Attachment Anxiety Moderates the Association Between ADHD and Psychological Distress
This study aims at examining the possible moderating role of attachment style in the association between ADHD and psychological distress, namely, anxiety and depression symptoms. Study included ninty nine participants: Sixty adults with ADHD diagnosis and thirty nine adults without ADHD or other neurological and/or psychiatric disorders. All participants completed the Patient Health Questionnaire (PHQ-9), State-Trait Anxiety (STAI) questionnaires, Emotion in Close Relationships (ECR-R) questionnaire and Adult ADHD Self-Report Scale –Version 1.1 (ASRS-v1.1). Adults with ADHD had greater symptoms of depression (p 
Source: Psychiatric Quarterly - July 10, 2021 Category: Psychiatry Source Type: research

Virtual Reality Exposure Treatment in Phobias: a Systematic Review
AbstractWe compare the relative efficacy of virtual reality therapy exposure (VRET) versusin vivo therapy exposure among individuals suffering from phobias. A systematic search was completed up to 03 April 2020, using the following databases: ACM Digital Library, ResearchGate, IEEE, Science Direct, MIT PressJournals, Center for Direct Scientific Communication (CCSD) and Mary Ann Liebert Publishers. Five authors searched the databases using the following terms: Virtual Reality, Phobia, Mental health, Computing, Therapy, HMD, CAVE, Virtual ambient,in virtuo, Avoidance, Exposure, VRET, in vivo, Anxiety, Agoraphobia, Social Ph...
Source: Psychiatric Quarterly - June 26, 2021 Category: Psychiatry Source Type: research

The Impact of Prenatal Depression in Patients of High Risk Pregnancy Clinic on Obstetric Outcomes
This study demonstrates a significant impact of the maternal psychological state on the obstetric outcome. In addition, we observed a significant association between maternal obstetric history, genetic data, and th e risk of prenatal depression. Our study shows that completing the EPDS questionnaire is a very important part of the pregnancy follow-up, as it illuminates risk factors for prenatal depression and adverse perinatal outcomes. (Source: Psychiatric Quarterly)
Source: Psychiatric Quarterly - June 25, 2021 Category: Psychiatry Source Type: research

Understanding Perceptions of Nonsuicidal Self-Injury: Descriptive and Injunctive Norms
AbstractNonsuicidal self-injury (NSSI) is a major public health concern. Web-based personalized feedback interventions (PFIs) may be a cost-effective and efficient way to treat NSSI. In order to develop a PFI, it is imperative to assess descriptive and injunctive norms. The current study examines descriptive and injunctive norms of NSSI within college students  and adults in the community, comparing how perceived norms may differ for those who do or do not engage in NSSI. Study 1 calculated percentages of NSSI behavior within the student sample. Study 2 then examined perceived descriptive and injunctive norms between ...
Source: Psychiatric Quarterly - June 24, 2021 Category: Psychiatry Source Type: research

Adjunctive Nonconvulsive Electrotherapy for Patients with Depression: a Systematic Review
Abstract The efficacy and safety of adjunctive nonconvulsive electrotherapy (NET) for patients with depression are undetermined. This systematic review was conducted to examine the efficacy and safety of adjunctive NET for patients with depression. Chinese (WanFang and Chinese Journal Net) and English (PubMed, EMBASE, PsycINFO and the Cochrane Library) databases were systematically searched from their inception until Jan 27, 2021 by three independent investigators. One randomized controlled trial (RCT) with 3 treatment arms (n  = 108) and two observational studies (single-group, before-after design, n&thins...
Source: Psychiatric Quarterly - June 22, 2021 Category: Psychiatry Source Type: research

Psychiatric and Physical Health Outcomes Associated with Interpersonal Violence: A Propensity Score Matching Approach
This study examined the association between interpersonal violence and a range of psychiatric and physical health outcomes and assessed whether these associations changed when controlling for a stress-related diagnosis. An observational case –control study was conducted on a sample of 4,059 victims of violence. Using propensity score matching a number of risk factors (assessed five years prior assault) were used. Controls were matched 10:1 using the Danish Central Registry System. Outcomes were ICD-10 diagnoses of a range of psychiatr ic and physical health outcomes in the 15 years post-injury. Statistically sig...
Source: Psychiatric Quarterly - June 21, 2021 Category: Psychiatry Source Type: research

Improvements in Hope, Engagement and Functioning Following a Recovery-Focused Sub-Acute Inpatient Intervention: a Six-Month Evaluation
AbstractFew studies have examined the post-discharge benefits associated with recover-oriented programs delivered in inpatient and sub-acute mental health settings. The aim of this study was to evaluate the medium-term outcomes of a 6-week sub-acute inpatient intervention program for 27 service users with a diagnosis of serious mental illness (mean age  = 33.22 years, 70.4% with a psychosis diagnosis). Recovery data were collected on admission, at discharge, and at 3- and 6-months post-discharge using self-report, collaborative and clinical measures. The three clinician-rated measures (assessing therapeu...
Source: Psychiatric Quarterly - June 14, 2021 Category: Psychiatry Source Type: research

Post-earthquake Self-Reported Depressive Symptoms and Post-Traumatic Stress Disorder and their Correlates among College-Youths in Kathmandu, Nepal
This study explored the association of retrospective extent of exposure on current day depressive symptoms and post-traumatic stress disorder (PTSD) symptoms among 125 youth attending a college in Kathmandu, Nepal. A self-administered survey including socio-demographic variables, scale for earthquake exposure and Nepali language validated standardized scales for depressive and PTSD symptoms was used. Prevalence estimates for depressive symptoms was 43.2% and PTSD symptoms was 19.2%. For each increasing unit of the extent of earthquake exposure, the odds of having depressive symptoms increased by a factor of 1.26 (p &thinsp...
Source: Psychiatric Quarterly - June 9, 2021 Category: Psychiatry Source Type: research

Communities of Practice in Acute and Forensic Psychiatry: Lessons Learned and Perceived Effects
AbstractIn the Netherlands, two new approaches have been developed for acute and forensic psychiatry, called High and Intensive Care (HIC) and Forensic High and Intensive Care (FHIC). The models provide standards for temporary high-quality clinical care for patients in crisis and combine practices to reduce seclusion. To support the implementation of these approaches, Communities of Practice (CoPs) were created, including peer providers, mental health nurses, psychiatrists and managers. CoPs are increasingly used in healthcare. However, CoPs vary greatly in form and objective, and more insight is needed in the organisation...
Source: Psychiatric Quarterly - June 9, 2021 Category: Psychiatry Source Type: research

Transition of Mental Health Service Delivery to Telepsychiatry in Response to COVID-19: A Literature Review
AbstractDue to COVID-19, face-to-face mental health service delivery has been interrupted by social distancing and stay-at-home orders. To abridge physical distance between patients and healthcare providers, while limiting exposure to COVID-19, telepsychiatry has been widely adopted to provide services to patients with pre-existing mental health disorders. Though telepsychiatry has become more mainstream in delivering mental health services during COVID-19, evaluation studies of the rapid conversion of care delivery from face-to-face to telepsychiatry have been limited. The aim of this study was to review the literature on...
Source: Psychiatric Quarterly - June 8, 2021 Category: Psychiatry Source Type: research

How are OCD Patients and Family Members Dealing with the Waxing and Waning Pattern of the COVID-19 Pandemic? Results of a Longitudinal Observational Study
AbstractThe current study aimed to investigate the impact of the COVID-19 pandemic on the mental health of people with OCD and the degree of family accommodation (FA) by live-in family members across phases of the lockdown measures imposed by the Belgian government.  Forty-nine OCD patients and 26 live-in family members participated in the study. We assessed OCD symptom severity and FA of the live-in family members, as well as depressive symptoms, anxiety and stress levels and COVID-19 related psychological distress of patients and family members at four diffe rent timepoints: one month after the start of the lockdown...
Source: Psychiatric Quarterly - June 7, 2021 Category: Psychiatry Source Type: research

Understanding the Barriers and Facilitators to Employment for People with Bipolar Disorder
Abstract People with Bipolar Disorder (BD) consistently report a desire for employment; however, this is not reflected in employment figures. Individuals ’ perceptions of barriers to employment, along with endorsement of facilitators to employment remain under-investigated. We aimed to address this limitation by: (i) first examining differences in employed versus unemployed individuals (demographic, clinical, functioning); then (ii) identifying bar riers and/or facilitators to employment, perception of same, and subsequent impact on employment. We assessed demographics, functioning, and illness-related characterist...
Source: Psychiatric Quarterly - June 7, 2021 Category: Psychiatry Source Type: research

A Novel Refractory Mood Disorders and Electroconvulsive Therapy Elective for Medical Students: Fighting Stigma through Experience
Abstract Treatment resistant mood disorders (TRMD) have a significant impact on patients and society. Electroconvulsive therapy (ECT) has been shown to be effective for treatment resistant depression (TRD). Despite the effectiveness and safety of ECT, there remains significant stigma surrounding its use. Studies worldwide have shown that many medical students receive their knowledge from the media, which often portrays ECT in a negative light, and very few have exposure to ECT prior to their psychiatric clinical rotations. In this article we highlight the importance of medical education and introduce a novel approach in ...
Source: Psychiatric Quarterly - June 7, 2021 Category: Psychiatry Source Type: research

Hallucinations and Covid-19: Increased Occurrence of Hallucinations in Patients with Alzheimer ’s Disease During Lockdown
AbstractWe investigated the effects of lockdown, as implemented by retirement homes to cope with the spread of Covid-19, on hallucinatory experiences in patients with Alzheimer ’s disease (AD). The study included 47 patients with AD living in retirement homes and who were already experiencing hallucinations prior to the lockdown. We invited caregivers to rate hallucinatory experiences in these patients during the lockdown, and compared this rating with that provided by t he same caregivers prior to the lockdown. Results demonstrated increased hallucinatory experiences in patients with AD during the lockdown, compared...
Source: Psychiatric Quarterly - June 5, 2021 Category: Psychiatry Source Type: research

Peer and Non-Peer Co-Facilitation of a Health and Wellness Intervention for Adults with Serious Mental Illness
AbstractPeer specialists, or individuals with lived experience of mental health conditions who support the mental health recovery of others, often work side-by-side with traditional providers (non-peers) in the delivery of treatment groups. The present study aimed to examine group participant and peer provider experiences with peer and non-peer group co-facilitation. Data from a randomized controlled trial of Living Well, a peer and non-peer co-facilitated intervention for medical illness management for adults with serious mental illness, were utilized. A subset of Living Well participants (n = 16) and all pe...
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

Therapeutic Factors in a Psychiatric Group Therapy: a Preliminary Validation of Therapeutic Factors Inventory-8 , Italian Version
The objectives of this study were to preliminarly validate Therapeutic Factors Inventory-8 (TFI-8) Italian version and identify group therapeutic factors. In a psychiatric residential facility, a weekly psychotherapeutic group was evaluated during 1  year. One scale on group process (TFI-8, Ferrara-Group Experience Scale) and three clinical scales (Brief Symptom Inventory-53, Sheehan Disability Scale, WHO Quality of Life-Bref) were administered to participating patients. Internal consistency, Exploratory Factor Analysis (EFA), convergent valid ity of TFI-8 were assessed. Correlations between TFI-8 and other scale scor...
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

Cost-Savings Associated with Reductions in Public Service Utilization with Provision of Permanent Supported Housing in Midsized City in the United States
AbstractSevere and persistent mental illnesses are frequently associated with homelessness and extensive use of public services. Cost savings after the provision of permanent supportive housing (PSH) have been examined in large metropolitan areas but not in medium-sized communities. Administrative and clinical data were collected to determine use of public services, such as use of emergency services, inpatient psychiatric and medical services, and correctional facilities, in the year preceding and the year subsequent to placement in PSH. Costs of the housing and the utilized services were also calculated. Ninety-one subjec...
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

Helping Clinicians to Detect ODD in Children with ADHD in Clinical Settings
The objectives of this study were to provide a basic tool for pediatricians or other physicians to suspect and detect ODD in children with ADHD and to distinguish the symptomatic profile of ODD from ADHD. 101 subjects with ADHD, 83 with both ADHD and ODD and 342 controls aged 8 to 15  years were included in the study. A semi-structured interview was performed for evaluation of psychiatric diagnoses. Both parents and teachers completed DSM-IV Disruptive Behavior Disorders Rating Scale. We found differences among all three diagnostic subsamples in two-by-two analyses for all dime nsions (Inattention, Hyperactivity/Impul...
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

Risk factors associated with experienced stigma among people diagnosed with mental ill-health: a cross-sectional study
AbstractPurpose: to examine the relationship between religiosity, social support, trauma, quality of life and experienced stigma of mental illness amongst a population diagnosed with mental ill-health.Methods: A cross-sectional survey of day service users in Northern Ireland (n = 295) covering a range of issues including religiosity, social support, quality of life and prior experience of trauma. Stigma was measured using a recognised stigma scale. We used multinomial logistic regression to examine risk factors associated with experienced stigma.Results: Univariate analysis showed significant associations bet...
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

Preliminary Outcomes of an Older Peer and Clinician co-Facilitated Pain Rehabilitation Intervention among Adults Aged 50  Years and Older with Comorbid Chronic Pain and Mental Health Conditions
AbstractThe present study aimed to examine the acceptability, feasibility, and preliminary effectiveness of an older peer and clinician co-facilitated Behavioral Activation for Pain Rehabilitation (BA-PR) intervention among adults aged 50  years and older with comorbid chronic pain and mental health conditions. This was a mixed-methods research design with eight participants aged 55 to 62 years old with mental health conditions including schizophrenia spectrum disorder, bipolar disorder, major depressive disorder, personality disor der, and adjustment disorder. The quantitative data were assessed from observation...
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

Prevalence of Depressive Symptoms and Associated Psychosocial Risk Factors among French University Students: the Moderating and Mediating Effects of Resilience
In conclusion, the prevalence of depression was higher in FUS, as reported in previous studies. The amount of academic and daily stress explained this prevalence. University students with low resilience level were more at risk. Interventions aiming to improv e resilience skills could help to mitigate the negative effects of stress and to promote mental health in this population. (Source: Psychiatric Quarterly)
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

Accuracy of Primary Care Medical Home Designation in a Specialty Mental Health Clinic
This study reviewed the electronic records of patients in a large urban mental health clinic. The study defined ‘matching PCMH’ if the same primary care clinic was listed in both the mental health and medical electronic records. This study designated all others as ‘PCMH unknown.’ This study assessed whether demographic factors predicted PCMH status using chi-square tests. Among 229 patients (66% male; mean age 49; 36% White, 30% Black, and 17% Asian), 72% had a matching PCMH. Sex, age, race, psychiatric diagnosis, and psychotropic medication use were not associated with matching PCMH. To improve car...
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

Narratives about the Experience of Mental Illness: the recovery Process in Brazil
We describe the person ’s recovery process and their relationship with the clinical services they received. This is a very needed conversation because the incorporation of recovery and recovering citizenship concepts in clinical practice are still incipient in South America. Most importantly, this research adds to the d ialogue around recovering citizenship in different cultures. Methods: We used phenomenological methodology to interpret data drawn from the participant’s life course interview (using the McGill Illness Narrative Interview). Results: We found that a) Before receiving services, people were overwhe...
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

The Paradox of Help-Seeking Behaviour in Psychosis
AbstractLittle is known about which factors actually motivate individuals with psychosis to seek help or how psychosis may complicate the help-seeking process. The aim of this article is to examine the steps of this process and how psychopathological experiences might affect and interfere with it. In this qualitative study we interviewed nine patients with a first episode of psychosis. The interviews were transcribed and analysed according to the principles of thematic analysis using inductive as well as deductive methods. The crucial step in help-seeking behaviour seemed to be for the patients to identify thekind of probl...
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

Reliability, Validity and Responsiveness of the EQ-5D-5L in Assessing and Valuing Health Status in Adolescents and Young Adults with Posttraumatic Stress Disorder: a Randomized Controlled Trail
AbstractTo validate the EQ-5D-5L health-related quality of life (HrQoL) questionnaire in adolescents and young adults with posttraumatic stress disorder (PTSD) after sexual and/or physical abuse. We used data from a randomized controlled trial of 87 participants with PTSD aged 14 –21 years. The discriminative ability was evaluated by comparing participants scores on the descriptive system of the EQ-5D-5L with general population scores. Furthermore, the discriminative ability between subgroups of participants with different disease severity levels was estimated. Correlatio ns between the EQ-5D index and clinical ...
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

Psychiatric Multimorbidity in a Specialized Program for Severely Mentally Ill Veterans
AbstractIt has been suggested that psychiatric multimorbidity may better characterize severely impaired psychiatric patients than individual severe mental illness (SMI) diagnoses, and that these patients may be better served by centers offering integrated co-located, psychiatric and social services than in conventional clinics providing one-to-one care. We tested the hypothesis that multimorbidity is a critical characteristic of Veterans treated at a co-located multi-service Veteran ’s Health Administration (VHA) program originally established to treat Veterans living with SMI. Administrative data from the VA Connect...
Source: Psychiatric Quarterly - May 10, 2021 Category: Psychiatry Source Type: research

Risk of Excessive Daytime Sleepiness Associated to Major Depression in Adolescents
AbstractGiven the limited data currently available in the literature, the aim of this study was to investigate the risk of excessive daytime sleepiness (EDS) associated with major depression in a large sample of adolescents. The clinical and polysomnographic data of 105 adolescents recruited from the database of the Erasme Hospital sleep laboratory were analysed. A score  >  10 on the Epworth Sleepiness Scale was used as cut-off for the diagnosis of EDS. The status (remitted or current) and the severity (mild to moderate or severe) of major depressive episodes were determined based on the diagnostic criter...
Source: Psychiatric Quarterly - May 6, 2021 Category: Psychiatry Source Type: research

“ 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