Psychiatric QuarterlyThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the latest items in this publication.

Pages: 1 2 3

119 records returned

Perceptions of Coercion in the Community: A Qualitative Study of Patients in a Danish Assertive Community Treatment TeamEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 t...
Source: Psychiatric Quarterly - November 18, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Prevalence of Axis II Disorders in a Sample of Clients Undertaking Psychiatric Evaluation for Sex Reassignment SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 biolo...
Source: Psychiatric Quarterly - October 17, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Coping Strategies of Hospitalized People with Psychiatric Disabilities in TaiwanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 a...
Source: Psychiatric Quarterly - October 14, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Legal Consequences of KleptomaniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. ...
Source: Psychiatric Quarterly - October 8, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Duration of Pharmacotherapy with Long-Acting Injectable Risperidone in the Treatment of SchizophreniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 independen...
Source: Psychiatric Quarterly - September 19, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Are Female Psychiatry Residents Better to Propose in Emergency a Voluntary Hospitalization?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 c...
Source: Psychiatric Quarterly - August 19, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Adolescent Cannabis Use, Psychosis and Catechol-O-Methyltransferase Genotype in African Americans and CaucasiansEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Psychiatric Quarterly - July 26, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

From Beauty to Despair: The Rise and Fall of the American State Mental HospitalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, ...
Source: Psychiatric Quarterly - July 26, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Comorbidity Between Psychiatric and General Medical Disorders in Homeless VeteransEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 invo...
Source: Psychiatric Quarterly - July 14, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Cerebral Malignancy Presenting with Post Stroke DepressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Depar...
Source: Psychiatric Quarterly - July 11, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Stories Behind the Symptoms: A Qualitative Analysis of the Narratives of 9/11 Rescue and Recovery WorkersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, grotes...
Source: Psychiatric Quarterly - July 9, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Insight, Global Functioning and Psychopathology Amongst In-patient Clients with SchizophreniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 assess...
Source: Psychiatric Quarterly - June 13, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Staff and Patient Views of the Reasons for Aggressive Incidents: A Prospective, Incident-Based StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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., ...
Source: Psychiatric Quarterly - May 2, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

A Proposed Role for the Psychiatrist in the Treatment of Adolescents with Type I DiabetesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 14...
Source: Psychiatric Quarterly - May 1, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Associations Between Past Alcohol, Cannabis, and Cocaine Use and Current Schizotypy Among First-Degree Relatives of Patients With Schizophrenia and Non-Psychiatric ControlsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Psychiatric Quarterly - April 25, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Effects of Antidepressant Treatment on Antiretroviral Regimen Adherence Among Depressed HIV-Infected PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Psychiatric Quarterly - April 23, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Month of Birth, a Risk Factor for Violent Behaviour in Suicidal Patients Admitted in Emergency?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 c...
Source: Psychiatric Quarterly - April 21, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Swiss Psychiatrists’ Beliefs and Attitudes About Internet AddictionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Psychiatric Quarterly - March 27, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

The Link Between Post-traumatic Stress Disorder and Physical Comorbidities: A Systematic ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Psychiatric Quarterly - March 17, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

“Stat” Medication Administration Predicts Hospital DischargeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Psychiatric Quarterly - March 14, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Does Intuition have a Role in Psychiatric Diagnosis?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Psychiatric Quarterly - February 27, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Mental Symptoms in Different Health Professionals During the SARS Attack: A Follow-up StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Universi...
Source: Psychiatric Quarterly - February 27, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Delirious Mania and Malignant Catatonia: A Report of 3 Cases and ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 antipsy...
Source: Psychiatric Quarterly - February 7, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

“Unfortunately, We Treat the Chart:” Sources of Stigma in Mental Health SettingsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, Buildi...
Source: Psychiatric Quarterly - February 4, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Mental Health and Other Risk Factors for Jail Incarceration Among Male VeteransEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 m...
Source: Psychiatric Quarterly - January 29, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Quetiapine Dosage Across Diagnostic CategoriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Divisio...
Source: Psychiatric Quarterly - January 14, 2009 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Employment Discrimination Against SchizophreniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Mar...
Source: Psychiatric Quarterly - December 12, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Self-Efficacy and Self-Care: Missing Ingredients in Health and Healthcare among Adults with Serious Mental IllnessesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ph...
Source: Psychiatric Quarterly - December 2, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

HIV/AIDS/STD/HCV, Coinfection, Seroprevalence and Education in Severe Mental Illness: Health Education PilotEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Psy...
Source: Psychiatric Quarterly - October 9, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Subjectivity in the Perception and Measurement of Quality of Life: Conceptualization and Development of the Seville QuestionnaireEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 f...
Source: Psychiatric Quarterly - October 8, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

The Importance of Hopelessness Among University Students Seeking Psychiatric CounselingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 bring...
Source: Psychiatric Quarterly - September 20, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

The Diagnosis and Treatment of Individuals with Mental Illness and Developmental Disabilities: An OverviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Psychiatric Quarterly - September 3, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Internet Use by Patients with Psychiatric Disorders in Search for General and Medical InformationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 G...
Source: Psychiatric Quarterly - August 29, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Working with Individuals with Mental Illness and Developmental Disabilities: Synthesizing the Best Information for the Practicing ClinicianEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Psychiatric Quarterly - August 27, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Patient and Family Advocacy: Working with Individuals with Comorbid Mental Illness and Developmental Disabilities and their FamiliesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. Conte...
Source: Psychiatric Quarterly - August 26, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Anxiety Disorders in Persons with Developmental Disabilities: Empirically Informed Diagnosis and TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 difficultie...
Source: Psychiatric Quarterly - August 24, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Diagnosis and Treatment of Mood Disorders in Adults with Developmental DisabilitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 diso...
Source: Psychiatric Quarterly - August 24, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Treatment Models for Treating Patients with Combined Mental Illness and Developmental DisabilityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Psychiatric Quarterly - August 24, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

A Review of Empirical Evidence of Somatic Treatment Options for the MI/DD PopulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 prescri...
Source: Psychiatric Quarterly - August 24, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Diagnosis and Treatment of Aggression in Individuals with Developmental DisabilitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Psychiatric Quarterly - August 24, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

The Role of the Psychiatrist as AdvocateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 1573-6709Pr...
Source: Psychiatric Quarterly - July 22, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Methodological Structure for Aggression ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Ken...
Source: Psychiatric Quarterly - July 15, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Suicide and Marital Status in ItalyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ItalyMau...
Source: Psychiatric Quarterly - July 4, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Comorbid Anxiety in Bipolar Disorder Alters Treatment and PrognosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 pharmacolog...
Source: Psychiatric Quarterly - May 20, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Both Atomoxetine and Stimulants Improve Quality of Life in an ADHD Population Treated in a Community ClinicEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Psychiatric Quarterly - March 8, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

The Use of Data to Assist in the Design of a New Service System for Homeless Veterans in New York CityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 N...
Source: Psychiatric Quarterly - March 7, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Efficacy of Couple Therapy as a Treatment for Depression: A Meta-AnalysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 s...
Source: Psychiatric Quarterly - February 8, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

The Role of a Behavioral Health Medical Director in Medicaid Managed CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Psychiatric Quarterly - January 25, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

Comparison of Clozapine Response for Inpatients in the Research Setting Versus Routine Clinical PracticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Pharma...
Source: Psychiatric Quarterly - January 24, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals

The Role of the Medical Director in Public Mental Health Organizations: Part IIEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Psychiatric Quarterly - January 11, 2008 Category: Psychiatry Tags: Psychiatric Quarterly Source Type: journals