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 21, 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

Duration of untreated illness and depression severity are associated with cognitive impairment in mood disorders.
In this study we estimated the rate and the trajectory of cognitive impairment in a naturalistic sample of outpatients with major depressive disorder (MDD) and bipolar disorder (BD) and its correlation with different variables.Materials and methods: An overall sample of 109 outpatients with MDD or BD was assessed for multiple clinical variables, including duration of untreated illness (DUI), and tested using the Montreal Cognitive Assessment (MoCA) during Major Depressive Episodes (MDE) and after remission. Correlations between MoCA scores and the clinical variables were then computed.Results: About 50% of patients with MD...
Source: International Journal of Psychiatry in Clinical Practice - April 29, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Early prediction of clinical response in first episode schizophrenia (FES) patients receiving olanzapine.
This study aims to detect the optimal early response threshold that best predict the final outcome of olanzapine.Methods: The study was conducted for 8-week, four points follow up (week 2,3,4, and 8) prospective observational study. A reduction of 20, 25, 30% in Positive and Negative Syndrome Scale (PANSS) score from the base line at week 2,3, and 4 respectively were considered as early response. A reduction of 50% at week 8 was considered as responders. Receiver Operating Characteristics (ROC) curves were performed to detect the optimal threshold.Results: Mean total baseline PANSS score was 106.66(95% CI; 100.4, 112.9). W...
Source: International Journal of Psychiatry in Clinical Practice - April 29, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

The larger than linear effect of high-dose tyramine on systolic blood pressure - the MAOI diet modified.
Authors: Van den Eynde V, Gillman PK PMID: 32302247 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - April 19, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Psychometric properties of the Montreal Cognitive Assessment (MoCA) in healthy participants aged 18-70.
Conclusion: Adequate norms are needed that take the effects of age, education and intelligence on MoCA performance into account. All three MoCA versions are largely equivalent based on MoCA-TS and the test-retest reliabilities show that this score is suitable to monitor cognitive change over time. Comparisons of the domain-specific scores should be interpreted with caution.Key pointsThe MoCA total score is a reliable cognitive measure.All three MoCA versions are largely equivalent.Age, education and intelligence are predictors of MoCA performance in healthy participants.Future studies should focus on collecting normative d...
Source: International Journal of Psychiatry in Clinical Practice - April 10, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

A study on BOLD fMRI of the brain basic activities of MDD and the first-degree relatives.
Authors: Song Y, Shen X, Mu X, Mao N, Wang B Abstract Introduction: The present study aims to explore the characteristics and differences of the ReHo, ALFF and fALFF of brain in the resting state of depression and first-degree relatives, in order to identify candidate central prodromal biomarkers of depression.Method: Three groups of medication-free patients (39-59 years old) was involved in this study, including the patients with major depression disorder (MDD group, n = 15), healthy volunteers with first-degree relatives with MDD (first-degree relatives group, n = 15), healthy v...
Source: International Journal of Psychiatry in Clinical Practice - April 3, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Construction of the Lebanese Anxiety Scale (LAS-10): a new scale to assess anxiety in adult patients.
Authors: Hallit S, Obeid S, Haddad C, Hallit R, Akel M, Haddad G, Soufia M, Khansa W, Khoury R, Kheir N, Abi Elias Hallit C, Sacre H, Salameh P Abstract Objective: The study objectives were (1) to create a new 10-item scale, the 'Lebanese Anxiety Scale' (LAS-10), inspired by the diagnostic criteria of DSM-5, and the HAM-A and STAI scales and (2) to evaluate the performance of this new scale on a sample of Lebanese individuals.Methods: This cross-sectional study enrolled 1332 community dwelling participants between November 2017 and March 2018.Results: In sample 1, the participants' mean age was 28.08 years (...
Source: International Journal of Psychiatry in Clinical Practice - April 3, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Editorial issue 1/2020.
Authors: Kasper S PMID: 32175787 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - March 18, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Neurocognitive markers of suicidal ideation in patients with anxiety and mood disorders.
Conclusions: Outpatients with AMD and suicidal ideation could be distinguished by the presence of cognitive deficits in the executive function domain, particularly in impulse-control and risk taking. PMID: 32162978 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - March 14, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Second-generation long-acting injections anti-psychotics improve executive functions in patients with schizophrenia: a 12-month real-world study.
Conclusions: In comparison with the previous oral treatment with SGAs, patients showed a significant improvement in neurocognitive function after 12 months of treatment with SGA-LAI. Furthermore, there were no differences between the SGA-LAI regimens.Key pointsThe main purpose of this study was to assess possible modification of cognitive performance of patients with Schizophrenia treated with second generation long-acting injectable antipsychotics (SGA-LAIs).The secondary objective was to carry out a head to head comparison of two different SGA-LAIs: Paliperidone Palmitate 1-Month (PP1M) and Aripiprazole Monthly (A...
Source: International Journal of Psychiatry in Clinical Practice - March 7, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Amino acids profiles of children who stutter compared to their fluent sibling.
Conclusion: The findings of this study could introduce a new treatment protocol including the supplementation of reduced nutritional elements.KEY POINTSConcentrations of amino acids (threonine, isoleucine, and tyrosine) in the hair samples of people who stutter were significantly lower than the concentrations in the hair samples of control group.Concentrations of amino acids (histidine and glutamate) in hair samples of people who stutter were lower than control group with low significant values.The concentrations of amino acids (phenylalanine, serine, glycine, aspartate, glutamate) were not significantly different between ...
Source: International Journal of Psychiatry in Clinical Practice - March 5, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Serum testosterone levels in bipolar and unipolar depressed female patients and the role of medication status.
Conclusions: In this sample, TT levels were related to valproate use in patients with BD. More studies regarding the role of testosterone in affective symptoms should be conducted to clarify the relation between testosterone, affective disorders, and medication.KeypointsWe observed that testosterone levels were significant higher in bipolar women compared to women with MDD.The use of valproate could be associated with the testosterone levels in female patients with BD.Evaluation of women suffering BD should include a testosterone levels determination, particularly when they are taking valproate. PMID: 32096661 [PubMed ...
Source: International Journal of Psychiatry in Clinical Practice - February 27, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

New neuromodulation techniques for treatment resistant depression.
This article provides an overview of current progress in the technological advances in neuromodulation and neurostimulation treatments for treatment-resistant depression: magnetic seizure therapy; focal electrically administered seizure therapy; low field magnetic stimulation; transcranial pulsed electromagnetic fields; transcranial direct current stimulation; epidural cortical stimulation; trigeminal nerve stimulation; transcutaneous vagus nerve stimulation; transcranial focussed ultrasound; near infra-red transcranial radiation; closed loop stimulation. The role of new interventions is expanding, probably with more effic...
Source: International Journal of Psychiatry in Clinical Practice - February 20, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Factors associated with anxiety among the Lebanese population: the role of alexithymia, self-esteem, alcohol use disorders, emotional intelligence and stress and burnout.
Conclusions: The findings of this study are overall consistent with those of epidemiologic community-based surveys and may help inform structural models of classification and prediction of anxiety disorders (ADs). PMID: 32031427 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - February 9, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Cardiac autonomic tone, plasma BDNF levels and paroxetine response in newly diagnosed patients of generalised anxiety disorder.
Conclusion: GAD showed cardiac autonomic dysfunction, lowered plasma BDNF levels and their improvement with paroxetine CR.Key messageGAD is associated with significantly lower HRV, suggestive of cardiac autonomic dysfunction and lowered plasma BDNF levels, an indicator of stress.Therapeutic intervention with Paroxetine in GAD patients showed clinically significant improvement reflecting restoration of the cardiac autonomic tone and BDNF levels, thus implying their role as potential biomarkers. PMID: 32022607 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - February 7, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Exploring the association between depression, suicidality and serum neurotrophin levels in adolescents.
Conclusions: The study results suggest that elevated serum BDNF levels may be related to MDD in adolescents. However, our findings did not support a role for neurotrophins in suicidality.Key pointsSerum BDNF levels were higher in adolescents with MDD than in controls.No significant alterations of serum levels of GDNF, NGF and NTF3 were evident in adolescents with MDD.Neurotrophin levels were not associated with suicidal ideation and behaviours. PMID: 32027188 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - February 7, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Clinical evolution of patients treated with aripiprazole long-acting injectable: a preliminary, prospective, observational study.
Authors: García Álvarez JC, González Sánchez L, García Resa E, Bonete Llácer JM, Román Rodríguez A, Pecino Esquerdo B, Pérez Martínez E Abstract Objective: To evaluate the effectiveness of 6-month treatment with aripiprazole long-acting injectable (LAI) in improving psychotic symptoms, social functioning and side effects and reducing co-administered antipsychotic drugs.Methods: Multicentre, observational, prospective study that enrolled 53 patients with diagnosis of schizophrenia spectrum disorders who initiated or switched to aripiprazole LAI. T...
Source: International Journal of Psychiatry in Clinical Practice - January 16, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Promoting insight into delusions: Issues and challenges in therapy.
Authors: Kumar D Abstract During recent years, the role of non-pharmacological interventions in the management of psychotic symptoms, including delusions, has received increased recognition. However, a few factors such as the client's cognitive impairments and poor insight into the illness may create challenges for the therapist in conducting these interventions. Present paper discusses some of these issues and the steps a therapist can take to deal with them. PMID: 31928095 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - January 14, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Alcohol use predicts emergency psychiatric unit admission for non-fatal suicidal behaviour in the Western Cape (South Africa): a case-control study.
Authors: Goldstone D, Bantjes J, Nel D, Stanbridge J, Lewis I Abstract Objective: We aimed to describe patterns of substance use among patients admitted to an emergency psychiatric unit for non-fatal suicidal behaviour (NFSB) or another psychiatric reason and establish whether there were significant differences in patterns of substance use between the two groups.Methods: We employed a case-control design (N = 50) and collected data about participants' substance use in Cape Town, South Africa. Data were analysed using Chi-square and Mann-Whitney tests, factor analysis, and logistic regressions.Results:...
Source: International Journal of Psychiatry in Clinical Practice - January 14, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Psycho-art-drama: development and testing a new integrated complementary method of psychiatric treatments for hospitalised children with cancer (a case study).
Conclusions: Findings of this study give preliminary support using the PAD model in similar conditions. PMID: 31928109 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - January 14, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

The rates of co-occurring behavioural addictions in treatment-seeking individuals with obsessive-compulsive disorder: a preliminary report.
Conclusions: Behavioural addictions should be better assessed for patients with OCD. The absence of diagnostic scales developed specifically for behavioural addictions and overlapping obsessive-compulsive phenomena such as compulsive checking of information on the internet may explain the relatively high rate of problematic internet use in this sample. The study encourages better efforts to assess and to conceptualise the relatedness of behavioural addictions to obsessive-compulsive 'spectrum' disorders. PMID: 31916881 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - January 11, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Colour discrimination among patients with schizophrenia in Lebanon.
Authors: Dahdouh O, Haddad C, Hany Z, Azar G, Lahoud C, Hallit S, Hachem D Abstract Background: Abnormalities and contrast sensitivity have already been studied in schizophrenia. However, the relationship between symptom severity in schizophrenia and colour vision sensitivity has not been studied systematically.Aim: Our objective was to evaluate colour discrimination in patients with schizophrenia compared to controls and examine if this colour discrimination is correlated with schizophrenia symptoms' severity.Methods: This case-control study, performed between January and April 2017, included 50 schizophrenic pati...
Source: International Journal of Psychiatry in Clinical Practice - January 11, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

The association between leptin receptor polymorphism and suicidal behaviour in depressed adolescents.
Authors: Acikel SB, Eroglu C, Ugras Dikmen A, Kurar E Abstract Objective: Suicide is the second leading cause of death in adolescence. Genetic studies implicate the genetic component of suicide independent from associated psychiatric disorder. Although genetics is an important factor that might be associated with suicide, limited progress is achieved to identify the candidate genes in adolescents.Methods: The study included 97 patients and 106 controls. Five leptin receptor single nucleotide polymorphism (SNP) region examined. Depressive scores were measured with Children Depression Inventory and suicidal behaviour...
Source: International Journal of Psychiatry in Clinical Practice - January 11, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Orexin A in adolescents with anxiety disorders.
Conclusions: Orexin-A levels are higher in adolescents with anxiety disorder; however, depressive symptoms should be considered when investigating this relationship. PMID: 31913740 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - January 10, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Reliability and validity of Persian version of Brief Self-Control Scale (BSCS) in motorcyclists.
Conclusion: This study showed that Persian version of BSCS has a good reliability and validity for self-control in the Persian language community.Key pointsThe Brief Self-Control Scale (BSCS) has good internal consistency.The Brief Self-Control Scale (BSCS) has acceptable reliability.Brief Self-control Scale (BSCS) has acceptable validity and reliability in the population studies. PMID: 31913764 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - January 10, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Focussing on the fundaments - assessing and treating Clozapine Induced Gastrointestinal Hypomotility.
Conclusions: A high proportion of patients treated with clozapine experience CIGH, presenting most commonly as constipation. Whilst potentially life-threatening, CIGH can be successfully treated in an acute inpatient setting. Active monitoring of CIGH symptoms in patients initiated, or reinitiated on clozapine is recommended.Key pointsA high proportion of patients treated with Clozapine experience constipation, the cardinal feature of Clozapine Induced Gastrointestinal Hypomotility.Whilst potentially life-threatening, CIGH can be successfully treated in an acute inpatient setting with simple interventions.Active monitoring...
Source: International Journal of Psychiatry in Clinical Practice - January 8, 2020 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Depression and sleep quality in psoriatic patients: impact of psoriasis severity.
This study investigates these issues comparing the sub-populations of mild and moderate-to-severe psoriatic patients, with special attention to the association between sleep and pruritus.In clinical practice, the link between psychopathological disturbances and psoriasis should not be underestimated. PMID: 31852324 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - December 21, 2019 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Alexithymia, suicide ideation, affective temperaments and homocysteine levels in drug na ïve patients with post-traumatic stress disorder: an exploratory study in the everyday 'real world' clinical practice.
Conclusions: In conclusion, alexithymic PTSD outpatients may be characterised by higher disorder severity and difficulty in identifying feelings that may be linked to increased suicide ideation, regardless of affective temperaments or homocysteine levels. Homocysteine levels were not related to any studied variable. However, study limitations are discussed and must be considered. KeypointsPatients with alexithymia showed increased PTSD severity, a higher score on TEMPS-A subscales, and more severe suicide ideation.The Difficulty in Identifying Feelings (DIF) dimension of TAS-20 was associated with suicide ideation in patie...
Source: International Journal of Psychiatry in Clinical Practice - December 14, 2019 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Sex hormone levels in drug-na ïve, first-episode patients with psychosis.
Conclusion: Our findings provide evidence of lower testosterone and free-testosterone levels and increased SHBG levels in drug-naïve, first-episode males with psychosis.KEY POINTSReduced testosterone and free-testosterone levels in drug-naive, first-episode males with psychosis.Increased SHBG levels in drug-naive first-episode males with psychosis.No difference in FSH, LH and E2 levels between drug-naive first episode males with psychosis and controls.No difference in testosterone, free-testosterone and SHBG levels between drug-naive, first-episode women with psychosis and controls. PMID: 31825684 [PubMed - as sup...
Source: International Journal of Psychiatry in Clinical Practice - December 12, 2019 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Proton magnetic resonance spectroscopic analysis of changes in brain metabolites following electroconvulsive therapy in patients with major depressive disorder.
Conclusions: The results has suggested that indirect proof of an increase in energy metabolism without any evidence of impaired neuronal viability in the ACC induced by ECT. The relative increase in Cr levels following ECT in MDD seems to be associated with improvement in clinical severity.Key pointsECT is one the most effective method in the treatment of acute MDD.The mechanism of ECT's antidepressant activity remains unclear but it is thought to be related to the regulation of prefrontal cortical or cingulate areas.In this study the patients underwent six sessions of ECT and after 1H-MRS imaging.The study revealed that b...
Source: International Journal of Psychiatry in Clinical Practice - December 12, 2019 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Editorial issue 4/2019.
Authors: Kasper S PMID: 31809232 [PubMed - as supplied by publisher] (Source: International Journal of Psychiatry in Clinical Practice)
Source: International Journal of Psychiatry in Clinical Practice - December 8, 2019 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Risk factors for readmission among a cohort of psychiatric inpatients in Lilongwe, Malawi.
Conclusions: Intentional medication non-adherence is a potentially modifiable behaviour associated with psychiatric readmission. Efforts to improve medication adherence among patients following hospital discharge may help decrease the risk of readmission.KEY POINTSThe prevalence of readmission among psychiatric inpatients in Lilongwe, Malawi was 6.9% during the 1-year study period.Readmission was associated with intentional medication non-adherence at home.Future research efforts in Malawi should focus on improving medication adherence among psychiatric patients in the community to help decrease rates of readmission. P...
Source: International Journal of Psychiatry in Clinical Practice - December 7, 2019 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Prevalence and risk factors for depression in outpatient departments of three general hospitals in China: a cross-sectional study.
Conclusions: This study provides evidence that depressive symptoms are prevalent among outpatients of general hospitals. Moreover, younger age, alcohol consumption and sleep disturbance may potentially be useful for targeted screening and prevention for outpatients with depression seen in general hospitals.KeypointsThe prevalence of self-reported depressive symptoms is common in outpatients in clinical settings.Younger age, current alcohol drinking and sleep disturbance are the associated risk factors for depression in outpatient population.Alcohol prevention and sleep quality improvement need to be incorporated into strat...
Source: International Journal of Psychiatry in Clinical Practice - November 15, 2019 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Neurocognitive findings in young adults with binge eating disorder.
Discussion: BED appears to be associated with motor disinhibition and impaired executive planning even controlling for obesity. Longitudinal work is needed to clarify whether motor impulsivity predisposes people to BED, and/or contributes to persistence of symptoms over time.Key pointsBinge-eating disorder is common, under-recognised, and associated with untoward physical and health sequelae.The neurobiological basis of binge-eating disorder is unclear; cognitive testing may offer insights.Many prior cognitive studies have not controlled for potential confounds, especially group differences in body mass indices (BMI). Obes...
Source: International Journal of Psychiatry in Clinical Practice - November 15, 2019 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Effectiveness of intensive treatment services for obsessive compulsive disorder: outcomes from the first Canadian residential treatment program.
Conclusions: This study adds to the growing body of evidence regarding the importance of intensive services for individuals experiencing severe symptoms of OCD. Enhancing accessibility to services and ensuring ongoing maintenance of gains will be important next steps in ensuring long-term recovery for individuals with severe symptoms of OCD.Key pointsIntensive services treatment for OCD has been found to be beneficial for clients and this paper demonstrates the first time this has been seen within a Canadian programme.Treatment provided decreased OCD severity and increased functionality and quality of life.Clients cited ex...
Source: International Journal of Psychiatry in Clinical Practice - November 2, 2019 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research