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    1 OF 57

    Prevalence and correlates for ADHD and relation with social and academic functioning among children and adolescents with HIV/AIDS in Uganda.
    BMC Psychiatry 2017 Sep 22;17(1):336. Epub 2017 Sep 22.
    Department of Global Health and Social Medicine, Harvard Medical School, Massachusetts, USA.
    Background: Aim of this study was to determine the prevalence of attention-deficit/hyperactivity disorder (ADHD), its associated correlates and relations with clinical and behavioural problems among children and adolescents with HIV/AIDS (CA-HIV) attending five HIV clinics in central and South Western Uganda.

    Methods: This study used a quantitative design that involved a random sample of 1339 children and adolescents with HIV and their caregivers. The Participants completed an extensive battery of measures including a standardized DSM-5 referenced rating scale, the parent version (5-18 years) of the Child and Adolescent Symptom Inventory-5 (CASI-5). Read More

    Depression differed by midnight cortisol secretion, alexithymia and anxiety between diabetes types: a cross sectional comparison.
    BMC Psychiatry 2017 Sep 20;17(1):335. Epub 2017 Sep 20.
    Department of Research and Development, Region Kronoberg, Box 1223, SE-351 12, Växjö, Sweden.
    Background: Increased prevalence of depression is found in both type 2 diabetes (T2D) and type 1 diabetes (T1D). Melancholia and atypical depression differ by cortisol secretion and clinical features. The aim was to compare the clinical presentation of T1D and T2D patients in relation to self-reported depression, self-reported anxiety, alexithymia, obesity, and midnight salivary cortisol (MSC). Read More

    Family-based intervention in adolescent restrictive eating disorders: early treatment response and low weight suppression is associated with favourable one-year outcome.
    BMC Psychiatry 2017 Sep 15;17(1):333. Epub 2017 Sep 15.
    Department of Neuroscience, Child and Adolescent Psychiatry, Uppsala University, Uppsala, Sweden.
    Background: Family-based treatments are first-line treatments for adolescents with restrictive eating disorders (ED) but have to be improved since outcome is poor for some. We have investigated the one-year outcome of a family-based intervention programme with defined and decisive interventions at the start of treatment.

    Method: Data pertaining 201 adolescents with restrictive ED with features of anorexia nervosa but not fulfilling the weight criterion starting treatment 2010-2015, had a wide range of body mass index (BMI) and of weight loss at presentation, and completed a one-year follow-up was analysed. Read More

    Association of body mass index with amnestic and non-amnestic mild cognitive impairment risk in elderly.
    BMC Psychiatry 2017 Sep 15;17(1):334. Epub 2017 Sep 15.
    Department of Geriatrics, Tianjin Medical University General Hospital; Tianjin Geriatrics Institute, No. 154, Anshan Road, Heping District, Tianjin, 300052, China.
    Background: Previous studies focused on the relationship between body mass index and cognitive disorder and obtained many conflicting results. This study explored the potential effects of body mass index on the risk of mild cognitive impairment (amnestic and non-amnestic) in the elderly.

    Methods: The study enrolled 240 amnestic mild cognitive impairment patients, 240 non-amnestic mild cognitive impairment patients and 480 normal cognitive function controls. Read More

    Implementation of internet-delivered cognitive behavior therapy within community mental health clinics: a process evaluation using the consolidated framework for implementation research.
    BMC Psychiatry 2017 Sep 12;17(1):331. Epub 2017 Sep 12.
    Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S 0A2, Canada.
    Background: Depression and anxiety are prevalent and under treated conditions that create enormous burden for the patient and the health system. Internet-delivered cognitive behavior therapy (ICBT) improves patient access to treatment by providing therapeutic information via the Internet, presented in sequential lessons, accompanied by brief weekly therapist support. While there is growing research supporting ICBT, use of ICBT within community mental health clinics is limited. Read More

    A case of a four-year-old child adopted at eight months with unusual mood patterns and significant polypharmacy.
    BMC Psychiatry 2017 Sep 11;17(1):330. Epub 2017 Sep 11.
    Mayo Clinic, Department of Psychiatry and Psychology, 200 1st SW, Rochester, MN, 55901, USA.
    Background: Long-term effects of neglect in early life are still widely unknown. Diversity of outcomes can be explained by differences in genetic risk, epigenetics, prenatal factors, exposure to stress and/or substances, and parent-child interactions. Very common sub-threshold presentations of children with history of early trauma are challenging not only to diagnose but also in treatment. Read More

    Protocol for the management of psychiatric patients with psychomotor agitation.
    BMC Psychiatry 2017 Sep 8;17(1):328. Epub 2017 Sep 8.
    Hospital Clínic de Barcelona, Institute of Neuroscience, Barcelona, Catalonia, Spain.
    Background: Psychomotor agitation (PMA) is a state of motor restlessness and mental tension that requires prompt recognition, appropriate assessment and management to minimize anxiety for the patient and reduce the risk for escalation to aggression and violence. Standardized and applicable protocols and algorithms can assist healthcare providers to identify patients at risk of PMA, achieve timely diagnosis and implement minimally invasive management strategies to ensure patient and staff safety and resolution of the episode.

    Methods: Spanish experts in PMA from different disciplines (psychiatrists, psychologists and nurses) convened in Barcelona for a meeting in April 2016. Read More

    Screening for anxiety and depression: reassessing the utility of the Zung scales.
    BMC Psychiatry 2017 Sep 8;17(1):329. Epub 2017 Sep 8.
    School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, NSW, 2351, Australia.
    Background: While the gold standard for the diagnosis of mental disorders remains the structured clinical interview, self-report measures continue to play an important role in screening and measuring progress, as well as being frequently employed in research studies. Two widely-used self-report measures in the area of depression and anxiety are Zung's Self-Rating Depression Scale (SDS) and Self Rating Anxiety Scale (SAS). However, considerable confusion exists in their application, with clinical cut-offs often applied incorrectly. Read More

    Separating obsessive-compulsive disorder from the self. A qualitative study of family member perceptions.
    BMC Psychiatry 2017 Sep 7;17(1):326. Epub 2017 Sep 7.
    Division of Psychology and Mental Health, School of Health Sciences & Manchester Centre for Health Psychology, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Room 1.4 Coupland 1 Building, Oxford Road, Manchester, M13 9PL, UK.
    Background: Obsessive-compulsive disorder (OCD) is a condition which can have major effects on the life of both the sufferer and their family members. Previous research has shown that the impact of illness on family members is related to their conceptualisation of the illness. In the present study we used qualitative methods to explore illness perceptions in family members of people with OCD. Read More

    TSH cut off point based on depression in hypothyroid patients.
    BMC Psychiatry 2017 Sep 7;17(1):327. Epub 2017 Sep 7.
    Department of Internal Medicine, School of Medicine, Endocrinology and Metabolism Research Center, Arak University of Medical Sciences, Arak, Iran.
    Background: The prevalence of depressive symptoms in hypothyroidism is high. Considering that hypothyroidism and depression share some clinical features, some researchers use the "brain hypothyroidism" hypothesis to explain the pathogenesis of depression. We aimed to detect a new TSH cut-off value in hypothyroidism based on depression symptoms. Read More

    Effect of short-term heart rate variability biofeedback on long-term abstinence in alcohol dependent patients - a one-year follow-up.
    BMC Psychiatry 2017 Sep 6;17(1):325. Epub 2017 Sep 6.
    Department of Neurology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
    Background: A randomized controlled study (RCT) recently showed that short-term heart rate variability (HRV) biofeedback in addition to standard rehabilitation care for alcohol dependence can reduce craving, anxiety and improve cardiovascular autonomic function. In this one-year follow-up study we aimed to explore whether completion of 2-week HRV-Biofeedback training is associated with long-term abstinence. Furthermore, we sought to identify potential predictors of post-treatment abstinence. Read More

    Aerobic training for improved memory in patients with stress-related exhaustion: a randomized controlled trial.
    BMC Psychiatry 2017 Sep 2;17(1):322. Epub 2017 Sep 2.
    Danish Research Centre for Magnetic Resonance (DRCMR), Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark.
    Background: Patients with stress-related exhaustion suffer from cognitive impairments, which often remain after psychological treatment or work place interventions. It is important to find effective treatments that can address this problem. Therefore, the aim of this study was to investigate the effects on cognitive performance and psychological variables of a 12-week aerobic training program performed at a moderate-vigorous intensity for patients with exhaustion disorder who participated in a multimodal rehabilitation program. Read More

    Psychosocial stressors contributing to emergency psychiatric service utilization in a sample of ethno-culturally diverse clients with psychosis in Toronto.
    BMC Psychiatry 2017 Sep 2;17(1):324. Epub 2017 Sep 2.
    Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
    Background: Understanding the psychosocial stressors of people with psychoses from minority ethnic groups may help in the development of culturally appropriate services. This study aimed to compare psychosocial factors associated with attendance at an emergency department (ED) for six ethnic groups. Preventing crises or supporting people better in the community may decrease hospitalization and improve outcomes. Read More

    Effect of unaffordable medical need on distress level of family member: analyses of 1997-2013 United States National Health Interview Surveys.
    BMC Psychiatry 2017 Sep 2;17(1):323. Epub 2017 Sep 2.
    National Drug Research Institute, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia.
    Background: Reduced funding to public health care systems during economic downturns is a common phenomenon around the world. The effect of health care cost on family members of the patients has not been established. This paper aims to explore the relationship between affordability of health care and vulnerability of family members to distress levels. Read More

    A systematic review of evidence for fitness-to-drive among people with the mental health conditions of schizophrenia, stress/anxiety disorder, depression, personality disorder and obsessive compulsive disorder.
    BMC Psychiatry 2017 Aug 31;17(1):318. Epub 2017 Aug 31.
    Trinity College, Dublin, Republic of Ireland.
    Background: Limited evidence exists regarding fitness-to-drive for people with the mental health conditions of schizophrenia, stress/anxiety disorder, depression, personality disorder and obsessive compulsive disorder (herein simply referred to as 'mental health conditions'). The aim of this paper was to systematically search and classify all published studies regarding driving for this population, and then critically appraise papers addressing assessment of fitness-to-drive where the focus was not on the impact of medication on driving.

    Methods: A systematic search of three databases (CINAHL, PSYCHINFO, EMBASE) was completed from inception to May 2016 to identify all articles on driving and mental health conditions. Read More

    Case report of anti-N-methyl-D-aspartate receptor encephalitis in a middle-aged woman with a long history of major depressive disorder.
    BMC Psychiatry 2017 Aug 31;17(1):320. Epub 2017 Aug 31.
    Mental Health Center and Psychiatric Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
    Background: Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an autoimmune disease involving antibodies against the NR1 subunits of NMDARs. The disease shows variable clinical presentation, and involves new-onset acute psychotic symptoms, making it difficult to differentiate from major depressive disorder with psychotic symptoms. Potential associations between this autoimmune disorder and onset or progression of major depressive disorder remains unclear. Read More

    Developing a decision tool to identify patients with personality disorders in need of highly specialized care.
    BMC Psychiatry 2017 Aug 31;17(1):317. Epub 2017 Aug 31.
    Erasmus University Rotterdam, Institute for Medical Technology Assessment, Institute of Health Policy & Management, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands.
    Background: Current guidelines recommend referral to highly specialized care for patients with severe personality disorders. However, criteria for allocation to highly specialized care are not clearly defined. The aim of the present study was to develop a decision tool that can support clinicians to identify patients with a personality disorder in need of highly specialized care. Read More

    Genetics of depressive symptoms in adolescence.
    BMC Psychiatry 2017 Aug 31;17(1):321. Epub 2017 Aug 31.
    MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, Barley House, Oakfield Grove, Bristol, BS8 2BN, UK.
    Background: Despite many attempts to understand the genetic architecture of depression, little progress has been made. The majority of these studies, however, have been carried out in adults and do not account for the potential influence of development.

    Methods: The Avon Longitudinal Study of Parents and Children (ALSPAC) is a longitudinal pregnancy cohort which recruited participants between April 1991 and December 1992. Read More

    Jump step - a community based participatory approach to physical activity & mental wellness.
    BMC Psychiatry 2017 Aug 31;17(1):319. Epub 2017 Aug 31.
    Department of Family Practice, University of British Columbia, 5950 University Blvd, Vancouver, BC, V6T 1Z3, Canada.
    Background: There is a physical inactivity pandemic around the world despite the known benefits of engaging in physical activity. This is true for individuals who would receive notable benefits from physical activity, in particular those with mood disorders. In this study, we explored the factors that facilitate and impede engagement in physical activity for individuals with a mood disorder. Read More

    Barriers and facilitators in accessing dementia care by ethnic minority groups: a meta-synthesis of qualitative studies.
    BMC Psychiatry 2017 Aug 30;17(1):316. Epub 2017 Aug 30.
    Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, The University of Manchester, 5th floor, Williamson Building, Oxford Road, Manchester, M13 9PL, UK.
    Background: It is estimated that there are about 25,000 people from UK ethnic minority groups with dementia. It is clear that there is an increasing need to improve access to dementia services for all ethnic groups to ensure that everyone has access to the same potential health benefits. The aim was to systematically review qualitative studies and to perform a meta-synthesis around barriers and facilitators to accessing care for dementia in ethnic minorities. Read More

    Wellbeing, activity and housing satisfaction - comparing residents with psychiatric disabilities in supported housing and ordinary housing with support.
    BMC Psychiatry 2017 Aug 30;17(1):315. Epub 2017 Aug 30.
    Department of Health and Caring Sciences, Linneaus University, Växjö, Sweden.
    Background: The home is imperative for the possibilities for meaningful everyday activities among people with psychiatric disabilities. Knowledge of whether such possibilities vary with type of housing and housing support might reveal areas for improved support. We aimed to compare people with psychiatric disabilities living in supported housing (SH) and ordinary housing with support (OHS) regarding perceived well-being, engaging and satisfying everyday activities, and perceived meaning of activity in one's accommodation. Read More

    Ethical acceptability of offering financial incentives for taking antipsychotic depot medication: patients' and clinicians' perspectives after a 12-month randomized controlled trial.
    BMC Psychiatry 2017 Aug 29;17(1):313. Epub 2017 Aug 29.
    Department of Psychiatry, Erasmus University Medical Center, Epidemiological and Social Psychiatric Research Institute, 3015CE, Rotterdam, The Netherlands.
    Background: A randomized controlled trial 'Money for Medication'(M4M) was conducted in which patients were offered financial incentives for taking antipsychotic depot medication. This study assessed the attitudes and ethical considerations of patients and clinicians who participated in this trial.

    Methods: Three mental healthcare institutions in secondary psychiatric care in the Netherlands participated in this study. Read More

    eHealth interventions for the prevention of depression and anxiety in the general population: a systematic review and meta-analysis.
    BMC Psychiatry 2017 Aug 29;17(1):310. Epub 2017 Aug 29.
    School of Psychiatry, University of New South Wales, Sydney, NSW, 2052, Australia.
    Background: Anxiety and depression are associated with a range of adverse outcomes and represent a large global burden to individuals and health care systems. Prevention programs are an important way to avert a proportion of the burden associated with such conditions both at a clinical and subclinical level. eHealth interventions provide an opportunity to offer accessible, acceptable, easily disseminated globally low-cost interventions on a wide scale. Read More

    Comorbid post-traumatic stress disorder in alcohol use disorder: relationships to demography, drinking and neuroimmune profile.
    BMC Psychiatry 2017 Aug 29;17(1):312. Epub 2017 Aug 29.
    Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Post box 104, 2381, Brumunddal, Norway.
    Background: This study examined how alcohol use disorder (AUD) patients with post-traumatic stress disorder (PTSD) differed from those without PTSD in terms of demography, drinking patterns and C-reactive protein, inflammatory cytokines, tryptophan metabolism parameters, and brain-derived neurotrophic factor (BDNF).

    Methods: A consecutive sample (N = 187) of treatment-receiving AUD individuals were recruited from Nepalese facilities. They underwent fully structured psychiatric interviews. Read More

    Validation of Bengali perceived stress scale among LGBT population.
    BMC Psychiatry 2017 Aug 29;17(1):314. Epub 2017 Aug 29.
    Department of Clinical Psychology, University of Dhaka, Dhaka, 1000, Bangladesh.
    Background: Lesbian, gay, bisexual and transgender (LGBT) population encounter more stressful life circumstances compared to general population. Perceived Stress Scale (PSS) can be a useful tool for measuring their stress. However, psychometric properties of PSS have never been tested on LGBT population. Read More

    Dilemma of treating schizophrenia during pregnancy: a Case series and a review of literature.
    BMC Psychiatry 2017 Aug 29;17(1):311. Epub 2017 Aug 29.
    Transilvania University, Faculty of Medicine, 29th Eroilor Bvd, Brasov, Romania.
    Background: The choice of antipsychotic treatment during pregnancy remains controversial, mainly due to a lack of exposure and outcome data. Randomized clinical trials are practically impossible due to ethical reasons. Our reports describe three cases of closely monitored female patients with schizophrenia who were treated with olanzapine during pregnancy. Read More

    Only a small proportion of patients with first episode psychosis come via prodromal services: a retrospective survey of a large UK mental health programme.
    BMC Psychiatry 2017 Aug 25;17(1):308. Epub 2017 Aug 25.
    Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, 16 De Crespigny Park, London, SE5 8AF, UK.
    Background: Little is known about patients with a first episode of psychosis (FEP) who had first presented to prodromal services with an "at risk mental state" (ARMS) before making the transition to psychosis. We set out to identify the proportion of patients with a FEP who had first presented to prodromal services in the ARMS state, and to compare these FEP patients with FEP patients who did not have prior contact with prodromal services.

    Methods: In this study information on 338 patients aged ≤37 years who presented to mental health services between 2010 and 2012 with a FEP was examined. Read More

    Factors related to the improvement in quality of life for depressed inpatients treated with fluoxetine.
    BMC Psychiatry 2017 Aug 25;17(1):309. Epub 2017 Aug 25.
    Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, No.130, Kaisyuan 2nd Road, Lingya District, Kaohsiung City, 80276, Taiwan.
    Background: The aim of this study was to explore the relationships between depressive symptoms and health-related quality of life (HRQOL) measurements for inpatients with major depressive disorder (MDD) before and after 6-week fluoxetine treatment, and to elucidate the factors related to the HRQOL changes.

    Methods: A total of 131 inpatients with MDD were enrolled to receive 20 mg of fluoxetine for 6 weeks. Symptom severity and adverse events were assessed at weeks 0, 1, 2, 3, 4, and 6 using the 17-item Hamilton Depression Rating Scale (HAMD-17) and UKU Side Effect Rating Scale, respectively. Read More

    The safety and tolerability of cariprazine in long-term treatment of schizophrenia: a post hoc pooled analysis.
    BMC Psychiatry 2017 Aug 24;17(1):305. Epub 2017 Aug 24.
    Allergan, Harborside 5, 185 Hudson Street, Jersey City, NJ, 07311, USA.
    Background: Schizophrenia is a chronic and debilitating neuropsychiatric disorder that often requires long-term pharmacotherapy to manage symptoms and prevent relapse. Cariprazine is a potent dopamine D3 and D2 receptor partial agonist that is FDA-approved in the US for the treatment of schizophrenia and manic or mixed episodes associated with bipolar I disorder in adults; the recommended dose range is 1.5-6 mg/d. Read More

    Randomized controlled trial to evaluate the effects of personalized prediction and adaptation tools on treatment outcome in outpatient psychotherapy: study protocol.
    BMC Psychiatry 2017 Aug 24;17(1):306. Epub 2017 Aug 24.
    Clinical Psychology and Psychotherapy, Department of Psychology, University of Trier, D-54286, Trier, Germany.
    Background: Psychotherapy is successful for the majority of patients, but not for every patient. Hence, further knowledge is needed on how treatments should be adapted for those who do not profit or deteriorate. In the last years prediction tools as well as feedback interventions were part of a trend to more personalized approaches in psychotherapy. Read More

    Trends in the prescription of benzodiazepines for the elderly in Korea.
    BMC Psychiatry 2017 Aug 22;17(1):303. Epub 2017 Aug 22.
    Department of Hospital Administration, Graduate School of Public Health, Institute of Health Services Research, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, 03711, Seoul, Republic of Korea.
    Background: This study examined trends in the prescription of benzodiazepines for the elderly (age over 65 years) in Korea, a country with a higher level of spending on pharmaceuticals compared to that in other Organization for Economic Cooperation and Development (OECD) countries, and identified factors related to the inappropriate use of such drugs.

    Methods: We used the National Health Insurance Claims Data (NHICD) for the period 2009-2013, including all reimbursed drug-prescribing information. Following the OECD's prescribing quality indicators (PQIs), we looked at the prevalence, quantities, durations, and inappropriate (long-term or high-quantity) use of benzodiazepines, some of the most widely prescribed, but potentially inappropriate, drugs for the elderly. Read More

    Experiences of antipsychotic use in patients with early psychosis: a two-year follow-up study.
    BMC Psychiatry 2017 Aug 22;17(1):299. Epub 2017 Aug 22.
    Centre for Clinical Psychosis Research, Division of Psychiatry, Stavanger University Hospital, Stavanger, Norway.
    Background: Non-adherence is a major public health problem despite treatment advances. Poor drug adherence in patients with psychosis is associated with more frequent relapse, re-hospitalization, increased consumption of health services and poor outcomes on a variety of measures. Adherence rate in patients with first episode psychosis have been found to vary from 40 to 60%. Read More

    Antenatal depressive symptoms and perinatal complications: a prospective study in rural Ethiopia.
    BMC Psychiatry 2017 Aug 22;17(1):301. Epub 2017 Aug 22.
    Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
    Background: Antenatal depressive symptoms affect around 12.3% of women in in low and middle income countries (LMICs) and data are accumulating about associations with adverse outcomes for mother and child. Studies from rural, low-income country community samples are limited. Read More

    Adult ADHD and comorbid disorders: clinical implications of a dimensional approach.
    BMC Psychiatry 2017 Aug 22;17(1):302. Epub 2017 Aug 22.
    Eden Mental Health Centre, 1500 Pembina Ave, Winkler, MB, R6W 1T4, Canada.
    Attention-deficit/hyperactivity disorder (ADHD) in the adult population is frequently associated with comorbid psychiatric diseases that complicate its recognition, diagnosis and management.The prevalence of ADHD in the general adult population is 2.5% and it is associated with substantial personal and individual burden. Read More

    Autism Spectrum disorders (ASD) in South Asia: a systematic review.
    BMC Psychiatry 2017 Aug 1;17(1):281. Epub 2017 Aug 1.
    James P. Grant School of Public Health, BRAC University, 68 Shahid Tajuddin Ahmed Sharani, Dhaka, Bangladesh.
    Background: Autism spectrum disorders (ASD) are a group of complex neurodevelopmental disorders. The prevalence of ASD in many South Asian countries is still unknown. The aim of this study was to systematically review available epidemiological studies of ASD in this region to identify gaps in our current knowledge. Read More

    Physical activity and quality of life in long-term hospitalized patients with severe mental illness: a cross-sectional study.
    BMC Psychiatry 2017 Aug 18;17(1):298. Epub 2017 Aug 18.
    GGz Centraal, Utrechtseweg 266, 3818 EW, Amersfoort, The Netherlands.
    Background: Increasing physical activity in patients with severe mental illness is believed to have positive effects on physical health, psychiatric symptoms and as well quality of life. Till now, little is known about the relationship between physical activity and quality of life in long-term hospitalized patients with severe mental illness and knowledge of the determinants of behavioural change is lacking. The purpose of this study was to elucidate the relationship between objectively measured physical activity and quality of life, and explore modifiable psychological determinants of change in physical activity in long-term hospitalized patients with severe mental illness. Read More

    Relationship satisfaction and interpartner agreement about acts of physical and psychological aggression: a multilevel analysis.
    BMC Psychiatry 2017 Aug 15;17(1):295. Epub 2017 Aug 15.
    Facultad de Psicología, Universidad Complutense, Campus de Somosaguas, 28223, Madrid, Spain.
    Background: To analyze, in a multilevel context, the impact of individual-level relationship satisfaction on couples' mean reports of aggression and agreement about acts of physical and psychological aggression.

    Methods: We conducted a quota sampling method to recruit a community sample of 2.988 heterosexual adult couples from the Region of Madrid (Spain). Read More

    Violence and depression among men who have sex with men in Tanzania.
    BMC Psychiatry 2017 Aug 15;17(1):296. Epub 2017 Aug 15.
    The Jakaya Kikwete Cardiac Institute, Directorate of Research & Publications, P.O Box 65141, Dar es Salaam, Tanzania.
    Background: Men who have sex with men (MSM) continue to be at an increased risk of Violence, HIV transmission and Mental Disorders such as depression on top of many other bio-psycho-socio challenges they face as a result of their sexual orientation.

    Methods: We recruited 345 MSM using a respondent driven sampling technique. Revised Conflict Tactic Scale, PHQ-9 and questions adapted from the TDHS 2010 were used to assess for violence, depression and HIV-risk behaviors respectively. Read More

    Efficacy of a prevention program for eating disorders in schools: a cluster-randomized controlled trial.
    BMC Psychiatry 2017 Aug 11;17(1):293. Epub 2017 Aug 11.
    Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf & Schön Clinic Hamburg Eilbek, Germany, Martinistraße 52, 20246, Hamburg, Germany.
    Background: Previous prevention programs in the school context have not addressed both genders, have been time-consuming, or have had deficits in the evaluation method. The aim of the present study was to evaluate the impact of a universal prevention program for female and male adolescents on eating disorder pathology and related risk factors.

    Methods: Between February 2012 and July 2014, 2515 students in 23 schools from 8th or 11th grade were assessed for eligibility in this longitudinal cluster-randomized controlled trial with a six months follow-up. Read More

    Clinicians' views on working with anorexia nervosa and autism spectrum disorder comorbidity: a qualitative study.
    BMC Psychiatry 2017 Aug 10;17(1):292. Epub 2017 Aug 10.
    King's College London, London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, London, UK.
    Background: Anorexia nervosa (AN) and autism spectrum disorder (ASD) form a relatively common comorbidity, with poorer illness outcomes and poorer responses to treatments for AN compared to individuals without ASD. However, the treatment of this comorbidity remains poorly understood: no research to date has examined how clinicians currently approach treating AN/ASD. This study aimed to explore the experiences of clinicians working with comorbid AN/ASD using qualitative methods in order to identify areas for future improvement. Read More

    Utility of the PHQ-9 to identify major depressive disorder in adult patients in Spanish primary care centres.
    BMC Psychiatry 2017 Aug 9;17(1):291. Epub 2017 Aug 9.
    Complejo Hospitalario Universitario of Albacete, Mental Health Service of Albacete, Albacete, Spain.
    Background: The prevalence of major depressive disorder (MDD) in Spanish primary care (PC) centres is high. However, MDD is frequently underdiagnosed and consequently only some patients receive the appropriate treatment. The present study aims to determine the utility of the Patient Health Questionnaire-9 (PHQ-9) to identify MDD in a subset of PC patients participating in the large PsicAP study. Read More

    Characteristic distribution of the total and individual item scores on the Kessler Screening Scale for Psychological Distress (K6) in US adults.
    BMC Psychiatry 2017 Aug 7;17(1):290. Epub 2017 Aug 7.
    Department of Health Promotion and Human Behavior, Department of Clinical Epidemiology, Kyoto University Graduate School of Medicine/School of Public Health, Yoshida Konoe-cho, Sakyo-ku, Kyoto, 606-8501, Japan.
    Background: The distributional pattern of total scores on depression screening scales in the general population has not been well studied. Recent studies suggest that the total scores on depression screening scales follow an exponential pattern, with the exception of the lower end of the distribution. To further investigate the findings, we determined the distributions of the total and individual item scores on the Kessler Screening Scale for Psychological Distress (K6). Read More

    Detection of domestic violence by community mental health teams: a multi-center, cluster randomized controlled trial.
    BMC Psychiatry 2017 Aug 7;17(1):288. Epub 2017 Aug 7.
    Department of Psychiatry Erasmus Medical Center, Espri Epidemiological and Social Research Institute, 's Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.
    Background: Domestic Violence and Abuse (DVA) is associated with a range of psychosocial and mental health problems. Having a psychiatric illness increases likelihood of being a victim of DVA. Despite the evidence of a high risk for DVA and the serious effects of violent victimization in psychiatric patients, detection rates are low and responses are inadequate. Read More

    Correct recognition and continuum belief of mental disorders in a nursing student population.
    BMC Psychiatry 2017 Aug 7;17(1):289. Epub 2017 Aug 7.
    Research Division, Institute of Mental Health, Singapore, Singapore.
    Background: The current study aimed to explore the correct recognition of mental disorders across dementia, alcohol abuse, obsessive compulsive disorder (OCD), schizophrenia and depression, along with its correlates in a nursing student population. The belief in a continuum of symptoms from mental health to mental illness and its relationship with the non-identification of mental illness was also explored.

    Methods: Five hundred students from four nursing institutions in Singapore participated in this cross-sectional online study. Read More

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