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    5578 results match your criteria Canadian journal of psychiatry. Revue canadienne de psychiatrie[Journal]

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    Bipolar Disorder Associated with Another Autoimmune Disease-Pemphigus: A Population-based Study.
    Can J Psychiatry 2017 Jan 1:706743717740344. Epub 2017 Jan 1.
    3 Department of Quality Measurements and Research, Chief Physician's Office, Clalit Health Services, Tel Aviv, Israel.
    Objectives: Recent evidence suggests a notable role for inflammation and immune dysregulation in the neuroprogression of bipolar disorders (BD). Several autoimmune comorbidities have been reported in association with BD. However, the epidemiological relationship between pemphigus and BD has not yet been elucidated. Read More

    Maternal Mental Health after Custody Loss and Death of a Child: A Retrospective Cohort Study Using Linkable Administrative Data.
    Can J Psychiatry 2017 Jan 1:706743717738494. Epub 2017 Jan 1.
    1 Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
    Objective: The objective was to compare mental illness diagnoses and treatment use among mothers who lost custody of their child through involvement with child protection services and those seen in mothers dealing with the death of a child.

    Methods: We studied mental health outcomes of a cohort of women whose first child was born in Manitoba, Canada between 1 April 1997 and 31 March 2015. Of these women, 5,792 had a child taken into care, and 1,143 mothers experienced the death of a child (<18 y old) before 31 March 2015. Read More

    Electroconvulsive Therapy Practice in the Province of Quebec: Linked Health Administrative Data Study from 1996 to 2013.
    Can J Psychiatry 2017 Jan 1:706743717738492. Epub 2017 Jan 1.
    1 Centre d'Excellence en Électroconvulsivothérapie du Québec, Institut universitaire en santé mentale de Montréal, Montreal, Quebec.
    Objective: As part of a quality improvement process, we propose a model of routinely monitoring electroconvulsive therapy (ECT) in Canadian provinces using linked health administrative databases to generate provincial periodic reports, influence policy, and standardise ECT practices.

    Methods: ECT practice in Quebec was studied from 1996 to 2013, using longitudinal data from the Quebec Integrated Chronic Disease Surveillance System of the Institut National de Santé Publique du Québec, which links 5 health administrative databases. The population included all persons, aged 18 y and over, eligible for the health insurance registry, who received an ECT treatment at least once during the year. Read More

    Variables Associated With the Subjective Experience of Coercive Measures in Psychiatric Inpatients: A Systematic Review.
    Can J Psychiatry 2017 Jan 1:706743717738491. Epub 2017 Jan 1.
    1 Department of Mental Health, University General Hospital of Malaga, Biomedical Research Institute of Malaga (IBIMA), Malaga, Spain.
    Objective: This systematic review presents evidence regarding factors that may influence the patient's subjective experience of an episode of mechanical restraint, seclusion, or forced administration of medication.

    Method: Two authors searched CINAHL, PubMed, SCOPUS, Web of Science, and Psych-Info, considering published studies between 1 January 1992 and 1 February 2016. Based on the inclusion criteria and methodological quality, 34 studies were selected, reporting a total sample of 1,869 participants. Read More

    The Structure of Psychopathology in Early Adolescence: Study of a Canadian Sample.
    Can J Psychiatry 2017 Jan 1:706743717737032. Epub 2017 Jan 1.
    1 Department of Psychiatry, University of Montreal, Montreal, Québec.
    Objective: The current study investigates the correlational structure of psychopathology in a large sample of Canadian adolescents and highlights the association between the psychopathological dimensions and gender.

    Method: Data came from 3826 Canadian adolescents aged 12.8 ± 0. Read More

    Time Trends in Homicide and Mental Illness in Ontario from 1987 to 2012: Examining the Effects of Mental Health Service Provision.
    Can J Psychiatry 2017 Jan 1:706743717737034. Epub 2017 Jan 1.
    1 Complex Care and Recovery Program, Forensic Division, Centre for Addiction and Mental Health, Toronto, Ontario.
    Objective: We examine the association between rates of homicide resulting in a mental health disposition (termed mentally abnormal homicide [MAH]) and homicides without such a disposition, as well as to province-wide psychiatric hospitalisation and incarceration rates.

    Method: In this population-based study, we investigate all adult homicide perpetrators ( n = 4402) and victims ( n = 3783) in Ontario from 1987 to 2012. We present annual rates of mentally abnormal and non-mentally abnormal homicide and position them against hospitalisation and incarceration rates. Read More

    Prevalence and Correlates of Autism Spectrum Disorders in Quebec.
    Can J Psychiatry 2017 Jan 1:706743717737031. Epub 2017 Jan 1.
    1 Quebec's Public Health Institute (Bureau d'information et d'études en santé des populations, Institut national de santé publique du Québec), Quebec, Quebec.
    Objective: To estimate the prevalence, comorbidities, and service use of people with autism spectrum disorders (ASDs) based on data from Quebec Integrated Chronic Diseases Surveillance System (QICDSS).

    Methods: We included all residents up to age 24 eligible for health plan coverage who were in Quebec for at least 1 day from January 1, 1996, to March 31, 2015. To be considered as having an ASD, an individual had to have had at least 1 physician claim or hospital discharge abstract from 2000 to 2015 indicating one of the following ASD diagnosis codes: ICD-9 codes 299. Read More

    Patient satisfaction with mental health services based on Andersen's Behavioral Model.
    Can J Psychiatry 2017 Jan 1:706743717737030. Epub 2017 Jan 1.
    1 Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
    Objective: The purpose of this article was to assess the satisfaction of adult patients who received mental health services (MHS) in healthcare networks staffed by multidisciplinary professionals and offering a range of MHS, and to identify variables associated with patient satisfaction.

    Methods: This cross-sectional study included 325 patients with mental disorders (MDs) among 4 Quebec health service networks. Data were collected using 9 standardized instruments and participant medical records. Read More

    Mental Health Services Use Trends in Canadian Veterans: A Population-Based Retrospective Cohort Study in Ontario.
    Can J Psychiatry 2017 Jan 1:706743717730826. Epub 2017 Jan 1.
    5 Institute for Clinical Evaluative Sciences, Toronto, Ontario.
    Objective: A substantial evidence base in the peer-reviewed literature exists investigating mental illness in the military, but relatively less is documented about mental illness in veterans. This study uses provincial, administrative data to study the use of mental health services by Canadian veterans in Ontario.

    Method: This was a retrospective cohort study of Canadian Armed Forces and Royal Canadian Mounted Police veterans who were released between 1990 and 2013 and resided in Ontario. Read More

    Canadian Schizophrenia Guidelines: Schizophrenia and Other Psychotic Disorders with Coexisting Substance Use Disorders.
    Can J Psychiatry 2017 Sep;62(9):624-634
    1 Department of Psychiatry, Hotchkiss Brain Institute, University of Calgary, Calgary.
    Objective: Persons with schizophrenia and other psychotic disorders frequently have coexisting substance use disorders that require modifications to treatment approaches for best outcomes. The objectives of this review were to identify evidence-based practices best practices that improve outcomes for individuals with schizophrenia and substance used disorders.

    Method: We reviewed guidelines that were published in the last 5 years and that included systematic reviews or meta-analyses. Read More

    Canadian Treatment Guidelines on Psychosocial Treatment of Schizophrenia in Children and Youth.
    Can J Psychiatry 2017 Sep;62(9):648-655
    8 Departments of Psychiatry and Epidemiology & Biostatistics, Western University, London, Ontario.
    Objective: A panel of experts, including researchers, clinicians and people with lived experience, was brought together to develop the new Canadian schizophrenia guidelines for the psychosocial treatment of children and youth with schizophrenia or psychotic disorders.

    Method: The ADAPTE process, which relies on adapting existing high-quality guidelines, was used. Existing guidelines for children and youth (mostly from the National Institute for Health and Care Excellence [NICE]), as well as CPA adult guidelines, were reviewed and discussed in terms of their adaptability to the Canadian context and their level of recommendation for children and youth. Read More

    Canadian Practice Guidelines for Comprehensive Community Treatment for Schizophrenia and Schizophrenia Spectrum Disorders.
    Can J Psychiatry 2017 Sep;62(9):662-672
    5 Schizophrenia Society of Canada, Winnipeg, Manitoba.
    Objective: The objective of this review is to identify the features and components of a comprehensive system of services for people living with schizophrenia. A comprehensive system was conceived as one that served the full range of people with schizophrenia and was designed with consideration of the incidence and prevalence of schizophrenia. The system should provide access to the full range of evidence-based services, should be recovery oriented, and should provide patient-centred care. Read More

    Assessing the Relationship between Disordered Gamblers with Psychosis and Increased Gambling Severity: The Mediating Role of Impulsivity.
    Can J Psychiatry 2017 Jan 1:706743717730825. Epub 2017 Jan 1.
    2 Impulse Control Disorders Outpatient Unit, Institute and Department of Psychiatry, University of São Paulo, Butantã, São Paulo, Brazil.
    Objective: Recent research suggests that disordered gambling and psychosis co-occur at higher rates than expected in the general population. Gamblers with psychosis also report greater psychological distress and increased gambling severity. However, the mechanism by which psychosis leads to greater gambling symptomology remains unknown. Read More

    Stigma Resistance in Stable Schizophrenia: The Relative Contributions of Stereotype Endorsement, Self-Reflection, Self-Esteem, and Coping Styles.
    Can J Psychiatry 2017 Oct 8;62(10):735-744. Epub 2017 Sep 8.
    5 School of Medicine, National Defense Medical Center, Taipei, Taiwan.
    Objective: Stigma resistance (SR) has recently emerged as a prominent aspect of research on recovery from schizophrenia, partly because studies have suggested that the development of stigma-resisting beliefs may help individuals lead a fulfilling life and recover from their mental illness. The present study assessed the relationship between personal SR ability and prediction variables such as self-stigma, self-esteem, self-reflection, coping styles, and psychotic symptomatology.

    Method: We performed an exploratory cross-sectional study of 170 community-dwelling patients with schizophrenia. Read More

    Depression Screening and Health Outcomes in Children and Adolescents: A Systematic Review.
    Can J Psychiatry 2017 Jan 1:706743717727243. Epub 2017 Jan 1.
    2 Lady Davis Institute, Jewish General Hospital, Montréal, Québec, Canada.
    Objective: Depression screening among children and adolescents is controversial. In 2009, the United States Preventive Services Task Force first recommended routine depression screening for adolescents, and this recommendation was reiterated in 2016. However, no randomized controlled trials (RCTs) of screening were identified in the original 2009 systematic review or in an updated review through February 2015. Read More

    Mental Disorder Symptoms among Public Safety Personnel in Canada.
    Can J Psychiatry 2017 Jan 1:706743717723825. Epub 2017 Jan 1.
    3 University of Regina, Regina, Saskatchewan, Canada.
    Background: Canadian public safety personnel (PSP; e.g., correctional workers, dispatchers, firefighters, paramedics, police officers) are exposed to potentially traumatic events as a function of their work. Read More

    Quelles sont les caractéristiques individuelles, familiales et sociales distinguant l'anorexie mentale prépubère et pubère ?
    Can J Psychiatry 2017 Jan 1:706743717727239. Epub 2017 Jan 1.
    5 Centre hospitalier universitaire Sainte-Justine, professeur titulaire, Université de Montréal, Montréal, Québec, Canada.
    Résumé: L'anorexie mentale prépubère peut entrainer de multiples conséquences physiques. Lorsque le trouble débute avant la puberté, il serait lié à un plus mauvais pronostic ainsi qu'à une plus grande résistance au traitement. À ce jour, les études portant sur l'anorexie mentale prépubère ont traité majoritairement de la symptomatologie, mais rarement des facteurs associés. Read More

    Antipsychotic Use With and Without Comorbid Psychiatric Diagnosis Among Adults with Intellectual and Developmental Disabilities.
    Can J Psychiatry 2017 Jan 1:706743717727240. Epub 2017 Jan 1.
    2 The Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
    Objective: Antipsychotic use is controversial in the management of adults with intellectual and developmental disabilities (IDD) because of inconclusive evidence for efficacy in the absence of a comorbid psychiatric condition, and substantial concerns about adverse effects. We aimed to characterize antipsychotic use among Ontario adults with IDD and compare profiles of those with and without a documented psychiatric diagnosis.

    Method: This population-based study included 51,881 adults with IDD under 65 y as of April 2010 receiving provincial drug benefits in Ontario who were followed until March 2016 to identify those dispensed at least one antipsychotic medication. Read More

    Prevalence of Mental Disorders among Older Chinese People in Tianjin City.
    Can J Psychiatry 2017 Nov 17;62(11):778-786. Epub 2017 Aug 17.
    2 Institute of Population Research/WHO Collaborating Center on Reproductive Health and Population Science, Peking University, Beijing, China.
    Objective: Population aging is accelerating across the world, and older people have a higher risk of mental disorders. Most studies focus on one mental disorder, and only report the current prevalence. Besides, these studies use screening scales for symptoms of mental disorders, which may induce biased results. Read More

    Canadian Schizophrenia Guidelines: Introduction and Guideline Development Process.
    Can J Psychiatry 2017 Sep 9;62(9):586-593. Epub 2017 Aug 9.
    2 Department of Psychiatry, University of Calgary, Calgary, Alberta.
    Introduction: The aim of the Canadian Schizophrenia Guidelines is to provide evidence-based recommendations for the treatment of schizophrenia and schizophrenia spectrum disorders. The target users are health care professionals. Recommendations are provided as guidance to physicians and patients, with the goal of improving the overall standard of care of individuals with schizophrenia. Read More

    Canadian Guidelines for the Pharmacological Treatment of Schizophrenia Spectrum and Other Psychotic Disorders in Children and Youth.
    Can J Psychiatry 2017 Sep 2;62(9):635-647. Epub 2017 Aug 2.
    7 Mathison Centre for Mental Health Research and Education, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta.
    Objective: Schizophrenia spectrum and other psychotic disorders often have their onset in adolescence. The sequelae of these illnesses can negatively alter the trajectory of emotional, cognitive, and social development in children and youth if left untreated. Early and appropriate interventions can improve outcomes. Read More

    Prevalence, Incidence, and Persistence of Postpartum Depression, Anxiety, and Comorbidity among Chinese Immigrant and Nonimmigrant Women: A Longitudinal Cohort Study.
    Can J Psychiatry 2017 Jan 1:706743717720689. Epub 2017 Jan 1.
    1 Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario.
    Objective: Our objectives were to examine the prevalence and incidence of postpartum depressive, anxiety, and comorbid symptoms over the first postpartum year; the persistence of these symptoms; and the prevalence stratified by immigration status.

    Method: We conducted a longitudinal cohort study in Ontario, Canada. Participants were 571 Chinese recent immigrant, nonrecent immigrant, and Canadian-born women with live births in 2011 to 2014. Read More

    Do Acute Benefits of Interpersonal Psychotherapy for Posttraumatic Stress Disorder Endure?
    Can J Psychiatry 2017 Jan 1:706743717720690. Epub 2017 Jan 1.
    1 New York State Psychiatric Institute, New York, NY, USA.
    Objective: The Psychotherapies for Chronic PTSD randomised trial found that three 14-week psychotherapies acutely benefitted patients with chronic posttraumatic stress disorder (PTSD). Previous research has reported sustained follow-up benefits for prolonged exposure (PE) and relaxation therapy (RT), but few comparable data exist for interpersonal psychotherapy (IPT). We describe 3-month follow-up for acute responders to all 3 treatments. Read More

    Canadian Treatment Guidelines for Individuals at Clinical High Risk of Psychosis.
    Can J Psychiatry 2017 Sep 21;62(9):656-661. Epub 2017 Jul 21.
    3 Department of Psychiatry and Psychological Clinical Science, University of Toronto, Toronto, Ontario.
    Objective: Young people who are at clinical high risk (CHR) of developing psychosis are often help seeking and have significant distress and dysfunction. There are limited guidelines for the assessment and treatment for this population. The aim of this guideline was to develop treatment recommendations for this at-risk group. Read More

    Canadian Guidelines for the Assessment and Diagnosis of Patients with Schizophrenia Spectrum and Other Psychotic Disorders.
    Can J Psychiatry 2017 Sep 21;62(9):594-603. Epub 2017 Jul 21.
    1 Department of Psychiatry, Hotchkiss Brain Institute, Foothills Medical Centre, University of Calgary, Calgary, Alberta.
    Objective: The objective of this article is to identify best practices in the diagnosis and assessment of patients with schizophrenia spectrum and other psychotic disorders. The diagnosis and assessment may occur in a range of situations from the emergency room to the outpatient clinic and at different stages of the disorder. The focus may be on acute exacerbations of illness, residual symptoms, levels of function, or changes in the response to treatment. Read More

    Collaborative Care for Psychiatric Disorders in Older Adults: A Systematic Review.
    Can J Psychiatry 2017 Nov 18;62(11):761-771. Epub 2017 Jul 18.
    1 Division of Geriatric Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
    Objective: To evaluate the mode of implementation, clinical outcomes, cost-effectiveness, and the factors influencing uptake and sustainability of collaborative care for psychiatric disorders in older adults.

    Design: Systematic review.

    Setting: Primary care, home health care, seniors' residence, medical inpatient and outpatient. Read More

    Physical Health and Drug Safety in Individuals with Schizophrenia.
    Can J Psychiatry 2017 Sep 18;62(9):673-683. Epub 2017 Jul 18.
    6 Department of Psychiatry and College of Pharmacy, Dalhousie University, Halifax, Nova Scotia.
    Background: While antipsychotic medications are the mainstay of therapy for individuals with schizophrenia and psychotic disorders, their use is associated with adverse effects on physical health that require the attention and care of prescribers.

    Methods: We used the ADAPTE process to adapt existing guideline recommendations from the National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN) guidelines on the dosing of antipsychotics and antipsychotic polypharmacy, screening for adverse effects of antipsychotics, and management of metabolic and extrapyramidal side effects to the Canadian context.

    Results: Prescribers are encouraged to use the lowest effective dose and to avoid the routine use of multiple antipsychotics. Read More

    Canadian Treatment Guidelines on Psychosocial Treatment of Schizophrenia in Adults.
    Can J Psychiatry 2017 Sep 13;62(9):617-623. Epub 2017 Jul 13.
    6 , Calgary, Alberta.
    Objective: It is generally recognised that psychosocial interventions are essential components of the effective treatment of schizophrenia in adults. A considerable body of research is being published regarding the effectiveness of such interventions. In the current article, we derive recommendations reflecting the current state of evidence for their effectiveness. Read More

    Strategies for Preventing Cognitive Decline in Healthy Older Adults.
    Can J Psychiatry 2017 Nov 13;62(11):754-760. Epub 2017 Jul 13.
    1 Department of Psychiatry, University of Vermont, Burlington, VT, USA.
    Objective: Many advances have been made in the understanding of age-related changes in cognition. As research details the cognitive and neurobiological changes that occur in aging, there is increased interest in developing and understanding methods to prevent, slow, or reverse the cognitive decline that may occur in normal healthy older adults. The Institute of Medicine has recently recognized cognitive aging as having important financial and public health implications for society with the increasing older adult population worldwide. Read More

    Guidelines for the Pharmacotherapy of Schizophrenia in Adults.
    Can J Psychiatry 2017 Sep 13;62(9):604-616. Epub 2017 Jul 13.
    8 Department of Psychiatry, Dalhousie University, Halifax, Canada.
    Objective: The present guidelines address the pharmacotherapy of schizophrenia in adults across different stages, phases, and symptom domains.

    Method: Guidelines were developed using the ADAPTE process, which takes advantage of existing guidelines. Six guidelines were identified for adaptation, with recommendations extracted from each. Read More

    Newspaper Articles Related to the Not Criminally Responsible on Account of Mental Disorder (NCRMD) Designation: A Comparative Analysis.
    Can J Psychiatry 2017 Oct 12;62(10):697-701. Epub 2017 Jul 12.
    1 Department of Psychiatry, Douglas Mental Health University Institute, McGill University, Montreal, Québec.
    Objective: The not criminally responsible on account of mental disorder (NCRMD) designation remains widely misunderstood by the public. Such misunderstandings may also be reflected in the media. As such, the aim of this study is to conduct a preliminary examination of the tone and content of recent Canadian newspaper articles where NCRMD is a major theme, comparing these to generic articles about mental illness. Read More

    Supervised Injectable Heroin: A Clinical Perspective.
    Can J Psychiatry 2017 Jul 6;62(7):451-456. Epub 2016 Oct 6.
    1 National Addiction Centre, Kings College London, London, United Kingdom.
    Background: Six recent randomised control trials (RCTs) have suggested that supervised injectable heroin (SIH) can be effective in patients who persist in street heroin use during methadone treatment. However, short-term randomised control trials have limitations in assessing the effectiveness of treatments for addictive disorders, which are chronic and relapsing disorders of motivation. These RCTs particularly fail to capture the process of the SIH treatment and the diversity of influence and change over time. Read More

    Long-Term Metabolic Effects in French-Canadian Children and Adolescents Treated with Second-Generation Antipsychotics in Monotherapy or Polytherapy: A 24-Month Descriptive Retrospective Study.
    Can J Psychiatry 2017 Jan 1:706743717718166. Epub 2017 Jan 1.
    5 Department of Psychiatry, CHU Sainte-Justine, University of Montreal, Montreal, Quebec.
    Objective: To compare weight and glucose changes of long-term second-generation antipsychotic (SGA) monotherapy versus polytherapy (switching or combining SGAs) in children and adolescents.

    Methods: This is a 24-month retrospective study conducted between November 2005 and June 2013. From 147 antipsychotic-naive patients selected (mean age, 12. Read More

    Examining the Application of the Opening Minds Survey in the Community Health Centre Setting.
    Can J Psychiatry 2017 Jan 1:706743717719079. Epub 2017 Jan 1.
    1 Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario.
    Objective: Stigma has been identified as a complex and problematic issue. It acts as a major barrier to accessing care and can exacerbate the experience of a health condition, particularly for clients with mental illness and substance use issues. Scales designed to assess stigmatising attitudes towards those with mental illness and substance use problems among health care providers are necessary to evaluate programs designed to reduce that stigma. Read More

    Clozapine Response Rates among People with Treatment-Resistant Schizophrenia: Data from a Systematic Review and Meta-Analysis.
    Can J Psychiatry 2017 Nov 28;62(11):772-777. Epub 2017 Jun 28.
    1 Metro South Addiction and Mental Health Services, Brisbane, Australia.
    Clozapine is the most effective antipsychotic for the 25% to 33% of people with schizophrenia who are treatment resistant, but not all people achieve response. Using data from a previously published clozapine systematic review and meta-analysis, we explored the proportion of people who achieved response and examined the absolute and percentage change in Positive and Negative Syndrome Scale (PANSS) scores. Overall, 40. Read More

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