Do We Need a New Nomenclature for Atypical Antipsychotics? A Survey of Health Care Professionals and Patients
Conclusions: Significantly more HCPs and patients had negative reactions to atypical antipsychotic nomenclature compared with mood stabilizer nomenclature for treating bipolar disorder. The broad descriptive atypical antipsychotic class name may not support the standard of care for the treatment of bipolar disorder.PMID:36821764 | DOI:10.4088/PCC.22m03331 (Source: Primary Care)
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Greg Mattingly Tina Matthews-Hayes Mehul D Patel Kenneth Kramer Stephen M Stahl Source Type: research
Evaluation of Tobacco Cessation Rates Among Veterans in a Pharmacist-Run Smoking Cessation Clinic
Conclusions: Providing pharmacotherapy, behavioral counseling, and frequent follow-up visits may result in higher numbers of tobacco-free patients. Expanding pharmacist-run smoking cessation clinics may result in an increase in cessation rates in the veteran population.PMID:36821765 | DOI:10.4088/PCC.22m03308 (Source: Primary Care)
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Khushbu A Patel Arezo Noormohammadi Erene M Attia Source Type: research
Substance Withdrawal-Associated Takotsubo Cardiomyopathy: A Review of the Literature
Conclusions: Withdrawal-associated Takotsubo cardiomyopathy is a rare but potentially life-threatening complication of substance withdrawal. Clinicians should maintain a high degree of clinical suspicion for withdrawal-associated Takotsubo in patients with a history of substance use disorders or physical dependence on benzodiazepines or opioids, as the clinical presentation may be atypical.PMID:36821769 | DOI:10.4088/PCC.22r03304 (Source: Primary Care)
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Danielle K Back An H Bui Saeed Ahmed Joji Suzuki Source Type: research
The Impact of Depression on Asthma Episodes in the US Population
Prim Care Companion CNS Disord. 2023 Feb 21;25(1):22br03323. doi: 10.4088/PCC.22br03323.NO ABSTRACTPMID:36821770 | DOI:10.4088/PCC.22br03323 (Source: Primary Care)
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Sudha Misra Saral Desai Amrik Ray Source Type: research
Buprenorphine Maintenance in the Fentanyl Era: Challenges and Opportunities
Prim Care Companion CNS Disord. 2023 Feb 14;25(1):22l03336. doi: 10.4088/PCC.22l03336.NO ABSTRACTPMID:36821774 | DOI:10.4088/PCC.22l03336 (Source: Primary Care)
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Vania Modesto-Lowe Lakshit Jain Source Type: research
Subanalysis of Subjective Cognitive Measures From a Phase 2, Double-Blind, Randomized Trial of REL-1017 in Patients With Major Depressive Disorder
Conclusions: In a Phase 2a clinical trial, REL-1017 improved subjective measures of cognitive impairment, in addition to improving total MADRS and SDQ scores. These results need to be confirmed in larger and longer studies in MDD that include objective measures of cognitive function. Phase 3 studies of REL-1017 for MDD are currently underway.Clinical Trials Registration: ClinicalTrials.gov identifier: NCT03051256.PMID:36821775 | DOI:10.4088/PCC.22m03267 (Source: Primary Care)
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Clotilde Guidetti Giulia Serra Luca Pani Marco Pappagallo Gino Maglio Sara De Martin Andrea Mattarei Franco Folli Paolo L Manfredi Maurizio Fava Source Type: research
Motivational Interviewing in Primary-Care: Substance Use Disorders beyond AUDIT/DAST
Prim Care. 2023 Mar;50(1):1-10. doi: 10.1016/j.pop.2022.10.009. Epub 2023 Jan 10.ABSTRACTPrimary-care settings have a unique advantage to reaching a broad range of the population and the ability to address a wide array of presenting problems, including substance-use. With high rates of substance-use in the United States and low rates of substance-use treatment utilization, the primary-care office is key in assessing and supporting patients in changing substance-use behaviors. Motivational interviewing is a conversational tool physicians can use to highlight intrinsic motivation for change and support specific changes patie...
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Joanna Petrides Source Type: research
Eating Disorders in the Primary Care Setting
Prim Care. 2023 Mar;50(1):103-117. doi: 10.1016/j.pop.2022.10.012.ABSTRACTEating disorders are mental health disorders with complicating medical, psychiatric, and nutritional comorbidities. Common eating disorder diagnoses include anorexia nervosa, bulimia nervosa, binge eating disorder, avoidant restrictive food intake disorder, and other specified feeding or eating disorder. Unspecified feeding or eating disorder is most applicable in brief acute care settings. Eating disorders occur across age, gender, racial, ethnic, and socioeconomic variables. Effective assessment, intervention, and collaborative treatment are needed...
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Amanda Mellowspring Source Type: research
Use of Mobile Apps & amp; Stepped-Care Model for Treating Depression in Primary Care
Prim Care. 2023 Mar;50(1):11-19. doi: 10.1016/j.pop.2022.10.005. Epub 2023 Jan 10.ABSTRACTStepped-care (SC) models have been adopted in primary care settings as a method for treating mental health conditions within primary care. In a SC model, a patient's symptoms are assessed, and an intervention is prescribed that matches the severity of symptoms. Thus, the SC model offers a variety of steps and levels of treatment that range from low to high intensity. Progression in treatment is monitored on a weekly basis and patients are stepped up or down in level of care depending on their clinical response to the intervention.PMID...
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Krista L Herbert James Michael M Brennan Source Type: research
Obsessive Compulsive Disorders in the Primary Care Setting
Prim Care. 2023 Mar;50(1):119-125. doi: 10.1016/j.pop.2022.10.001. Epub 2023 Jan 10.ABSTRACTMental health is a very important component of whole health because the body, mind, and spirit are woven together to create the fabric of a person's life. Many people in the United States and globally are living with mental health challenges, and it seems that much more attention has been given to anxiety-related mental health conditions in the past few years due to the coronavirus disease 2019 pandemic. The pandemic may certainly have accelerated the onset of mental health conditions for some who were already predisposed, whether i...
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Robin Newburn Source Type: research
Postpartum Depression: Screening and Collaborative Management
Prim Care. 2023 Mar;50(1):127-142. doi: 10.1016/j.pop.2022.10.011. Epub 2023 Jan 11.ABSTRACTPerinatal mood disorders are a leading cause of disability worldwide and suicide is a leading cause of maternal death in the first year after giving birth. The three categories of perinatal mood disorders are postpartum blues, postpartum depression, and postpartum psychosis. Identifying risk factors may allow clinicians to provide patients with interventions to potentially prevent development of these disorders. Universal screening for perinatal mood disorders can lead to earlier identification and treatment. Collaborative care meth...
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Tabatha Wells Source Type: research
Prim Care. 2023 Mar;50(1):143-158. doi: 10.1016/j.pop.2022.10.010.ABSTRACTLate-life depression is common but underrecognized and undertreated leading to significant morbidity and mortality, including from suicide. The presence of comorbidities necessitates screening followed by a careful history in order to make the diagnosis of depression. Because older adults tend to take longer to respond to treatment and have higher relapse rates than younger patients, they benefit most from persistent, attentive therapy. Although both pharmacotherapy and psychosocial treatments, or a combination of the two, are considered as the first...
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Elizabeth Gundersen Benjamin Bensadon Source Type: research
Attention-Deficit/Hyperactivity Disorder Across the Spectrum: From Childhood to Adulthood
Prim Care. 2023 Mar;50(1):21-36. doi: 10.1016/j.pop.2022.10.004.ABSTRACTAttention-deficit hyperactivity disorder is a neurodevelopmental disorder involving dysregulation of multiple neural circuits, manifesting in symptoms such as inattention, impulsivity, and hyperactivity. Diagnosis requires onset of symptoms before age 12 years. However, symptoms often persist throughout lifetime, although they may change over time. The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition formally lists the clinical criteria. Management involves pharmacologic agents, such as stimulant and/or nonstimulant medications, and ...
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Daniel J Majarwitz Parvathi Perumareddi Source Type: research
Perils and Pitfalls of Social Media Use: Cyber Bullying in Teens/Young Adults
Prim Care. 2023 Mar;50(1):37-45. doi: 10.1016/j.pop.2022.10.008. Epub 2023 Jan 11.ABSTRACTSocial media and technology use has increased over the past several years. Inappropriate use or overuse of social media and internet can lead to increase in mental health disorders. Primary care physicians should screen adolescents and young adults for social media and technology use and cyberbullying using a screening tool developed for healthcare settings. Parents should be educated on keeping open lines of communications with their teens to help navigate appropriate technology behaviors and put proper boundaries in place. Counselin...
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Jennifer Caceres Allison Holley Source Type: research
Mental Health Concerns for College Students: Self-Harm, Suicidal Ideation, and Substance Use Disorders
Prim Care. 2023 Mar;50(1):47-55. doi: 10.1016/j.pop.2022.10.007. Epub 2023 Jan 10.ABSTRACTMental health disorders in college students are an increasing concern within the United States. Many factors lead to the increase in disorders during this transition period but most are centered on the needed adjustments into adult life and lack of foundation to make these changes. Socioeconomic and racial demographics play a role in the risks of developing and seeking treatment of these issues. Mental health first aid may become the first-line modality to finding and treating mental health disorders in these students.PMID:36822727 | ...
Source: Primary Care - February 23, 2023 Category: Primary Care Authors: Brandyn Mason Source Type: research