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    5598 results match your criteria Canadian journal of psychiatry. Revue canadienne de psychiatrie[Journal]

    1 OF 112

    Acute Care Use for Ambulatory Care-Sensitive Conditions in High-Cost Users of Medical Care with Mental Illness and Addictions.
    Can J Psychiatry 2018 Jan 1:706743717752880. Epub 2018 Jan 1.
    1 Department of Psychiatry, Women's College Hospital and University of Toronto, Toronto, Ontario.
    Objective: The role of mental illness and addiction in acute care use for chronic medical conditions that are sensitive to ambulatory care management requires focussed attention. This study examines how mental illness or addiction affects risk for repeat hospitalization and/or emergency department use for ambulatory care-sensitive conditions (ACSCs) among high-cost users of medical care.

    Method: A retrospective, population-based cohort study using data from Ontario, Canada. Read More

    The Relation between Food Insecurity and Mental Health Care Service Utilization in Ontario.
    Can J Psychiatry 2018 Jan 1:706743717752879. Epub 2018 Jan 1.
    2 Centre for Addiction and Mental Health, Toronto, Ontario.
    Objective: To determine the relationship between household food insecurity status over a 12-month period and adults' use of publicly funded health care services in Ontario for mental health reasons during this period.

    Methods: Data for 80,942 Ontario residents, 18 to 64 years old, who participated in the Canadian Community Health Survey in 2005, 2007-2008, 2009-2010, or 2011-2012 were linked to administrative health care data to determine individuals' hospitalizations, emergency department visits, and visits to psychiatrists and primary care physicians for mental health reasons. Household food insecurity over the past 12 months was assessed using the Household Food Security Survey Module. Read More

    Risk Factors, Clinical Presentations, and Functional Impairments for Generalized Anxiety Disorder in Military Personnel and the General Population in Canada.
    Can J Psychiatry 2018 Jan 1:706743717752878. Epub 2018 Jan 1.
    6 Departments of Psychiatry, Psychology, and Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
    Objective: This study sought to examine differences in sociodemographic risk factors, comorbid mental conditions, clinical presentations, and functional impairments associated with past-year generalized anxiety disorder (GAD) between Canadian Armed Forces (CAF) Regular Force personnel and the Canadian general population (CGP).

    Method: Data were from 2 nationally representative surveys collected by Statistics Canada: 1) the Canadian Community Health Survey on Mental Health, collected in 2012 ( N = 25,113; response rate = 68.9%); and 2) the Canadian Forces Mental Health Survey, collected in 2013 ( N = 8,161; response rate = 79. Read More

    Temporal Trends in Mental Health Service Utilization across Outpatient and Acute Care Sectors: A Population-Based Study from 2006 to 2014.
    Can J Psychiatry 2017 Jan 1:706743717748926. Epub 2017 Jan 1.
    1 Institute for Clinical Evaluative Sciences, Toronto, Ontario.
    Objective: Although evidence suggests that treatment seeking for mental illness has increased over time, little is known about how the health system is meeting the increasing demand for services. We examined trends in physician-based mental health service use across multiple sectors.

    Method: In this population-based study, we used linked health-administrative databases to measure annual rates of mental health-related outpatient physician visits to family physicians and psychiatrists, emergency department visits, and hospitalizations in adults aged 16+ from 2006 to 2014. Read More

    Public Expenditures for Mental Health Services in Canadian Provinces.
    Can J Psychiatry 2017 Jan 1:706743717741059. Epub 2017 Jan 1.
    5 Université de Montréal, Institut Universitaire de Santé Mentale de Montréal, Montréal, Québec.
    Objective: The purpose of this study is to measure provincial spending for mental health services in fiscal year (FY) 2013 and to compare these cost estimates to those of FY 2003.

    Methods: This study estimated the costs of publicly funded provincial mental health services in FY 2013 and compared them to the estimates for FY 2003 from a previously published report. Our data were obtained from publicly accessible databases. Read More

    Associations between Depressive Symptomatology and Neurocognitive Impairment in HIV/AIDS.
    Can J Psychiatry 2017 Jan 1:706743717737029. Epub 2017 Jan 1.
    1 Department of Psychiatry, University of Alberta, Edmonton, Alberta.
    Objective: Mood disorders and neurocognitive impairments are debilitating conditions among patients with HIV/AIDS. How these comorbidities interact and their relationships to systemic factors remain uncertain. Herein, we investigated factors contributing to depressive symptomatology (DS) in a prospective cohort of patients with HIV/AIDS in active care that included neuropsychological assessment. Read More

    Perspective: Medical Assistance in Dying and Mental Health: A Legal, Ethical, and Clinical Analysis.
    Can J Psychiatry 2017 Jan 1:706743717746662. Epub 2017 Jan 1.
    1 Complex Care and Recovery Program, Forensic Division, Centre for Addiction and Mental Health, Toronto, Ontario.
    Medical assistance in dying (MAiD) legislation is now over a year old in Canada, and consideration is turning to whether MAiD should be extended to include serious mental illness as the sole qualifying condition for being eligible for MAiD. This article considers this question from ethical and clinical perspectives. It argues that extending the eligibility for MAiD to include those with a serious mental illness as the sole eligibility criterion is not ethical, necessary, or supported current psychiatric practice or opinion. Read More

    Gender Differences in Social Cognition: A Cross-Sectional Pilot Study of Recently Diagnosed Patients with Schizophrenia and Healthy Subjects.
    Can J Psychiatry 2017 Jan 1:706743717746661. Epub 2017 Jan 1.
    4 Centro de Investigación Biomédica En Red en Salud Mental (CIBERSAM), Instituto de Salud Carlos III, C/ Monforte de Lemos, Madrid, Spain.
    Objectives: This study had 2 objectives: First, to explore the gender-related differences in emotional processing (EP) and theory of mind-both cognitive (CToM) and affective (AToM)-in patients with schizophrenia and in a control group of healthy subjects; and, second, to examine, from a gender perspective, the possible association between EP and CToM in the AToM performance.

    Methods: Forty patients with schizophrenia/schizoaffective disorder were recruited and matched by gender, age and years of education with 40 healthy subjects. EP was measured by the pictures of facial affect (POFA) test. Read More

    Mental Health of Refugees and Asylum Seekers: Assessment and Intervention.
    Can J Psychiatry 2017 Jan 1:706743717746665. Epub 2017 Jan 1.
    1 Centre for Child Development and Mental Health, Jewish General Hospital, Lady Davis Institute, Montréal, Quebec, Canada.
    With unprecedented numbers of displaced persons worldwide, mental health clinicians in high-income countries will increasingly encounter refugee and asylum-seeking patients, many of whom have experienced significant adversity before and after their migration. This paper presents a summary of the recent evidence on the assessment and treatment of refugees across the lifespan to inform clinicians' approaches to care of refugee patients in mental health care settings. Assessment and interventions for refugees are grounded in an ecosystemic approach which considers not only pre-migratory trauma, but social, familial, and cultural determinants of mental health in the host country. Read More

    The Social Determinants of Refugee Mental Health in the Post-Migration Context: A Critical Review.
    Can J Psychiatry 2017 Jan 1:706743717746666. Epub 2017 Jan 1.
    1 Department of Psychology, York University, Toronto, Canada.
    With the global increase in the number of refugees and asylum seekers, mental health professionals have become more aware of the need to understand and respond to the mental health needs of forced migrants. This critical review summarizes the findings of recent systematic reviews and primary research on the impact of post-migration conditions on mental disorders and PTSD among refugees and asylum seekers. Historically, the focus of mental health research and interventions with these populations has been on the impact of pre-migration trauma. Read More

    Experiences of Patients with Mental Illness' Interactions with Medical Students: A Systematic Review.
    Can J Psychiatry 2017 Jan 1:706743717730824. Epub 2017 Jan 1.
    5 Lancaster University Medical School, Lancaster, United Kingdom.
    Objectives: Mental health is a key area for learning within undergraduate medical education. Given the nature of mental illness, interactions may have the potential to uniquely affect patients. This study set out to systematically review studies reporting experiences and perceptions of patients with mental illness' clinical interactions with medical students. Read More

    Addressing Mental Health Needs of Refugees.
    Can J Psychiatry 2017 Jan 1:706743717746664. Epub 2017 Jan 1.
    1 Department of Psychiatry, Division of Social and Transcultural Psychiatry, McGill University, Montréal, Quebec, Canada.
    Throughout history, refugees have alternatively been seen as entitled victims of adversity or as threats or abusers of host countries scarce resources. Within the present globalized context, ambivalent public perceptions of refugees are shattering the protective nature of the post migratory environment in refugee receiving countries. This raises new challenges for refugees' mental health and calls for systemic responses to address both pre-migratory trauma and losses and post migratory adversities. Read More

    Patient Characteristics, Length of Stay, and Functional Improvement for Schizophrenia Spectrum Disorders: A Population Study of Inpatient Care in Ontario 2005 to 2015.
    Can J Psychiatry 2017 Dec 14;62(12):854-863. Epub 2016 Dec 14.
    1 Centre for Addiction and Mental Health, Toronto, Ontario.
    Objectives: Schizophrenia and associated illnesses account for a large proportion of mental illness burden and health care expenditures, with the majority of expense involving inpatient care. To date, the literature exploring factors associated with length of stay (LOS) and functional improvement during inpatient care is underdeveloped. In response, this study examined the association between patient characteristics, LOS, and functional improvement using Ontario Mental Health Reporting System (OMHRS) data from 2005 to 2015. Read More

    Exercise for Cognitive Symptoms in Depression: A Systematic Review of Interventional Studies.
    Can J Psychiatry 2017 Jan 1:706743717738493. Epub 2017 Jan 1.
    12 Hurvitz Brain Sciences Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
    Objective: To explore the effect of exercise on cognition in depression as well as the impact of potential moderators and intervention type.

    Method: Controlled and uncontrolled interventional studies that described an exercise intervention and cognitive outcomes in participants with major depressive disorder (MDD) were included following a search of Pubmed, Ovid Medline, PsycInfo and Embase from inception to January 2017. Meta-analyses were conducted to calculate Hedges' g using a random-effects model. Read More

    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 Dec 29;62(12):813-817. Epub 2017 Aug 29.
    2 Lady Davis Institute, Jewish General Hospital, Montréal, Québec.
    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


    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

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