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    2850 results match your criteria BMC Psychiatry[Journal]

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    Demographic and need factors of early, delayed and no mental health care use in major depression: a prospective study.
    BMC Psychiatry 2017 Nov 16;17(1):367. Epub 2017 Nov 16.
    EMGO+ institute for Health Care and Research, VU Medical Centre, van der Boechorststraat 7, 1081, BT, Amsterdam, The Netherlands.
    Background: Despite the availability of evidence based treatments, many people with major depression receive no or delayed professional treatment, which may put them at risk for adverse outcomes. The aim of this study was to examine which demographic and need factors distinguish early, delayed and no treatment use.

    Methods: Data were obtained from the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2). Read More

    Study approach and field work procedures of the MentDis_ICF65+ project on the prevalence of mental disorders in the older adult European population.
    BMC Psychiatry 2017 Nov 16;17(1):366. Epub 2017 Nov 16.
    Department of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
    Background: This study describes the study approach and field procedures of the MentDis_ICF65+ study, which aims to assess the prevalence of mental disorders in older adults.

    Methods: An age-appropriate version of the Composite International Diagnostic Interview (CIDI65+) was developed and tested with regard to its feasibility and psychometric properties in a pre-test and pilot phase. In the cross-sectional survey an age-stratified, random sample of older adults (65-84 years) living in selected catchment areas of five European countries and Israel was recruited. Read More

    Associations between occupational stress, burnout and well-being among manufacturing workers: mediating roles of psychological capital and self-esteem.
    BMC Psychiatry 2017 Nov 15;17(1):364. Epub 2017 Nov 15.
    Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North NewArea, Shenyang, Liaoning, People's Republic of China.
    Background: Occupational stress is an important risk factor for mental health among occupational population. Exploring related mediators of workers' mental health are important to improve their health and performance. Our study aims to explore the relationships between work stress, positive psychological resources, burnout and well-being. Read More

    Effectiveness of Balancing Everyday Life (BEL) versus standard occupational therapy for activity engagement and functioning among people with mental illness - a cluster RCT study.
    BMC Psychiatry 2017 Nov 9;17(1):363. Epub 2017 Nov 9.
    Department of Health Sciences/ Mental Health, Activity and Participation (MAP), Lund University, Box 157, SE-22100, Lund, Sweden.
    Background: Many with a mental illness have an impoverished everyday life with few meaningful activities and a sedentary lifestyle. The study aim was to evaluate the effectiveness of the 16-week Balancing Everyday Life (BEL) program, compared to care as usual (CAU), for people with mental illness in specialized and community-based psychiatric services. The main outcomes concerned different aspects of subjectively evaluated everyday activities, in terms of the engagement and satisfaction they bring, balance among activities, and activity level. Read More

    Hypnotic susceptibility and affective states in bipolar I and II disorders.
    BMC Psychiatry 2017 Nov 9;17(1):362. Epub 2017 Nov 9.
    Department of Clinical Psychology and Psychiatry/ School of Public Health, Zhejiang University College of Medicine, Hangzhou, Zhejiang, 310058, China.
    Background: Highly hypnotizable individuals have impaired executive function, elevated motor impulsivity and increased emotional sensitivity, which are sometimes found in bipolar disorder patients. It is then reasonable to assume that certain aspects of hypnotic susceptibility differ with the types of bipolar disorder.

    Methods: The Stanford Hypnotic Susceptibility Scale: Form C (SHSS:C) test, the Mood Disorder Questionnaire (MDQ), the Hypomanic Checklist-32 (HCL-32) and the Plutchick-van Praag Depression Inventory (PVP) were applied to 62 patients with bipolar I disorder, 33 bipolar II disorder, and 120 healthy volunteers. Read More

    Operationalization of diagnostic criteria of DSM-5 somatic symptom disorders.
    BMC Psychiatry 2017 Nov 7;17(1):361. Epub 2017 Nov 7.
    Department of Psychosomatics, Medical Division, University Hospital Basel, Basel, Switzerland.
    Background: The aim of this study was to test the operationalization of DSM-5 somatic symptom disorder (SSD) psychological criteria among Chinese general hospital outpatients.

    Methods: This multicenter, cross-sectional study enrolled 491 patients from 10 general hospital outpatient departments. The structured clinical "interview about cognitive, affective, and behavioral features associated with somatic complaints" was used to operationalize the SSD criteria B. Read More

    The Japanese version of the questionnaire about the process of recovery: development and validity and reliability testing.
    BMC Psychiatry 2017 Nov 7;17(1):360. Epub 2017 Nov 7.
    Department of Neuropsychiatry, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
    Background: Personal recovery is increasingly recognised as an important outcome measure in mental health services. This study aimed to develop a Japanese version of the Questionnaire about the Process of Recovery (QPR-J) and test its validity and reliability.

    Methods: The study comprised two stages that employed the cross-sectional and prospective cohort designs, respectively. Read More

    Brief reasons for living inventory: a psychometric investigation.
    BMC Psychiatry 2017 Nov 6;17(1):358. Epub 2017 Nov 6.
    Mental Health Research and Treatment Center, Department of Psychology, Ruhr-Universität Bochum, Massenbergstrasse 11, 44787, Bochum, Germany.
    Background: The present study aimed at validating the German version of the Brief Reasons for Living inventory (BRFL).

    Methods: Validity and reliability were established in a community (n = 339) and a clinical sample (n = 272). Convergent and discriminant validity were investigated, and confirmatory factor analyses were conducted for the complete BRFL as well as for a 10-item version excluding conditional items on child-related concerns. Read More

    Associations between physical activity and motivation, competence, functioning, and apathy in inhabitants with mental illness from a rural municipality: a cross-sectional study.
    BMC Psychiatry 2017 Nov 6;17(1):359. Epub 2017 Nov 6.
    Innlandet Hospital Trust, Department for Acute Psychiatry and Psychosis, Reinsvoll, Division of Psychiatry, Vestre Toten, Norway.
    Background: There is increasing evidence for physical activity (PA) having a positive impact on physical and mental health as well as illness symptoms in individuals with severe mental illness (SMI). However, individuals with SMI experience several barriers that makes it difficult to take advantage of the benefits associated with PA. One barrier consistently reported to impede PA is motivational issues. Read More

    The protective role of religiosity against problem gambling: findings from a five-year prospective study.
    BMC Psychiatry 2017 Nov 6;17(1):356. Epub 2017 Nov 6.
    Research and Academics Division, Waypoint Centre for Mental Health Care, Penetanguishene, ON, Canada.
    Background: Little research has examined the potential protective influence of religiosity against problem gambling; a common addictive behavior, and one with a host of associated negative health and social outcomes. The aims of this study were to examine (1) the potential longitudinal association between religiosity and problem gambling among adults and (2) the potential moderating role of gender on this association.

    Methods: Data were from five waves of the Quinte Longitudinal Study (QLS), between 2006 and 2010. Read More

    Perceived coercion in psychiatric hospital admission: validation of the French-language version of the MacArthur Admission Experience Survey.
    BMC Psychiatry 2017 Nov 6;17(1):357. Epub 2017 Nov 6.
    Community Psychiatry Service, Department of Psychiatry, Lausanne University Hospital (CHUV), Consultations de Chauderon, Place Chauderon 18, 1003, Lausanne, Switzerland.
    Background: The MacArthur Admission Experience Survey (AES) is a widely used tool to evaluate the level of perceived coercion experienced at psychiatric hospital admission. The French-language AES was prepared using a translation/back-translation procedure. It consists of 16 items and 3 subscores (perceived coercion, negative pressures and voice). Read More

    Community-based psychosocial interventions for people with schizophrenia in low and middle-income countries: systematic review and meta-analysis.
    BMC Psychiatry 2017 Oct 30;17(1):355. Epub 2017 Oct 30.
    Wellcome Trust, London, UK.
    Background: There is consensus that the treatment of schizophrenia should combine anti-psychotic medication and psychosocial interventions in order to address complex social, economic and health needs. It is recommended that family therapy or support; community-based rehabilitation; and/or self-help and support groups should be provided for people with schizophrenia in low and middle-income countries. The effectiveness of community-based psychosocial interventions in these settings is unclear. Read More

    Investigating the epigenetic profile of the inflammatory gene IL-6 in late-life depression.
    BMC Psychiatry 2017 Oct 25;17(1):354. Epub 2017 Oct 25.
    Cancer & Disease Epigenetics, Murdoch Childrens Research Institute, Royal Children's Hospital & Department of Paediatrics, University of Melbourne, Parkville, VIC, 3052, Australia.
    Background: It is well established that there is a link between inflammation and depression, with several studies reporting increased circulating levels of the pro-inflammatory cytokine, interleukin-6 (IL6), in depressed individuals. Peripheral epigenetic marks, including DNA methylation, hold promise as biomarkers for a range of complex conditions, with potential to inform diagnosis and tailor interventions. The aim of this study was to determine whether individuals with depression display differential methylation of the IL6 gene promoter compared to individuals without depression. Read More

    Factors associated with the burden of family caregivers of patients with mental disorders: a cross-sectional study.
    BMC Psychiatry 2017 Oct 25;17(1):353. Epub 2017 Oct 25.
    Faculty of Medicine, Federal University of Goiás, Goiânia, Goiás, Brazil.
    Background: Caregivers are responsible for the home care of family members with mental-health disorders often experience changes in their life that can generate stress and burden. The aim of this study was to identify factors associated with the burden of caregivers of family members with mental disorders.

    Methods: This cross-sectional study was conducted with a non-probability sample of family caregivers, whose patients attended a community services program, the Psychosocial Care Centers, in three cities in the southwest region of Goiás State, Central Brazil. Read More

    The mediating effects of childhood neglect on the association between schizotypal and autistic personality traits and depression in a non-clinical sample.
    BMC Psychiatry 2017 Oct 25;17(1):352. Epub 2017 Oct 25.
    Mental Health Institute of The Second Xiangya Hospital and Key Laboratory of Psychiatry and Mental Health of Hunan Province, The Central South University, Changsha, 410000, China.
    Background: Autistic personality traits (APT) and schizotypal personality traits (SPT) are associated with depression. However, mediating factors within these relationships have not yet been explored. Thus, the focus of the current study was to examine the effects of childhood neglect on the relationship between APT/SPT and depression. Read More

    Measurement invariance testing of the PHQ-9 in a multi-ethnic population in Europe: the HELIUS study.
    BMC Psychiatry 2017 Oct 24;17(1):349. Epub 2017 Oct 24.
    QIMR Berghofer, Translational Neurogenomics group, Brisbane, Australia.
    Background: In Western European countries, the prevalence of depressive symptoms is higher among ethnic minority groups, compared to the host population. We explored whether these inequalities reflect variance in the way depressive symptoms are measured, by investigating whether items of the PHQ-9 measure the same underlying construct in six ethnic groups in the Netherlands.

    Methods: A total of 23,182 men and women aged 18-70 of Dutch, South-Asian Surinamese, African Surinamese, Ghanaian, Turkish or Moroccan origin were included in the HELIUS study and had answered to at least one of the PHQ-9 items. Read More

    Crucial factors preceding compulsory psychiatric admission: a qualitative patient-record study.
    BMC Psychiatry 2017 Oct 24;17(1):350. Epub 2017 Oct 24.
    Epidemiological and Social Psychiatric Research Institute (ESPRi), Department of Psychiatry, Erasmus University Medical Centre, Postbus 2040, 3000 CA, Rotterdam, The Netherlands.
    Background: Compulsory admissions have a strong effect on psychiatric patients and represent a deprivation of personal liberty. Although the rate of such admissions is tending to rise in several Western countries, there is little qualitative research on the mental health-care process preceding compulsory admission. The objective of the study was to identify crucial factors in the mental health-care process preceding compulsory admission of adult psychiatric patients. Read More

    Do some anxiety disorders belong to the prodrome of bipolar disorder? A clinical study combining retrospective and prospective methods to analyse the relationship between anxiety disorder and bipolar disorder from the perspective of biorhythms.
    BMC Psychiatry 2017 Oct 24;17(1):351. Epub 2017 Oct 24.
    Department of Psychiatry, West China Hospital, Sichuan University, Chengdu, 610041, China.
    Background: In clinical practice, some patients diagnosed with anxiety disorder (AD) may develop bipolar disorder (BD) many years later, and some cases of AD may be cured by the use of mood stabilizers. However, the relationship between AD and BD should be explored further.

    Method: To track how many cases of AD turned to BD and to discover the differences between them, we recruited 48 patients diagnosed with BD, who were assigned to the BD group for the retrospective analysis, and we also recruited 186 patients diagnosed with AD at enrolment; this latter group was asked to complete follow-up surveys conducted 3 months, 6 months, 12 months and 18 months after the primary stage of the study. Read More

    Depression among inmates in a regional prison of eastern Nepal: a cross-sectional study.
    BMC Psychiatry 2017 Oct 23;17(1):348. Epub 2017 Oct 23.
    School of Public Health and Community Medicine, B.P Koirala Institute of Health Sciences, Sunsari, Dharan, Nepal.
    Background: Depression is the most common form of mental disorder among inmates, with a prevalence much higher than in the general population. This study aims to estimate the prevalence of depression among inmates and identify factors associated with it.

    Methods: This cross-sectional study was conducted in Jhumka Regional Prison, the largest prison in eastern Nepal, from September 2014 to August 2015. Read More

    Brain donation in psychiatry: results of a Dutch prospective donor program among psychiatric cohort participants.
    BMC Psychiatry 2017 Oct 20;17(1):347. Epub 2017 Oct 20.
    Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht University, PO Box 85500, 3508, GA, Utrecht, the Netherlands.
    Background: Human brain tissue is crucial to study the molecular and cellular basis of psychiatric disorders. However, the current availability of human brain tissue is inadequate. Therefore, the Netherlands Brain Bank initiated a program in which almost 4. Read More

    Comparison and predictors of treatment adherence and remission among patients with schizophrenia treated with paliperidone palmitate or atypical oral antipsychotics in community behavioral health organizations.
    BMC Psychiatry 2017 Oct 18;17(1):346. Epub 2017 Oct 18.
    Janssen Scientific Affairs, 1125 Trenton Harbourton Rd, Titusville, NJ, 08560, USA.
    Background: Nonadherence to antipsychotic treatment increases the likelihood of relapse and progressive symptomatology in patients with schizophrenia. Atypical long-acting injectables, including paliperidone palmitate (PP), may increase adherence and improve symptoms. This study compared and assessed predictors of treatment patterns and symptom remission among schizophrenia patients treated with PP versus atypical oral antipsychotic therapy (OAT) in community behavioral health organizations (CBHOs). Read More

    Early adversity and psychiatric symptoms - a prospective study on Ethiopian mothers and their children.
    BMC Psychiatry 2017 Oct 11;17(1):344. Epub 2017 Oct 11.
    Department of Women's and children's health, Uppsala University, Uppsala, Sweden.
    Background: Maternal exposure to adversity during the perinatal period has been associated with increased susceptibility for psychiatric symptoms in the offspring. The aim of this study was to investigate a possible developmental effect of maternal perinatal stressors on emotional and behavioural symptoms in the offspring in a developing country.

    Methods: We followed an Ethiopian birth cohort (N = 358), assessing intimate partner violence (IPV) and maternal psychiatric symptoms during the perinatal period and at follow-up 10 years later, as a proxy for adversity, and maternal ratings on the Child Behavior Checklist (CBCL) 10 years later as the outcome. Read More

    Trends in levels of self-reported psychological distress among individuals who seek psychiatric services over eight years: a comparison between age groups in three population surveys in Stockholm County.
    BMC Psychiatry 2017 Oct 11;17(1):345. Epub 2017 Oct 11.
    Centre for Epidemiology and Community Medicine, Stockholm County Council, Solnavägen 1 E, -113 65, Stockholm, SE, Sweden.
    Background: Psychiatric service use has increased in Sweden and in other developed countries, particularly among young people. Possible explanations include lower threshold for help-seeking among young people, but evidence is scarce.

    Methods: We analysed the 2002, 2006 and 2010 Stockholm public health surveys for changes in the mean level of psychological distress among adult users of psychiatric in- and outpatient services in four age groups: 18-24, 25-44, 45-64 and ≥65 years. Read More

    Gender differences in factors associated with smartphone addiction: a cross-sectional study among medical college students.
    BMC Psychiatry 2017 Oct 10;17(1):341. Epub 2017 Oct 10.
    School of Public Health, Wannan Medical College, 22 West wenchang Road, Wuhu, Anhui Province, 241002, China.
    Background: Smartphones are becoming increasingly indispensable in everyday life for most undergraduates in China, and this has been associated with problematic use or addiction. The aim of the current study was to investigate the prevalence of smartphone addiction and the associated factors in male and female undergraduates.

    Methods: This cross-sectional study was conducted in 2016 and included 1441 undergraduate students at Wannan Medical College, China. Read More

    Cognitive behavioral group therapy for patients with physical diseases and comorbid depressive or adjustment disorders on a waiting list for individual therapy: results from a randomized controlled trial.
    BMC Psychiatry 2017 Oct 10;17(1):340. Epub 2017 Oct 10.
    Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, Albert-Ludwigs-University Freiburg, Engelbergerstr. 41, 79085, Freiburg, Germany.
    Background: Depressive and adjustment disorders are highly prevalent in patients with physical diseases and are associated with poorer quality of life, increased morbidity and mortality, as well as higher healthcare costs. Access to mental health care holds strong importance for these patients, although waiting times for outpatient individual psychotherapy in Germany are often long. Attending an intervention while waiting for individual therapy could improve this problem. Read More

    Self-admission to inpatient treatment in psychiatry: lessons on implementation.
    BMC Psychiatry 2017 Oct 10;17(1):343. Epub 2017 Oct 10.
    Stockholm Centre for Eating Disorders, Wollmar Yxkullsgatan 27B, 118 50, Stockholm, Sweden.
    Background: Interest has increased in programs offering self-admission to inpatient treatment for patients with severe psychiatric illness, whereby patients who are well-known to a service are afforded the opportunity to admit themselves at will for a brief period of time. The aim of the present study was to examine patient experiences of practical considerations during the start-up phase of a self-admission program in an eating disorder service.

    Methods: Sixteen adult participants in a self-admission program at a specialist eating disorders service were interviewed at 6 months about their experiences during the implementation phase. Read More

    Outcomes identified and prioritised by consumers of Partners in Recovery: a consumer-led study.
    BMC Psychiatry 2017 Oct 6;17(1):338. Epub 2017 Oct 6.
    The University of Sydney, Faculty of Health Sciences, PO Box 170, Lidcombe, NSW, 1825, Australia.
    Background: Recovery oriented service provisions means focusing on outcomes that are important to consumers themselves rather than to clinicians or services. Partners in Recovery (PIR) is an Australia-wide initiative designed to provide service coordination and brokerage for individuals with severe and persistent mental illness. One PIR service engaged a consumer-led research team to evaluate the service from the perspective of consumers. Read More

    Periodic catatonia with long-term treatment: a case report.
    BMC Psychiatry 2017 Sep 29;17(1):337. Epub 2017 Sep 29.
    Department of Psychiatry, Chang Gung Memorial Hospital- Kaohsiung Medical Center, Chang Gung University College of Medicine, 123, Ta-Pei Rd, Niao-Sung, Kaohsiung, 833, Taiwan.
    Background: Periodic catatonia has long been a challenging diagnosis and there are no absolute guidelines for treatment when precipitating factors are also unclear. We report a schizophrenia patient with periodic catatonia with a 15-year treatment course. A possible correlation between decreased daylight exposure and periodic attacks has been observed. Read More

    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

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