediation in the specific context of subclinical obsessive thoughts.Key points Patients with ADHD, without OCD or ASD comorbidity, still present subclinical obsessive thoughts (36% of our sample).  • Subclinical obsessive thoughts could be a part of thought content in patients with ADHD. • Subclinical obsessive thoughts as measured by...
Source: International Journal of Psychiatry in Clinical Practice - May 6, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research