Longitudinal Changes of Cognitive Deficits and Treatment Outcome of Cognitive Behavioral Therapy for Major Depression
The current study examined neuropsychological changes over the course of cognitive behavioral therapy (CBT) in outpatients with major depressive disorder and the influence of cognitive deficits as predictors of clinical outcome in depression. A neuropsychological test battery was carried out on depressed outpatients (N = 54) at the beginning and at the end of CBT. Small improvements were found in divided attention, figural memory, and processing speed from pre- to posttreatment. Cognitive deficits in executive functions before treatment predicted the clinical outcome at the end of CBT. The present study reveals that attent...
Source: The Journal of Nervous and Mental Disease - April 17, 2021 Category: Psychiatry Tags: Original Articles Source Type: research

Oral Versus Long-Acting Injectable Antipsychotic Treatment for People With Severe Schizophrenia: A 5-Year Follow-up of Effectiveness
The objective here is to compare the effectiveness of long-acting injectable antipsychotics (LAI-APs) and oral ones (OAPs) in patients with severe (Global Clinical Impression–Severity ≥ 5) schizophrenia (N = 688). A 5-year follow-up study has been conducted in patients undergoing standard treatment in mental health units (MHUs) or on a severe mental illness program (SMIP). A total of 8.7% of the patients on the SMIP discontinued treatment, whereas 43.6% did so in MHUs (p (Source: The Journal of Nervous and Mental Disease)
Source: The Journal of Nervous and Mental Disease - April 17, 2021 Category: Psychiatry Tags: Original Articles Source Type: research

Potential Impact of Climate Change on Human Trafficking: A Narrative Review
Climate change is a threat to the public health with wide-reaching impacts that are becoming more studied and recognized. An aspect of climate change that has not yet gained adequate scholarly attention is its potential impact on human trafficking. We review the potential impact of climate change on risk factors to human trafficking including poverty, gender inequality, political instability, migration or forced displacement, and weather disasters. We conclude that climate change is a crucially important consideration in understanding the complex and multifactorial risks for human trafficking. These findings add to the pri...
Source: The Journal of Nervous and Mental Disease - April 17, 2021 Category: Psychiatry Tags: Review Articles Source Type: research

Should Catatonia Be Conceptualized as a Pathological Response to Trauma?
Although catatonia is related to several medical conditions, catatonia as a response to trauma and posttraumatic stress disorder (PTSD) is less clear. The aim of this review is to explore the small emerging body of preliminary evidence that suggests a possible correlation between psychological trauma and catatonia. Initial data suggests a correlation between episodes of intense fear associated with trauma and PTSD and some forms of catatonic responses. Although this relationship is still speculative to be causative, it can have important implications if confirmed. This is especially salient when it is examined alongside ex...
Source: The Journal of Nervous and Mental Disease - April 17, 2021 Category: Psychiatry Tags: Review Articles Source Type: research

COVID-19 and Suicide: A Deadly Association
This article aims to shed light on this major public health problem and better understand what factors may create or exacerbate psychiatric symptoms and suicide. We review suicide data predating the pandemic and examine impact of previous epidemics on suicide rates. We then focus on the current pandemic's impacts and the world's response to COVID-19. We examine how these may lead to increased suicide rates, focusing on the US population. Finally, we offer suggestions on mitigating interventions to curb the impending rise in suicide and the resultant increased burden on an already stretched health care system. (Source: The ...
Source: The Journal of Nervous and Mental Disease - April 17, 2021 Category: Psychiatry Tags: Review Articles Source Type: research

Violence in Psychiatric Settings: Demographic and Clinical Characteristics of Patients Who Were Targets of Aggression
This study adds to a literature demonstrating a consistent overlap between individuals with mental illness who are victimized and those who initiate violence. (Source: The Journal of Nervous and Mental Disease)
Source: The Journal of Nervous and Mental Disease - April 1, 2021 Category: Psychiatry Tags: Brief Report Source Type: research

Implicit/Explicit Beliefs About God, Uncertainty, and Anxiety
Intolerance of uncertainty (IU) refers to the incapacity to cope with a perceived lack of information sustained by negative perceptions about uncertainty and its implications. Previous research regarding the role of religion and spirituality (R/S) in coping with uncertainty is unclear. The current research assessed if implicit and explicit beliefs about God are related to these discrepancies. Participants completed an explicit task, an implicit association task, the Intolerance of Uncertainty Scale, and the Hospital Anxiety and Depression Scale. Results indicated that explicit and implicit beliefs independently correlated ...
Source: The Journal of Nervous and Mental Disease - April 1, 2021 Category: Psychiatry Tags: Original Articles Source Type: research

How Mindfulness and Acceptance Could Help Psychiatrists Predict Alexithymia Among Students
Mindfulness and acceptance have demonstrated associations with alexithymia facets. As a very limited body of research has explored the predictive strength among alexithymia-related constructs, this study aimed to investigate the prediction of alexithymia based on acceptance and mindfulness among students. The study group consisted of 586 university students, 237 (40.9%) females and 349 (59.1%) males. As for data collection, the five-factor mindfulness questionnaire, Acceptance and Commitment Questionnaire, and the Toronto Alexithymia Scale-2 were applied. A stepwise multiple linear regression was calculated to predict alex...
Source: The Journal of Nervous and Mental Disease - April 1, 2021 Category: Psychiatry Tags: Original Articles Source Type: research

The Effect of a Psychotherapy Protocol on Dream Awareness in Adults With Generalized Anxiety Disorder
This study aimed to examine the effect of an Affective and Sensory Psychotherapy Protocol (ASPP) on dream awareness in adults with generalized anxiety disorder (GAD). For this purpose, 60 self-referred male and female adults were studied within a randomized clinical trial. The Generalized Anxiety Disorder 7-Item Scale and the Mannheim Dream Questionnaire were used at baseline, posttreatment, and 3-month follow-up. No significant difference was observed between patients in the experimental and control groups at baseline. Findings showed that patients in the experimental group had a significant increase in dream recall, atti...
Source: The Journal of Nervous and Mental Disease - April 1, 2021 Category: Psychiatry Tags: Original Articles Source Type: research

Presentation of Borderline Personality Disorder Symptoms in Adulthood: Development of Depression Mediates the Effect of Childhood and Adolescent Exposure to Violence
Past research has linked the development of borderline personality disorder to earlier exposure to violence. However, the causal link by which this relationship exists has not yet been fully identified. The present study sought to examine how exposure to violence predicted heterogeneity in the development of depressive systems and results in the arousal of borderline personality disorder symptoms in adulthood. The Pathways to Desistance data were used in the analyses. This data set consisted of the responses of 1354 juvenile offenders followed across 7 years. Group-based trajectory modeling was used to identify latent traj...
Source: The Journal of Nervous and Mental Disease - April 1, 2021 Category: Psychiatry Tags: Original Articles Source Type: research

A 3-Month Naturalistic Follow-Up Treatment With Selective Serotonin Reuptake Inhibitors in Frequent Attenders of General Medical Practice: What Correlates With a Good Response?
This study explores the role of psychiatric comorbidities and psychopharmacological treatment on the clinical outcomes of a cohort of FAs of the general medical practice in Italy. The study included 75 FAs assessed by the Structured Clinical Interview for DSM-5, Clinical Global Impression, Global Assessment Functioning, and Illness Behavior Inventory, administered at baseline (T0) and after 3 months (T1). Data were analyzed on the bases of the presence of any mental disorder and selective serotonin reuptake inhibitor (SSRI) treatment, with respect to other psychopharmacological treatments. Results showed better outcomes am...
Source: The Journal of Nervous and Mental Disease - April 1, 2021 Category: Psychiatry Tags: Original Articles Source Type: research

Physician, Protect Thyself: Why Psychiatrists Should Be Aware of Their Internet Presence and How to Protect Themselves
Modern psychiatric practice requires the use of the Internet, and the current pandemic has accelerated the adoption of technology in clinics. Psychiatrists receive significant education on protecting patient privacy and medical information when using these tools. However, they receive little training regarding protecting their own personal privacy in the Internet era. Private information, often without one's knowledge, is frequently available online and accessible by patients. The work of physicians and psychiatrists creates additional unique vulnerabilities to privacy. Given the essential nature of the Internet in modern ...
Source: The Journal of Nervous and Mental Disease - April 1, 2021 Category: Psychiatry Tags: Review Article Source Type: research

Patient Access to Mental Health Notes: Motivating Evidence-Informed Ethical Guidelines
In the last decade, many health organizations have embarked on a revolution in clinical communication. Using electronic devices, patients can now gain rapid access to their online clinical records. Legally, patients in many countries already have the right to obtain copies of their health records; however, the practice known as “open notes” is different. Via secure online health portals, patients are now able to access their test results, lists of medications, and the very words that clinicians write about them. Open notes are growing with most patients in the Nordic countries already offered access to their full elect...
Source: The Journal of Nervous and Mental Disease - April 1, 2021 Category: Psychiatry Tags: Clinical Controversies Source Type: research

Impact of the COVID-19 Pandemic on the Short-Term Course of Obsessive-Compulsive Disorder
We report the impact of COVID-19 pandemic on the short-term course of OCD. A cohort of patients with a primary diagnosis of OCD (n = 240) who were on regular follow-up at a tertiary care specialty OCD clinic in India were assessed telephonically, about 2 months after the declaration of the pandemic (“pandemic” cohort). Data from the medical records of an independent set of patients with OCD (n = 207) who were followed up during the same period, 1 year prior, was used for comparison (historical controls). The pandemic group and historical controls did not differ in the trajectories of the Yale-Brown Obsessive-Compulsive...
Source: The Journal of Nervous and Mental Disease - April 1, 2021 Category: Psychiatry Tags: COVID Source Type: research

Uncertainty in the Time of Corona: Precautionary Adherence, Fear, and Anxiety in New York City During the COVID-19 Pandemic
The recent COVID-19 pandemic is having profound impacts on every sector of society, and New York City (NYC) emerged as an early epicenter of the disease. Given the novelty and scale of the disease, information surrounding COVID-19 has been marked by considerable uncertainty and confusion. Although various factors have been associated with COVID-19 distress, little is known about the relations between levels of intolerance of uncertainty (IU) and anxiety symptoms and behaviors. This cross-sectional study sought to examine potential correlates and pathways between anxiety and precautionary behaviors with the two levels of IU...
Source: The Journal of Nervous and Mental Disease - April 1, 2021 Category: Psychiatry Tags: COVID Source Type: research