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This page shows you the most recent publications within this specialty of the MedWorm directory.

Adolescent self‐harm and risk factors
ConclusionsThe incidence of adolescent self‐harm was high, and their mental health status, stressful life events, and EMBU affected the occurrence of adolescent self‐harm, which is an issue that needs greater attention. (Source: Asia-Pacific Psychiatry)
Source: Asia-Pacific Psychiatry - May 26, 2016 Category: Psychiatry Authors: Jixiang Zhang, Jianwei Song, Jing Wang Tags: Original Article Source Type: research

Combination of opioid medications shows promise in treatment‐resistant depression
A new study has found that a combination of the opioid partial agonist buprenorphine and the opioid antagonist samidorphan improved depression outcome measures in adults who had not responded adequately to one or two courses of antidepressant treatment. Patients receiving a dose of 2 mg of each drug showed greater improvement than patients receiving a higher dose of 8 mg of each drug. Results were published online Feb. 12 in the American Journal of Psychiatry. (Source: The Brown University Psychopharmacology Update)
Source: The Brown University Psychopharmacology Update - May 26, 2016 Category: Psychiatry Tags: Adjunctive Therapy Source Type: research

Is it Trauma‐ or Fantasy‐based? Comparing dissociative identity disorder, post‐traumatic stress disorder, simulators, and controls
ConclusionFor Trauma measures, the DID‐G group had the highest scores, with TPS higher than NPS, followed by the PTSD, DID‐S, and HC groups. The DID‐G group was not more fantasy‐prone or suggestible and did not generate more false memories. Malingering measures were inconclusive. Evidence consistently supported the Trauma Model of DID and challenges the core hypothesis of the Fantasy Model. (Source: Acta Psychiatrica Scandinavica)
Source: Acta Psychiatrica Scandinavica - May 26, 2016 Category: Psychiatry Authors: E. M. Vissia, M. E. Giesen, S. Chalavi, E. R. S. Nijenhuis, N. Draijer, B. L. Brand, A. A. T. S. Reinders Tags: Original Article Source Type: research

Medicare 'Comparative Billing Report' Letters Go to 4,300 Psychiatrists
This month, 4,300 psychiatrists will receive a “Comparative Billing Report” regarding their billing for psychotherapy and evaluation and management (E/M) services (CBR 201607). These seven-page letters from eGlobalTech on behalf of the Centers for Medicare and Medicaid Services (CMS) have alarmed many APA members, and APA plans to share your concerns with CMS. But first, here are some facts to help you understand why you might receive one of these reports and what to do if you do.Who should expect to receive these CBR letters? Psychiatrists who had Medicare claims for services for psychotherapy (CPT® codes 90832, 9083...
Source: Psychiatr News - May 25, 2016 Category: Psychiatry Tags: billing CMS comparative billing report Medicare administrative contractor psychotherapy Source Type: research

What happens after distress screening? Patterns of supportive care service utilization among oncology patients identified through a systematic screening protocol
Conclusions Findings from this analysis support earlier work demonstrating significant supportive care needs in cancer patients. However, it challenges the assumption that screening will result in increased uptake of supportive care services beyond initial assessment. Further work should focus on facilitating engagement and reducing barriers for patients with continuing post-assessment supportive care needs. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - May 25, 2016 Category: Cancer & Oncology Source Type: research

Suicidal ideation in patients undergoing brain tumor surgery: prevalence and risk factors
Conclusions SI was self-reported by 6 % of BT patients before surgical intervention and was associated with a past history of psychiatric disorders and worse perceived health status. Poor mental health was an independent correlate of SI. The perception of health status by a patient should be considered as an important determinant of poor mental health in BT patients. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - May 25, 2016 Category: Cancer & Oncology Source Type: research

Post-traumatic Stress Disorder Managed Successfully With Hypnosis and the Rewind Technique: 2 Cases in Obstetric Patients
(Int J Obstet Anesth. 2015;24:272–275) Posttraumatic stress disorder (PTSD) occurs in 1% to 2% of women following childbirth and is associated with subjective distress in labor, obstetric emergencies, trait anxiety, and a history of psychological problems. PTSD itself is also a risk factor for the development of depressive and psychiatric disorders, and suicide remains a leading cause of maternal death. The rewind technique, in combination with hypnosis, is a specific treatment for PTSD. Patients are asked to rapidly fast-forward and rewind images associated with the event, to allow for reframing the event as nonthreate...
Source: Obstetric Anesthesia Digest - May 25, 2016 Category: Anesthesiology Tags: Case Reports Source Type: research

Cortisol Excess and the Brain.
Authors: Resmini E, Santos A, Webb SM Abstract Until the last decade, little was known about the effects of chronic hypercortisolism on the brain. In the last few years, new data have arisen thanks to advances in imaging techniques; therefore, it is now possible to investigate brain activity in vivo. Memory impairments are present in patients with Cushing's syndrome (CS) and are related to hippocampal damage; functional dysfunctions would precede structural abnormalities as detected by brain imaging. Earlier diagnosis and rapid normalization of hypercortisolism could stop the progression of hippocampal damage and m...
Source: Frontiers of Hormone Research - May 25, 2016 Category: Endocrinology Tags: Front Horm Res Source Type: research

Depression and Anxiety in Traumatic Brachial Plexus Injury Patients Are Associated With Reduced Motor Outcome After Surgical Intervention for Restoration of Elbow Flexion
BACKGROUND: Depression has been associated with poor outcomes in neurosurgical patients, including increased pain, poorer functional recovery, delayed return to work, and decreased patient satisfaction. No reports exist regarding an association of psychiatric diagnoses with outcomes after brachial plexus reconstruction. As outcomes and patient satisfaction become increasingly important to payers and physician reimbursement, assessing modifiable preoperative risk factors for their association with poor outcome and patient satisfaction is imperative. OBJECTIVE: To analyze patients undergoing brachial plexus reconstruction t...
Source: Neurosurgery - May 25, 2016 Category: Neurosurgery Tags: Research-Human-Clinical Studies Source Type: research

Does the brain listen to the gut?
Transplanting gut bacteria from one mouse strain to another can override genetics and change behavior. (Source: eLife)
Source: eLife - May 25, 2016 Category: Biomedical Science Tags: behavior brain gut microbiome Mouse myelin Neuroscience psychiatry Source Type: research

Deployment and Suicide Attempts Among US Army Soldiers
This longitudinal cohort study examines suicide attempt risk factors, methods, and timing among soldiers currently deployed, previously deployed, and never deployed. (Source: JAMA Psychiatry)
Source: JAMA Psychiatry - May 25, 2016 Category: Psychiatry Source Type: research

Unintended Consequences of Redefining Posttraumatic Stress Disorder
This Special Communication argues against changing the definition of posttraumatic stress disorder in DSM-5. (Source: JAMA Psychiatry)
Source: JAMA Psychiatry - May 25, 2016 Category: Psychiatry Source Type: research

Correcting Misconceptions About Diagnostic Criteria for PTSD in DSM - 5
This Special Communication argues for changing the definition of posttraumatic stress disorder in DSM-5. (Source: JAMA Psychiatry)
Source: JAMA Psychiatry - May 25, 2016 Category: Psychiatry Source Type: research

A Test of the Metacognitive Model of Obsessive-Compulsive Disorder
This study aims to investigate the relevance of OC-specific metacognitions, such as thought fusion beliefs, beliefs about rituals and stop signals for OC symptoms. Patients with obsessive-compulsive disorder (OCD) (n = 71), anxiety disorders (n = 51), and depressive disorders (n = 81), and a nonclinical sample (n = 300), were assessed for (meta)cognitive beliefs and OC symptoms. Analyses of variances indicated that the OCD group reported significantly more positive beliefs about rituals and stop signals than did the other three groups, also when controlling for comorbidity of depression disorder. No differences were found ...
Source: Journal of Obsessive Compulsive and Related Disorders - May 25, 2016 Category: Psychiatry Source Type: research

Who Gets Better When? An Investigation of Change Patterns in Group Cognitive Behavioural Therapy for Obsessive-Compulsive Disorder
Publication date: Available online 24 May 2016 Source:Journal of Obsessive-Compulsive and Related Disorders Author(s): Nicholas R. Farrell, Allison J. Ouimet, Karen Rowa, Noam Soreni, Richard P. Swinson, Randi E. McCabe Many studies attest to the efficacy of exposure-based cognitive-behavioral therapy for obsessive-compulsive disorder (OCD), yet there is little research assessing varying patterns of change throughout the course of this treatment. Given recent research showing that change patterns during cognitive-behavioral treatment predict long-term maintenance of gains, identifying different patterns of OCD symp...
Source: Journal of Obsessive Compulsive and Related Disorders - May 25, 2016 Category: Psychiatry Source Type: research

The Richness Available Within Medication Management
CONCLUSIONIn order to make a thorough biopsychosocial assessment, the practitioner needs to approach the patient with a genuine interest. By utilizing time and patience, the practitioner has a greater opportunity to gather pertinent information for comprehensive recommendations. Underlying issues contributing to the patient's anxiety may be alleviated through nonpharmacologic management in addition to medication. (Source: Journal of Child and Adolescent Psychiatric Nursing)
Source: Journal of Child and Adolescent Psychiatric Nursing - May 25, 2016 Category: Nursing Authors: Doris M. Byssum Tags: Original Article Source Type: research

Raising the Level of Nursing Involvement in the National Precision Medicine Initiative: An Example
CONCLUSIONNurses can definitely contribute to biobanks in support of the PMI. This article is a call to action for nurses to take their rightful place in PM. (Source: Journal of Child and Adolescent Psychiatric Nursing)
Source: Journal of Child and Adolescent Psychiatric Nursing - May 25, 2016 Category: Nursing Authors: Ukamaka Marian Oruche, Janet S. Carpenter, Jamie Renbarger, Sydney E. Ross Tags: Original Article Source Type: research

Psychiatric Diagnoses in Individuals with Non-Syndromic Oral Clefts: A Danish Population-Based Cohort Study
Conclusion Individuals with non-syndromic OC had significantly higher risk of psychiatric diagnoses compared with individuals without OC. However, the elevated risk was observed for individuals with CLP and CP but not for individuals with CL and the absolute risk increase was modest. (Source: PLoS One)
Source: PLoS One - May 25, 2016 Category: Biomedical Science Authors: Dorthe Almind Pedersen Source Type: research

Gene - environment interactions in a rat model of depression. Maternal separation affects neurotensin in selected brain regions
Although the etiology of major psychiatric disorders has not been elucidated, accumulating evidence indicates that both genetic and early environmental factors play a role.We have previously demonstrated behavioral and neurochemical changes both in non-manipulated genetic rat models of depression, such as Flinders Sensitive Line (FSL) and Fawn Hooded (FH), and in normal rats following maternal separation (MS). The aim of the present study was to extend this work by exploring whether neurotensin (NT), a peptide implicated in several psychiatric disorders, is altered in a new animal model based on gene – environment intera...
Source: Neuropeptides - May 25, 2016 Category: Neuroscience Authors: Bart A. Ellenbroek, Francesco Angelucci, Henriette Husum, Aleksander A. Mathé Source Type: research

Self, cortical midline structures and the resting state: implications for Alzheimer’s disease
We describe not only episodic (and autobiographical memory) impairment in patients, but also the important role of cortical midline structures, the Default Mode Network, and the resting state (intrinsic brain activity) for the processing of self-related information. (Source: Neuroscience and Biobehavioral Reviews)
Source: Neuroscience and Biobehavioral Reviews - May 25, 2016 Category: Neuroscience Source Type: research

Adolescence as a period of vulnerability and intervention in schizophrenia: Insights from the MAM Model
Publication date: Available online 24 May 2016 Source:Neuroscience & Biobehavioral Reviews Author(s): Felipe V. Gomes, Millie Rincón-Cortés, Anthony A. Grace Adolescence is a time of extensive neuroanatomical, functional and chemical reorganization of the brain, which parallels substantial maturational changes in behavior and cognition. Environmental factors that impinge on the timing of these developmental factors, including stress and drug exposure, increase the risk for psychiatric disorders. Indeed, antecedents to affective and psychotic disorders, which have clinical and pathophysiological overlap, are ...
Source: Neuroscience and Biobehavioral Reviews - May 25, 2016 Category: Neuroscience Source Type: research

Staff Turnover in Assertive Community Treatment ( Act ) Teams: The Role of Team Climate
Abstract Staff turnover in Assertive Community Treatment (ACT) teams can result in interrupted services and diminished support for clients. This paper examines the effect of team climate, defined as team members’ shared perceptions of their work environment, on turnover and individual outcomes that mediate the climate-turnover relationship. We focus on two climate dimensions: safety and quality climate and constructive conflict climate. Using survey data collected from 26 ACT teams, our analyses highlight the importance of safety and quality climate in reducing turnover, and job satisfaction as the main mediator...
Source: Administration and Policy in Mental Health and Mental Health Services Research - May 25, 2016 Category: Psychiatry Source Type: research

Venlafaxine study makes case for antidepressants in bipolar II depression
Practice guidelines for the treatment of bipolar depression generally avoid recommending antidepressants because of concerns about inducing manic switching, but a new study comparing venlafaxine with lithium suggests that antidepressants can be safe and effective for a subgroup of patients. The study of patients with bipolar II depression found greater response and remission rates with venlafaxine compared with lithium, and no significant differences in the onset of manic symptoms between the two treatments. Study results were published online Feb. 18 in The British Journal of Psychiatry. (Source: The Brown University Psyc...
Source: The Brown University Psychopharmacology Update - May 25, 2016 Category: Psychiatry Tags: Bipolar Disorder Treatment Source Type: research

Risk of antidepressant‐associated mortality
It is not unusual for patients to exhibit depressive symptoms after suffering a stroke. Although effective in managing depression, some antidepressants are believed to carry a risk of additional adverse cardiovascular and cerebrovascular effects, as well as the potential for drug‐drug interaction. Such adverse effects include conduction abnormalities and sudden death from the use of tricyclic antidepressant (TCA) drugs, and the possibility of sudden cardiac death associated with selective serotonin reuptake inhibitors (SSRIs).1, 2 In addition, there are conflicting data in the literature regarding the association between...
Source: The Brown University Psychopharmacology Update - May 25, 2016 Category: Psychiatry Authors: Y. W. Francis Lam Tags: Drug ‐Drug Interactions Source Type: research

Testosterone in older men assists mainly with sexual function
Three trials involving men ages 65 and older with low testosterone levels have found that testosterone treatment improved sexual function to a greater degree than it affected physical activity or vitality. The incidence of adverse events did not differ significantly between testosterone and placebo groups, although study authors said the sample size was too small to reach definitive conclusions about risks associated with testosterone treatment. (Source: The Brown University Psychopharmacology Update)
Source: The Brown University Psychopharmacology Update - May 25, 2016 Category: Psychiatry Tags: What's New in Research Source Type: research

Proton pump inhibitor use in elderly linked to incident dementia
Elderly patients using proton pump inhibitors (PPIs) to treat gastrointestinal illness face an increased risk of developing dementia, suggests a prospective cohort study that used a large German health insurer database. Study authors suggest that avoidance of PPIs in this population might serve as an important preventive strategy against dementia. (Source: The Brown University Psychopharmacology Update)
Source: The Brown University Psychopharmacology Update - May 25, 2016 Category: Psychiatry Tags: What's New in Research Source Type: research

Research Roundup
Benzodiazepine prescribing, overdoses have been on the rise Stimulant use trends do not match prescribing patterns Report for primary care ranks antidepressants and CBT equally Risk associated with discontinuing antidepressants after cognitive therapy SNRI use late in pregnancy linked to hemorrhage risk Review makes case for more recognition of antibiotic‐associated encephalopathy (Source: The Brown University Psychopharmacology Update)
Source: The Brown University Psychopharmacology Update - May 25, 2016 Category: Psychiatry Tags: Research Roundup Source Type: research

Proposed rule
(Source: The Brown University Psychopharmacology Update)
Source: The Brown University Psychopharmacology Update - May 25, 2016 Category: Psychiatry Tags: From the FDA Source Type: research

Randomized Clinical Trial of Parent-Focused Treatment and Family-Based Treatment for Adolescent Anorexia Nervosa
This study compared the relative efficacy of family-based treatment (FBT) and parent-focused treatment (PFT). In PFT the therapist meets with the parents only, while a nurse monitors the patient. (Source: Journal of the American Academy of Child and Adolescent Psychiatry)
Source: Journal of the American Academy of Child and Adolescent Psychiatry - May 25, 2016 Category: Psychiatry Authors: Daniel Le Grange, Elizabeth K. Hughes, Andrew Court, Michele Yeo, Ross D. Crosby, Susan M. Sawyer Source Type: research

A discussion of various aspects of panic disorder depending on presence or absence of agoraphobia
The quality of life of individuals with panic disorder and agoraphobia can be improved by the alleviation of agoraphobia. In other words, examining panic disorder in terms of whether or not agoraphobia is present is crucial. The current study examined panic disorder from this perspective. (Source: Comprehensive Psychiatry)
Source: Comprehensive Psychiatry - May 25, 2016 Category: Psychiatry Authors: Ken Inoue, Hisanobu Kaiya, Naomi Hara, Yuji Okazaki Source Type: research

Implicit Memory in Schizophrenia: A Meta-Analysis
Previous studies examining implicit memory in schizophrenia yielded inconsistent results. The present meta-analysis aimed at determining whether, compared to healthy controls, schizophrenic patients: a) exhibited reduced priming in the whole set of studies; b) were differentially impaired in conceptual/perceptual and production/identification tests; and c) were less efficient in the use of semantic encoding processes. (Source: Comprehensive Psychiatry)
Source: Comprehensive Psychiatry - May 25, 2016 Category: Psychiatry Authors: Pietro Spataro, Daniele Saraulli, Vincenzo Cestari, Marco Costanzi, Antonio Sciarretta, Clelia Rossi-Arnaud Source Type: research

Editorial: Behavioral Medicine in the Asia Pacific
(Source: International Journal of Behavioral Medicine)
Source: International Journal of Behavioral Medicine - May 25, 2016 Category: Psychiatry Source Type: research

Treatment During Civil Commitment for Sexual Offending Behaviors
This article reviews current practice in programs that treat individuals detained under these laws and provides a framework in which these programs are delivered. (Source: Current Psychiatry Reports)
Source: Current Psychiatry Reports - May 25, 2016 Category: Psychiatry Source Type: research

Disturbed Sleep and Postpartum Depression
Abstract The perinatal period introduces a myriad of changes. One important but often overlooked change is an increased reporting of sleep disturbance. Although casually regarded as a consequence of pregnancy or postpartum, there is emerging evidence implicating significant sleep disturbance, characterized by insomnia symptoms and/or poor sleep quality, with adverse outcomes, such as an increase in depressive symptomatology or the development postpartum depression (PPD). Significant consequences may arise as a result including issues with maternal-infant bonding, effective care for the infant, and behavioral or e...
Source: Current Psychiatry Reports - May 25, 2016 Category: Psychiatry Source Type: research

Treatment Options for Individuals with PTSD and Concurrent TBI: A Literature Review and Case Presentation
Abstract Posttraumatic stress disorder (PTSD) is a well-studied mental health condition with existing guidelines and algorithms for treatment of PTSD. Those guidelines, while acknowledging an increased complexity, fail to provide clear PTSD treatment guidelines when an individual has a concurrent traumatic brain injury (TBI) diagnosis. Therefore, a literature review along with an accompanying case presentation is presented to demonstrate the minimum necessary considerations for approaching treatment of this complex population. Treatment approaches must be lead by providers that have the expertise and training nec...
Source: Current Psychiatry Reports - May 25, 2016 Category: Psychiatry Source Type: research

Psychiatric and Medical Comorbidity in the Primary Care Geriatric Patient—An Update
Abstract The mental health needs of older primary care patients are now widely recognized if not widely addressed. The range of behavioral health approaches including co-locating psychiatrists and integrating mental health professionals as care managers into primary care sites is extensive and growing. Nonetheless the primary care provider remains the first line of defense against mental disorders, most commonly depression and anxiety that accompany and exacerbate common physical conditions. The excess, potentially avoidable disability that results from comorbidity makes it imperative that early recognition and e...
Source: Current Psychiatry Reports - May 25, 2016 Category: Psychiatry Source Type: research