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Psychiatry

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

Dissociating pathomechanisms of depression with fMRI: bottom-up or top-down dysfunctions of the reward system.
Authors: Goya-Maldonado R, Weber K, Trost S, Diekhof E, Keil M, Dechent P, Gruber O Abstract Depression is a debilitating psychiatric disorder characterized among other aspects by the inability to properly experience or respond to reward. However, it remains unclear whether patients with depression present impaired reward system due to abnormal modulatory mechanisms. We investigated the activation of the nucleus accumbens (NAcc), a crucial region involved in reward processing, with functional magnetic resonance imaging using the desire-reason-dilemma paradigm. This task allows tracking the activity of the NAcc duri...
Source: European Archives of Psychiatry and Clinical Neuroscience - October 21, 2014 Category: Psychiatry Tags: Eur Arch Psychiatry Clin Neurosci Source Type: research

Perfectionistic self-presentation and suicide in a young woman with major depression and psychotic features.
This study, though single case-based, draws attention to perfectionism and perfectionistic self-presentation and their potential roles in suicide, especially when accompanied by other risk factors. Future research in this area may elucidate the role of perfectionism in suicide, singularly and in the context of a comprehensive clinical risk assessment, demonstrating whether perfectionism confers information about suicide risk beyond known clinical risk factors. PMID: 25328746 [PubMed] (Source: Case Reports in Psychiatry)
Source: Case Reports in Psychiatry - October 21, 2014 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Accelerated hypertension after venlafaxine usage.
We report a patient with accelerated hypertension after venlafaxine use observed at a dose of 150 mg/day. A 23-year-old patient with symptoms of insomnia, depression, anhedonia, fatigue admitted our clinic. Venlafaxine at a dose of 75 mg/day was initiated after he was diagnosed with major depressive disorder. After 5 months, venlafaxine dose was uptitrated to 150 mg/day due to inadequate response to drug. After using venlafaxine for ten months at the dose of 150 mg/day, he admitted our clinic with headache and epistaxis. He was hospitalized after his blood pressure was measured as 210/170 mmHg. No secondary cause...
Source: Case Reports in Psychiatry - October 21, 2014 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

The comorbidity of reduplicative paramnesia, intermetamorphosis, reverse-intermetamorphosis, misidentification of reflection, and capgras syndrome in an adolescent patient.
Authors: Arısoy O, Tufan AE, Bilici R, Taskiran S, Topal Z, Demir N, Cansız MA Abstract Delusional misidentification syndromes may be superimposed on neurological or psychiatric disorders and include delusional beliefs that the people, objects, or places around the patient change or are made to change with one another. In this paper, an adolescent patient displaying Capgras syndrome, metamorphosis, reverse-intermetamorphosis, misidentification of reflection, and reduplicative paramnesia was presented. The findings that our patient struggled with visuospatial tests applied in the acute phase as well as the observa...
Source: Case Reports in Psychiatry - October 21, 2014 Category: Psychiatry Tags: Case Rep Psychiatry Source Type: research

Regional and National Differences in Stressful Life Events: The Role of Cultural Factors, Economic Development, and Gender.
Authors: Vázquez JJ, Panadero S, Martín RM Abstract The study analyzed differences in the risk of experiencing stressful life events (SLE) according to cultural factors, the level of economic development of the region inhabited, and gender. Information was gathered on the number and nature of SLE experienced by a sample of 604 undergraduates from 3 regions with very different levels of economic development: Madrid (Spain), León (Nicaragua), and Bilwi (Nicaragua). The results indicated a greater risk of experiencing SLE among undergraduates from Nicaragua, but few differences attributed to the undergraduates' gen...
Source: The American journal of Orthopsychiatry - October 21, 2014 Category: Psychiatry Tags: Am J Orthopsychiatry Source Type: research

Ethnic Identity, Perceived Support, and Depressive Symptoms Among Racial Minority Immigrant-Origin Adolescents.
Authors: Tummala-Narra P Abstract Although racial minority immigrant-origin adolescents compose a rapidly growing sector of the U.S. population, few studies have examined the role of contextual factors in mental health among these youth. The present study examined the relationship between ethnic identity and depressive symptoms, the relationship between perceived social support and depressive symptoms, and the relationship between sociodemographic factors (ethnicity, gender, and socioeconomic status) and depressive symptoms, among a culturally diverse group of adolescents. In addition, the potential moderating role...
Source: The American journal of Orthopsychiatry - October 21, 2014 Category: Psychiatry Tags: Am J Orthopsychiatry Source Type: research

Adoption and Guardianship: A Moderated Mediation Analysis of Predictors of Post-Permanency Continuity.
This study examined the mediating effects of caregivers' thoughts about ending an adoption or guardianship, and how this mechanism may be contingent on primordial and bureaucratic factors that child welfare agencies rely on to ensure family continuity after legal permanence. In 2006, a sample of 346 Illinois caregivers who finalized an adoption or guardianship between 1998 and 2002 completed surveys about child behavior problems, the adequacy of financial assistance, and thoughts about maintaining the permanency relationship. Responses were linked to administrative data that tracked continuity of care through 2012. Simple ...
Source: The American journal of Orthopsychiatry - October 21, 2014 Category: Psychiatry Tags: Am J Orthopsychiatry Source Type: research

Effectiveness of peer-delivered interventions for severe mental illness and depression on clinical and psychosocial outcomes: a systematic review and meta-analysis
Conclusions The limited evidence base suggests that peers may have a small additional impact on patient’s outcomes, in comparison to standard psychiatric care in high-income settings. Future research should explore the use and applicability of peer-delivered interventions in resource poor settings where standard care is likely to be of lower quality and coverage. The positive findings of equivalence trials demand further research in this area to consolidate the relative value of peer-delivered vs. professional-delivered interventions. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

Predictors of prescribed medication use for depression, anxiety, stress, and sleep problems in mid-aged Australian women
Conclusions Self-reported use of prescribed medication for four mental health conditions is increased over time after controlling for mental and physical health and other variables. Research needs to explore decision-making processes influencing differential rates of psychoactive medication use and their relationship with health outcomes. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

Childhood maltreatment, adult attachment and psychotic symptomatology: a study in patients, siblings and controls
Conclusions ChM was associated with positive and negative symptomatology in both patients and siblings. Particularly in siblings, the relationship between ChM and psychosis seems to be mediated by adult attachment style. Perhaps attachment style may play a more prominent role on a subclinical level. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

Physical activity patterns and risk of depression in young adulthood: a 20-year cohort study since childhood
Conclusions Findings from both prospective and retrospective analyses indicate a beneficial effect of habitual discretionary physical activity since childhood on risk of depression in young adulthood. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

The influence of different types of war experiences on depression and anxiety in a Ugandan cohort of war-affected youth: the WAYS study
Conclusions Dimensions of WE predicted symptoms of depression/anxiety differently, but it is hard to establish their causal status. Our findings suggest that it might be fruitful to consider such exposure variations of WE when designing interventions to mitigate the symptoms of depression/anxiety on male and female FCS. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

Rehospitalization risk of former voluntary and involuntary patients with schizophrenia
Conclusions Involuntary hospitalization seems to be associated with a higher risk of rehospitalization and longer subsequent hospital stays in patients with schizophrenia and schizoaffective disorders. Further studies are needed to examine in detail the processes and interventions that are suitable for interrupting circles of repeated hospitalizations, especially in former involuntary patients. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

The impact of immigration and visible minority status on psychosis symptom profile
Conclusion We found mostly similarities in psychotic symptoms between immigrants and Norwegians when using a cross-culturally validated five-factor model of the PANSS. Immigration did not directly influence psychotic symptom profiles but visible minority groups had higher levels of “Delusions” and “Difficulty in abstract thinking”, both symptoms that are partially context dependent. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

Comparing algorithms for deriving psychosis diagnoses from longitudinal administrative clinical records
Conclusion The choice of algorithm for extracting a psychosis diagnosis from administrative datasets may have a substantial impact on the accuracy of the diagnoses derived. An ‘Any diagnosis’ algorithm provides a sensitive measure for the presence of any psychosis, while ‘Last diagnosis’ is more accurate for specific diagnosis of schizophrenia and a hierarchical diagnosis is more accurate for affective psychosis. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

Somatization in refugees: a review
Conclusions Potential, not mutually exclusive, explanations of the high number of somatic symptoms in the refugee population include general psychopathology, specifically traumatisation, results of torture, and stigmatisation of psychiatric care. There are implications for assessment, clinical treatment and further research concerning somatization in refugees. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

Traumatic event exposure and depression severity over time: results from a prospective cohort study in an urban area
Conclusions Violence, injuries, and other directly experienced traumatic events increase depression severity and may be useful targets for interventions to alleviate the burden of depression in urban areas. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

Prevalence rates for depression by industry: a claims database analysis
Conclusions Additional research is needed to help identify industries with relatively high rates of depression in other regions and on the national level, and to determine whether these differences are due in part to specific work stress exposures and physical inactivity at work. Clinical significance Claims database analyses may provide a cost-effective way to identify priorities for depression treatment and prevention in the workplace. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

The prevalence of metabolic syndrome in people with severe mental illness: a mediation analysis
Conclusions SMI remained prominent in increasing the likelihood of MetS in this low prevalence population, and putative determinants of MetS were common to people with SMI and to controls. Explanations for high MetS rates in SMI may lie in health behaviours other than smoking. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

Moderating factors for the effectiveness of group art therapy for schizophrenia: secondary analysis of data from the MATISSE randomised controlled trial
Conclusions There was no evidence of greater improvement in clinical symptoms of schizophrenia for those with more severe negative symptoms or those with a preference for art therapy. Identification of patients with schizophrenia who may benefit most from group art therapy remains elusive. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

An examination of the effects of intra and inter-individual changes in wellbeing and mental health on self-rated health in a population study of middle and older-aged adults
Conclusion Vitality accounted for most of the mental health effect on self-rated health and was identified as a significant predictor of change in self-rated health over a 10-year period. Promoting wellbeing and psychological functioning may have significant protective effects on negative health outcomes throughout the adult lifespan and into late life. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

A controlled evaluation of a targeted early case detection intervention for reducing delay in treatment of first episode psychosis
Conclusions The intervention failed to reduce R-DUP for patients making contact with or referred from community services and most patients still used hospital resources to enter treatment at the EI service. (Source: Social Psychiatry and Psychiatric Epidemiology)
Source: Social Psychiatry and Psychiatric Epidemiology - October 21, 2014 Category: Psychiatry Source Type: research

Providers’ Attitudes Toward Evidence-Based Practices: Is it Just About Providers, or Do Practices Matter, Too?
Abstract Evidence-based practice (EBP) attitudes were measured in a sample of Los Angeles County mental health service providers. Three types of data were collected: provider demographic characteristics, attitudes toward EBP in general, and attitudes toward specific EBPs being implemented in the county. Providers could reliably rate characteristics of specific EBPs, and these ratings differed across interventions. Preliminary implementation data indicate that appealing features of an EBP relate to the degree to which providers use it. These findings suggest that assessing EBP-specific attitudes is feasible an...
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 21, 2014 Category: Psychiatry Source Type: research

Exploring Knowledge Exchange at the Research–Policy–Practice Interface in Children’s Behavioral Health Services
Abstract This case study explored core components of knowledge exchange among researchers, policymakers, and practitioners within the context of the Rosie D. versus Romney class action lawsuit in Massachusetts and the development and implementation of its remedial plan. We identified three distinct, sequential knowledge exchange episodes with different purposes, stakeholders, and knowledge exchanged, as decision-making moved from Federal Medicaid policy to state Medicaid program standards and to community-level practice. The knowledge exchanged included research regarding Wraparound, a key component of the remedi...
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 21, 2014 Category: Psychiatry Source Type: research

Erratum to: Organizational Implementation of Evidence-Based Substance Abuse Treatment in Racial and Ethnic Minority Communities
(Source: Administration and Policy in Mental Health and Mental Health Services Research)
Source: Administration and Policy in Mental Health and Mental Health Services Research - October 21, 2014 Category: Psychiatry Source Type: research

Structural characteristics of specialised living units for people with dementia: a cross-sectional study in German nursing homes
Conclusion: Nursing homes implemented different features in their specialised LUs. Because single room availability, homelike provision of meals, staff quantity, quality and continuity may influence residents' outcomes, it is necessary to investigate whether differences are apparent in future evaluation studies of specialised LUs for people with dementia. (Source: International Journal of Mental Health Systems)
Source: International Journal of Mental Health Systems - October 21, 2014 Category: Psychiatry Authors: Rebecca PalmSabine BartholomeyczikMartina RoesBernhard Holle Source Type: research

Teaching the Placebo Effect
(Source: Acadademic Psychiatry)
Source: Acadademic Psychiatry - October 21, 2014 Category: Psychiatry Source Type: research

Recommendations of the Sardinian public for the treatment of depression
Conclusion: Cross-cultural comparisons may help better understand treatment preferences of the public. In Sardinia, as in Vienna, there seems to be a need for improving the public’s knowledge about the appropriate treatment of depression. (Source: International Journal of Social Psychiatry)
Source: International Journal of Social Psychiatry - October 21, 2014 Category: Psychiatry Authors: Carta, M. G., Angermeyer, M. C., Matschinger, H., Holzinger, A., Pintus, E., Pintus, M., Moro, M. F. Tags: Articles Source Type: research

Primary care physicians' and psychiatrists' willingness to refer to religious mental health providers
Conclusion: Many physicians would refer patients to religious mental health providers. However, less religious PCPs are less knowledgeable about local religious providers. (Source: International Journal of Social Psychiatry)
Source: International Journal of Social Psychiatry - October 21, 2014 Category: Psychiatry Authors: Lawrence, R. E., Rasinski, K. A., Yoon, J. D., Curlin, F. A. Tags: Articles Source Type: research