Implications of Involuntary Psychiatric Admission: Health, Social, and Clinical Effects on Patients
Involuntary psychiatric admission is an increasing, widespread practice adopted throughout the world; however, its legal regulation and practice are still under debate, and it is subject to criticism from the human rights point of view. Only a few studies have strictly focused on the outcomes and subsequent treatment implications of this practice. To perform a scoping review of the literature on involuntary psychiatric admission and systematize and summarize its outcomes and implications for adult psychiatric inpatients. (Source: The Journal of Nervous and Mental Disease)
Source: The Journal of Nervous and Mental Disease - April 1, 2022 Category: Psychiatry Tags: Review Article Source Type: research

Unintended Deviations of a Random Event Generator by Patients With Late Life Depression and Anxiety During a Direct Mental Influence Task
The primary objective was to determine whether depression and anxiety influence the outcome of random microevents in a nonrandom manner in the absence of any physical intervention by using a random event generator (REG). The secondary objective was to correlate other dimensions of consciousness with the REG's output. The experimental group (n = 30) included individuals with depression, the control group (n = 15) included individuals without depression, and the comparison group (n = 10) included individuals with or without depression. It was hypothesized that those with depression or anxiety would significantly deviate the ...
Source: The Journal of Nervous and Mental Disease - April 1, 2022 Category: Psychiatry Tags: Original Articles Source Type: research

Are Affective Temperaments, Emotional Abuse, and Neglect Involved in Mentalization Abilities in Patients With Psychiatric Disorders?
Patients who have experienced emotional abuse and neglect often develop psychiatric disorders in adulthood. However, whether emotional abuse, neglect, and mentalization abilities relate to one another and the role of possible mediators of this relationship in psychiatric patients are still unknown. We evaluated the potential role of affective temperament as a mediator of the relationship between emotional abuse and neglect and mentalization. We performed a cross-sectional study of 252 adult psychiatric inpatients. The Childhood Trauma Questionnaire, Mentalization Questionnaire, and Temperament Evaluation of Memphis, Pisa, ...
Source: The Journal of Nervous and Mental Disease - April 1, 2022 Category: Psychiatry Tags: Original Articles Source Type: research

Pain Intensity, Depression, and Anxiety Levels Among Patients With Chronic Pain During COVID-19 Pandemic
In conclusion, our findings revealed significant increase in VAS pain intensity, BDI, and BAI scores during the COVID-19 pandemic compared with prepandemic period among chronic pain patients, particularly for patients with increased need of analgesics during pandemic. (Source: The Journal of Nervous and Mental Disease)
Source: The Journal of Nervous and Mental Disease - April 1, 2022 Category: Psychiatry Tags: COVID Source Type: research

Stigma, Uncertainty, and Coping at the Time of COVID-19 Pandemic Amid Health Care Professionals: How Far Have We Gone?
Stigma and uncertainty are noticed in global pandemics. Their impacts on health care providers tend to persist notably during and after the outbreaks. Our objective was to assess stigma, uncertainty, and coping among health care providers through an online survey using the Discrimination and Stigma Scale Version 12 (DISC-12) modified version to assess stigma related to treating COVID-19, the Intolerance of Uncertainty Scale, and the Brief Resilient Coping Scale (BRCS). Of the respondents (n = 65), 63.1% treated patients with COVID-19, and 21.5% worked in isolation hospitals. Physicians who treated patients with COVID-19 ha...
Source: The Journal of Nervous and Mental Disease - April 1, 2022 Category: Psychiatry Tags: COVID Source Type: research

Demographic and Clinical Factors Related to Severe COVID-19 Infection and Mortality in Patients With Schizophrenia
We aimed to explore the prevalence and determinants of severe COVID-19 disease and mortality in patients with schizophrenia in this study. We conducted a retrospective observational study of 1620 patients with schizophrenia. Of the 1620 patients, 52 (3.2%) tested positive for SARS-CoV-19. Among SARS-CoV-2–positive patients, 40 patients were hospitalized, and 17 patients required intensive care unit admission due to COVID-19 (76.9% and 32.7%, respectively). Severe COVID-19 disease was noted in 17 patients (32.7%) requiring intubation. In the logistic regression analysis, antipsychotic dose, and comorbidity score were inde...
Source: The Journal of Nervous and Mental Disease - April 1, 2022 Category: Psychiatry Tags: COVID Source Type: research

Uncertainty, Stress, and Resilience During the COVID-19 Pandemic in Greece
This study explored peritraumatic distress, intolerance of uncertainty (IU), and resilient coping in a sample of 2717 adults who voluntarily and anonymously participated in an online survey conducted in April 2020, in Greece. (Source: The Journal of Nervous and Mental Disease)
Source: The Journal of Nervous and Mental Disease - April 1, 2022 Category: Psychiatry Tags: COVID Source Type: research

Prevalence and Factors Associated With PTSD-Like Symptoms Linked to the COVID-19 Pandemic Among Patients With Major Depressive Disorders Seeking Emergency Care
The aim of this study was to evaluate the psychological impact and coping strategies experienced by depressed inpatients during the second wave of the COVID-19 pandemic in Italy. We recruited 75 depressed inpatients. Logistic regression was used to determine predictors of PTSD-like symptoms measured with Impact of Event Scale–Revised. Predicting variables were age, sex, the Coping Orientation to Problems Experienced subscales scores, the Anxiety Status Inventory total score, and the Patient Health Questionnaire-9 total score. The prevalence of PTSD-like stress symptoms was 41.33%. Age, social and avoidance coping strateg...
Source: The Journal of Nervous and Mental Disease - April 1, 2022 Category: Psychiatry Tags: COVID Source Type: research

Quo Vadis Psychiatry? Why It Is Time to Endorse Evolutionary Theory
In recent decades, psychiatry and the neurosciences have made little progress in terms of preventing, diagnosing, classifying, or treating mental disorders. Here we argue that the dilemma of psychiatry and the neurosciences is, in part, based on fundamental misconceptions about the human mind, including misdirected nature-nurture debates, the lack of definitional concepts of “normalcy,” distinguishing defense from defect, disregarding life history theory, evolutionarily uninformed genetic and epigenetic research, the “disconnection” of the brain from the rest of the body, and lack of attention to actual behavior in...
Source: The Journal of Nervous and Mental Disease - April 1, 2022 Category: Psychiatry Tags: Review Article Source Type: research

Psychiatrists Are From Mars; Neurologists Are From Missouri: Clinical Neuroscience and the Future of Psychiatry
No abstract available (Source: The Journal of Nervous and Mental Disease)
Source: The Journal of Nervous and Mental Disease - April 1, 2022 Category: Psychiatry Tags: Commentary Source Type: research

Is It Time for the Mental Health Field to Consider Unplanned Discharge a Key Metric of Patient Safety?
Mental health lacks robust measures to assess patient safety. Unplanned discharge is common in mental health populations and associated with poor outcomes. Clarifying whether unplanned discharge varies across settings may highlight the need to develop measures to reduce harms associated with this event. Unplanned discharge rates were compared across the Department of Veterans Affairs' acute inpatient and residential mental health treatment settings from 2009 to 2019. Logistic regression was used to create facility-level, adjusted unplanned discharge rates stratified by setting. Results were described using central tendency...
Source: The Journal of Nervous and Mental Disease - February 24, 2022 Category: Psychiatry Tags: Brief Reports Source Type: research

Characteristics of Posttraumatic Nightmares and Their Relationship to PTSD Severity Among Combat Veterans With PTSD and Hazardous Alcohol Use
This study conducted a secondary analysis to explore how five nightmare characteristics are cross-sectionally related to PTSD severity in 76 combat veterans with PTSD and at-risk alcohol use. Consistent with emotional processing theory, we hypothesized that more replicative, threatening, realistic, and easily recalled nightmares would be associated with more severe PTSD, whereas those with greater symbolism would predict lower PTSD severity. Nightmares narratives were audio-recorded and rated by multiple coders. Multiple analyses of variance explored the relationship between nightmare characteristics and PTSD clinical indi...
Source: The Journal of Nervous and Mental Disease - February 24, 2022 Category: Psychiatry Tags: Brief Reports Source Type: research

Perceived Stigma and Its Association With Stress, Anxiety, and Depression Among Patients With Epilepsy
The present study focuses on exploring the prevalence and relationship of stigma, stress, anxiety, and depression among patients with epilepsy. This hospital-based study consisted of 200 patients diagnosed with epilepsy using a purposive sampling selected from the outpatient department of the Central Indian Institute of Mental Health and Neuro Sciences, Dewada, Chhattisgarh, India. Patients were assessed through a sociodemographic datasheet, Stigma Scale of Epilepsy, and Depression Anxiety Stress Scales. The result of the study reveals that patient with epilepsy perceived 25% of high stigma 61.0% of stress, 55.0% of anxiet...
Source: The Journal of Nervous and Mental Disease - February 24, 2022 Category: Psychiatry Tags: Original Articles Source Type: research

Depression and Anxiety in Adult Persons With Epilepsy and Their Caregivers: A Survey-Based Study at a Tertiary Care Center
This study evaluated the rates of depression and anxiety and their determinants in adult persons with epilepsy and their caregivers. Both completed surveys about demographic, disease-related, and psychosocial characteristics. One hundred patients and caregivers participated. A mood disorder was present in 89% of patients and 56% of caregivers. In the univariate analysis, the presence of mood disorder in the patient was associated with being unmarried, unemployed, frequent hospitalizations, side effects from polypharmacy, patient stigma, patient quality of life, caregiver anxiety, and caregiver burden. In the multivariate a...
Source: The Journal of Nervous and Mental Disease - February 24, 2022 Category: Psychiatry Tags: Original Articles Source Type: research

Inpatient Care Unit in Children and Adolescents With Autism Spectrum Disorder: Benefits, Difficulties, and Conditions of Hospitalization
This study eases the management of hospitalized ASD patients with giving important information of clinical and familial characteristics. (Source: The Journal of Nervous and Mental Disease)
Source: The Journal of Nervous and Mental Disease - February 24, 2022 Category: Psychiatry Tags: Original Articles Source Type: research