“ I wouldn't even know what to do,” Adolescent and Parent Perspectives on Identifying, Understanding, and Seeking Help for Adolescent Depression
AbstractWithin the context of a randomized clinical trial (RCT) of school-based depression screening, the study objective was to understand parent and adolescent perspectives on school-based depression screening and barriers to help-seeking for adolescent depression. From May-Nov. 2019, separate focus groups were held with adolescents (8 groups, n  = 52) and parents (6 groups, n = 36). Two coders individually coded 20% of transcripts to establish interrater reliability (adolescent k = 0.76 and parent k = 0.80). Remaining transcripts were then separately coded and revi...
Source: Psychiatric Quarterly - April 28, 2021 Category: Psychiatry Source Type: research

Psychosocial Impact of COVID-19 Pandemic in Elderly Psychiatric Patients: a Longitudinal Study
AbstractThe study was designed to investigate the impact of the Coronavirus Disease 2019 (COVID-19) pandemic on mental health and perceived psychosocial support for elderly psychiatric patients in a longitudinal design.n = 32 patients with affective or anxiety disorders aged ≥60 years were included. Telephone interviews were conducted in April/May 2020 (T1) and August 2020 (T2). The psychosocial impact (PSI) of the pandemic and psychopathology were measured. Changes between T1 and T2 were examined. Patients’ psychosocial support system six months before the pandemic and at T1/T2 was assessed. We...
Source: Psychiatric Quarterly - April 26, 2021 Category: Psychiatry Source Type: research

Beyond the Cuckoo ’s Nest: Patient and Public Attitudes about Psychiatric Electroceutical Interventions
AbstractRecent research emphasizes the role of psychiatric electroceutical interventions (PEIs), bioelectronic treatments that employ electrical stimulation to affect and modify brain function, to effectively treat psychiatric disorders. We sought to examine attitudes about three PEIs —electroconvulsive therapy, transcranial magnetic stimulation, and deep brain stimulation—among patients with depression and members of the general public. As part of a larger study to assess different stakeholders’ attitudes about PEIs, we conducted semi-structured key informant interviews wi th 16 individuals living with d...
Source: Psychiatric Quarterly - April 17, 2021 Category: Psychiatry Source Type: research

News Journalists and Postruamatic Stress Disorder: a Review of Literature, 2011 –2020
AbstractResearch has demonstrated that first responders may develop psychological trauma/ posttraumatic stress disorder (PTSD) in the performance of their duties. Often overlooked in these studies of police, firefighters, and paramedics is an additional group of providers who also respond to these same events: news journalists and photo journalists. Although limited in scope, the research literature from 1980 to 2010 assessed an association between PTSD and some news journalists. The strength of these findings are limited due to serious methodological limitations. The present paper reviewed the journalist/PTSD literature f...
Source: Psychiatric Quarterly - April 10, 2021 Category: Psychiatry Source Type: research

A Comparative Study of Aripiprazole, Olanzapine, and L-Methylfolate Augmentation in Treatment Resistant Obsessive-Compulsive Disorder
This study aimed to compare the efficiency and safety of aripiprazole, olanzapine, and L-methyl folate in patients with resistant OCD. The study consisted of an open-label prospective phase of 12-weeks to ascertain resistance to SRIs and a second 6-week open-label addition phase for non or, partial responders of the first phase. One-hundred-fifteen patients entered the 16-week open-label phase. Fifty patients (43.47%) responded to the SRIs monotherapy, two patients developed adverse effects and another three were lost to the follow up. Sixty patients (52.2%) were considered treatment-resistant and entered the 6-week open-l...
Source: Psychiatric Quarterly - April 8, 2021 Category: Psychiatry Source Type: research

Mental Health and Quality & amp; Safety of Care in Czech Residential Institutions during the COVID-19 Pandemic: A Mixed-Methods Study
AbstractLong-stay institutions have been considerably affected by the COVID-19 pandemic. We aimed to assess the mental health of clients and staff as well as quality and safety of care in long-stay institutions during the state-of-emergency in the Czech Republic in response to COVID-19 pandemic. We found a high prevalence of poor mental health outcomes in clients (46% poor well-being, 58% depression, 45% anxiety) and staff (17% poor well-being, 22% depression, 14% anxiety). In clients, COVID-19 health-related and economic worries were associated with depression (1.79, 95% CI  = 1.14; 2.8 and 2.28, 95% CI&thin...
Source: Psychiatric Quarterly - April 5, 2021 Category: Psychiatry Source Type: research

Post-traumatic Stress and Related Factors Among Hospital Nurses during the COVID-19 Outbreak in Korea
AbstractCOVID-19 is an ongoing worldwide infectious disease pandemic. The purpose of this study was to investigate post-traumatic stress and related factors among hospital nurses during the COVID-19 outbreak. The subjects of this study were 300 nurses who worked in three general hospitals that operated National Designated Isolation Unit (NDIU) wards during the COVID-19 outbreak. Self-reporting questionnaires were used to collect data on post-traumatic stress, general characteristics, and work-related information. The average post-traumatic stress score was 20.68  ± 19.5 points and 36.7% of participants...
Source: Psychiatric Quarterly - March 31, 2021 Category: Psychiatry Source Type: research

Mental Imagery in Patients with Prolonged Grief Disorder: a Comparison with Matched Bereaved Healthy Controls
This study is the first to investigate mental imagery in individuals suffering from Prolonged Grief Disorder (PGD), a new disorder which will be included into the new edition of the International Classification of Diseases and Related Health Problems (ICD-11).Our objective was to find out to what extent patients suffering from PGD differ from healthy, but equally bereaved, controls in terms of mental imagery, and how mental imagery is related to psychopathology. Patients with PGD and matched bereaved healthy controls (n = 54) completed a mental imagery questionnaire specifically designed for the study, and othe...
Source: Psychiatric Quarterly - March 30, 2021 Category: Psychiatry Source Type: research

Implementation of High and Intensive Care (HIC) in the Netherlands: a Process Evaluation
This study aimed to identify drivers of change which motivate professionals and management to implement HIC, and to identify facilitators and barriers to the implementation process. 41 interviews were conducted with multiple disciplines on 29 closed acute admission wards for adult psychiatric patients of 21 mental healthcare institutions in the Netherlands. The interviews were analysed by means of thematic analysis, consisting of the steps of open coding, axial coding and selective coding. Findings reveal three major drivers of change: the combination of existing interventions in one overall approach to reduce coercion, th...
Source: Psychiatric Quarterly - March 26, 2021 Category: Psychiatry Source Type: research

Urgent Psychiatric Consultations at Mental Health Center during COVID-19 Pandemic: Retrospective Observational Study
This study is aimed at comparing the urgent psychiatric consultations (UPC) performed at the outpatient Mental Health Center (MHC) of Modena during the coronavirus outbreak period, from 1 March to 31 August 2020, with the same period in 2019. We retrospectively collected in a database the demographic and clinical characteristics of patients who required UPC in the MHC during the 6-month observation periods in both 2019 and 2020. Data were statistically analyzed. We analyzed 656 urgent psychiatric consultations in 2019 and 811 in 2020, requested by 425 patients in 2019 and 488 in 2020, respectively. In the pandemic period, ...
Source: Psychiatric Quarterly - March 26, 2021 Category: Psychiatry Source Type: research

Canadian Adolescents ’ Internalized Symptoms in Pandemic Times: Association with Sociodemographic Characteristics, Confinement Habits, and Support
This study is aimed at determining which sociodemographic characteristics (age, family composition, achievement), confinement habits (schedule, new hobby, sleep duration, cellphone and computer use, sports, schoolwork), and sources of support (parents and teachers) are associated with more or less internalized symptoms in Canadian adolescents. Differences between boys and girls are also investigated. Between April 8 and 30 (2020) and through an online survey, 895 Canadian adolescents (74% girls) aged between 12 and 17  years (M = 14.7) were recruited. Path analysis was performed to identify significant a...
Source: Psychiatric Quarterly - March 25, 2021 Category: Psychiatry Source Type: research

A Community Survey of Quality of Life and Psychiatric Disorders among Residents Following the Kaohsiung Gas Explosion: a 5-Year Cross-Sectional Follow-Up Study
AbstractTo investigate factors associated with quality of life (QoL) and disaster-related psychiatric disorders, including posttraumatic stress disorder (PTSD) and major depressive episode (MDE), in the survivors of a gas explosion in Taiwan 5  years after the event. A community-based cross-sectional study of residents from an area that experienced a gas explosion was conducted 5 years after the event. The Short Form 12v2 (SF-12v2) was used to screen 2511 participants. The Disaster-Related Psychological Screening Test (DRPST) was used t o assess probable MDE and PTSD. A total of 2511 participants, including 604 m...
Source: Psychiatric Quarterly - March 25, 2021 Category: Psychiatry Source Type: research

Perception of Unmet Need after Seeking Treatment for a Past Year Major Depressive Episode: Results from the 2018 National Survey of Drug Use and Health
This study contributes to the literature by providing further support for disparities in depression treatment at the consumer, provider, and systemic levels that have downstream effects for health equity policy and public health promotion. (Source: Psychiatric Quarterly)
Source: Psychiatric Quarterly - March 24, 2021 Category: Psychiatry Source Type: research

Evaluation of Ongoing Participation of People with Schizophrenia in a Mutual Support Group as a Complementary Intervention to Outpatient Psychiatric Treatment
This study aims to evaluate a group of people with schizophrenia undergoing outpatient treatment and who participate in a mutual support intervention, compared to another group of people with the same diagnosis, but attending only the usual outpatient treatment. This is a prospective study, with two measurements between six months. The mutual support group was initially composed of 16 people and the treatment as usual group was composed of 15 people. Clinical (medication adherence and functioning) and Recovery (hope, well-being, recovery and internalized stigma) outcomes were assessed. Nonparametric tests were used to veri...
Source: Psychiatric Quarterly - March 24, 2021 Category: Psychiatry Source Type: research

The COVID PIVOT – Re-orienting Child and Youth Mental Health Care in the Light of Pandemic Restrictions
This study suggests that telehealth and flexible working arrangements have become an essential new element in the clinicians ’ toolkit to be offered either alone or as a supplement to in person interventions. (Source: Psychiatric Quarterly)
Source: Psychiatric Quarterly - March 22, 2021 Category: Psychiatry Source Type: research

Use of the RBANS to Evaluate Cognition in Patients with Schizophrenia and Metabolic Syndrome: a Meta-Analysis of Case-Control Studies
AbstractSchizophrenia is associated with an increased risk of metabolic syndrome (MetS), which is an important risk factor for developing cognitive impairment in the general population. A few case-control studies have explored the relationship between MetS and cognitive deficits in individuals with schizophrenia but with inconsistent findings. This meta-analysis of case-control studies was carried out to explore the association between MetS and cognitive performance in patients with schizophrenia. Only case-control studies assessing the association of cognitive function and MetS in patients with schizophrenia were identifi...
Source: Psychiatric Quarterly - March 22, 2021 Category: Psychiatry Source Type: research

The Impact of COVID-19 on Provider Perceptions of Telemental Health
AbstractThe present study was designed to assess mental health provider attitudes and perceptions of telemental health (TMH) prior to and during the COVID-19 Pandemic, as well as the nature of their TMH utilization. The study aimed to gather information about positive and negative attitudes towards TMH, perceptions and correlates based on the modality of care, and beliefs about the overall effectiveness of TMH as compared to face-to-face care. The current study is part of a larger mixed methods project utilizing a repeated cross-sectional design. An online survey was administered to a sample of 1448 mental health providers...
Source: Psychiatric Quarterly - March 20, 2021 Category: Psychiatry Source Type: research

Characteristics of Asylum Seekers in Collaborative Assessment Program
AbstractThe Capital District Asylum Collaborative (CDAC) is an organization that provides psychiatric and medical evaluations to be used as forensic evidence to support asylum applications. Our study assesses the demographics and traumas experienced by CDAC clients. In this retrospective study, 23 completed affidavits for clients evaluated through CDAC between the years 2016 and 2020 were analyzed for demographics, trauma experience, and psychiatric diagnosis given. Most clients experienced at least 4 different forms of trauma. Nearly 78% of clients experienced beating to the body, 43% were raped, 56.5% experienced other f...
Source: Psychiatric Quarterly - March 10, 2021 Category: Psychiatry Source Type: research

Psychiatrists ’ Experience of Vocational Rehabilitation for Patients with Mental Illness
AbstractThe aim of this study was to explore psychiatrists ’ experience of vocational rehabilitation for patients with mental illness. The study employed a qualitative design to explore psychiatrists’ experience of vocational rehabilitation. Ten psychiatrists, five women and five men, 33–62 years of age (median 40), were interviewed. All of them work ed with patients at Sahlgrenska University Hospital. The interviews were analyzed using inductive thematic analysis. All participants considered vocational rehabilitation to be of great importance for patients’ well-being and health. The results we...
Source: Psychiatric Quarterly - March 4, 2021 Category: Psychiatry Source Type: research

Association of Adverse Family Experiences with School Engagement and Performance in US Adolescents: Do Behavioral Health Conditions Mediate the Relationship?
AbstractTo examine the prevalence of adverse family experiences (AFEs), their association with poor school engagement and performance, and whether behavioral health conditions mediate the association among US adolescents. We conducted a cross-sectional analysis of data from adolescents aged 12 –17 years from the 2016–2018 National Survey of Children’s Health (n = 41,648 unweighted). We first estimated the prevalence of AFEs, investigated the association of AFEs with school engagement and performance, and whether behavioral health conditions mediate such relationships, using multivariabl...
Source: Psychiatric Quarterly - March 3, 2021 Category: Psychiatry Source Type: research

Examination of Gender Differences in the Influence of Social Support on Psychological Distress in Canadian Adults with Bipolar Disorder
The objectives of this study were to determine whether gender differences exist in how social support, and different types of support, impact psychological distress among Canadian adults with bipolar I and bipolar II disorder (BD), to examine whether females and males with BD differ in their perceived levels of support and distress compared to females and males without BD, and to investigate whether females and males with BD perceive different levels of support and distress. Using a cross-sectional, national datafile, 281 females and 282 males (20 –64 years) who reported being diagnosed with BD were investigated...
Source: Psychiatric Quarterly - March 3, 2021 Category: Psychiatry Source Type: research

Emptiness Mediates the Association Between Pathological Narcissism and Problematic Smartphone Use
This study investigated the relationships between pathological narcissism, emptiness and problematic smartphone use. Participants included 278 young Israeli adults (159 males; Mage = 26.21) who completed a battery of self-report questionnaires. Our results show that narcissistic grandiosity, vulnerability and emptiness were positively related to problematic smartphone use. Importantly, emptiness mediated the relationships between pathological narcissism and problematic sm artphone use. These findings highlight the mediating role of emptiness experience in the associations between pathological narcissism and p...
Source: Psychiatric Quarterly - February 24, 2021 Category: Psychiatry Source Type: research

Attitudes towards People with Mental Illness and Low Interest in Psychiatry among Medical Students in Central and Eastern Europe
This study aimed to examine attitudes towards people with mental illness and psychiatry and interest in career choice in psychiatry among medical students from three medical schools in Czechia and Slovakia. A total of 495 medical students participated in a cross-sectional study. Participants completed (1) the Medical students ’ version of mental illness: clinicians’ attitudes (MICA-2) scale, (2) the Reported and intended behaviour scale (RIBS), (3) the Attractiveness of working on a psychiatry-related position scale (P-ATTRACT), and (4) the Status of psychiatry scale (P-STATUS). Descriptive statistics, group co...
Source: Psychiatric Quarterly - February 24, 2021 Category: Psychiatry Source Type: research

Identification of Psychiatric Disorders by Rural Grass-Root Health Workers: Case Series & amp; Implications for the National Mental Health Program of India
AbstractAuxiliary Nurse Midwife (ANMs) and Accredited Social Health Activists (ASHAs) are well suited to cater to the mental health needs of the communities. Integrating primary mental health care into the general healthcare is one of the important objectives of the District Mental Health Program (DMHP) to reduce the treatment gap. As a part of an ICMR funded trial to evaluate the effectiveness of NIMHANS-ECHO blended training program, the ASHAs and ANMs were trained to identify and refer cases from the community. We aim to describe a series of cases identified by those workers from the community, highlighting their import...
Source: Psychiatric Quarterly - February 24, 2021 Category: Psychiatry Source Type: research

10-Year Trends of Emergency Department Visits, Wait Time, and Length of Stay among Adults with Mental Health and Substance use Disorders in the United States
This study examined if there was a change in the number of Emergency Department (ED) visits, wait time, and length of stay among adults with mental health and substance use disorders (MHSUD) in the United States from 2006 to 2015. From the National Hospital Ambulatory Medical Care Survey, a total of 17,488 ED visits by adults with MHSUD were identified. Linear regression and negative binomial regression analyses were conducted to assess statistically significant changes in trends of ED visits, wait time, and length of stay. Results indicated that ED visits by adults with MHSUD increased by 30.6% from 2006 to 2015. Wait tim...
Source: Psychiatric Quarterly - February 19, 2021 Category: Psychiatry Source Type: research

On-Site Prescription Dispensing Improves Antidepressant Adherence among Uninsured Depressed Patients
AbstractThe successful treatment of depressive disorders critically depends on adherence to prescribed treatment regimens. Despite increasing rates of antidepressant medication prescription, adherence to the full treatment course remains poor. Rates of antidepressant non-adherence are higher for uninsured patients and members of some marginalized racial and ethnic communities due to factors such as inequities in healthcare and access to insurance. Among patients treated in a free, student-run and faculty-supervised clinic serving uninsured patients in a majority Hispanic community in East Harlem, adherence rates are lower ...
Source: Psychiatric Quarterly - February 15, 2021 Category: Psychiatry Source Type: research

Association of the Military Transition to an All-Volunteer Force and Subsequent Zero-Tolerance Drug Policy with Characteristics of Male Veterans in the Vietnam, Post-Vietnam and Subsequent Post-Post Vietnam Cohorts
AbstractIn the 1970s, following the Vietnam Conflict, the U.S. military transitioned to an All-Volunteer Force (AVF). In the 1980 ’s military benefits increased and a zero-tolerance policy for illicit drugs was instituted. Changes in characteristics of veterans deserve study. National survey data from 2012 to 2013 compare vetderan-non-veteran differences in three age cohorts: the Vietnam cohort; the AVF (Post-Vietnam) cohort ; and volunteers under the no tolerance policy (Post-Post-Vietnam). Comparisons addressed socio-demographic, behavioral, and substance use and psychiatric diagnoses. Multivariate interaction anal...
Source: Psychiatric Quarterly - February 15, 2021 Category: Psychiatry Source Type: research

Receipt of Telepsychiatry and Emergency Department Visit Outcomes in New York State
This study sought to examine the potential role of telepsychiatry across a wider range of EDs by comparing visit dispositions for psychiatric visits in EDs that did (versus did not) receive telepsychiatry services. ED telepsychiatry service status was identified from the 2016 National ED Inventory-USA and then linked to psychiatric visits from the 2016 New York State Emergency Department Databases/State Inpatient Databases. Unadjusted analyses and multivariable logistic regression models were used to evaluate associations between an ED ’s telepsychiatry service status and two clinical outcomes: use of observation ser...
Source: Psychiatric Quarterly - February 15, 2021 Category: Psychiatry Source Type: research

The Effects of Traumatic Brain Injury and Post-Traumatic Stress Disorder on Prison Adjustment and Recidivism among Military Veterans: Evidence from Minnesota
AbstractThe prevalence of, and link between, mental health disorders —such as traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD)—and antisocial behavior is well-documented among the military veteran population. Studies also show that TBI and PTSD account for variation in prison-based and re-entry outcomes. Despite this body of research, compar atively fewer studies have explicitly focused on how these factors affect prison adjustment for inmates with prior military experience. We used administrative data provided by the Minnesota Department of Corrections (MnDOC) and employed a series of sur...
Source: Psychiatric Quarterly - February 15, 2021 Category: Psychiatry Source Type: research

Gender and Racial Disparities among US Psychiatry Residents: A Review of Trends
In this study, we explore the gender and racial trends in the recruitment of medical graduates into US psychiatry residency programs. Retrospective data analysis was performed utilizing the data from the Accreditation Council for Graduate Medical Education (ACGME) Data ’s annual Resource Books from the year 2007 to 2018. Demographic data, including gender and race, were extracted for psychiatry residents. Gender was categorized as Male, Female, and Not Reported. Race/ethnicity was categorized as White (Non-Hispanic), Asian/Pacific Islander, Hispanic, Black/Afric an-American (Non-Hispanic), Native American/Alaskan, Ot...
Source: Psychiatric Quarterly - February 13, 2021 Category: Psychiatry Source Type: research

Mental Health Staff Perceptions of Improvement Opportunities around COVID-19: A Mixed-Methods Analysis
This study used mixed-methods to understand the complex and varied experiences of staff of a psychiatric service line at a large tertiary medical center with high community spread of COVID-19. A brief convenience survey was sent to all staff of the service line and thematic analysis generated brief themes and their frequency. Qualitative focus groups were then held to elucidate greater detail on survey responses. In total, 99 individuals responded to the survey and 17 individuals attended two focus groups in which theoretical saturation was achieved. While brief survey responses generated three broad themes, including oper...
Source: Psychiatric Quarterly - February 11, 2021 Category: Psychiatry Source Type: research

Preliminary Evidence for Sociotropy and Autonomy in Relation to Antidepressant Treatment Outcome
AbstractSociotropy and autonomy are cognitive-personality styles that have been hypothesized to confer vulnerability to different presentations of major depressive disorder (MDD), which may respond differentially to treatment. Specifically, the profile of low sociotropy and high autonomy is hypothesized to indicate a positive response to antidepressant medication. The current study examines sociotropy and autonomy in relation to sertraline treatment response in individuals with MDD. As part of an ancillary study to the larger Establishing Moderators and Biosignatures of Antidepressant Response for Clinical Care (EMBARC) pr...
Source: Psychiatric Quarterly - February 10, 2021 Category: Psychiatry Source Type: research

A Predictive Model for Estimating Risk of Harm and Aggression in Inpatient Mental Health Clinics
AbstractSerious mental illness is a major risk factor for aggression and violence. The present study aimed to develop and test an algorithm to predict inpatient aggressions that involve a risk of harm to self or others. This work is based on a retrospective study aimed to investigate the prediction of risk of harm and aggressions at St. Joseph ’s Healthcare Hamilton, between 2016 and 2017. An analysis of the risk factors most strongly associated with harmful incidents is, followed by the description of the process involved in the development of a predictive model which estimates the risk of harm. The efficiency of th...
Source: Psychiatric Quarterly - January 22, 2021 Category: Psychiatry Source Type: research

Predicting Non-Suicidal Self-Injury in Young Adults with and without Borderline Personality Disorder: a Multilevel Approach Combining Ecological Momentary Assessment and Self-Report Measures
AbstractNon-suicidal self-injury (NSSI) is an increasingly prevalent phenomenon associated with many detrimental outcomes, ranging from poor academic performance to suicide attempts. Research on self-harming behaviors has identified emotion dysregulation, negative affect, and borderline pathology as strong risk factors of NSSI, whereas the potential protective effects of metacognitive skills such as decentering have not yet been explored. The current study combined ecological momentary assessment (EMA) and self-report measures to explore potential risk and protective factors of NSSI in a clinical group of Borderline Person...
Source: Psychiatric Quarterly - January 21, 2021 Category: Psychiatry Source Type: research

The Impact of the Coronavirus Disease 2019 (COVID-19) Pandemic on Healthcare Workers with Pre-Existing Psychiatric Conditions
AbstractBoth healthcare workers (HCWs) and psychiatric patients during the COVID-19 pandemic appear to have elevated prevalence of psychiatric symptoms, but little is known about HCWs with psychiatric diagnoses. To examine their response to the pandemic, we analyzed their perspective, and association with psychiatric symptoms and stress among HCW with psychiatric diagnosis. Using an online survey of HCW, we analyzed demographics, work information, health factors, open-ended question, sources of stress and standardized mental health scales (Perceived Stress Scale (PSS), Generalized Anxiety Disorder-7 (GAD-7), Patient Health...
Source: Psychiatric Quarterly - January 7, 2021 Category: Psychiatry Source Type: research

Psychiatric Clinical Profiles and Pharmacological Interactions in COVID-19 Inpatients Referred to a Consultation Liaison Psychiatry Unit: a Cross-Sectional Study
AbstractThe Coronavirus Disease 2019 (COVID-19) can affect mental health in different ways. There is little research about psychiatric complications in hospitalized patients with COVID-19. The aim of the study was to describe the psychiatric clinical profile and pharmacological interactions in COVID-19 inpatients referred to a Consultation-Liaison Psychiatry (CLP) unit. This is a cross-sectional study, carried out at a tertiary hospital in Spain, in inpatients admitted because of COVID-19 and referred to our CLP Unit from March 17,2020 to April 28,2020. Clinical data were extracted from electronic medical records. The pati...
Source: Psychiatric Quarterly - January 7, 2021 Category: Psychiatry Source Type: research

Adverse Effects of Esketamine for the Treatment of Major Depression Disorder: Findings from Randomized Controlled Trials
AbstractEsketamine is a promising drug which can induce antidepressant effects in Major Depression Disorder (MDD). Several randomized controlled trials (RCTs) have been implemented to assess the efficacy and safety of esketamine for the treatment of MDD. Therefore, we carried out a meta-analysis to assess adverse effect profiles of esketamine for the treatment of MDD. We searched RCTs which were implemented from January 2010 to June 2020 by searching PubMed, Embase and Cochrane Library databases. Finally, four RCTs with 551 patients were included in our study. We pooled 551 patients from 4 RCTs. Compared with placebo, an i...
Source: Psychiatric Quarterly - January 7, 2021 Category: Psychiatry Source Type: research

Mentalizing Errors in Patients with Schizophrenia Who Received Psychosocial Rehabilitation: a Case-Control Study
AbstractThe main objective of this study was to evaluate the mentalizing performance of patients with schizophrenia who received daily psychosocial rehabilitation treatment compared with healthy controls. Differences in mentalizing performance between men and women, and the relationship between mentalizing deficits, cognitive impairment, symptoms, and global functioning of patients were also examined. A case-control study design was utilized(N = 95). Adults with schizophrenia were recruited from psychosocial rehabilitation clinics (n = 53) and healthy controls were recruited from the community (...
Source: Psychiatric Quarterly - January 6, 2021 Category: Psychiatry Source Type: research

Protecting Health and Safety with Needed-Treatment: the Effectiveness of Outpatient Commitment
AbstractOutpatient civil commitment (OCC) requires the provision of needed-treatment, as a less restrictive alternative (LRA) to psychiatric-hospitalization in order to protect against imminent-threats to health and safety associated with severe mental illness (SMI). OCC-reviews aggregating all studies report inconsistent outcomes and interpret such as intervention failure. This review, considering those studies whose outcome criteria are consistent with the provisions of OCC-law, seeks to determine OCC-effectiveness in meeting its legislated objectives. This review incorporated studies from previous systematic-reviews, us...
Source: Psychiatric Quarterly - January 6, 2021 Category: Psychiatry Source Type: research

Longitudinal Assessment of Prevalence and Risk Factors of Anxiety and Depression among Prostate Cancer Survivors Post-Resection
AbstractOur study aimed to detect the longitudinal prevalence of anxiety and depression in prostate cancer survivors post-resection and their risk factors. A total of 169 prostate cancer patients who underwent resection were included and followed up for 3  years. Then anxiety and depression were assessed by Zung’s Self-rating Anxiety Scale (SAS) or Zung’s Self-rating Depression Scale (SDS) from the day of discharging from hospital to the last follow up every 3 months. Overall survival (OS) was calculated and documented. In prostate cancer survi vors post-resection, the SAS score, anxiety occurrence ra...
Source: Psychiatric Quarterly - January 6, 2021 Category: Psychiatry Source Type: research

Correlates of Obtaining Employment among Veterans Receiving Treatment for Severe PTSD in Specialized Intensive Programs
This study examines rates and correlates of transitioning from not being employed at admission to working four months after discharge using national Veterans Health Administration (VHA) program evaluation data on veterans engaged in specialized intensive PTSD treatment (N = 27,339). Results suggest that only 5.68% of the sample made the transition to employment while 10.6% lost employment, 8.9% worked both at admission and following discharge, and 74.9%, did not work either at admission or following discharge. Multinomial regression analysis found that compared to other groups, veterans who became employed we...
Source: Psychiatric Quarterly - January 6, 2021 Category: Psychiatry Source Type: research

In Their Own Words : Veteran Experiences with Evidence-Based Treatments for PTSD in the Veterans Health Administration
AbstractThe aim of the present study was to increase the understanding of veteran experiences with receiving an evidence-based psychotherapy (EBPs) for PTSD (Cognitive Processing Therapy and Prolonged Exposure therapy) in the Veterans Affairs Healthcare System (VA). Eighteen veterans who participated in the study were being seen in the outpatient PTSD clinic at a New England VA and had elected to participate in an EBP. The study assessed veteran experiences with, and outcomes from, treatment through the use of both quantitative and qualitative assessment tools. A rigorous data analytic approach, Consensual Qualitative Rese...
Source: Psychiatric Quarterly - January 6, 2021 Category: Psychiatry Source Type: research

Prediction of Self-Report Cognitive Function for the Symptomatic Remission in Schizophrenia Treated with Amisulpride: a Multicenter, 8-Week Case-Control Study
This study aimed to determine whether self-report cognitive function is a predictor of symptomatic remission in amisulpride-treated schizophrenia. Patients with DSM-IV schizophrenia diagnoses who received amisulpride treatment, were recruited. Each patient received amisulpride with a flexible-dose strategy of 400-800  mg daily for eight weeks. Remission was defined by a shorter version of the Positive and Negative Symptom Scale(PANSS)criteria, which includes six items (PANSS-6) with scores of less than three in each item(criteria A) or total six scores of less than fourteen(criteria B). Three hundred and three patient...
Source: Psychiatric Quarterly - January 3, 2021 Category: Psychiatry Source Type: research

Patient Satisfaction with and Use of Telemental Health Services in the Perinatal Period: a Survey Study
AbstractWe aimed to assess patients ’ utilization of and satisfaction with telemental health (TMH) in the perinatal period. We hypothesized that satisfaction with TMH would be at least equal to, if not greater than, with in-person appointments. We conducted a cross-sectional survey between March 2018–June 2019 to evaluate patient satisfaction with and use of TMH services in the perinatal period. Participants used TMH services across the second and third trimester of pregnancy and the first year post-partum. Nearly half of the patients (8/19, 42%) used TMH to see their provider within the first two weeks post-pa...
Source: Psychiatric Quarterly - January 3, 2021 Category: Psychiatry Source Type: research

Personality and Body Mass Index in U.S. Military Veterans: Results from the National Health and Resilience in Veterans Study
AbstractThe relationship between the “Big 5” personality dimensions and body mass index (BMI) were examined in a nationally representative sample (National Health and Resilience in Veterans Study) of male and female U.S. military veterans. Multivariable analyses were conducted to evaluate gender-specific associations between person ality factors and BMI. Among male veterans, greater extraversion was associated with higher BMI, (β = 0.18), while lower conscientiousness (β = −0.18), agreeableness (β = −0.18), and emotional stability (β&thin...
Source: Psychiatric Quarterly - January 3, 2021 Category: Psychiatry Source Type: research

Decision-Making Capacity in Healthcare: Instruments Review and Reflections About its Assessment in the Elderly with Cognitive Impairment and Dementia
AbstractThe prevalence of neurodegenerative diseases has been significantly increasing in the last decades, and it is expected to continue to grow. These health disorders can impair patients ’ decision-making capacity in healthcare. The capacity to make healthcare decisions is a fundamental pillar of informed consent, therefore, it should be carefully assessed. Clinicians’ assessment, when not supported by a standardized tool, has revealed to be unreliable, so the recourse to an ins trument of capacity assessment is crucial. The present paper aims to identify and summarize published instruments of healthcare de...
Source: Psychiatric Quarterly - January 2, 2021 Category: Psychiatry Source Type: research

Occurence of Post-Traumatic Stress Symptoms, Anxiety and Depression in the Acute Phase of Transient Ischemic Attack and Stroke
AbstractRates of post-traumatic stress symptoms, anxiety and depression are increased in patients having experienced a transient ischemic attack (TIA) or stroke several months ago. However, data of psychiatric symptoms in the acute phase within the first days after ictus are lacking. In 20 patients with stroke and 33 patients with TIA we assessed disease severity by means of the NIHSS, levels of depression and anxiety by HADS, PTSD-like symptoms by PC-PTSD, quality of life (HrQoL) by SF-12, and coping style by brief COPE Inventory within the first 5  days after ictus. NIHSS on admission was lower in patients with TIA ...
Source: Psychiatric Quarterly - January 2, 2021 Category: Psychiatry Source Type: research

Hormonal Contraceptive Use and Risk of Attempted and Completed Suicide: a Systematic Review and Narrative Synthesis
AbstractDespite its widespread use, there is conflicting evidence on the association between hormonal contraception and the risk of suicide among women. This review seeks to identify, appraise and synthesize all studies on the association between hormonal contraceptive use and attempted or completed suicide. A systematic review was performed in accordance with PRISMA guidelines. Relevant citations were identified from three bibliographic databases (MEDLINE, EMBASE, and PsycInfo). Cross-sectional, cohort and case control studies were included. Quality of studies was assessed with validated tools, and a narrative synthesis w...
Source: Psychiatric Quarterly - October 28, 2020 Category: Psychiatry Source Type: research

Past Epidemics, Natural Disasters, COVID19, and Mental Health: Learning from History as we Deal with the Present and Prepare for the Future
AbstractAs cases of the coronavirus disease (COVID-19) continue to rise, psychological endurance is a challenge many people will face. For mental health, heightened stress responses to the pandemic, is likely to manifest in three ways: 1) development of a new episode of a disorder in those with a predisposition to a major psychiatric disorder or an acute exacerbation in those who already have such a disorder, 2) development of a trauma or stressor related disorder, such as acute stress disorder, Post Traumatic Stress Disorder (PTSD), or adjustment disorders, and 3) development of a symptomatic stress response that does not...
Source: Psychiatric Quarterly - October 28, 2020 Category: Psychiatry Source Type: research

The Global Prevalence of Suicidal Attempt among Medical Students: a Systematic Review and Meta-Analysis
AbstractEven though suicidal attempt among medical students is a major public health concern, there are no prior studies that reported its consolidated magnitude worldwide. To the best of our knowledge, this systematic review is the first to quantitatively analyze the prevalence of suicidal attempts among medical students. We systematically searched PubMed, Embase, and Scopus for English language articles that assessed the prevalence of suicide attempts among medical students. A random-effect meta-analysis was used to combine data from individual studies. The heterogeneity across the studies was evaluated using Cochran &rs...
Source: Psychiatric Quarterly - October 28, 2020 Category: Psychiatry Source Type: research