MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Psychiatric Quarterly' source. Tue, 07 Feb 2012 09:35:59 +0100 http://www.medworm.com/index.php?rid=5645224&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu2g0n485w7v45144%2F Abstract  The relative impact of genetic and social influences on disordered eating behaviors (DEB) including binging, purging, excessive dieting and negative self-evaluations about weight remain an issue of debate. The current study sought to examine the relative influence of genetic and social influences on DEB. A 7-year prospective analysis of 580 monozygotic (MZ) and dizygotic (DZ) twins was conducted. Estimates of heritability of DEB were obtained using the DF Analysis Model. Regression equations revealed the relative predictive value of sibling’s DEB, neurotic personality, maternal warmth and television and video game exposure on DEB. Heritability estimates for DEB were 0.40 for females and 0.48 for males. Among MZ and DZ twin pairs, female sex, neurotic personality... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5645224 Wed, 25 Jan 2012 18:07:17 +0100 5645224 http://www.medworm.com/index.php?rid=5636905&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu4045637026t2787%2F This study investigated the association between observer and self-reported symptomatic changes and perceived improvement by patients treated in two Brazilian outpatient mental health services. Significant and positive correlations were found between perceived improvement scores and both pre-post differences, obtained in observer-reported and patient-reported symptom scores. Nevertheless, scores of perceived improvement showed to be more correlated to patient-reported than to the observer-rated symptomatic change score. In addition, a greater correlation was found between perceived improvement scores and post-treatment symptom scores, compared to pre-treatment. These results suggest that an improvement in symptom severity, measured by pre-post differences scores, corresponds to the pa... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5636905 Tue, 24 Jan 2012 18:13:53 +0100 5636905 http://www.medworm.com/index.php?rid=5636906&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj51353413lw28654%2F This article reviews the literature addressing social media and describes a therapeutic interaction with a patient with significant psychiatric comorbities and his use of social media. Furthermore, this is a unique example in current literature of an overall positive interaction and social improvement of this patient in large degree due to his use of Facebook. Physicians themselves must be very cautious in their interaction with patients online and especially via social media, while acknowledging that social media can serve as a spring board for more reclusive patients into greater societal integration. Content Type Journal ArticleCategory Original PaperPages 1-5DOI 10.1007/s11126-012-9207-5Authors Pavel Veretilo, Metropolitan Hospital Center, New York Medical College, 1901 Fir... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5636906 Tue, 24 Jan 2012 18:13:52 +0100 5636906 http://www.medworm.com/index.php?rid=5636907&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F061113484j008825%2F In this study we compare perphenazine suspension to other first and SGAs in the risk of extrapyramidal reactions and whether or not patients were continued on the same antipsychotic they were started with at the time of discharge. Medical records of patients who received acute pharmacotherapy in a unique form while hospitalized at Yale New Haven Psychiatric Hospital from July 2009 to December 2009 were examined. All data were collected thru a chart review using a form that was created to systematically document experiences. A total of 229 patients were included in the study. There were no significant differences between treatment groups on gender, age, race or diagnosis. In the entire samples 1.75% had pseudo-parkonisnism, 1.31% had acute dystonia, 0.04% had tardive dyskinesia, 1.31... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5636907 Tue, 24 Jan 2012 07:34:34 +0100 5636907 http://www.medworm.com/index.php?rid=5618362&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F25516405212l2923%2F The objective of cosmetic surgery is increased patient self-esteem and confidence. Most patients undergoing a procedure report these results post-operatively. The success of any procedure is measured in patient satisfaction. In order to optimize patient satisfaction, literature suggests careful pre-operative patient preparation including a discussion of the risks, benefits, limitations and expected results for each procedure undertaken. As a general rule, the patients that are motivated to surgery by a desire to align their outward appearance to their body-image tend to be the most satisfied. There are some psychiatric conditions that can prevent a patient from being satisfied without regard aesthetic success. The most common examples are minimal defect/Body Dysmorphic Disorder, the ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5618362 Wed, 18 Jan 2012 06:59:45 +0100 5618362 http://www.medworm.com/index.php?rid=5429636&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F34320j3447754168%2F Abstract  Although there has been interest in insight in bipolar disorder, research has not been as developed as in schizophrenia. The Medline, Embase, and PsychInfo data bases were searched. The key words used in the search were “bipolar”, “mania”, “manic”, “awareness”, and “insight”. Books, editorials, letters, and reports on pediatric subjects were excluded. Abstracts or full texts were screened for relevance. Better insight is associated with better adherence to treatment and better outcomes. Impairments of executive functions and memory, as well as higher severity of psychotic symptoms, are associated with impairments of insight. Insight is more impaired during an illness episode than during remission, in mixed than in pure manic episodes, in bipolar... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5429636 Fri, 18 Nov 2011 17:34:43 +0100 5429636 http://www.medworm.com/index.php?rid=5429637&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa2512228h1u3u7l7%2F Abstract  Twenty-three adolescents with psychotic disorders, aged from 13 to 18 years, participated in a 12-week open label trial (17 adolescents completed the study) in order to examine the impact of quetiapine on clinical status and cognitive functions (encompassing processing speed, attention, short-term memory, long-term memory and executive function). An improvement in Clinical Global Impression and Positive and Negative Symptom Scale (P’s ≤ 0.001) was observed. In addition, after controlling for amelioration of symptoms, a significant improvement was observed on one executive function (P = 0.044; Trail Making Part B). The remaining cognitive abilities showed stability. In addition, we observed an interaction between quetiapine doses (>30... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5429637 Fri, 18 Nov 2011 17:34:42 +0100 5429637 http://www.medworm.com/index.php?rid=5398411&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6179347w25312864%2F This study examines the influence of recovery-oriented peer events on participants’ recovery attitudes and explores who benefits most from such events. Changes in participants’ recovery attitudes were evaluated (pre, post, follow-up), and compared with changes of control groups. Distributions of recovery-related values in subgroups were analyzed descriptively. The results of non-parametric tests (Friedman) showed participants with significantly higher values in the dimension Recovery is possible directly after the interventions (P = 0.006), but not 6 months later, and not in comparison with members of control groups. On a descriptive level, women, participants with schizophrenia and with two or more episodes of the disorder showed higher recovery-related values compa... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5398411 Mon, 07 Nov 2011 17:14:16 +0100 5398411 http://www.medworm.com/index.php?rid=5398412&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff02v7q80595v7122%2F This study addresses public awareness about depression’s effects on physical health, the relationship between cardiac disease and depression, and preferred sources of health information, in an effort to inform future health education programs. A survey, administered to 816 adults ages 40–69, focused on public awareness, perception of depression as an illness, its impact on other illnesses such as heart disease, and sources of health information. (1) Eighty-three percent (83%) of respondents felt depression was an illness; (2) a slightly higher percentage (85.8%) felt a mental disorder, like depression, could affect the course of a physical illness; (3) respondents’ awareness of links between depression and cardiac disease ranged from 29.8% (awareness of depression as a risk fac... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5398412 Fri, 04 Nov 2011 16:50:10 +0100 5398412 http://www.medworm.com/index.php?rid=5378625&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fln41693245145091%2F This study aimed to examine the reliability and validity of the Taiwanese version of the Beck Hopelessness Scale (BHS-T) in a chronic schizophrenia out-patient sample. One hundred and two (102) outpatients were evaluated using the translated Taiwanese version of the BHS (BHS-T), as well as several Beck-related symptom rating scales and the Positive and Negative Syndrome Scale (PANSS) for psycho-pathology. The patients were also evaluated for suicidal intent using the critical items of the Scale for Suicide Ideation (SSI) and suicide attempts. The psychometric properties of the BHS-T were also evaluated, including construct validity, internal consistency, test–retest reliability, convergence, and discriminative validity. The BHS-T showed good overall reliability and stability over ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5378625 Mon, 31 Oct 2011 17:02:15 +0100 5378625 http://www.medworm.com/index.php?rid=5378626&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9640335148683812%2F Abstract  Remission and recovery are major outcome goals in schizophrenia yet their predictors have not been studied in detail. Therefore, 186 patients were examined regarding remission and recovery including their potential sociodemographic and clinical predictors 1 year after discharge. Remission was defined according to the consensus remission criteria and recovery following the definition by Liberman et al. (2002). Of the 186 patients 54% achieved remission and 26% recovery at the 1-year follow-up. The remission status at discharge was found to significantly influence remission and recovery at follow-up. A higher SOFAS score (P = 0.0002) as well as a positive attitude towards treatment at discharge (P = 0.0038) were identified to be significant pr... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5378626 Sat, 29 Oct 2011 05:41:32 +0100 5378626 http://www.medworm.com/index.php?rid=5378627&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F06841017226w76n1%2F The objective of this study is to understand psychiatrist’s decisions to prescribe psychiatric medications. A survey questionnaire was prepared consisting of 15 factors. Each factor had a five-point Likert scale, rating the importance of each factor in making decisions to prescribe medications. Twenty-six psychiatrists at a state psychiatric hospital completed the questionnaire. The data analysis involved the frequencies of responses for each factor being compared using Chi square goodness-of-fit tests with null hypothesis that the response distribution will be centered around average score of three on the Likert scale. All the participants rated patient’s symptom, severity, and diagnosis as the most important. This was followed by the patient’s past experience with medications... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5378627 Fri, 28 Oct 2011 17:15:28 +0100 5378627 http://www.medworm.com/index.php?rid=5345106&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3854785l21277nl5%2F Abstract  To review the literature related to recent temperamental and biological findings on borderline personality disorder (BPD) and major depression, the close link between the two disorders, and the latest therapeutical findings on BPD, focusing on the conditions of co-morbidity between depression and BPD. The National Institutes of Health’s PubMed database was used to identify indexed studies on BPD, depression and the co-morbidity between the two. Only studies published between 2000 and 2011 were assessed. Similar temperamental features have been demonstrated in BPD and depression. The strong link between the two disorders seems to be widely recognized by scientific community. Psychotherapy and new antipsychotics are the topics of current major interest of research... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5345106 Fri, 21 Oct 2011 16:01:03 +0100 5345106 http://www.medworm.com/index.php?rid=5312349&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr570h65t241145p4%2F Abstract  We evaluated psychiatric care in terms of the relationship between patient outcome (length of stay, Global Assessment of Functioning (GAF) at discharge, GAF difference, and GAF change per day) and psychiatrist characteristics (gender and years in psychiatric practice) in patients with schizophrenia, schizotypal, or delusional disorders (ICD-10 codes F20–F29) and in those with mood disorders (ICD-10 codes F30–F39). The sample consisted of inpatients discharged from an institute in Japan between April 2007 and March 2008. Multivariate analyses were performed to identify patient and psychiatrist characteristics related to outcome. We found that psychiatrist characteristics, such as gender and years in practice, were associated with GAF-related outcomes in patient... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5312349 Sat, 08 Oct 2011 15:44:04 +0100 5312349 http://www.medworm.com/index.php?rid=5235678&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq75010g45v6p66tp%2F This study sought to compare Bupropion versus Sertraline in the treatment of depressed patients with Binge Eating Disorder (BED) prescribed off-label. Medical records of outpatients with diagnosis of BED and Depression (DSM-IV-TR criteria) were selected: 15 patients were treated with bupropion 150 mg/per day, and 15 with sertraline 200 mg/per day. During the screening and control visits (2°–6°–14°–24° week), the selected patients were first weighed and then evaluated using the following questionnaires: Binge Eating Disorder-Clinical Interview (BEDCI), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory X (STAI-X) and Arizona Sexual Experience Scale (ASEX). Both drugs reduced anxious-depressive symptoms and binge frequency: Bupropion showed a better... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5235678 Sat, 17 Sep 2011 05:48:48 +0100 5235678 http://www.medworm.com/index.php?rid=5235679&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0338g32658601534%2F The objective of this study is to carry out a qualitative analysis of RCT methodology in the treatment of bipolar depression (BD). A systematic review covering the last 20 years was performed on PubMed selecting double-blind RCTs for BD. The identification items of the articles, their design, methodology, outcome and grant-related issues were all analyzed. Thirty articles were included, all of which had been published in journals with an impact factor >3. While almost half studies (46.7%) used less than 50 patients as a sample, 70% did not describe or did not perform sample size calculation. The Last Observation Carried Forward (LOCF) method was used in 2/3 of the articles and 53.4% of the studies had high sample losses (>20%). Almost half the items were sponsored by the p... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5235679 Sat, 17 Sep 2011 05:48:46 +0100 5235679 http://www.medworm.com/index.php?rid=5192028&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm45l7806402r1x88%2F Abstract  Although psychopathy is a major area of research in psychology and criminology, much remains unknown about its etiological underpinnings. Drawing on data from the National Longitudinal Study of Adolescent Health, the current study explored the association between neuropsychological deficits and psychopathic personality traits and produced three key findings. First, four neuropsychological deficits measures were consistently related to the measure of psychopathic personality traits both longitudinally and cross-sectionally. Second, neuropsychological deficits measures predicted variation in psychopathic personality traits for both males and females and the magnitude of the association between neuropsychological deficits and psychopathic personality traits did not va... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5192028 Tue, 30 Aug 2011 15:59:54 +0100 5192028 http://www.medworm.com/index.php?rid=5181457&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft42p24w5q4h47421%2F Abstract  Celiac Disease (CD) is an immune-mediated disease dependent on gluten (a protein present in wheat, rye or barley) that occurs in about 1% of the population and is generally characterized by gastrointestinal complaints. More recently the understanding and knowledge of gluten sensitivity (GS), has emerged as an illness distinct from celiac disease with an estimated prevalence 6 times that of CD. Gluten sensitive people do not have villous atrophy or antibodies that are present in celiac disease, but rather they can test positive for antibodies to gliadin. Both CD and GS may present with a variety of neurologic and psychiatric co-morbidities, however, extraintestinal symptoms may be the prime presentation in those with GS. However, gluten sensitivity remains undertre... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5181457 Mon, 29 Aug 2011 16:00:33 +0100 5181457 http://www.medworm.com/index.php?rid=5169416&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F31020rr81844g555%2F Abstract  Schizophrenia (SZP) has been historically referred to as “dementia praecox” because of the recognition that its onset is associated with deficits in memory, attention and visuospatial orientation. We wondered whether there is evidence for additional cognitive decline late in the course of chronic SZP. This review examined the evidence (1) for cognitive decline late in the course of chronic SZP, (2) for how often the late cognitive decline occurs, and (3) whether the cognitive decline in late-life SZP is related to pathophysiology of SZP versus the superimposition of another type of dementia. A PUBMED search was performed combining the MESH terms schizophrenia and dementia, cognitive decline, cognitive impairment and cognitive deficits. A manual search of artic... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5169416 Wed, 24 Aug 2011 07:19:44 +0100 5169416 http://www.medworm.com/index.php?rid=5103263&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx153768858823034%2F This study examined racial differences between African American and White supported housing clients in clinical outcomes and in their relationships with their landlords, medical and mental health care providers, and religious faith. Housing, mental health, and substance abuse outcomes of 204 White clients and 269 Black clients participating in a national homeless initiative were examined, along with their ratings of their relationships with landlords, health care providers, and religious participation. There were no significant racial differences found on outcomes or on client ratings of the helpfulness of relationships with landlords and health care providers. However, Black participants reported significantly stronger religious faith and religious participation than White participa... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5103263 Tue, 02 Aug 2011 15:53:42 +0100 5103263 http://www.medworm.com/index.php?rid=5061982&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv511273t60l3l381%2F Abstract  Although African Americans are overrepresented among schizophrenia diagnoses, assessments of memory deficits in schizophrenia often do not consider issues of race, ethnicity, and culture. Digit span testing (DST) is often used to assess memory problems associated with schizophrenia. The purpose of the current study was to examine the effects of psychiatric symptoms and demographic background on the DST performances of 128 African American schizophrenic patients. It was hypothesized that level of cultural mistrust would moderate the relationship of psychiatric and demographic variables to memory deficits. The study involved the secondary analysis of data from the Culturally-Sensitive Diagnostic Interview Research Project. Different models of the relationship among ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5061982 Fri, 22 Jul 2011 17:01:34 +0100 5061982 http://www.medworm.com/index.php?rid=5019130&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F37823744x7718006%2F Abstract  Although it is known that many antipsychotic drugs, at the doses prescribed for schizophrenia, are sedative and cause daytime drowsiness, the effect of potentially diminished vigilance on parenting parameters has not been studied. The aim of this paper is to advise clinicians about sedative load in mothers who are prescribed antipsychotic medication. A Medline search was conducted into the sedative effects of antipsychotics, with the following search terms: sleep; sedation; somnolence; wakefulness; antipsychotics; schizophrenia, parenting, maternal behavior, and custody. The results showed that antipsychotic drugs differ in their propensity to induce sedation and do so via their effects on a variety of neurotransmitter systems. It is important to note that mothers ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=5019130 Fri, 08 Jul 2011 05:45:49 +0100 5019130 http://www.medworm.com/index.php?rid=4968313&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh236575020508264%2F Abstract  233 high-service-utilizing (HSU) psychiatric patients were recruited during an inpatient psychiatric treatment. They completed a questionnaire related to their treatment beliefs and were tracked via computerized medical records over 2 years. During the follow-up period, 79.8% were readmitted for additional inpatient psychiatric treatment. Survival analysis techniques were used to examine patients’ rates of readmittance during the follow-up period. Number of previous year inpatient psychiatric days served as a significant predictor of readmittance status and time to readmission. The survival plot was split by previous-year inpatient days to examine the effect of this variable on readmission. Implications of findings are discussed. Content Type Journal Ar... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4968313 Thu, 23 Jun 2011 16:37:54 +0100 4968313 http://www.medworm.com/index.php?rid=4968314&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq052578815g60026%2F Abstract  Previous studies have shown that Prolonged Grief Disorder (PGD), Post-traumatic Stress Disorder (PTSD) and major depression are autonomous nosological entities. The present study aims at further analyzing the relationship among them in a sample of caregivers of patients in Vegetative State (VS) or Minimally Conscious State (MCS). We also investigated factors predicting the development of PGD. We sampled 40 Caregivers of patients in VS or MCS consecutively admitted to long-term care units. Caregivers were administered the PG-12, the Depression Questionnaire, the SCID I and the Davidson Trauma Scale. Six participants (15%) fulfilled the criteria for PGD, 25% (N = 10) for depression and 25% (N = 10) for PTSD. Although significant correlations emerg... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4968314 Tue, 21 Jun 2011 20:37:39 +0100 4968314 http://www.medworm.com/index.php?rid=4952573&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw2006l32t1t85714%2F This study seeks to assess the educational value of an international psychiatry elective using a cross section of psychiatric residents. In 2010, a 10-item semi-structured questionnaire was administered to Mount Sinai psychiatric residents who have participated in the Global Health Residency Track of the Mount Sinai School of Medicine. Authors reviewed the qualitative data and arrived at a consensus regarding trends and deviations regarding residents’ experiences of their international field work. Six residents participated in this study. Common themes included exposure to sicker, treatment-naïve patients in resource scarce conditions, enhancement of cross-cultural communications skills, renewed appreciation for psychiatry, empowerment as teachers, and greater awareness of health-... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4952573 Fri, 17 Jun 2011 11:57:59 +0100 4952573 http://www.medworm.com/index.php?rid=4902141&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6606p8k0q7p94640%2F Abstract  The study aims to compare variables associated with the exclusive and joint use of primary and specialized care for mental health reasons by individuals diagnosed with a mental disorder in a Montreal/Canadian catchment area. Data were collected from a random sample (2,443 individuals). Among 406 people, diagnosed with a mental disorder 12 months pre-interview, 212 (52%) reported having used healthcare services. Compared to users of primary care only, people who sought both primary and specialized care presented more mental disorders and lower quality of life. People using only specialized healthcare received significantly less social support than persons using primary care exclusively and lived in neighborhoods with a high proportion of rental housing. Health... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4902141 Mon, 23 May 2011 17:05:45 +0100 4902141 http://www.medworm.com/index.php?rid=4813058&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F36w0657v5145n704%2F Abstract  The current study evaluated the differential-susceptibility hypothesis in explaining the intergenerational transmission of parenting, using data from the National Longitudinal Study of Adolescent Health (Add Health). Exposure to maternal parenting was measured prospectively when respondents were adolescents and parental stress was measured when they were parents themselves, some 14 years later, on average. Cumulative-genetic plasticity was measured by dominantly coding the presence of putative plasticity alleles from four genes: the 10R allele of DAT1, the A1 allele of DRD2, the 7R allele of DRD4, and the short allele of 5HTTLPR. Results showed that the more plasticity alleles individuals carried (range 0–4), the more that parenting experienced in adolescen... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4813058 Fri, 06 May 2011 16:22:10 +0100 4813058 http://www.medworm.com/index.php?rid=4813059&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy667466u6hv5g543%2F Abstract  Content quality indicators are warranted in order to help patients and consumers to judge the content quality of health-related on-line information. The aim of the present study is to evaluate web-based information on health topics and to assess particular content quality indicators like HON (Health on the Net) and DISCERN. The present study is based on the analysis of data issued from six previous studies which assessed with a standardized tool the general and content quality (evidence-based health information) of health-related websites. Keywords related to Social phobia, bipolar disorders, pathological gambling as well as cannabis, alcohol and cocaine addiction were entered into popular World Wide Web search engines. Websites were assessed with a standardized p... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4813059 Fri, 06 May 2011 05:53:43 +0100 4813059 http://www.medworm.com/index.php?rid=4753527&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw835j215x2827w78%2F This study examined patients’ preferences for coercive methods and the extent to which patients’ choices were determined by previous experience, demographic, clinical and intervention-setting variables. Before discharge from closed psychiatric units, 161 adult patients completed a questionnaire. The association between patients’ preferences and the underlying variables was analyzed using logistic regression. We found that patients’ preferences were mainly defined by earlier experiences: patients without coercive experiences or who had had experienced seclusion and forced medication, favoured forced medication. Those who had been secluded preferred seclusion in future emergencies, but only if they approved its duration. This suggests that seclusion, if it does not last too lon... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4753527 Sat, 23 Apr 2011 15:41:32 +0100 4753527 http://www.medworm.com/index.php?rid=4753528&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj0g1381tn82444tp%2F Abstract  Now in its 29th year, the Public Psychiatry Fellowship of the New York Psychiatric Institute at Columbia Medical Center selects 10 fellows per year for its 1-year program (1). This award-winning fellowship trains future leaders for the public mental health sector. The curriculum (2) employs a combination of a didactic seminar series, management-problem-focused presentations by guest speakers, field trips, and supervision by fellowship faculty to instill the values and skills required for practice and leadership in the public sector. Fellows utilize the framework of the academic curriculum to carry out a series of presentations throughout the year that allow them to organize, implement and evaluate concepts that they learn during the year. The following account, wr... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4753528 Fri, 22 Apr 2011 16:04:12 +0100 4753528 http://www.medworm.com/index.php?rid=4744758&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff18l48rv15717472%2F Abstract  The aim of this article is to review the association between somatic symptoms, anxiety disorders and substance use. A Pub Med based literature review was conducted using various combinations of keywords related to substance use, somatic symptoms and anxiety. In various studies somatic symptoms were found to be associated with substance use. Anxiety disorders were found to have a high co-morbidity with substance use in most studies. However, several of the reviewed studies also included depressive symptoms which might have confounded the results. None of the studies was specifically aimed to find out if somatic symptoms in substance users represent an underlying primary anxiety disorder. Somatic symptoms and anxiety disorders are commonly noticed in substance users... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4744758 Wed, 20 Apr 2011 06:09:40 +0100 4744758 http://www.medworm.com/index.php?rid=4744759&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F01p5134348v5vt45%2F This study aimed to explore the relationship between dosage of paliperidone and drug attitude, and also clarify the factors associated with drug attitude, using Intention-to-Treat (ITT) analysis. Three hundred thirty-one patients diagnosed with schizophrenia, who prescribed paliperidone between April 2008 and April 2009, from 10 hospitals in Taiwan were enrolled. By structural equation modeling, inpatient/outpatient status associated with occupation status, sex, and score on the Clinical Global Impression-Severity (CGIS) Scale. The score on the Personal and Social Performance (PSP) Scale associated with occupation status, inpatient/outpatient status, and the score on the CGIS Scale. The scores on the DAI-10 associated with the score on the PSP Scale and age. Good drug attitude and me... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4744759 Sat, 16 Apr 2011 05:53:20 +0100 4744759 http://www.medworm.com/index.php?rid=4744760&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff3ll307831341478%2F Abstract  Community homes for the treatment of the acutely psychiatrically ill have been established in several places in the world as alternatives to inpatient hospitalizations. We reviewed sources from the psychiatric and psychological literature which examine these models. Several features are common to this treatment setting: fewer residents in comparison with hospital wards; a supportive and caring milieu including intense and regular therapeutic contact with staff; a de-emphasis of medication; and a destigmatization of the therapeutic treatment of psychosis. The models differ with respect to use of psychotropic medication, emphasis upon first admissions, and composition of staff. The varying models are comparable to inpatient treatment in terms of clinical and psychos... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4744760 Sat, 16 Apr 2011 05:53:18 +0100 4744760 http://www.medworm.com/index.php?rid=4684067&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F86618h911412200m%2F This article recalls aspects of Deutsch’s life and work and places him in the historical context of individuals who have shown great compassion for disabled persons. Content Type Journal ArticlePages 1-5DOI 10.1007/s11126-011-9175-1Authors Kenneth J. Weiss, Forensic Psychiatry Fellowship Program, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA, USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4684067 Sun, 03 Apr 2011 05:42:34 +0100 4684067 http://www.medworm.com/index.php?rid=4642435&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd95784487181583j%2F Abstract  To evaluate what determines the increase in quality of life during treatment for ADHD: improvement in core ADHD symptoms or improvement in global psychopathology ratings. A prospective follow-up of ADHD patients in one community clinic. Standardized evaluation and outcome measures were used, including the Mini International Neuropsychiatric Interview, Child Symptom Inventory, 18 item ADHD rating scale, and the Health and Life Functioning Scale. 75 patients between the ages of 6 and 12 were treated with atomoxetine or stimulants with a stable dose for 10 months. At end point, there were modest improvements in ADHD symptoms, global psychopathology, level of functioning and quality of life. The improvement in quality of life was driven by a decrease in global ps... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4642435 Fri, 25 Mar 2011 05:49:46 +0100 4642435 http://www.medworm.com/index.php?rid=4501468&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx86074u6262873j8%2F Abstract  The purpose of the study was to examine the association between demographics, war-related factors, and psychosocial factors with mental health utilization among minorities in Israel. One thousand and sixty-eight participants filled a battery of self report questionnaires asking about demographics, psychosocial factors and war-related experience during the second Lebanon war, along with measurements of psychiatric symptoms. Logistic regression analyses revealed that injury of a relative during the war increased the probability to utilize mental health services (odds ratio, 3.854; 95% CI, 2.827–5.253). Our results support the importance of psychological first-aid to family members with relatives who were injured during war. Content Type Journal ArticlePages 1-... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4501468 Fri, 18 Feb 2011 16:55:56 +0100 4501468 http://www.medworm.com/index.php?rid=4470238&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff2311lm8p545n376%2F Abstract  Religion and spirituality (RS) as a coping resource for facing stressful life events is encountered with increasing frequency in the medical literature. RS is associated with more favourable outcomes among people suffering from mental disorders. Detention is a stressful situation and the prevalence of mental disorders in places of detention is increased compared with the community. This literature review examined the association between RS and the mental health of detainees. PubMed, PsycINFO, Web of Science and the Internet were systematically searched from inception of each data base to August 1st 2010. Peer reviewed articles that reported primary empirical data about the impact of spirituality on the mental health and behaviour of detained persons were selected.... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4470238 Thu, 10 Feb 2011 19:58:04 +0100 4470238 http://www.medworm.com/index.php?rid=4459677&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr22p587t337x1573%2F Abstract  Social functioning (SF) is the ultimate target aimed in treatment plans in schizophrenia, thus it is critical to know what are the factors that determine SF. Gender is a well-established variable influencing SF, yet it is not known how social variables and symptoms interact in schizophrenia patients. Furthermore, it remains unclear whether the interaction between social variables and symptoms is different in men compared to women. Our aim is to test whether social variables are better predictors of SF in community-dwelled individuals with schizophrenia, and whether men and women differ in how symptoms and social variables interact to impact SF. Community-dwelling individuals with schizophrenia (N = 231) were randomly selected from a register. Participants... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4459677 Tue, 08 Feb 2011 13:16:21 +0100 4459677 http://www.medworm.com/index.php?rid=4441927&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm8q1278810639345%2F Abstract  Antisocial behavior is a socially maladaptive and harmful trait to possess. This can be especially injurious for a child who is raised by a parent with this personality structure. The pathology of antisocial behavior implies traits such as deceitfulness, irresponsibility, unreliability, and an incapability to feel guilt, remorse, or even love. This is damaging to a child’s emotional, cognitive, and social development. Parents with this personality makeup can leave a child traumatized, empty, and incapable of forming meaningful personal relationships. Both genetic and environmental factors influence the development of antisocial behavior. Moreover, the child with a genetic predisposition to antisocial behavior who is raised with a parental style that triggers the... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4441927 Fri, 04 Feb 2011 03:35:31 +0100 4441927 http://www.medworm.com/index.php?rid=4428874&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq4t5206w5666k714%2F Abstract  Generalized anxiety disorder (GAD) is the anxiety disorder with the highest prevalence rate in mental health centers. Empirical researches concerning its diagnosis and treatment have not yet explored the potential implications of deficits in emotional intelligence (EI) as a vulnerability factor in its development. The present study aimed to investigate the relationship between EI and clinical symptoms in a group of psychiatric patients with GAD compared to the control group. Seventy outpatients (82.9% female) with a DSM-IV-TR diagnosis of GAD and 70 control individuals (72.9% female) completed self-report instruments assessing EI and clinical symptoms in a cross-sectional study. Significant correlations were observed between EI dimensions such as clarity (r =... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4428874 Sat, 29 Jan 2011 17:19:13 +0100 4428874 http://www.medworm.com/index.php?rid=4405518&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fjq285433g2215361%2F Abstract  This paper aims to report a possible warning sign for dangerous behavior in delusional psychotic patients. We demonstrate an association between aggressive or auto-aggressive ideation and “ego-dystonic” grandiose delusions, where the patient believes to possess unique qualities but finds them unbearable. The study is based on the sample of seven interviews with five psychotic in-patients at the Kfar Shaul Mental Health Center, Jerusalem, Israel. All patients experienced an acute psychotic episode, and committed acts of aggression or suicidality. The research method is narrative analysis of semi-structured interviews. Patients report ideas of grandiose self-identification with deities, Biblical figures or celebrities, yet report their reluctance to be in these ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4405518 Sat, 22 Jan 2011 20:14:50 +0100 4405518 http://www.medworm.com/index.php?rid=4302066&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe558v73v325r83u8%2F Abstract  Although previous studies seem to indicate that alexithymic individuals have a deficit in their ability to recognize emotional stimuli, none had studied the relationship between alexithymia and verbal and non verbal abilities and their possible role in emotion recognition. The aim of the present study is to further investigate the relationship between alexithymia and emotion recognition ability. In particular we studied whether this relationship is mediated by verbal ability. Thirty-five students were selected from a group of 91 University students previously screened for alexithymia (Toronto Alexithymia Scale; TAS-20). Participants were shown black and white slides depicting facial expression of the following emotions: anger, sadness, disgust, surprise, happiness... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4302066 Tue, 28 Dec 2010 15:36:20 +0100 4302066 http://www.medworm.com/index.php?rid=4252952&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4022473943p3502m%2F Abstract  Several legal cases in the United States in which adolescents were charged with child pornography distribution after sharing nude photographs of themselves with romantic partners or others have highlighted the issue of sexting behaviors among youth. Although policy makers, mental health workers, educators and parents have all expressed concern regarding the potential harm of sexting behaviors, little to no research has examined this phenomenon empirically. The current study presents some preliminary data on the incidence of sexting behavior and associated high risk sexual behaviors in a sample of 207 predominantly Hispanic young women age 16–25. Approximately 20% of young women reported engaging in sexting behavior. Sexting behaviors were not associated with mos... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4252952 Thu, 09 Dec 2010 17:52:47 +0100 4252952 http://www.medworm.com/index.php?rid=4252953&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft6226q2273274376%2F Abstract  The organizational leadership in mental health agencies frequently resides in executives who are not psychiatrists and who may or may not have clinical backgrounds. Psychiatrists who are medical directors (MDs) of organizations with this structure are responsible for the success of the clinical programs, but are subordinate to the executive director (ED). The MD/ED relationship therefore is an example of the complexities and challenges of a relationship in which supervisor and supervisee have different types of power, but are mutually dependent on each other for the organization’s success. Clarity and differentiation of the types of power of the MD and ED can be helpful in determining appropriate boundaries and facilitating a cooperative relationship that allows... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4252953 Thu, 09 Dec 2010 17:52:44 +0100 4252953 http://www.medworm.com/index.php?rid=4139106&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg6665621681r45m1%2F This study investigated both whether alexithymia is a predictor for mental health and adjustment disorder, and its pathway relationships. Total of 158 young male conscripts diagnosed with adjustment disorder and another 155 young normal male controls were enrolled. Structural equation modeling showed, parental bonding influence personality, then affects alexithymic traits, and then affects mental health, finally further develop adjustment disorder. Receiver operating characteristic (ROC) found the optimal cutoff point for screening of adjustment disorder using DIF of the TAS-20 was 21/22, resulting in a sensitivity of 0.84, specificity of 0.87, PPV of 0.87, and NPV of 0.84. The DIF of alexithymia can be used as a screening index for adjustment disorder. With the high degree of associ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4139106 Wed, 03 Nov 2010 07:47:49 +0100 4139106 http://www.medworm.com/index.php?rid=4133391&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk145ux2141850285%2F This study presents four cases modifying the IAT for application within a structured individual interview. The findings are discussed in regard to both the clinical benefit of the procedure and considerations of PUEM for its role in DSM-5. Content Type Journal ArticleDOI 10.1007/s11126-010-9163-xAuthors Matthew W. Bowen, James Madison University, Harrisonburg, VA USAMarvin H. Firestone, Private Practice, San Mateo, CA USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4133391 Tue, 02 Nov 2010 15:19:59 +0100 4133391 http://www.medworm.com/index.php?rid=4118468&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F821224g2l5kj1407%2F Abstract  The purpose of the present study was to explore the relationship between suicidal behavior and socio-demographic and clinical factors, including insight into illness, in patients with schizophrenia spectrum disorders. We evaluated 104 inpatients using the Self-Appraisal of Illness Questionnaire (SAIQ) for insight assessment, several Beck-related symptoms rating scales, and the Positive and Negative Syndrome Scale (PANSS) for psychopathology. These patients were also evaluated for suicidal behavior and risk using the critical items of the Scale for Suicide Ideation (SSI) and lifetime suicide attempts. Patients with suicidal behavior generally had greater insight into illness than those who were non-suicidal. After controlling for depressive symptoms, the associatio... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4118468 Tue, 26 Oct 2010 06:51:48 +0100 4118468 http://www.medworm.com/index.php?rid=4097511&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F36270n237mnw68k3%2F Abstract  The current study sought to further the understanding of the linkage between maladaptive behavior and cognitive problems by examining the relations between psychopathic personality traits and reading comprehension performance. Data were derived from a study of 432 predominately African-American and Hispanic middle-school students. Dependent variables consisted of three measures of reading comprehension. Psychopathy measures included the Inventory of Callous-Unemotional traits (ICU—teacher rated) and the self-reported Youth Psychopathic traits Inventory (YPI). Findings from regression models indicated that self-report and teacher ratings of psychopathy were statistically significant inverse predictors of reading performance. Specifically, affective facets of psyc... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4097511 Tue, 19 Oct 2010 23:44:16 +0100 4097511 http://www.medworm.com/index.php?rid=4097512&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa4q20158u5hju555%2F Abstract  The current study examined relations between behavioral indicators of school disengagement and psychiatric disorders. Data was derived from a nationally representative sample of U.S. adults (N = 43,093). Indicators of school disengagement and diagnoses of personality, substance use, mood, and anxiety disorders were assessed with the Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV-version. Findings from multinomial logistic regression analyses revealed that cumulative school disengagement is associated with increased odds of reporting a lifetime psychiatric disorder and general antisociality. Behavioral indicators of school disengagement such as absenteeism and cutting class are potentially important signs of psychiatric distress... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4097512 Tue, 19 Oct 2010 23:44:14 +0100 4097512 http://www.medworm.com/index.php?rid=4097513&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj7269g45374m2hm2%2F Abstract  We evaluated psychiatric care in terms of relationships between patient characteristics and a comprehensive measurement of psychiatric outcomes among inpatients with lengths of stay (LOSs) of 90 days or fewer in a psychiatric hospital in Japan. The sample consisted of inpatients discharged from an acute care psychiatric hospital between September 1 and December 31, 2007. Multivariate analyses were performed to identify patient characteristics related to the outcome of acute psychiatric care. The type of admission was related to difference in Global Assessment of Functioning (GAF) scores (P < 0.001), health care cost (P < 0.001), length of time spent in seclusion (P < 0.001), and length of time spent in restraints (P &... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4097513 Sat, 16 Oct 2010 08:00:08 +0100 4097513 http://www.medworm.com/index.php?rid=4073825&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F99244k88p4559785%2F Abstract  This brief paper presents an introductory overview of three papers on psychiatric patient assailants. The papers include the characteristics of patient assailants, precipitants to such assaults, and the characteristics of the staff victims of these assaults. The flexibility of the Assaulted Staff Action Program (ASAP) to address staff victims’ post-incident psychological needs is discussed. Content Type Journal ArticleDOI 10.1007/s11126-010-9159-6Authors Raymond B. Flannery, Harvard Medical School, Boston, MA USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4073825 Thu, 14 Oct 2010 06:14:20 +0100 4073825 http://www.medworm.com/index.php?rid=4065161&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx7555484512l2421%2F This article proposes that beliefs arising in the context of OCD be assessed along the following, well-defined characteristics: conviction, fixity, fluctuation, resistance (to beliefs), insight pertaining to an awareness of the inaccuracy of one’s belief, and insight referring to the ability to attribute the belief to an illness. This approach to the assessment of OCD-related beliefs may allow a clearer distinction between non-delusional beliefs, overvalued ideas, and delusions. Although the characteristics of non-delusional beliefs may vary, especially on the dimension of awareness of the inaccuracy of belief, these beliefs can generally be distinguished from overvalued ideas and delusions in terms of lower levels of conviction and fixity and greater fluctuation, resistance and ab... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4065161 Sat, 09 Oct 2010 05:57:57 +0100 4065161 http://www.medworm.com/index.php?rid=4025568&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F632614h821315k73%2F Abstract  Borderline Personality Disorder (BPD) is a common and severe mental illness that is infrequently included under state mental health parity statutes. This review considers BPD parity, using the Massachusetts mental health parity statute as a model. While BPD can co-occur with other disorders, studies of its heritability, diagnostic validity/reliability, and response to specific treatments indicate it is best considered an independent disorder, one that negatively impacts the patient’s treatment response to comorbid disorders, particularly mood disorders. Persons with BPD are high utilizers of treatment, especially emergency departments and inpatient hospitalizations—the most expensive forms of psychiatric treatment. While some patients remain chronically sympto... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=4025568 Thu, 30 Sep 2010 07:55:32 +0100 4025568 http://www.medworm.com/index.php?rid=3993486&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr437k2q5l57k2672%2F Discussion of the clinical risk management implication, and methodological issues are presented. Content Type Journal ArticleDOI 10.1007/s11126-010-9155-xAuthors Raymond B. Flannery, Worcester State Hospital, Massachusetts Department of Mental Health, Worcester, MA USAAndrea Staffieri, Tewksbury State Hospital, Massachusetts Department of Mental Health, Tewksbury, MA USASusan Hildum, Worcester State Hospital, Massachusetts Department of Mental Health, Worcester, MA USAAndrew P. Walker, Massachusetts Department of Mental Health, Tewksbury, MA USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3993486 Sat, 18 Sep 2010 05:52:03 +0100 3993486 http://www.medworm.com/index.php?rid=3953878&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0lg734831518160p%2F This study examined patient assailant characteristics in a 20-year longitudinal, retrospective study in one public health care system. Older male patients with schizophrenic illness and histories of violence toward others and substance use disorder and younger male/female patients with personality disorders and histories of violence toward others, personal victimization, and substance use disorder were the more frequent assailants. This was true at 10-, 15-, and 20-year periods. Specific clinical findings with regard to forensic patients, the violence triad, and victimization of women as well as methodological issues were discussed and the implications noted. Content Type Journal ArticleDOI 10.1007/s11126-010-9152-0Authors Raymond B. Flannery, Department of Psychiatry, Cambrid... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3953878 Wed, 08 Sep 2010 12:20:55 +0100 3953878 http://www.medworm.com/index.php?rid=3953879&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7465t66612651w77%2F In this study, eighty adolescents hospitalized for the first time in a psychiatric program were interviewed within a week of discharge (using a semi-structured interview format), and asked to describe what did and did not help them. Multiple themes emerged relating to helpful experiences and these were grouped in three categories: interpersonal support, therapy and psycho-education, and environment; Unhelpful/harmful experiences were classified in four categories: rigidity and confinement, lack of treatment responsiveness, frightening/anxiety-provoking experiences, and other. Participants provided rich feedback that both reinforces existing practices and offers ways for programs to change practices to better meet adolescents’ developmental needs. Some factors noted as key therapeut... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3953879 Wed, 08 Sep 2010 12:20:53 +0100 3953879 http://www.medworm.com/index.php?rid=3953880&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fvx7130k742l3721q%2F Abstract  Psychiatric patient assaults on healthcare staff are a worldwide occupational hazard. This present 20-year, retrospective study examined the characteristics of these staff victims in one public-sector, health care system and assessed the psychological support provided to these victims by the post-incident Assaulted Staff Action Program (ASAP). An additional analysis compared the victim characteristics in this same health care system at 10-, 15-, and 20-year intervals. The findings were consistent with earlier, worldwide studies. Staff victims tend to be younger, less formally educated, less experienced, and less trained mental health workers, residential house counselors, and trainees of differing disciplines. ASAP provided needed support to staff victims. Risk ma... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3953880 Tue, 07 Sep 2010 07:09:59 +0100 3953880 http://www.medworm.com/index.php?rid=3942649&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fku42858124226124%2F Abstract  Members of a psychiatric psychosocial program designed to provide both supported employment and peer support were surveyed about their current social activities, sources of social support, and social life improvement since joining the program. Survey respondents who worked a mainstream job (n = 17) reported greater peer contact in community locations, and correspondingly greater social life improvement, than those who remained unemployed or worked volunteer jobs (n = 45). Results of a hierarchical regression analysis (N = 62) that explored this positive correlation between mainstream work, community-based peer contact, and social life satisfaction suggest that working a job in an integrated setting that paid at least minimum wage encour... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3942649 Fri, 03 Sep 2010 16:42:11 +0100 3942649 http://www.medworm.com/index.php?rid=3907474&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq68x512471402634%2F Abstract  Two case examples and a review of the sleep literature illustrate the potential of antipsychotic medication to trigger sleepwalking episodes in the context of schizophrenia. Causative hypotheses are briefly reviewed, as well as risk factors, differential diagnosis, and management. Sleepwalking may contribute to delusions, aggression, and accidental suicide. It is important to investigate sleep disorders in schizophrenia. They are not rare and may contribute to behavior that increases the stigma and isolation of individuals with schizophrenia. Content Type Journal ArticleDOI 10.1007/s11126-010-9149-8Authors Mary V. Seeman, Department of Psychiatry, Centre for Addiction and Mental Health, University of Toronto, 250 College St., Toronto, ON M5T 1R8, Canada ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3907474 Tue, 24 Aug 2010 06:03:17 +0100 3907474 http://www.medworm.com/index.php?rid=3833376&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa303v5qg4v968627%2F Abstract  Although there is evidence to suggest that people with intellectual disabilities (ID) are likely to be more susceptible to the development of posttraumatic stress disorder (PTSD) than persons in the general population, until now only eight case reports on the treatment of people with ID suffering from PTSD symptoms have been published. In an effort to enrich the literature on this subject, the aim was to investigate the applicability of an evidence-based treatment for PTSD (i.e., EMDR) in four people with mild ID, suffering from PTSD following various kinds of trauma. In all cases PTSD symptoms decreased and the gains were maintained at 3 months to 2.5 year follow-up. In addition, depressive symptoms and physical complaints subsided, and social and adapt... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3833376 Fri, 06 Aug 2010 17:55:52 +0100 3833376 http://www.medworm.com/index.php?rid=3786096&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F13127wu552kq0728%2F Abstract  An evidence-based practice project was completed to develop best practice recommendations for the treatment of aggression in children and adolescents with attention deficit hyperactivity disorder (ADHD). Ovid Medline, PsychInfo, the National Guidelines Clearinghouse, and the Cochrane Database of Systematic Reviews were searched with limits set for English language, years 1996 to January 2010. A search of the pediatric literature was conducted for synthesized evidence in the form of meta-analyses, systematic reviews, or practice guidelines related to the treatment of aggression in children and adolescents with attention deficit hyperactivity disorder. Data were extracted using the LEGEND system. Three evidence-based care recommendations for the management of aggres... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3786096 Fri, 23 Jul 2010 11:13:50 +0100 3786096 http://www.medworm.com/index.php?rid=3776223&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm3315678x3418r53%2F Abstract  The positional leadership of mental health care organizations commonly is in the hands of an executive director who has had administrative experience, but who may or may not have had clinical experience. The medical director of the mental health organization is a psychiatrist who reports to the executive director despite their different backgrounds and areas of expertise. The relationship between these two leaders is the responsibility of both, and is crucial to the success of the organization. This paper is concerned specifically with approaches that can be taken by the medical director to foster a successful working alignment with the executive director. The situation has some similarities (and significant differences) with that described by Gabarro and Kotter i... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3776223 Sat, 17 Jul 2010 06:07:34 +0100 3776223 http://www.medworm.com/index.php?rid=3776224&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5004060pq1h11m46%2F Abstract  Objectives are to examine North Carolina (NC) resident psychiatrists knowledge of commitment statutes and their willingness to involuntarily admit hypothetical patients who do not meet statutory criteria. It is hypothesized that the need for transportation may be a salient factor. In one vignette the patient had schizophrenia and the other alcohol dependence. The respondents were asked to make a decision about commitment and to rate how 9 specified factors affected their decision. Sixty-one residents responded. Thirty percent answered incorrectly about statutory provisions for ‘mental illness’ and ‘dangerousness’, 10% answered incorrectly that grave disability does not meet the dangerousness criterion, and 41% answered incorrectly about the NC statutory la... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3776224 Wed, 14 Jul 2010 23:25:48 +0100 3776224 http://www.medworm.com/index.php?rid=3749930&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa4q2108v37773gh4%2F Abstract  The public’s causal attributions of schizophrenia have far-reaching effects on the community and affected individuals. This study investigated causal beliefs within a community of predominantly Protestant, low-income, urban, African Americans in the southeastern United States. Two hundred eighty-two patrons of an inner-city food court/farmers’ market participated in a self-administered survey assessing causal beliefs through a 30-item survey and self-reported causal opinions. Associations were assessed between causal attributions of schizophrenia and sociodemographic characteristics and exposure/familiarity variables. Certain sociodemographic variables, as well as key exposure/familiarity variables, predicted the nature of one’s causal beliefs. The most comm... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3749930 Sat, 10 Jul 2010 06:49:01 +0100 3749930 http://www.medworm.com/index.php?rid=3718255&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy5766273r34uq761%2F Abstract  Recovery attitudes and concepts are often promoted to community mental health staff through educational and in-service trainings, but no study found has examined this in state hospitals. The current observational study aimed to examine the types of recovery-oriented trainings that occurred at two state hospitals over 1 year and subsequent changes in staff recovery attitudes. A total of 184 state hospital staff completed questionnaires assessing their personal optimism, consumer optimism, and agency recovery orientation at baseline and 1 year later. The types of recovery-oriented trainings staff received were categorized as general/inspirational or specific/practical training. Results found that the majority of staff at the two state hospitals received som... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3718255 Wed, 30 Jun 2010 15:16:44 +0100 3718255 http://www.medworm.com/index.php?rid=3678476&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp96h3j112072jj58%2F Abstract  Although a great deal of empirical research has examined the association between psychopathic personality traits and antisocial phenotypes, comparatively less empirical research has examined the factors that might contribute to the development of psychopathy. In an attempt to shed some light on this gap in the literature, the current study explored the biosocial correlates to adolescent psychopathy in a sample of youths. Analysis of data drawn from the National Institute of Child Health and Human Development Study of Early Child Care revealed that prenatal exposure to cigarette smoke was associated with higher scores on the Youth Psychopathic Traits Inventory. Interestingly, prenatal exposure to cigarette smoke only was related to psychopathy for youths who were r... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3678476 Fri, 18 Jun 2010 10:38:42 +0100 3678476 http://www.medworm.com/index.php?rid=3652274&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkv4k127373ll4057%2F Abstract  Homeless veterans have numerous health problems that have been previously characterized as falling into four major subgroups; addiction, psychosis, vascular disorders, and generalized medical and psychiatric illness. Comorbid conditions are common, often involving a combination of psychiatric and medical disorders. Using data from the same survey of homeless veterans that was used to establish these subgroups with cluster analysis, the present study examined the structure of these subgroup patterns through the use of factor analysis. This analysis yielded a five factor solution. They were named “Cardiac”, Mood, Stress, Addiction, and Psychosis factors. Factor scores were computed and an odds ratio analysis was accomplished to determine the association between ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3652274 Tue, 08 Jun 2010 07:10:18 +0100 3652274 http://www.medworm.com/index.php?rid=3519296&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F932q7113p4147341%2F Abstract  A naturalistic retrospective chart review of all patients given pramipexole for bipolar depression in addition to their mood stabilizers was undertaken. Sixteen patients were followed for an average of 6.7 ± SD 9.0 months. Half of the patients stopped the pramipexole an average of 2 months after starting it. For all patients, depressed mood, and the total profile of depressive symptoms improved significantly within 4 weeks and remained significantly improved for as long as 36 weeks. Both global function (GAF), and global impression (CGI) improved with pramipexole. Irritability and insomnia both increased slightly initially, and then subsided. There were no changes in mania ratings for up to 36 months. Long-term outcome of adjunct... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3519296 Wed, 28 Apr 2010 08:07:39 +0100 3519296 http://www.medworm.com/index.php?rid=3502753&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp315243495878557%2F Abstract  Archival data of seclusion and restraint events in a group of deaf adults (n = 30) was compared with a random sample of hearing adults with intellectual disabilities (ID) (n = 30) and a random sample of hearing adults without ID (n = 51) admitted to a state hospital from 1998 to 2008. Only 12% of the hearing non-ID group experienced a seclusion or restraint versus 43% of the deaf group. The ID group also showed significantly higher rates of seclusion and restraint than the hearing non-ID group (30 vs. 12%). Patients in the deaf and ID group were significantly more likely to be diagnosed with impulse control disorders (23 and 23%, respectively), which may have contributed to the higher utilization of seclusion and restraint procedures in... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3502753 Fri, 23 Apr 2010 07:57:48 +0100 3502753 http://www.medworm.com/index.php?rid=3498928&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7g30p7320l542208%2F This report offers a description of this program and examines potential associations between spirituality and coping in patients with schizophrenia who either attended or did not attend the inpatient spirituality group. We compared group attendees (n = 20) with non-attendees (n = 20) cross-sectionally, using measures of spirituality, self-efficacy (i.e. the confidence in one’s ability), quality of life, and hopefulness, and religious/personal demographic profiles. For the total sample, spirituality status was significantly correlated with self-efficacy for both social functioning and negative symptoms. Significant differences were found between group attendees and non-attendees for spirituality status, but not for self-efficacy or quality of life. For group atten... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3498928 Wed, 21 Apr 2010 09:21:24 +0100 3498928 http://www.medworm.com/index.php?rid=3494129&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl67273n871x53l0t%2F Abstract  The current study examines risk and protective factors for youth antisocial personality and behavior from a multivariate format. It is hoped that this research will elucidate those risk and protective factors most important for focus of future prevention and intervention efforts. The current study examines multiple factors associated with youth antisocial traits and behavior in a sample of 8,256 youth (mean age 14), with the goal of identifying the strongest and most consistent risk or protective factors. Data was collected from the Ohio version of the Youth Risk Behavior Surveillance System’s (YRBSS) school-based Youth Risk Behavior Survey (YRBS) developed by the Centers for Disease Control (CDC). Hierarchical multiple regression analyses identified peer delinq... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3494129 Tue, 20 Apr 2010 11:15:58 +0100 3494129 http://www.medworm.com/index.php?rid=3482807&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg1q1756r5tx5563k%2F Abstract  This review examined aggressive behavior in Borderline Personality Disorder (BPD) and its management in adults. Aggression against self or against others is a core component of BPD. Impulsiveness is a clinical hallmark (as well as a DSM-IV-TR diagnostic criterion) of BPD, and aggressive acts by BPD patients are largely of the impulsive type. BPD has high comorbidity rates with substance use disorders, Bipolar Disorder, and Antisocial Personality Disorder; these conditions further elevate the risk for violence. Treatment of BDP includes psychodynamic, cognitive behavioral, schema therapy, dialectic behavioral, group and pharmacological interventions. Recent studies indicate that many medications, particularly atypical antipsychotics and anticonvulsants, may reduce ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3482807 Wed, 14 Apr 2010 06:55:06 +0100 3482807 http://www.medworm.com/index.php?rid=3479570&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe567567521834178%2F This article describes a practical and effective treatment planning implementation model or framework developed by the authors, concentrating on three sub-sets of the treatment planning system: structure, content, and process. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-010-9135-1Authors Kris A. McLoughlin, UCLA-Neuropsychiatric Hospital 150 Medical Plaza Suite 4502 Los Angeles CA 90095 USAJeffrey L. Geller, University of Massachusetts Medical School Department of Psychiatry Worcester MA USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3479570 Tue, 13 Apr 2010 06:49:38 +0100 3479570 http://www.medworm.com/index.php?rid=3467618&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb28x8856pq825l34%2F Abstract  Clinical leaders and other practicing psychiatrists face a great deal of pressure and frustration in their professional lives. Organizational, supervisory, practice and interpersonal challenges are great. The potential for burnout is high, perhaps higher than for those in other medical disciplines. With these concerns in mind, a facilitated meeting of a large group of clinical directors working in New York State’s Office of Mental Health was focused on a discussion of the role of the clinical director. The meeting employed an approach that can be termed "mindfulness". Clinical directors described their current roles, what they would like their roles to be, impediments to achieving the roles they wished to have and approaches that could be taken (mainly by themse... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3467618 Fri, 09 Apr 2010 05:45:07 +0100 3467618 http://www.medworm.com/index.php?rid=3453701&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm743825830010771%2F Abstract  The Insanity Defense of Not Guilty by Reason of Insanity is the defense used by some mentally disordered defendants who do not have the capacity for understanding right and wrong at the time of their criminal act. This defense has perplexed legal and mental health professionals for centuries. Though it has been a part of the legal system since the early Greeks, it has been and continues to be amended, modified, and in some jurisdictions, abolished. Moreover, despite its infrequent use, many in our society hold onto the belief that defendants can evade criminal responsibility by means of this defense. Furthermore, insanity is often equated with psychosis; however, the two are not the same and have different connotations. It is essential for any clinical psychiatris... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3453701 Tue, 06 Apr 2010 18:25:59 +0100 3453701 http://www.medworm.com/index.php?rid=3448692&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9043701046w6548m%2F Abstract  Over the last decade, several self-report instruments to assess insight of illness from schizophrenic patients’ perspectives have been administered. The main purpose of this study was to ascertain the reliability and validity of the Taiwanese version of the Self-Appraisal of Illness Questionnaire (SAIQ) in a chronic schizophrenic sample in Taiwan. This scale is a self-administered instrument designed to evaluate attitudes toward mental illness among patients receiving treatment. In the current cross-sectional study, 104 patients who met DSM-IV criteria for schizophrenic disorders were recruited and independently interviewed. The psychometric properties of the translated SAIQ were determined, including internal consistency, test–retest reliability, and construc... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3448692 Sat, 03 Apr 2010 07:16:27 +0100 3448692 http://www.medworm.com/index.php?rid=3436210&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F614221268q101716%2F Abstract  Present-day substance abuse treatment is characterized by a compelling demand for applying evidence-based interventions. Vehement discussions between policymakers, practitioners and researchers illustrate this clash of differing paradigms. The aim of this article is to situate evidence-based practice among the leading paradigms of care and to elucidate its implicit assumptions and potential implications. Evidence-based practice is inherent in the empirical-analytical paradigm of care and science, founded upon randomized and controlled studies. This paradigm is compared with the phenomenological-existential and the critical post-structural paradigm, which focus on elaborating the human potential and exploring individuals’ subjective interpretations, and on critic... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3436210 Fri, 02 Apr 2010 08:51:34 +0100 3436210 http://www.medworm.com/index.php?rid=3358800&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fqx5752rx31728102%2F Abstract  While prior research has identified the impact, nature, and causes of medical error in general medical settings, little is known about errors in inpatient psychiatry. Understanding the broad range of errors that occur in inpatient psychiatry is a critical step toward improving systems of care for a vulnerable patient population. An explorative qualitative analysis of key informant interviews identified a preliminary typology of errors and the contextual factors that precipitate them in inpatient psychiatry. The types of errors and their contextual factors fall broadly within the rubric of categories identified in medicine and surgery. However, many of the specific errors and contextual factors manifest themselves differently and are shaped by the uniqueness of the... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3358800 Wed, 10 Mar 2010 15:58:55 +0100 3358800 http://www.medworm.com/index.php?rid=3314548&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy88l559301120x18%2F Abstract  Questioning a diagnosis of bipolar disorder is not surprising given the chronic and fluctuating nature of the illness. Qualitative research using thematic analysis was used to derive an understanding of the process patients used to make sense of their diagnosis of bipolar disorder. The findings suggested that receiving a diagnosis was an active process. Factors such as fluctuating moods, changing diagnoses or misdiagnosis, difficulties patients have differentiating self from illness, mistrust in mental health services, and experiences of negative side effects of medication can contribute to ambivalence about the diagnosis and lead to relapse. These findings highlight the need for clinicians to focus on patients’ perceptions of bipolar disorder and work with the ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3314548 Thu, 25 Feb 2010 07:57:38 +0100 3314548 http://www.medworm.com/index.php?rid=3306644&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fmm7780t3613530kq%2F Abstract  This proof-of-concept study tested the viability of adapting a specialized practice to fit multi-service programs by switching from specialist to generalist staff roles. The intervention under study was supported employment, an evidence-based practice for adults with severe mental illness. Program data on participant characteristics, attendance, staff contact, and employment were retrieved for the 2007 calendar year (N = 99). Two hierarchical regression analyses compared (1) participants with any versus no mainstream employment, and (2) participants who started a new job in 2007 versus all other participants. In both analyses, individual participant counts of days on which employment services were provided and count of different employment service provide... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3306644 Tue, 23 Feb 2010 08:10:35 +0100 3306644 http://www.medworm.com/index.php?rid=3306643&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm2467up586665p6l%2F Abstract  Because inmates’ actions are restricted by incarceration, Tarasoff duties in prisons have certain unique aspects. There are two broad situations: (1) when the potential victim is located within the prison community; and (2) when the potential victim is located outside of prison. Although responsibilities vary widely from state to state, this paper discusses general principles of exercising Tarasoff duties in prison settings. In addition to duties to protect potential victims, correctional mental-health professionals have an ethical duty to protect patient confidentiality. Professionals should chose Tarasoff options that protect confidentiality to the fullest extent possible, and prisoners should be informed of situations where confidentiality does not exist. A cav... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3306643 Tue, 23 Feb 2010 08:10:35 +0100 3306643 http://www.medworm.com/index.php?rid=3306645&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd02855ju757208n8%2F Abstract  The aim of this study was to examine the psychiatric correlates of bullying behavior in the United States. Data were derived from the National Epidemiologic Survey on Alcohol and Related Conditions, a nationally representative sample of US adults. Structured psychiatric interviews (N = 43,093) were completed by trained lay interviewers between 2001 and 2002. Six percent of US adults reported a lifetime history of bullying others. Respondents who were men, 18 to 34, Asian/Native American, earned ≤$35,000 annually, were born in the US, and received no college education had significantly higher rates of bullying. Multivariate logistic regression analyses identified significant associations between bullying and bipolar disorder, lifetime alcohol and marijua... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3306645 Tue, 23 Feb 2010 08:10:34 +0100 3306645 http://www.medworm.com/index.php?rid=3290744&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fgr56m41642322158%2F Abstract  The answer for treating pathologic aggression (PA) in children on inpatient psychiatry units (based on various factors like severity of aggression and co-morbidities) is less likely to be restrictive interventions or sedating the patient. Using seclusion and restraints or medications to calm down the aggression is not free of adverse consequences. A protocol is needed to safely and effectively address aggressive and violent children and adolescents seen very commonly in psychiatry inpatient units. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-010-9126-2Authors Gaurav Kulkarni, Cincinnati Children’s Hospital Medical Center D4/37, 3333 Burnet Avenue Cincinnati OH 45229-3039 USAParikshit Deshmukh, W.O. Walker Center 10524 Euclid Avenue, ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3290744 Thu, 18 Feb 2010 06:51:47 +0100 3290744 http://www.medworm.com/index.php?rid=3248496&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm2q25503n31u7772%2F The objectives of this study were to evaluate perceived unmet need for mental healthcare, determinants of unmet need, and barriers to care in individuals with social anxiety (SA) or panic disorder with agoraphobia (PDA) in Quebec. Data from 206 participants diagnosed with SA or PDA were collected using an online questionnaire. Correlational analyses and binary stepwise logistic regressions were conducted to explore determinants of perceived unmet need. Of the 206 participants, 144 (69.9%) reported instances of unmet need for treatment. Perceived unmet need was correlated with variables related to the severity of the disorder, such as comorbid depression, avoidance, duration of worry, interference with functioning, and time lapsed between the appearance of first symptoms and first con... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3248496 Thu, 04 Feb 2010 06:59:39 +0100 3248496 http://www.medworm.com/index.php?rid=3178688&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5117888071253l88%2F Abstract  A qualitative study of inpatients’ perspectives on what it means to be involved in their own care, and providers’ experiences with encouraging user involvement in care planning and service provision is reported. Twenty semi-structured interviews with inpatients, fourteen log reports from providers and sixteen sets of written minutes from staff meetings constitute the study data. Differences were found between inpatient and provider perspectives. Inpatients reported few opportunities to have meaningful input in the decision-making regarding their care, while providers reported difficulty engaging inpatients into discussions or care planning. Although participants described providers as nice, understanding and supportive, these qualities did not always translate... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3178688 Wed, 13 Jan 2010 06:45:30 +0100 3178688 http://www.medworm.com/index.php?rid=3163631&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy68l61674478x6x8%2F Abstract  The purpose of this study was to systematically review the literature to determine whether aggression is linked to psychosis in persons with dementia. An electronic search using PubMed for articles in English focusing on psychosis and aggression or agitation in adults aged 65+ with dementia. Cross-sectional, longitudinal, and randomized controlled treatment studies examining the outcomes of aggression and psychosis were eligible for inclusion. Eighteen articles were selected for final analysis. Of the seven cross-sectional and two longitudinal studies directly examining the correlation of aggression and psychosis, most showed a positive association. Outcome data from the nine treatment studies was more mixed. Limited data link psychosis with aggression in persons ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3163631 Fri, 08 Jan 2010 09:13:41 +0100 3163631 http://www.medworm.com/index.php?rid=3136522&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F752t588333507103%2F Abstract  Psychiatric day hospitals offer intensive short-term multidisciplinary treatment. No study has examined in more depth the impact of this therapeutic experience in the life of participants and what they retained from their participation after discharge. A qualitative design using semi-structured individual interviews was completed with 18 participants of different gender, age and diagnosis, treated in a day hospital, 6 months after discharge. Interview themes addressed events and changes since discharge, learnings retained, appreciated components and suggestions. Results showed that the day hospital experience was particularly helpful to improve symptoms and relationship with self. It activated a self-transformation process that continued afterwards. Terminati... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3136522 Thu, 31 Dec 2009 16:46:01 +0100 3136522 http://www.medworm.com/index.php?rid=3135467&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe84427311q125187%2F Abstract  Completed suicide is associated with marital status; being unmarried is associated with a higher suicide rate as compared with being married or living with a partner. Moreover, the region of origin may be particularly important when trying to explain major inequalities in suicide rates across a country. Data were obtained from the Italian Database on Mortality, collected by the Italian Census Bureau (ISTAT) and processed by the Italian National Institute of Health-Statistics Unit. The Italian population in the last Italian census (October 2001) was used to estimate age-standardized mortality rates from suicide by marital status (ICD-9 revision: E950–959) and “natural” causes (ICD-9 revision: 0–280; 320–799). Rate Ratios and 95% confidence intervals were ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3135467 Wed, 30 Dec 2009 06:47:42 +0100 3135467 http://www.medworm.com/index.php?rid=3133518&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb7763kp7126vk858%2F Abstract  Obesity and binge eating disorder are common in individuals with psychotic disorders. Eating and weight-related cognitions are known to influence eating behaviors. The study was designed to assess the psychometric properties of the Mizes Anorectic Cognitions Questionnaire (MAC-R) in patients with psychotic disorders. Binge eating disorder (BED), body mass index (BMI), the MAC-R and the three factor eating questionnaire (TFEQ) were assessed in 125 patients with a diagnosis of schizophrenia or schizoaffective disorder. Whereas the MAC-R has not acceptable psychometric properties, a brief version of the MAC-R (BMAC) has good psychometrical properties and is correlated with TFEQ and BMI. Binge eating disorder is also correlated to the Rigid Weight Regulation and Fear ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3133518 Tue, 29 Dec 2009 06:56:45 +0100 3133518 http://www.medworm.com/index.php?rid=3123348&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F74u1614w32426mp2%2F Abstract  Post-stroke depression has been noted to be one of the most frequent complications of stroke with an estimated prevalence of as high as 80%. However, the incidence of stroke in the young is extremely low and evidence based therapy for this complication is quite limited. The case of a 28-year-old woman who experienced a basilar artery vasospasmic stroke resulting in anoxic brain injury to the midbrain and paramedian thalamus is presented, along with a literature review of psychiatric complications of this injury to include post-stroke depression (PSD). Therapeutic modalities such as TCAs, SSRIs, atypical antipsychotics and stimulant medications are also reviewed as these medications may aid in the treatment of such patients but may also contribute to psychiatric se... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3123348 Thu, 24 Dec 2009 19:47:50 +0100 3123348 http://www.medworm.com/index.php?rid=3047964&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn8x2333k59535657%2F Abstract  The injuries (physical and emotional) sustained by service members during combat influence all members of a family system. This review used a systemic framework to conceptualize the direct and indirect effects of a service member’s injury on family functioning, with a specific focus on young children. Using a meta-ethnographic approach to synthesize the health research literature from a variety of disciplines, this review makes relevant linkages to health care professionals working with injured veterans. Studies were included that examined how family functioning (psychological and physical) is impacted by parental illness; parental injury; and posttraumatic stress disorder. The synthesis of literature led to the development of a heuristic model that illustrates ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3047964 Thu, 26 Nov 2009 08:13:23 +0100 3047964 http://www.medworm.com/index.php?rid=3012231&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr03j3nw732m16744%2F Abstract  Assertive community treatment (ACT) has been claimed to be paternalistic and coercive, yet little is known about how patients experience the assertive aspects of ACT. To explore views on—and perceptions of—coercion of patients in Danish assertive community teams. In-depth interviews were conducted with six purposefully selected patients and analysed using thematic analysis. Patients reported lack of influence on treatment process and a poor alliance with case-mangers, not being recognised as an autonomous person, and experiences of staff crossing the line and intruding privacy, as most central to perceptions of coercion. A collaborative and mutually trusting relationship, commitment, persistence and availability of staff, and recognition of the need for social ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=3012231 Wed, 18 Nov 2009 09:30:05 +0100 3012231 http://www.medworm.com/index.php?rid=2908456&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5270642hwp64j005%2F Abstract  The aim of the present study is to assess the prevalence of Axis II disorders (DSM-IV-TR) in a sample of clients requesting sex reassignment surgery (SRS), consecutively admitted to a Gender Identity Disorder (GID) psychiatric unit. Fifty clients self-referred as transsexuals (34 biological males and 16 biological females; mean age = 31.74 ± 7.06 years) were assessed through the SCID-II after a preliminary evaluation to exclude current major psychiatric disorders. Prevalence of any Axis II disorder was 52% (N = 26), with no significant differences related to biological sex. The most frequent personality disorders were Cluster B PDs (22% of total sample), followed by Cluster C (12%) and Cluster A PDs (2%). A significant prevalence... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2908456 Sat, 17 Oct 2009 11:06:40 +0100 2908456 http://www.medworm.com/index.php?rid=2898782&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F20mjp030k0012077%2F Abstract  Research has found that people with psychiatric disabilities Taiwan tended to utilize passive and emotional-focused strategies to cope with their illness unlike Western studies. A self-reported questionnaire that incorporated categories: socio-demographic characteristics, the self-impact of illness, illness adaptation, and coping strategy scale was administrated to 140 persons with psychiatric disabilities routinely hospitalized over a long period of time to explore the strategies of coping with their mental disorders. Analysis of survey data found the sense of helplessness and the overall illness adaptation significantly impact negative emotion coping utilization. Those who felt highly impact by the illness, more sense of helplessness, less actively managing thei... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2898782 Wed, 14 Oct 2009 05:58:20 +0100 2898782 http://www.medworm.com/index.php?rid=2879350&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0r703268876582vq%2F Abstract  Although studies have examined clinical characteristics of kleptomania, no previous studies have examined the legal consequences of kleptomania. From 2001 to 2007, 101 adult subjects (n = 27 [26.7%] males) with DSM-IV kleptomania were assessed on sociodemographics and clinical characteristics including symptom severity, comorbidity, and legal repercussions. Of 101 subjects with kleptomania, 73.3% were female. Mean age of shoplifting onset was 19.4 ± 12.0 years, and subjects shoplifted a mean of 8.2 ± 11.0 years prior to meeting full criteria for kleptomania. Co-occurring depressive, substance use, and impulse control disorders were common. Sixty-nine subjects with kleptomania (68.3%) had been arrested, 36.6% had been arrest... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2879350 Thu, 08 Oct 2009 06:56:49 +0100 2879350 http://www.medworm.com/index.php?rid=2820030&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F47665340u374271p%2F Abstract  Although long-acting injectable risperidone (LAIR) has been hypothesized to improve medication adherence compared to oral medications, data from real-world practice have yet to be presented on time to treatment discontinuation. Records of all new prescriptions for antipsychotic medication during the first 2 months of FY 2006 for VA patients diagnosed with schizophrenia (N = 11,821) were examined and duration of treatment with LAIR and oral antipsychotics were calculated for the next 2 years. Multivariable logistic regression was used to identify patient characteristics independently associated with receipt of LAIR. Proportional hazards models were used to compare the likelihood of discontinuing each of the medications as compared to LAIR. Altog... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2820030 Sat, 19 Sep 2009 05:52:43 +0100 2820030 http://www.medworm.com/index.php?rid=2719605&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk60265gqp8663g07%2F This study analyses assessment, intervention and admission decisions made by emergency psychiatry residents, to determine whether these differ depending on the gender of the resident. Data from all patients presenting to a psychiatric emergency room were collected prospectively for a 3 months period as part of a local quality check project. A questionnaire was used to collect patient demographic data, diagnosis, treatment decisions and the personal and professional characteristics of the residents who performed the assessments. During the 3 months of the study period we obtained data on all 251 emergency assessments carried out by all six residents working in the service. These were 3 female and 3 male 3rd year residents in psychiatry. There was no difference between male and female ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2719605 Wed, 19 Aug 2009 08:09:50 +0100 2719605 http://www.medworm.com/index.php?rid=2648890&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu26t27g33784652n%2F Abstract  Cannabis has been reported as a likely risk factor for the development of psychosis, and a gene × environment interaction with the catechol-O-methyltransferase (COMT) gene has been proposed. Moreover, COMT has been separately linked to affective symptoms in psychosis. Despite a high rate of cannabis abuse and affective symptoms in African Americans, no studies exploring a relationship between COMT and psychosis in this group have been reported. An existing database of psychotic patients with and without adolescent cannabis use/affective symptoms was examined, and chi-square analyses for independence were applied separately for both Caucasians and African-Americans to examine genotype associations with adolescent cannabis use and affective symptoms (past or present)... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2648890 Sun, 26 Jul 2009 21:37:47 +0100 2648890 http://www.medworm.com/index.php?rid=2648891&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb07g61n61526p352%2F Abstract  The American State Hospital has survived over 200 years. Society once viewed state hospitals as an absolute necessity and each state constructed numerous hospitals. Over time, the image of the state hospital as a means to cure the mentally ill changed drastically. The public perceived state hospitals as snake pits that warehoused the mentally ill and the state hospital was nearly destroyed. Nevertheless, the state hospital remains today with purposes similar to its ancestors and some that are very different. This paper examines the many influences that created the state hospital. Additionally, this paper addresses the Kirkbride Model, treatment methods and practices over time, and how the state hospital fell into disfavor as a means to treat the mentally ill.... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2648891 Sun, 26 Jul 2009 21:37:46 +0100 2648891 http://www.medworm.com/index.php?rid=2605868&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Frrn841r5861t3410%2F In this study we identify such patterns of comorbid medical and psychiatric disorders using cluster analysis and we evaluate relationships between these patterns and sociodemographic factors. We used data from a survey of 3,595 veterans in a regional VA network who were presently or recently homeless assessing nine major medical disorder and six psychiatric disorder categories. Diagnostic ratings of presence or absence of these disorders were placed into the same cluster analysis to determine whether separable clusters emerged reflecting differing diagnostic profiles. There are recognizable patterns of comorbidity involving several psychiatric and general medical disorders, as well as disorders of both types that exist independently. Cluster membership was associated with various soc... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2605868 Tue, 14 Jul 2009 11:16:23 +0100 2605868 http://www.medworm.com/index.php?rid=2598118&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F07370p6232756700%2F Abstract  The following case report highlights about a Glioblastoma presenting with features of post stroke depression. The neuropsychological findings though initially was normal but on subsequent follow up showed gross abnormalities. The imaging studies revealed the tumor, involving the right parietal and temporal lobes with midline shift and high vascularity. The patient exhibited rapid downhill course and died within 4 weeks of initial presentation. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-009-9107-5Authors Ranjan Bhattacharyya, Calcutta National Medical College Department of Psychiatry 29, Anandasree, Garia Kolkata 700084 IndiaDebasish Sanyal, Calcutta National Medical College Department of Psychiatry 29, Anandasree, Garia Kolkata 70... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2598118 Sat, 11 Jul 2009 06:36:59 +0100 2598118 http://www.medworm.com/index.php?rid=2593073&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft33j766259850175%2F Abstract  A qualitative study of the experiences of rescue and recovery workers/volunteers at Ground Zero following the terrorist attacks of 9/11/01 is reported. Information was extracted from a semi-structured clinical evaluation of 416 responders who were the initial participants in a large scale medical and mental health screening and treatment program for 9/11 responders. Qualitative analysis revealed themes that spanned four categories— occupational roles, exposures, attitudes/experiences, and outcomes related to the experience of Ground Zero. Themes included details regarding Ground Zero roles, grotesque experiences such as smells, the sense of the surreal nature of responding, and a turning to rituals to cope after leaving Ground Zero. These findings personalize th... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2593073 Thu, 09 Jul 2009 14:13:52 +0100 2593073 http://www.medworm.com/index.php?rid=2509141&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp635441l3k868666%2F Abstract  To explore whether cognitive impairment and global functioning can predict the degree of insight into illness as well as whether insight is mediated by specific symptom dimensions of psychopathology in schizophrenia. A dimensional/cross sectional approach was used. A mixed group of clients (n = 36) were assessed as part of a routine clinical evaluation. The Wechsler Adult Intelligence Scale (WAIS) was used as a measure of intellectual performance, the Brief Symptom Inventory (BSI) was used as a measure of general psychopathology while the Global Assessment of Functioning (GAF) scale assessed clients’ psychosocial functioning; insight was assessed with the Insight and Treatment Attitudes Questionnaire (ITAQ). The correlation matrix of all outcome variabl... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2509141 Sat, 13 Jun 2009 07:56:00 +0100 2509141 http://www.medworm.com/index.php?rid=2388035&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc212004r6000785h%2F Abstract  Aggression is a serious problem in psychiatric hospitals. It is not clear whether reasons for aggression guide which therapeutic interventions are selected. Aggression was monitored in participants in a randomized clinical trial of the antiaggressive efficacy of adjunctive valproate in patients with schizophrenia. The Overt Aggression Scale was used to record aggression type and severity, reasons given by patients and staff, and interventions delivered. Forty two patients caused 317 aggressive incidents. Patients reported more often than staff that aggression was provoked by external factors (e.g., interpersonal conflict, limit-setting). Staff cited internal factors (e.g., psychotic symptoms, tension) more often than patients. Interventions administered were relat... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2388035 Sat, 02 May 2009 05:46:27 +0100 2388035 http://www.medworm.com/index.php?rid=2388036&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl4p784106wq658h3%2F This article presents an overview of the diagnosis and management of type I diabetes, reviews the ways in which diabetes will interact with child development, and discusses the increased rates of eating disorders and mood disorders among children with type I diabetes. There is a distinct role for the psychiatrist to be involved in the diabetes care team of children and adolescents diagnosed with type I diabetes and this role can be medically crucial. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-009-9099-1Authors Abigail Dahan, St. Vincent’s Hospital Department of Psychiatry, Reiss 175 144 West 12th Street New York NY 10011 USAScot G. McAfee, Saint Vincent’s Hospital Department of Psychiatry New York NY USA Journal Psychiatric QuarterlyOnline ISS... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2388036 Fri, 01 May 2009 06:50:37 +0100 2388036 http://www.medworm.com/index.php?rid=2375611&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc86q547x711h7j15%2F Abstract  Associations between past use of alcohol, cannabis, and cocaine and various domains of schizotypy were examined in first-degree relatives of patients with schizophrenia and non-psychiatric controls. Substance use was operationalized in three ways: (1) having ever used the substance, (2) age at first use, and (3) past frequency/amount of use during three time periods in late adolescence/early adulthood. Schizotypy was assessed using the Schizotypal Personality Questionnaire (SPQ). Participants who had ever used cannabis had significantly higher cognitive-perceptual, interpersonal, and total schizotypy scores compared to those who had not. Younger age of alcohol use onset was associated with more schizotypy in adulthood, and younger age of first cannabis use was relat... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2375611 Sat, 25 Apr 2009 07:18:32 +0100 2375611 http://www.medworm.com/index.php?rid=2367384&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fwq2h084w1n78l371%2F In conclusion, while individuals with poorer mental health generally have poor HAART adherence, their adherence improved with the use of antidepressants as the HAART complexity increased. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-009-9100-zAuthors Virender Kumar, Westat Rockville MD USAWilliam Encinosa, Agency for Healthcare Research and Quality 540 Gaither Road Rockville MD 27850 USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2367384 Thu, 23 Apr 2009 08:15:39 +0100 2367384 http://www.medworm.com/index.php?rid=2357703&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy26h6482q143t1jq%2F Abstract  Although there are numerous publications on the existing link between month of birth and suicide, only two studies focus on suicide attempts and auto-aggressive behavior. Research data suggest that month of birth is related to a variation of 5-HIAA in the cerebrospinal fluid, which correlates with violent behavior (VB). Therefore, the aim of this study is to search, for the first time, for a possible link between month of birth and the occurrence of VB in emergency, for patients admitted for a suicide attempt with medication. This is a 10 months prospective study among all the patients of the canton of Geneva, Switzerland, admitted in emergency for a suicide attempt with medication. During a 10 months study period we included 493 patients, of which 77 (1... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2357703 Tue, 21 Apr 2009 11:24:02 +0100 2357703 http://www.medworm.com/index.php?rid=2301876&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm57233x73163u662%2F Conclusion Thought the concept of Internet addiction is largely acknowledged as a clinical reality by Swiss psychiatrists, routine screening and treatment remain uncommon, mainly due to the belief that efficient treatment is still lacking. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-009-9098-2Authors Gabriel Thorens, Geneva University Hospitals Division of Addictology Rue verte, 2 1205 Geneva SwitzerlandYasser Khazaal, Geneva University Hospitals Division of Addictology Rue verte, 2 1205 Geneva SwitzerlandJoël Billieux, University of Geneva Cognitive Psychopathology and Neuropsychology Unit Geneva SwitzerlandMartial Van der Linden, University of Geneva Cognitive Psychopathology and Neuropsychology Unit Geneva SwitzerlandDaniele Zullino, Geneva University Ho... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2301876 Fri, 27 Mar 2009 06:51:56 +0100 2301876 http://www.medworm.com/index.php?rid=2275344&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq8501t548563q783%2F Conclusions Few studies have examined the relationship between PTSD and physical health. Large, prospective epidemiological trials are needed. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-009-9096-4Authors Salah U. Qureshi, Michael E. DeBakey Veterans Affairs Medical Center (152) Houston Center for Quality of Care & Utilization Studies, Health Services Research and Development Service 2002 Holcombe Houston TX 77030 USAJeffrey M. Pyne, Central Arkansas Veterans Healthcare System Center for Mental Health and Outcomes Research North Little Rock AR USAKathy M. Magruder, Ralph H. Johnson Veterans Affairs Medical Center Charleston SC USAPaul E. Schulz, Baylor College of Medicine Neurosensory Center Houston TX USAMark E. Kunik, Michael E. DeBakey Veterans Affairs Me... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2275344 Tue, 17 Mar 2009 06:59:17 +0100 2275344 http://www.medworm.com/index.php?rid=2275345&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh515625116377295%2F Conclusions “Stat” medications are commonly used. The use of “agitation stat” medications can be used as a proxy for clinical stability and may prove to be a useful outcome measure for future pharmacoepidemiologic studies of comparative medication effectiveness. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-009-9097-3Authors Ari Jaffe, Nathan S Kline Institute for Psychiatric Research 140 Old Orangeburg Road Orangeburg NY 10962 USAJerome Levine, Nathan S Kline Institute for Psychiatric Research 140 Old Orangeburg Road Orangeburg NY 10962 USALeslie Citrome, Nathan S Kline Institute for Psychiatric Research 140 Old Orangeburg Road Orangeburg NY 10962 USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Qu... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2275345 Sat, 14 Mar 2009 12:13:25 +0100 2275345 http://www.medworm.com/index.php?rid=2226611&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft798w073q414841k%2F Abstract  Psychiatric diagnosis is invariably guided by self-report. When such self-report is questioned, reliance on formalized testing predominates. The situation is less certain, however, when such methods and clinical “feel”, or intuition, conflict. While many argue for the supremacy of actuarial methods, fields such as Management have increasingly emphasized the importance of intuition; Psychiatry, although with few objective tests and reliance on the clinical encounter, offers surprisingly few answers. We explore here the use of intuition in decision-making through a case example and suggest that it is not inferior to other diagnostic methods: intuition should be used to suggest, guide, and modify psychiatric diagnosis. Mostly, there is a need for greater discussi... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2226611 Fri, 27 Feb 2009 10:38:03 +0100 2226611 http://www.medworm.com/index.php?rid=2226612&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj3540700222241j4%2F Conclusions Life-threatening and daily-life stress show two different patterns of influence on mental health. These results provided a preclinical model for understanding, and preventing, human stress-related psychiatric disorders in the future. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-009-9095-5Authors For-Wey Lung, Kaohsiung Armed Forces General Hospital Department of Psychiatry No. 2 Chung Cheng 1st Rd Kaohsiung 802 TaiwanYi-Ching Lu, Kaohsiung Armed Forces General Hospital Department of Psychiatry No. 2 Chung Cheng 1st Rd Kaohsiung 802 TaiwanYong-Yuan Chang, Kaohsiung Medical University Graduate Institute of Public Health Kaohsiung TaiwanBih-Ching Shu, National Cheng Kung University Institute of Allied Health Sciences, Department of Nursing Tainan Tai... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2226612 Fri, 27 Feb 2009 10:38:02 +0100 2226612 http://www.medworm.com/index.php?rid=2172130&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F37j0317044142252%2F Abstract  Delirious mania is often difficult to distinguish from excited catatonia. While some authors consider delirious mania a subtype of catatonia, the distinction between the two entities is important as treatment differs and effects outcome. It appears that as catatonia is described as having non-malignant and malignant states, the same division of severity may also apply to delirious mania. Non-malignant delirious mania meets the criteria for mania and delirium without an underlying medical disorder. The patients are amnestic, may lose control of bowel and bladder, but still respond to atypical antipsychotics and mood stabilizers. However, with increasing progression of the disease course and perhaps with an increasing load of catatonic features, delirious mania may ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2172130 Sat, 07 Feb 2009 10:19:44 +0100 2172130 http://www.medworm.com/index.php?rid=2163097&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe736063606744778%2F Conclusions These data suggest that stigma in mental health settings may be due to structural, systemic pressures on practitioners, with practitioners’ emphasis on symptoms and deficits as a secondary factor. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-009-9093-7Authors Elizabeth H. Flanagan, Yale School of Medicine Department of Psychiatry 319 Peck Street, Building 1 New Haven CT 06513 USARebecca Miller, Yale School of Medicine Department of Psychiatry 319 Peck Street, Building 1 New Haven CT 06513 USALarry Davidson, Yale School of Medicine Department of Psychiatry 319 Peck Street, Building 1 New Haven CT 06513 USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2163097 Wed, 04 Feb 2009 14:10:16 +0100 2163097 http://www.medworm.com/index.php?rid=2147148&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw183k665201140x5%2F Abstract  Data derived from the 2002 Survey of Inmates in Local Jails and the 2000 National Survey of Veterans show that having mental health problems in addition to such sociodemographic characteristics as being a member of a minority group, not being married, having less education, and being younger are risk factors for incarceration among veterans, as they are for the general population. As in previous studies veterans who served during the Vietnam Era and to an even greater extent, those who served in the early years of the All Volunteer Force were at greater risk of incarceration than veterans from the most recent period of the AVF, after controlling for age and other factors. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-009-9092-8Authors G... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2147148 Thu, 29 Jan 2009 08:23:24 +0100 2147148 http://www.medworm.com/index.php?rid=2107345&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj34720745u4l5658%2F Conclusions Quetiapine seems to be used in a variety of clinical situations, with a wide range of doses and a lower dosage in patients treated for personality disorders. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-008-9090-2Authors Yasser Khazaal, Geneva University Hospitals Division of Substance Abuse Rue Verte 2 1205 Geneva SwitzerlandAnne Chatton, Geneva University Hospitals Division of Substance Abuse Rue Verte 2 1205 Geneva SwitzerlandRiaz Khan, Geneva University Hospitals Division of Substance Abuse Rue Verte 2 1205 Geneva SwitzerlandDaniele Zullino, Geneva University Hospitals Division of Substance Abuse Rue Verte 2 1205 Geneva Switzerland Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2107345 Wed, 14 Jan 2009 07:04:04 +0100 2107345 http://www.medworm.com/index.php?rid=2039173&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Frg22243762304848%2F Abstract  This paper addresses the issue of employment discrimination against individuals with a history of schizophrenia. There are three illustrations, two of which come from Asian countries, where the discrimination tends to be more openly expressed than in the West. Maintaining competitive employment is crucially important for individuals who are recovering from schizophrenia; indeed, employment is an inherent part of recovery. The paper makes recommendations for clinicians, advocates, patients, and employers. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-008-9089-8Authors Mary V. Seeman, University of Toronto Department of Psychiatry, Centre for Addiction and Mental Health 250 College St. Toronto ON Canada M5T 1R8 Journal Psychiatric Q... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2039173 Fri, 12 Dec 2008 09:31:54 +0100 2039173 http://www.medworm.com/index.php?rid=2010634&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu7n53n7715067220%2F Abstract  To help inform the design of a self-management intervention for improving the physical health of adults with serious mental illnesses, we conducted focus groups about their perceived medical care and physical health needs. Adults with serious mental illnesses participated in four semi-structured focus groups conducted at a transitional living facility, a social club, and a Hispanic outpatient mental health clinic. Questions included their recent experiences of seeking medical care, the effect of having a mental illnesses diagnosis, strategies for active self-care, and perceived barriers to better physical health. In addition to various systemic barriers to better medical care, participants articulated limited knowledge and self-efficacy regarding active self-manag... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=2010634 Tue, 02 Dec 2008 07:28:43 +0100 2010634 http://www.medworm.com/index.php?rid=1867911&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fjw76040n408q1hht%2F Abstract  HIV/AIDS among the severely mentally ill (SMI) population exceeds the held belief that man to man contact is the leading type of, rate of transmission and infection placing an emphasis on high risk behavior management, education and testing as key in reducing the epidemic in psychiatric facility inpatient/outpatient populations (Rothbard, Psychiatric Services 54(9):1240–1246, 2003). The Information-Motivation-Behavioral Skills Model (IMB) is an integrative framework to explain HIV risk reduction most often used and tested with the SMI population (Carey et al. Journal of Consulting and Clinical Psychology 72(2), 2004; Donenberg AIDS Education and Prevention 17(3):200–216, 2005; Meade and Sikkema Clinical Psychology Review 25(4):433–457, 2005; Rosenberg et al.... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1867911 Thu, 09 Oct 2008 10:20:39 +0100 1867911 http://www.medworm.com/index.php?rid=1867912&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl60846875t14845q%2F We describe the development and structure of a QoL questionnaire based on the patient’s subjective understanding of the problems. Ninety areas identified by four groups of experts resulted in a 126-item questionnaire administered to 279 patients with a DSM-IV diagnosis of schizophrenia. A factorial approach led to 59 total items and two final scales (favorable and unfavorable), with three factors each. The Seville QoL Questionnaire (SQLQ) results can be presented as individual scores for each scale, or a total for both. Its psychometric properties have proven quite acceptable in reliability and validity, comparing favorably with other scales. SQLQ may prove to be a useful addition to QoL-measuring instruments. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1867912 Wed, 08 Oct 2008 10:51:03 +0100 1867912 http://www.medworm.com/index.php?rid=1814917&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm82034jx937mm418%2F We examined its role in relation to presenting concerns, diagnosis, psychopharmacologic treatment and spiritual orientation among students seeking treatment at a university counseling center. The most commonly identified concern was anxiety, followed by stress and depression. Eighty-two percent were given a DSM IV diagnosis. Hopelessness was higher among students dually diagnosed with anxiety and depressive disorders and those who were started on psychiatric medication. Spirituality was inversely correlated with hopelessness and constitutes a personal characteristic warranting further investigation. The concerns bringing students to counseling, the rates of DSM IV diagnosis and the use of psychiatric medication suggest a preponderance of psychopathology over developmental or situati... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1814917 Sat, 20 Sep 2008 10:17:15 +0100 1814917 http://www.medworm.com/index.php?rid=1763464&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbt66m083057m6g5g%2F Discussion Even though there are efforts to adapt our various systems of nomenclature for individuals with developmental disorders, most still rely on descriptive and categorical models. It may be time to reconsider models that incorporate etiological factors in the process of differential diagnosis and classification. By doing so, clinicians may enhance their capacity to match individuals with more finely tuned treatment plans. Content Type Journal ArticleCategory Review ArticleDOI 10.1007/s11126-008-9076-0Authors L. Jarrett Barnhill, University of North Carolina School of Medicine Department of Psychiatry CB 7160 Chapel Hill NC 27599-7160 USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1763464 Wed, 03 Sep 2008 08:45:35 +0100 1763464 http://www.medworm.com/index.php?rid=1745322&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr56h473863u67x27%2F Conclusions Internet is currently used by patients treated for psychiatric disorders, especially for medical seeking information. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-008-9083-1Authors Yasser Khazaal, Geneva University Hospitals Division of Substance Abuse Rue verte 2 1205 Geneva SwitzerlandAnne Chatton, Geneva University Hospitals Division of Substance Abuse Rue verte 2 1205 Geneva SwitzerlandSophie Cochand, Geneva University Hospitals Division of Substance Abuse Rue verte 2 1205 Geneva SwitzerlandAliosca Hoch, Geneva University Hospitals Division of Substance Abuse Rue verte 2 1205 Geneva SwitzerlandMona B. Khankarli, University Hospitals Lausanne SwitzerlandRiaz Khan, Geneva University Hospitals Division of Substance Abuse Rue verte 2 1205 Geneva Sw... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1745322 Fri, 29 Aug 2008 11:14:44 +0100 1745322 http://www.medworm.com/index.php?rid=1742031&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp2q4g61575644686%2F Content Type Journal ArticleCategory Review ArticleDOI 10.1007/s11126-008-9078-yAuthors Sy Atezaz Saeed, Brody School of Medicine at East Carolina University Department of Psychiatric Medicine Brody Medical Sciences Building Suite 4E-102 600 MoyeBoulevard Greenville NC 27834 USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1742031 Wed, 27 Aug 2008 18:47:29 +0100 1742031 http://www.medworm.com/index.php?rid=1742032&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn51u343520255405%2F Abstract  There are many factors to consider when working with individuals with mental illness and developmental disabilities and their families. Working in collaboration with individuals and their families using a patient- and family-centered care approach is vital. This approach informs the professional’s values and practice patterns thereby allowing them to help the individual and family deal with common challenges and stresses such as establishing relationships with care providers, ensuring coordination of care, family concerns, knowledge of important systems of care, and the need for advocacy. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-008-9075-1Authors Kaye McGinty, East Carolina University Department of Psychiatric Medicine, Brody Scho... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1742032 Tue, 26 Aug 2008 08:33:32 +0100 1742032 http://www.medworm.com/index.php?rid=1738570&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5619542296xpw333%2F Abstract  Anxiety disorders are common in individuals with developmental disabilities (DDs), although they may not be diagnosed and treated as often as they are in patients without DDs. Patients with mental retardation, autism, and other pervasive developmental disorders may exhibit comorbid anxiety disorders, such as generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), phobias, and other anxiety symptoms at much higher rates than in the general population, but identification of these comorbid anxiety disorders may be made more difficult by the presence of the DD and concurrent difficulties with communication, other behavior problems, the lack of standardized assessments specific to diagnosing patients with DDs and psychiatric comorbidities, and the need... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1738570 Sun, 24 Aug 2008 20:00:48 +0100 1738570 http://www.medworm.com/index.php?rid=1738574&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5814p1076l781p16%2F Abstract  While the idea that individuals with developmental disabilities (DD) can suffer from mental illness has been largely accepted since the late 1980’s, this is still an underserved and poorly studied population. In particular, mood disorders have traditionally been misdiagnosed, under-recognized and poorly treated. Through the years, reported rates of mood disorders in adults with DD have varied widely. Recent epidemiological studies have focused on community samples and find rates of mood disorders from 3 to 8.1%. Mood disorders are found to be more prevalent than psychotic disorders or anxiety disorders. The empirical literature on assessment of mood symptoms in adults with DD is limited, particularly in individuals with severe and profound DD. Several tools have... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1738574 Sun, 24 Aug 2008 20:00:47 +0100 1738574 http://www.medworm.com/index.php?rid=1738573&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F58q5874120p27262%2F Abstract  The presence of co-occurring psychiatric disorders among individuals with developmental disability (DD) requires clinicians to adjust and modify standard mental health assessment and treatment planning. In particular, assessment includes input from a multi-disciplinary team and as a result, diagnosis is frequently a synthesis of data from many different points of view. Treatment planning and implementation commonly include a collection of highly specialized, individualized programs that focus on the long term management of both disorders. Crises and recurrence of mental disorders are commonplace in part due to the presence of ongoing risk and vulnerability factors for mental disorders. As a result, the need for emergency interventions, specialized respite services... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1738573 Sun, 24 Aug 2008 20:00:47 +0100 1738573 http://www.medworm.com/index.php?rid=1738572&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5463834710371909%2F This article reviews recent evidence in the literature for the use of psychotropic and other somatic treatments in the management of patients with mental retardation (MR). The search methodology included peer-reviewed English language publications in PubMed and PsychINFO with the words Mental Retardation, Intellectual Disability, Developmental Disability and Mental Disorders/Drug Therapy or Antipsychotic medications, Psychiatric Somatic therapies, Neuroleptic Drugs, Antidepressants and Electroconvulsive Therapy from 1998 to 2008. The review revealed few randomized controlled trials on the medications frequently prescribed for patients with MR. Three RCTs of Risperidone in children, one combining adults and children and one with adults only are discussed. There was one RCT involving Q... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1738572 Sun, 24 Aug 2008 20:00:47 +0100 1738572 http://www.medworm.com/index.php?rid=1738571&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F513t115q11655531%2F Abstract  Aggressive behavior is a common referral problem for individuals with developmental disabilities (DD), placing them at risk for institutionalization, social isolation, physical restraint, over-use of medication to treat behavior problems, exclusion from services, and becoming a victim of abuse. Aggression strains relationships between individuals being supported and their caregivers, whether professionals or family members. The treatment of aggression is persons with DD, with or without comorbid mental illness, remains a controversial area and changes in practice have been slow to come. The evidence related to pharmacotherapy and psychological treatment is, in general, either lacking or poor. This does not suggest that these treatments are necessarily ineffective ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1738571 Sun, 24 Aug 2008 20:00:47 +0100 1738571 http://www.medworm.com/index.php?rid=1651984&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5u7296l215q77756%2F Abstract  There are a number of ways in which a psychiatrist or other mental health professional can advocate for mental health issues. The author uses her own involvement in the Association of Gay and Lesbian Psychiatrists (AGLP) as a way to illustrate the advocacy role. Challenges and accomplishments with respect to that role and the organization’s work are discussed. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-008-9073-3Authors Mary E. Barber, Rockland Psychiatric Center 140 Old Orangeburg Rd. Orangeburg NY 10962 USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1651984 Tue, 22 Jul 2008 16:33:23 +0100 1651984 http://www.medworm.com/index.php?rid=1630505&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxx453085767204r1%2F Abstract  Kendler’s seminal essay listed 8 major propositions outlining a philosophical framework for the entire field of psychiatry [Kendler (American Journal of Psychiatry 162:433–440, 2005)]. These propositions have grounded psychiatric research on a coherent conceptual basis. The field of aggression research needs a general conceptual framework that would help us to integrate the contributions of neurobiology, sociology, criminology, and other areas. All of Kendler’s propositions are generally relevant in this respect. The aim of the current article is to develop specific applications of four of Kendler’s propositions for aggression research. These four propositions are: “Psychiatry is irrevocably grounded in mental, first-person experiences”, “Psychiatric... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1630505 Tue, 15 Jul 2008 07:46:49 +0100 1630505 http://www.medworm.com/index.php?rid=1581707&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw51660130qu70341%2F Conclusions  Both among men and women, being unmarried, widowed or divorced/separated is associated with a higher suicide rate. This study, however, adds information on suicide mortality in specific age-groups compared to mortality from natural causes of death. Overall, these findings support the notion that marital status may dramatically influence the risk of suicide. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-008-9072-4Authors Maria Masocco, Italian National Institute of Health (ISS) National Centre for Epidemiology, Surveillance and Health Promotion (CNESPS) Rome ItalyMaurizio Pompili, Sapienza University of Rome Department of Psychiatry, Sant’Andrea Hospital Rome ItalyMonica Vichi, Italian National Institute of Health (ISS) National Ce... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1581707 Fri, 04 Jul 2008 06:03:14 +0100 1581707 http://www.medworm.com/index.php?rid=1463304&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F85772105ng582l53%2F Abstract  Mood disorders in general, and bipolar disorder in particular, are unique among the psychiatric conditions in that they are associated with extraordinarily high rates of comorbidity with a multitude of psychiatric and medical conditions. Among all the potential cormobidities, co-occurring anxiety disorders stand out due to their very high prevalence. Outcome in bipolar illness is worse in the presence of a comorbid anxiety disorder. The coexistence of an anxiety disorder presents a particularly difficult challenge in the treatment of bipolar illness since antidepressants, the mainstay of pharmacologic treatments for anxiety, may adversely alter the course of manic-depression. Identification of anxiety disorders in bipolar patients is important. The treatment plan ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1463304 Tue, 20 May 2008 06:07:36 +0100 1463304 http://www.medworm.com/index.php?rid=1289625&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4726x3372171jp31%2F Conclusions  Both atomoxetine and stimulants led to a modest increase in quality of life in this community clinic ADHD population. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-008-9070-6Authors Leo Bastiaens, University of Pittsburgh Family Services of Western Pennsylvania 33 Sunnyhill Drive Pittsburgh PA 15228 USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1289625 Sat, 08 Mar 2008 10:07:31 +0100 1289625 http://www.medworm.com/index.php?rid=1289626&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7u7586x234714843%2F Content Type Journal ArticleCategory ErratumDOI 10.1007/s11126-008-9069-zAuthors Claire Henderson, Evaluation and Health Services Research, VISN 3 MIRECC, James J. Peters VA Medical Center 130 West Kingsbridge Road Bronx NY 10468 USAJay Bainbridge, New York City Department of Homeless Services Policy and Research New York NY USAKim Keaton, New York City Department of Homeless Services Quality Assurance, Program Evaluation and Policy Analysis Unit, Division of Adult Services New York NY USAMartha Kenton, New York City Department of Homeless Services Technical Assistance and Training Division of Adult Services New York NY USAMeghan Guz, New York City Department of Homeless Services Quality Assurance, Program Evaluation and Policy Analysis Unit, Division of Adult Services New York NY USAB... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1289626 Fri, 07 Mar 2008 06:58:06 +0100 1289626 http://www.medworm.com/index.php?rid=1224860&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx38tm0w565pk6h86%2F Abstract  Data from clinical trials of couple therapy for depression have never been subjected to systematic analyses. We performed a meta-analysis of eight controlled trials involving 567 subjects. No difference was found on depressive symptoms between couple therapy and individual psychotherapy. Relationship distress was significantly reduced in the couple therapy group. Too few data are available for comparisons with drug therapy and no treatment. The findings are weakened by small sample sizes, assessments at the end of treatment or short follow-up, unclear sample representativeness, heterogeneity among studies. The mediating role of improvement in quality of couple relationships is not supported by data. However, it has not been adequately tested. Evidence on efficacy ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1224860 Fri, 08 Feb 2008 17:26:57 +0100 1224860 http://www.medworm.com/index.php?rid=1184234&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F05450l4283m54g2l%2F Content Type Journal ArticleCategory IntroductionDOI 10.1007/s11126-007-9065-8Authors Juliana I. Ekong, Columbia University Psychiatry – Psychiatric Education 1051 Riverside Drive Box 111 New York NY 10032 USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1184234 Fri, 25 Jan 2008 15:53:44 +0100 1184234 http://www.medworm.com/index.php?rid=1184235&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fll1320q857141007%2F Conclusions  Patients treated in routine clinical practice have more severe baseline symptoms, but experience significantly greater improvements in psychiatric symptoms. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-008-9067-1Authors Douglas L. Boggs, University of Maryland Baltimore, School of Medicine Maryland Psychiatric Research Center PO Box 21247 Baltimore MD 21228 USADeanna L. Kelly, University of Maryland Baltimore, School of Medicine Maryland Psychiatric Research Center PO Box 21247 Baltimore MD 21228 USARaymond C. Love, University of Maryland Baltimore, School of Pharmacy 20 N.Pine Street, Room 440 Baltimore MD 21201 USARobert P. McMahon, University of Maryland Baltimore, School of Medicine Maryland Psychiatric Research Center PO Box 21... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1184235 Thu, 24 Jan 2008 16:57:10 +0100 1184235 http://www.medworm.com/index.php?rid=1145480&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy352214516838u5r%2F Content Type Journal ArticleCategory IntroductionDOI 10.1007/s11126-007-9064-9Authors Jules M. Ranz, New York State Psychiatric Institute 1051 Riverside Drive Box 111 New York NY 10032 USASusan M. Deakins, New York State Psychiatric Institute 1051 Riverside Drive Box 111 New York NY 10032 USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1145480 Fri, 11 Jan 2008 16:20:39 +0100 1145480 http://www.medworm.com/index.php?rid=1139373&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh14579r334h39873%2F Content Type Journal ArticleCategory ErratumDOI 10.1007/s11126-007-9066-7Authors Claire Henderson, Evaluation and Health Services Research, VISN 3 MIRECC, James J. Peters VA Medical Center 130 West Kingsbridge Road Bronx NY 10468 USAJay Bainbridge, New York City Department of Homeless Services Policy and Research New York NY USAKim Keaton, New York City Department of Homeless Services Quality Assurance, Program Evaluation and Policy Analysis Unit, Division of Adult Services New York NY USAMartha Kenton, New York City Department of Homeless Services Technical Assistance and Training Division of Adult Services New York NY USAMeghan Guz, New York City Department of Homeless Services Quality Assurance, Program Evaluation and Policy Analysis Unit, Division of Adult Services New York NY USAB... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1139373 Tue, 08 Jan 2008 16:35:15 +0100 1139373 http://www.medworm.com/index.php?rid=1130619&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg152608q3583067p%2F Conclusion  Professionals working in clinical settings are not really opposed to restraint. This could explain the limited effects of innovation projects. Content Type Journal ArticleCategory Original ResearchDOI 10.1007/s11126-007-9063-xAuthors Marjan van Doeselaar, Gelderse Roos Research Institute for Professionalization Wolfheze The NetherlandsPeter Sleegers, University of Amsterdam Department of Education Amsterdam The NetherlandsGiel Hutschemaekers, Gelderse Roos Research Institute for Professionalization Wolfheze The Netherlands Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1130619 Thu, 03 Jan 2008 16:30:21 +0100 1130619 http://www.medworm.com/index.php?rid=1114762&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw481415v802670jm%2F This article describes the process we undertook to facilitate this curricular change, with a focus on select concepts in change management as it applies to curricular change, and the associated barriers and facilitators. Additionally, the article focuses on the role of the psychiatrist in the process. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-007-9062-yAuthors Julie D. Maggi, University of Toronto Toronto ON CanadaVicky Stergiopoulos, University of Toronto Toronto ON CanadaSanjeev Sockalingam, University of Toronto Toronto ON Canada Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1114762 Sat, 22 Dec 2007 17:35:21 +0100 1114762 http://www.medworm.com/index.php?rid=1111287&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8r124t27g424k653%2F Conclusions  While the HAART adherence rate was low among patients with AIDS diagnosed with depression, prior month’s antidepressant use increases odds of adherence. Unmeasured factors may influence the reported association between antidepressant use and HAART adherence, but our findings point to the need to investigate directly the impact of antidepressant therapy on HAART adherence found among patients with AIDS and depression. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-007-9055-xAuthors James Walkup, Institute for Health, Health Care, Policy and Aging Research 30 College Avenue New Brunswick NJ 08901 USAWenhui Wei, Institute for Health, Health Care, Policy and Aging Research 30 College Avenue New Brunswick NJ 08901 USAUsha Sambamoorthi,... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1111287 Thu, 20 Dec 2007 16:27:23 +0100 1111287 http://www.medworm.com/index.php?rid=1108232&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F574723521n3g652x%2F Content Type Journal ArticleCategory ErratumDOI 10.1007/s11126-007-9059-6Authors Franky D’Oosterlinck, OOBC ‘Nieuwe Vaart’ Jozef Guislainstraat 47-49 Ghent 9000 BelgiumIlse Goethals, University of Ghent Department of Orthopedagogics (Special Education) Henri Dunantlaan 1 Ghent 9000 BelgiumEric Broekaert, University of Ghent Department of Orthopedagogics (Special Education) Henri Dunantlaan 1 Ghent 9000 BelgiumGilberte Schuyten, University of Ghent Department of Data-analysis Henri Dunantlaan 1 Ghent 9000 BelgiumJessica De Maeyer, University of Ghent Department of Orthopedagogics (Special Education) Henri Dunantlaan 1 Ghent 9000 Belgium Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1108232 Tue, 18 Dec 2007 15:50:22 +0100 1108232 http://www.medworm.com/index.php?rid=1074538&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb861141312643354%2F Conclusion  The data obtained through collaboration between staff from NYC’s Department of Homelessness Services, US Department of Veterans Affairs facilities in the New York/New Jersey region and Common Ground Community led to information that informed the evaluation design of the new system. The identification of gaps in available data on homeless veterans will lead to projects both to improve and share data. Content Type Journal ArticleCategory Original ResearchDOI 10.1007/s11126-007-9060-0Authors Claire Henderson, VISN 3 MIRECC, James J. Peters VA Medical Center Evaluation and Health Services Research 130 West Kingsbridge Road Bronx NY 10468 USAJay Bainbridge, New York City Department of Homeless Services Policy and Research New York NY USAKim Keaton, New York C... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1074538 Mon, 03 Dec 2007 18:11:25 +0100 1074538 http://www.medworm.com/index.php?rid=1074537&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk7g035075l00xp61%2F Abstract  The purpose of this study was to determine if Second-Generation Antipsychotics (SGAs), relative to First-Generation Antipsychotics (FGAs), reduced either the length of stay (LOS) or number of re-hospitalizations of schizophrenic patients receiving treatment in a state psychiatric hospital. Medical records were compared for the periods 1991–1994 and 2001–2004 for three inpatient groups: those receiving FGAs, those receiving SGAs, and those switched from FGAs to SGAs. During both time periods, patients on FGAs had significantly shorter LOS than either those receiving SGAs or those switched from FGAs to SGAs. Therefore, inpatients receiving SGAs were hospitalized longer than those receiving FGAs. Conversely, once discharged, patients receiving SGAs were significa... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=1074537 Mon, 03 Dec 2007 18:11:25 +0100 1074537 http://www.medworm.com/index.php?rid=978801&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe445661022t58913%2F Abstract  The increase of violence in present-day society calls for adequate crisis interventions for students with behavioral problems. Life Space Crisis Intervention (LSCI) is a systematic and formatted response to a student’s crisis, based on cognitive, behavioral, psychodynamic and developmental theory. The following research article evaluates a LSCI Program with students referred to special schools with residential treatment because of severe behavioral problems. The evaluation was conducted using a quasi experimental pre-test–post-test control group design. Thirty-one match paired students were pre-tested before the interventions started and post-tested after a period of 11 months. Five standardized questionnaires were examined to assess the effectiveness of ... Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=978801 Tue, 23 Oct 2007 14:39:34 +0100 978801 http://www.medworm.com/index.php?rid=973602&cid=s_33311_172_f&fid=33311&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl068n30021vuq0q3%2F Conclusions  Improved reporting may have the unanticipated benefit of reducing physical aggression, perhaps by fostering recognition of and intervention in events that might otherwise escalate into more serious aggression. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s11126-007-9058-7Authors Karen A. Nolan, Nathan S Kline Institute for Psychiatric Research 140 Old Orangeburg Road Orangeburg NY 10962 USALeslie Citrome, Nathan S Kline Institute for Psychiatric Research 140 Old Orangeburg Road Orangeburg NY 10962 USA Journal Psychiatric QuarterlyOnline ISSN 1573-6709Print ISSN 0033-2720 (Source: Psychiatric Quarterly) Psychiatric Quarterly journals http://www.medworm.com/rss/comments.php?id=973602 Sun, 21 Oct 2007 00:06:33 +0100 973602