188 results match your criteria Mental Disorders Secondary to General Medical Conditions


Sahaj Samadhi Meditation versus a Health Enhancement Program for depression in chronic pain: protocol for a randomized controlled trial and implementation evaluation.

Trials 2020 Apr 7;21(1):319. Epub 2020 Apr 7.

Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada.

Background: Despite the high prevalence of comorbid chronic pain and depression, this comorbidity remains understudied. Meditation has demonstrated efficacy for both chronic pain and depression independently, yet there have been few studies examining its effectiveness when both conditions are present concurrently. Furthermore, while meditation is generally accepted as a safe and effective health intervention, little is known about how to implement meditation programs within or alongside the health care system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13063-020-04243-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140371PMC
April 2020
2.117 Impact Factor

MANAGEMENT OF ENDOCRINE DISEASE: Female sexual dysfunction for the endocrinologist.

Eur J Endocrinol 2020 Jun;182(6):R101

Chair in Endocrinology and Medical Sexology (ENDOSEX), Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.

Sexual function is an important component of either general health and quality of life in both genders. Many studies have focused on the different risk factors for sexual dysfunctions, proving an association with several medical conditions. Endocrine disorders have been often mentioned in the pathogenesis of female and male sexual dysfunctions; however, particularly in women, sexual function is rarely addressed during clinical, in general, and endocrinological, in particular, consultations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1530/EJE-19-0903DOI Listing

Prevention of Psychosis: Advances in Detection, Prognosis, and Intervention.

JAMA Psychiatry 2020 Mar 11. Epub 2020 Mar 11.

Institute of Psychiatry and Mental Health, Department of Child and Adolescent Psychiatry, Hospital General Universitario Gregorio Marañón, Universidad Complutense, Centro de Investigación Biomédica en Red Salud Mental (CIBERSAM), Madrid, Spain.

Importance: Detection, prognosis, and indicated interventions in individuals at clinical high risk for psychosis (CHR-P) are key components of preventive psychiatry.

Objective: To provide a comprehensive, evidence-based systematic appraisal of the advancements and limitations of detection, prognosis, and interventions for CHR-P individuals and to formulate updated recommendations.

Evidence Review: Web of Science, Cochrane Central Register of Reviews, and Ovid/PsychINFO were searched for articles published from January 1, 2013, to June 30, 2019, to identify meta-analyses conducted in CHR-P individuals. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1001/jamapsychiatry.2019.4779DOI Listing

[Clinicopathologic features and prognostic analysis of 240 patients with gastric neuroendocrine neoplasms].

Zhonghua Wei Chang Wai Ke Za Zhi 2020 Jan;23(1):38-43

Department of General Surgery & Institute of General Surgery, First Medical Center of Chinese PLA General Hospital, Beijing 100853, China.

To investigate clinicopathological features and prognostic factors of gastric neuroendocrine tumors (G-NEN). Clinical and pathological data of patients with G-NEN diagnosed by pathological examination in Chinese PLA General Hospital from January 2000 to June 2018 were retrospectively analyzed in this case-control study. Patients with complicated visceral lesions, other visceral primary tumors, mental disorders and incomplete clinicopathological data were excluded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.1671-0274.2020.01.007DOI Listing
January 2020

Examining Age as a Potential Moderator of Response to Reduced Nicotine Content Cigarettes in Vulnerable Populations.

Nicotine Tob Res 2019 12;21(Suppl 1):S49-S55

Vermont Center on Tobacco Regulatory Science, Departments of Psychiatry and Psychological Science, University of Vermont, Burlington, VT.

Introduction: Young adults (aged 18-24 years) have a higher smoking prevalence than younger and older age groups and young adulthood is an important developmental period during which long-term behavior patterns like cigarette smoking are established. The aim of the current study was to examine how young adult smokers with additional vulnerabilities to smoking respond to reduced nicotine content cigarettes.

Methods: This is a secondary analysis of a double-blind, within-subject experiment conducted with 169 cigarette smokers recruited from populations with comorbid psychiatric conditions or socioeconomic disadvantage assessing acute effects of research cigarettes varying in nicotine content (0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/ntr/ntz134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939764PMC
December 2019

A chronological map of 308 physical and mental health conditions from 4 million individuals in the English National Health Service.

Lancet Digit Health 2019 Jun 20;1(2):e63-e77. Epub 2019 May 20.

Institute of Cardiovascular Science, London.

Background: To effectively prevent, detect, and treat health conditions that affect people during their lifecourse, health-care professionals and researchers need to know which sections of the population are susceptible to which health conditions and at which ages. Hence, we aimed to map the course of human health by identifying the 50 most common health conditions in each decade of life and estimating the median age at first diagnosis.

Methods: We developed phenotyping algorithms and codelists for physical and mental health conditions that involve intensive use of health-care resources. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/S2589-7500(19)30012-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798263PMC
June 2019
1 Read

Prevention of Early Postoperative Decline: A Randomized, Controlled Feasibility Trial of Perioperative Cognitive Training.

Anesth Analg 2020 03;130(3):586-595

From the Department of Anesthesia, Critical Care and Pain Medicine.

Background: Postoperative delirium and postoperative cognitive dysfunction (POCD) are common after cardiac surgery and contribute to an increased risk of postoperative complications, longer length of stay, and increased hospital mortality. Cognitive training (CT) may be able to durably improve cognitive reserve in areas deficient in delirium and POCD and, therefore, may potentially reduce the risk of these conditions. We sought to determine the feasibility and potential efficacy of a perioperative CT program to reduce the incidence of postoperative delirium and POCD in older cardiac surgery patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1213/ANE.0000000000004469DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154961PMC
March 2020
4 Reads

Management of Childhood Headache in the Emergency Department. Review of the Literature.

Front Neurol 2019 23;10:886. Epub 2019 Aug 23.

Chair of Pediatrics, NESMOS Department, Faculty of Medicine and Psychology, Sapienza University, Sant' Andrea Hospital, Rome, Italy.

Headache is the third cause of visits to pediatric emergency departments (ED). According to a systematic review, headaches in children evaluated in the ED are primarily due to benign conditions that tend to be self-limiting or resolve with appropriate pharmacological treatment. The more frequent causes of non-traumatic headache in the ED include primitive headaches (21. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fneur.2019.00886DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716213PMC
August 2019
11 Reads

Diagnosing and managing work-related mental health conditions in general practice: new Australian clinical practice guidelines.

Med J Aust 2019 07 24;211(2):76-81. Epub 2019 Jun 24.

Comcare, Melbourne, VIC.

Introduction: In Australia, mental health conditions (MHCs) arising from workplace factors are a leading cause of long term work incapacity and absenteeism. While most patients are treated in general practice, general practitioners report several challenges associated with diagnosing and managing workplace MHCs. This guideline, approved by the National Health and Medical Research Council and endorsed by the Royal Australian College of General Practitioners and the Australian College of Rural and Remote Medicine, is the first internationally to address the clinical complexities associated with diagnosing and managing work-related MHCs in general practice. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5694/mja2.50240DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852433PMC
July 2019
26 Reads

Treatment of amphetamine abuse/use disorder: a systematic review of a recent health concern.

Daru 2019 Dec 21;27(2):743-753. Epub 2019 Jun 21.

Women's and New Born Health Department, Westmead Hospital, Sydney, Australia.

Objectives: The study systematically reviewed the effectiveness of pharmacological treatments alone or combined with brief cognitive-behavioural therapy (BCBT) for treating Iranian amphetamine abusers. The secondary aim was to review the efficacy of BCBT alone or combined with pharmacological treatments for treating amphetamine abusers in the world.

Evidence Acquisition: Published trials were considered for inclusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40199-019-00282-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6895313PMC
December 2019
18 Reads

The impact of lifestyle Physical Activity Counselling in IN-PATients with major depressive disorders on physical activity, cardiorespiratory fitness, depression, and cardiovascular health risk markers: study protocol for a randomized controlled trial.

Trials 2019 Jun 20;20(1):367. Epub 2019 Jun 20.

University of Basel, Basel, Switzerland.

Background: Major depressive disorder (MDD) is a widespread and burdensome psychiatric issue. Physical activity counselling may increase lifestyle physical activity and cardiorespiratory fitness in this specific and particularly vulnerable population, which often suffers from both mental and physical health problems. Therefore, this study will examine the impact of a lifestyle physical activity counselling intervention on physical activity, cardiorespiratory fitness, depression, and cardiovascular health risk markers among in-patients diagnosed with MDD compared to controls. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13063-019-3468-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585067PMC
June 2019
25 Reads

A Case Report of Neurosyphilis Limbic Encephalitis With Reversible Geschwind Syndrome and Mood Disorder.

J Psychiatr Pract 2019 May;25(3):222-226

TOFFANIN, MIOLA: Department of Neurosciences, Section of Psychiatry, University-Hospital of Padova, Padova, Italy FOLLADOR: Department of Psychiatry, Hospital of Conegliano, ULSS 2, Treviso, Italy FERRI: Department of Psychiatry, Hospital of Cittadella, ULSS 6, Padova, Italy SCUPOLA: Casa di Cura Parco dei Tigli, Teolo, Padova, Italy MARTINO and BARATTO: Unit of Radiology, Hospital of Conegliano, ULSS 2, Treviso, Italy PERINI: Department of Neurosciences, University of Padova, and Casa di Cura Parco dei Tigli, Teolo, Padova, Italy.

Limbic encephalitis is an inflammatory process of the limbic structures, with polymorphic clinical features, caused by paraneoplastic and nonparaneoplastic conditions and infections. We describe a case of neurosyphilis limbic encephalitis, presenting with reversible Geschwind syndrome (hyperreligiosity and hypergraphia) and mood disorder due to the predominant involvement of left mesial temporal structures in a previously healthy 34-year-old, left-handed woman. Because neurosyphilis can mimic common neuropsychiatric syndromes, it should be included in the differential diagnosis of psychiatric disorders with suspected general medical causes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PRA.0000000000000390DOI Listing
May 2019
9 Reads
1.349 Impact Factor

Implementation facilitation to promote emergency department-initiated buprenorphine for opioid use disorder: protocol for a hybrid type III effectiveness-implementation study (Project ED HEALTH).

Implement Sci 2019 05 7;14(1):48. Epub 2019 May 7.

Departments of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.

Background: Patients with opioid use disorder (OUD) frequently present to the emergency department (ED) after overdose, or seeking treatment for general medical conditions, their addiction, withdrawal symptoms, or complications of injection drug use, such as soft tissue infections. ED-initiated buprenorphine has been shown to be effective in increasing patient engagement in treatment compared with brief intervention with a facilitated referral or referral alone. However, adoption into practice has lagged behind need. Read More

View Article

Download full-text PDF

Source
https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-019-0891-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6505286PMC
May 2019
25 Reads

Post-traumatic stress disorder (PTSD) and other trauma-related mental disorders in elite athletes: a narrative review.

Br J Sports Med 2019 Jun 25;53(12):779-784. Epub 2019 Apr 25.

Department of Psychiatry, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin, USA.

This narrative review examines post-traumatic stress disorder (PTSD) and other trauma-related disorders-mental health conditions with complex diagnosis and treatment considerations-in elite athletes. Athletes may exhibit greater rates of PTSD (up to 13%-25% in some athlete populations) and other trauma-related disorders relative to the general population. We describe common inciting events leading to symptoms of PTSD in elite athletes, including trauma incurred in sports participation through direct physical injury, secondary/witnessed traumatic events, or abusive dynamics within sports teams. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bjsports-2019-100695DOI Listing
June 2019
12 Reads

Guided Digital Cognitive Behavioral Program for Anxiety in Primary Care: Propensity-Matched Controlled Trial.

JMIR Ment Health 2019 Apr 4;6(4):e11981. Epub 2019 Apr 4.

Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA, United States.

Background: Cognitive behavioral therapy (CBT) is the gold standard treatment for adult anxiety disorders but is often not readily available in a scalable manner in many clinical settings.

Objective: This study examines the feasibility, acceptability, and effectiveness of a coach-facilitated digital cognitive behavioral program for anxious adults in primary care.

Methods: In an open trial, patients who screened positive for anxiety (General Anxiety Disorder-7 [GAD7] score ≥5) were offered the digital cognitive behavioral program (active group, n=593). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2196/11981DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6470461PMC
April 2019
13 Reads

Vitamin D deficiency in a psychiatric population and correlation between vitamin D and CRP.

Encephale 2019 Nov 15;45(5):376-383. Epub 2019 Mar 15.

Centre hospitalier Saint-Jean-de-Dieu, 290, route de Vienne, 69008 Lyon, France.

Objectives: The main objective of the study was to assess 25-hydroxyvitamin D (25(OH)D) status in a psychiatric population in France according to psychiatric diagnoses. The secondary objective was to investigate a correlation between 25(OH)D and CRP.

Methods: A retrospective study from February 1st, 2014 to January 31, 2016, was carried out in a French psychiatric hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.encep.2019.02.005DOI Listing
November 2019
8 Reads

Comparing duloxetine and pregabalin for treatment of pain and depression in women with fibromyalgia: an open-label randomized clinical trial.

Daru 2019 Jun 14;27(1):149-158. Epub 2019 Mar 14.

Department of General Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Background: Duloxetine and pregabalin are among the most widely used medications in the treatment of patients with fibromyalgia syndrome (FM).

Objectives: To add to the very few lines of evidence that exist on the comparative safety and efficacy of these two medications.

Methods: In this open-label randomized clinical trial, outpatient women, who were diagnosed with FM based on American College of Rheumatology 2010 criteria, and had an age range of 18-65 years old were assigned to either duloxetine 30-60 mg or pregabalin 75-150 mg per day for 4 weeks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40199-019-00257-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593027PMC
June 2019
21 Reads

Oral health in schizophrenia patients: A French Multicenter Cross-Sectional Study.

Presse Med 2019 Feb 8;48(2):e89-e99. Epub 2019 Mar 8.

University Hospital of Dijon, Department of Psychiatry and Addictology, 21079 Dijon, France.

Objective: The aim of this study was to assess the oral health status of a sample of patients with schizophrenia (PWS) in Côte d'Or region (France) and to determine the factors associated with dental status.

Material And Methods: A multicenter cross-sectional descriptive study was performed. PWS were selected using a random stratified method. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.lpm.2018.06.018DOI Listing
February 2019
6 Reads

Elucidation of the phenotypic spectrum and genetic landscape in primary and secondary microcephaly.

Genet Med 2019 09 7;21(9):2043-2058. Epub 2019 Mar 7.

Institute of Medical Genetics, University of Zurich, Schlieren, Zurich, Switzerland.

Purpose: Microcephaly is a sign of many genetic conditions but has been rarely systematically evaluated. We therefore comprehensively studied the clinical and genetic landscape of an unselected cohort of patients with microcephaly.

Methods: We performed clinical assessment, high-resolution chromosomal microarray analysis, exome sequencing, and functional studies in 62 patients (58% with primary microcephaly [PM], 27% with secondary microcephaly [SM], and 15% of unknown onset). Read More

View Article

Download full-text PDF

Source
http://www.nature.com/articles/s41436-019-0464-7
Publisher Site
http://dx.doi.org/10.1038/s41436-019-0464-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752480PMC
September 2019
36 Reads

Prevalence and comorbidity of attention deficit hyperactivity disorder in Spain: study protocol for extending a systematic review with updated meta-analysis of observational studies.

Syst Rev 2019 02 11;8(1):49. Epub 2019 Feb 11.

Department of Medicine, University of Valencia/INCLIVA Health Research Institute and CIBERSAM, Valencia, Spain.

Background: Attention deficit hyperactivity disorder (ADHD) is a childhood-onset disorder characterized by a persistent pattern of symptoms of developmentally inappropriate and impaired inattention and/or hyperactivity/impulsivity, with difficulties often continuing into adulthood. ADHD can come with other comorbid conditions. The aim of this study will be to quantify the prevalence and comorbidity of ADHD among children, adolescent, and adult population in Spain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13643-019-0967-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371515PMC
February 2019
15 Reads

The Prevalence of patients with panic attacks (PAs) and panic disorder (PD) visiting Emergency Departments of the Verona Hospital.

Ann Ig 2019 Mar-Apr;31(2):93-108

Specialization School in Hygiene and Preventive Medicine, University of Verona, Italy.

Background: Panic Attacks (PAs) and Panic Disorder (PD) represent a heavy burden not only because of the difficulty in distinguishing them from other pathologies and in treating them appropriately but also because of their impact on public health worldwide. In Europe, PD constitutes one of the five most common mental disorders adversely affecting quality of life.

Study Design: The aim of this study is to evaluate the period prevalence of visits to the Emergency Departments of the University Hospital of Verona (North East of Italy) over the period between 2012-2016 because of symptoms of PAs or PD in order to quantify the burden of the disorder. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7416/ai.2019.2262DOI Listing
April 2020
8 Reads

Prevention of Early Postoperative Decline (PEaPoD): protocol for a randomized, controlled feasibility trial.

Trials 2018 Dec 11;19(1):676. Epub 2018 Dec 11.

Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA.

Background: Delirium is associated with a significantly increased risk of postoperative morbidity and mortality. Furthermore, delirium has been associated with an increased risk of prolonged cognitive deficits and accelerated long-term cognitive decline. To date, experimental interventions for delirium have mainly focused on alternative pharmacologic and behavioral strategies in the postoperative period. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13063-018-3063-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290549PMC
December 2018
7 Reads

Symptoms of problematic feeding in children with CHD compared to healthy peers.

Authors:
Britt F Pados

Cardiol Young 2019 Feb 20;29(2):152-161. Epub 2018 Nov 20.

Boston College William F. Connell School of Nursing, Chestnut Hill, MA, USA.

Children with CHD often experience difficulty with oral feeding, which contributes to growth faltering in this population. Few studies have explored symptoms of problematic feeding in children with CHD using valid and reliable measures of oral feeding. The purpose of this study was to describe symptoms of problematic feeding in children with CHD compared to healthy children without medical conditions, taking into account variables that may contribute to symptoms of problematic feeding. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1017/S1047951118001981DOI Listing
February 2019
28 Reads

Cost-effectiveness of interventions for medically unexplained symptoms: A systematic review.

PLoS One 2018 15;13(10):e0205278. Epub 2018 Oct 15.

Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.

Background: In primary and secondary care medically unexplained symptoms (MUS) or functional somatic syndromes (FSS) constitute a major burden for patients and society with high healthcare costs and societal costs. Objectives were to provide an overview of the evidence regarding the cost-effectiveness of interventions for MUS or FSS, and to assess the quality of these studies.

Methods: We searched the databases PubMed, PsycINFO, the National Health Service Economic Evaluation Database (NHS-EED) and the CEA registry to conduct a systematic review. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0205278PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188754PMC
March 2019
7 Reads

Extended Nicotine Patch Treatment Among Smokers With and Without Comorbid Psychopathology.

Nicotine Tob Res 2020 01;22(1):24-31

Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.

Introduction: Individuals with psychiatric conditions smoke at higher rates than the general population and may need more intensive treatment to quit. We examined whether or not extended treatment with nicotine patch, combined with behavior counseling, would disproportionally benefit smokers with versus without a lifetime psychiatric condition.

Methods: We conducted a secondary analysis of data from an effectiveness trial of treatment with 12 counseling sessions (48 weeks) and 21-mg nicotine patch (8, 24, or 52 weeks) among 525 adult daily smokers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/ntr/nty191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297011PMC
January 2020
3 Reads

S100A9-Driven Amyloid-Neuroinflammatory Cascade in Traumatic Brain Injury as a Precursor State for Alzheimer's Disease.

Sci Rep 2018 08 27;8(1):12836. Epub 2018 Aug 27.

Department of Medical Biochemistry and Biophysics, Umeå University, 90187, Umeå, Sweden.

Pro-inflammatory and amyloidogenic S100A9 protein is an important contributor to Alzheimer's disease (AD) pathology. Traumatic brain injury (TBI) is viewed as a precursor state for AD. Here we have shown that S100A9-driven amyloid-neuroinflammatory cascade was initiated in TBI and may serve as a mechanistic link between TBI and AD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41598-018-31141-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110751PMC
August 2018
37 Reads
5.080 Impact Factor

A randomized controlled trial of the compuLsive Exercise Activity TheraPy (LEAP): A new approach to compulsive exercise in anorexia nervosa.

Int J Eat Disord 2018 08 26;51(8):999-1004. Epub 2018 Jul 26.

Discipline of Behavioural Psychology, WMG and Warwick Medical School, University of Warwick, Coventry, United Kingdom.

Objective: To compare the efficacy of the compuLsive Exercise Activity theraPy (LEAP) programme integrated with manualized cognitive behavioral therapy for anorexia nervosa (CBT-AN) compared to CBT-AN alone.

Method: Seventy-eight adults were randomized to CBT-AN, delivered with or without eight embedded sessions of LEAP, for a total of 34 individual outpatient sessions. Participants were assessed at baseline, the end of the first phase of CBT-AN (which included LEAP), mid-therapy, end of therapy, and at 3 and 6 months follow-up. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/eat.22920DOI Listing
August 2018
36 Reads

Interim buprenorphine treatment during delays to comprehensive treatment: Changes in psychiatric symptoms.

Exp Clin Psychopharmacol 2018 08 25;26(4):403-409. Epub 2018 Jun 25.

Vermont Center on Behavior and Health.

Prevalence of depression, anxiety, and mood disorders among individuals with opioid use disorder far exceeds that of the general population. While psychiatric symptoms often improve upon entry into opioid treatment, this has typically been seen with treatments involving psychosocial counseling. In this secondary analysis, we examined changes in psychiatric symptoms during a randomized clinical trial evaluating an interim buprenorphine treatment without counseling among individuals awaiting entry into comprehensive treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/pha0000199DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6072576PMC
August 2018
50 Reads

Antidepressants for the treatment of depression in people with cancer.

Cochrane Database Syst Rev 2018 04 23;4:CD011006. Epub 2018 Apr 23.

​Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Policlinico "GB Rossi", Piazzale L.A. Scuro, 10, Verona, Italy, 37134.

Background: Major depression and other depressive conditions are common in people with cancer. These conditions are not easily detectable in clinical practice, due to the overlap between medical and psychiatric symptoms, as described by diagnostic manuals such as the Diagnostic and Statistical Manual of Mental Disorders (DSM) and International Classification of Diseases (ICD). Moreover, it is particularly challenging to distinguish between pathological and normal reactions to such a severe illness. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/14651858.CD011006.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494588PMC
April 2018
34 Reads

Comparison of Correlated Comorbidities in Male and Female Sexual Dysfunction: Findings From the Third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).

J Sex Med 2018 05 7;15(5):678-686. Epub 2018 Apr 7.

MedStar Washington Hospital Center, Washington, DC, USA.

Background: Many of the same mechanisms involved in the sexual arousal-response system in men exist in women and can be affected by underlying general medical conditions.

Aim: To assess whether sexual function in men and women is correlated with similar comorbidities.

Methods: This study was a secondary analysis of the 3rd National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a prospective stratified probability sample of British individuals 16 to 74 years old interviewed from 2010 to 2012. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S17436095183014
Publisher Site
http://dx.doi.org/10.1016/j.jsxm.2018.02.023DOI Listing
May 2018
21 Reads

Incorporating PROMIS Symptom Measures into Primary Care Practice-a Randomized Clinical Trial.

J Gen Intern Med 2018 08 5;33(8):1245-1252. Epub 2018 Apr 5.

Department of Biostatistics, Fairbanks School of Public Health, Indianapolis, IN, USA.

Background: Symptoms account for more than 400 million clinic visits annually in the USA. The SPADE symptoms (sleep, pain, anxiety, depression, and low energy/fatigue) are particularly prevalent and undertreated.

Objective: To assess the effectiveness of providing PROMIS (Patient-Reported Outcome Measure Information System) symptom scores to clinicians on symptom outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11606-018-4391-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082211PMC
August 2018
24 Reads

Health Services Use and Costs for Americans With Intellectual and Developmental Disabilities: A National Analysis.

Intellect Dev Disabil 2018 04;56(2):101-118

Glenn T. Fujiura, University of Illinois, Chicago; Henan Li, Brandeis University, and Sandy Magaña, University of Texas.

Health services and associated costs for adults with intellectual and developmental disabilities (IDD) were nationally profiled and the predictors of high expense users statistically modeled. Using linked data from the National Health Interview Survey and Medical Expenditure Panel Survey for the years 2002 through 2011, the study found a mixed pattern of differences in rates of service use and costs when compared to the general population depending upon personal characteristics, health status, and type of health care service. Prescription medication costs were the primary driver of total health care expenditures for Americans with IDD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1352/1934-9556-56.2.101DOI Listing
April 2018
16 Reads

Efficacy and cost-effectiveness of a blended cognitive behavioral therapy for depression in Spanish primary health care: study protocol for a randomised non-inferiority trial.

BMC Psychiatry 2018 03 23;18(1):74. Epub 2018 Mar 23.

Department of Basic Psychology, Clinical and Psychobiology, Jaume I University, Castellón, Spain.

Background: Data from primary health care in Spain show a high prevalence of the major depressive disorder. Blended treatment (combination of face-to-face and online components) seems to be a very promising tool for the optimization and dissemination of psychological treatments in a cost-effective form. Although there is growing data that confirm the advantages of blended therapies, few studies have analyzed their application in regular clinical practice. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12888-018-1638-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5865366PMC
March 2018
18 Reads

Prevalence of and characteristics associated with insomnia and obstructive sleep apnea among veterans with knee and hip osteoarthritis.

BMC Musculoskelet Disord 2018 03 9;19(1):79. Epub 2018 Mar 9.

Durham VA Health Care System, VA Medical Center (152), 508 Fulton Street, Durham, NC, 27705, USA.

Background: Few studies have examined patterns of specific sleep problems among individuals with osteoarthritis (OA). The primary objective of this study was to examine prevalence of symptoms of insomnia and obstructive sleep apnea (OSA) among Veterans with OA. Secondary objectives were to assess proportions of individuals with insomnia and OSA symptoms who may have been undiagnosed and to examine Veterans' characteristics associated with insomnia and OSA symptoms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12891-018-1993-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5845198PMC
March 2018
22 Reads

Catatonic Stupor in Schizophrenic Disorders and Subsequent Medical Complications and Mortality.

Psychosom Med 2018 05;80(4):370-376

From the Department of Neuropsychiatry (Funayama, Takata, Koreki, Ogino), Ashikaga Red Cross Hospital, Tochigi; and Department of Neuropsychiatry (Mimura), Keio University School of Medicine, Tokyo, Japan.

Objective: Although catatonia can occur secondary to a general medical condition, catatonia itself has been known to lead to various medical compolications. Although case reports on the association of catatonia with subsequent medical complications have been documented, no comprehensive large-scale study has been performed. To investigate specific medical complications after catatonia, we conducted a retrospective cohort study of specific medical complications of schizophrenia patients with catatonia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PSY.0000000000000574DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5959200PMC
May 2018
16 Reads

Prevalence of physical conditions and multimorbidity in a cohort of adults with intellectual disabilities with and without Down syndrome: cross-sectional study.

BMJ Open 2018 02 5;8(2):e018292. Epub 2018 Feb 5.

Mental Health and Wellbeing Research Group, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.

Objectives: To investigate the prevalence of multimorbidity in adults with intellectual disabilities with and without Down syndrome.

Design: Large, population-based cross-sectional study.

Setting: The geographical area of one Health Board, Scotland. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2017-018292DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829598PMC
February 2018
16 Reads

Pharmacotherapy for primary delusional jealousy, a retrospective observational study of 32 cases with Othello syndrome.

Int Clin Psychopharmacol 2018 03;33(2):92-97

Department of Psychiatry, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan.

To determine whether primary delusional jealousy can be treated effectively with antipsychotics or antidepressants, and whether any clinical variables are associated with response to pharmacotherapy, we carried out a retrospective case series observational study by reviewing clinical records of patients with an International Classification of Disease, 9th ed., diagnostic code of 297 (delusional disorders) who were treated at the Department of Psychiatry of a university affiliated hospital from January 2010 to December 2015. Only those records showing obvious delusional jealousy not secondary to other medical conditions, dementia, or schizophrenia were scrutinized thoroughly with respect to types of pharmacotherapy, treatment response, and other demographic and clinical variables likely to be associated with clinical outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/YIC.0000000000000207DOI Listing
March 2018
10 Reads

Peer-Led Self-Management of General Medical Conditions for Patients With Serious Mental Illnesses: A Randomized Trial.

Psychiatr Serv 2018 05 1;69(5):529-535. Epub 2018 Feb 1.

Dr. Druss, Ms. Singh, Dr. von Esenwein, Ms. Tapscott, and Ms. Lally are with the Department of Health Policy and Management, Emory University, Atlanta. Ms. Glick is with J. Michael Consulting, Atlanta. Ms. Tucker is with the Georgia Mental Health Consumer Network, Atlanta. Dr. Sterling is with the Department of Sociology, Kennesaw State University, Kennesaw, Georgia.

Objective: Individuals with serious mental illnesses have high rates of general medical comorbidity and challenges in managing these conditions. A growing workforce of certified peer specialists is available to help these individuals more effectively manage their health and health care. However, few studies have examined the effectiveness of peer-led programs for self-management of general medical conditions for this population. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1176/appi.ps.201700352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930018PMC
May 2018
19 Reads

Major Depression Comorbid with Medical Conditions: Analysis of Quality of Life, Functioning, and Depressive Symptom Severity.

Psychopharmacol Bull 2018 01;48(1):8-25

Drs. IsHak, Dang, Vanle, Elzahaby, Reid, Sumner, Danovitch, and Ms. Klimowicz, Kauzor, Cedars-Sinai Medical Center, Los Angeles, California, USA. Dr. Steiner, University of California, Los Angeles, California, USA. Ms. Klimowicz, Western University of Health Sciences, California, USA. Ms. Kauzor, California State University, Northridge, California, USA.

Background: The presence of Major Depressive Disorder (MDD) is often comorbid in patients with a variety of general medical conditions (GMCs) which could lead to less favorable outcomes.

Objective: The goal of this analysis is to examine functional outcomes of QOL and functioning before and after antidepressant treatment among patients with MDD with and without GMCs.

Methods: We performed a secondary analysis based on the STAR*D database. Read More

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765436PMC
January 2018
34 Reads

Defending psychiatry or defending the trivial effects of therapeutic interventions? A citation content analysis of an influential paper.

Epidemiol Psychiatr Sci 2018 06 29;27(3):230-239. Epub 2017 Nov 29.

Meta-Research Innovation Center at Stanford (METRICS),Stanford University,Palo Alto,USA.

Aims: Leucht et al. in 2012 described an overview of meta-analyses of the efficacy of medication in psychiatry and general medicine, concluding that psychiatric drugs were not less efficacious than other drugs. Our goal was to explore the dissemination of this highly cited paper, which combined a thought provoking message with a series of caveats. Read More

View Article

Download full-text PDF

Source
https://www.cambridge.org/core/product/identifier/S204579601
Publisher Site
http://dx.doi.org/10.1017/S2045796017000750DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6998859PMC
June 2018
7 Reads

Effectiveness of SBIRT for Alcohol Use Disorders in the Emergency Department: A Systematic Review.

West J Emerg Med 2017 Oct 21;18(6):1143-1152. Epub 2017 Sep 21.

Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts.

Introduction: Alcohol use disorders (AUD) place a significant burden on individuals and society. The emergency department (ED) offers a unique opportunity to address AUD with brief screening tools and early intervention. We undertook a systematic review of the effectiveness of ED brief interventions for patients identified through screening who are at risk for AUD, and the effectiveness of these interventions at reducing alcohol intake and preventing alcohol-related injuries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5811/westjem.2017.7.34373DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654886PMC
October 2017
29 Reads

Change in psychotropic drug use in Norwegian nursing homes between 2004 and 2011.

Int Psychogeriatr 2018 03 9;30(3):385-394. Epub 2017 Oct 9.

Department of General Practice and Elderly Care Medicine,University of Groningen,University Medical Centre Groningen,Groningen,the Netherlands.

ABSTRACTBackground:We aimed to assess whether there were any changes in the use of psychotropic drugs in Norwegian nursing homes between 2004 and 2011. Also, we investigated whether the predictors of use of specific psychotropic drug groups have changed.

Methods: We conducted a secondary analysis of two cohort studies of two Norwegian nursing home samples (2004/05 and 2010/11). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1017/S1041610217001788DOI Listing
March 2018
7 Reads

Nocturia is Associated with Poor Sleep Quality Among Older Women in the Study of Osteoporotic Fractures.

J Am Geriatr Soc 2017 Nov 15;65(11):2502-2509. Epub 2017 Sep 15.

California Pacific Medical Center, San Francisco, California.

Objectives: (1) To examine relationships between frequency of nocturia and self-reported sleep quality and objective sleep measures in older women, and (2) to estimate the amount of variation in sleep measures that is specifically attributable to frequency of nocturia.

Design And Setting: Secondary, cross sectional analysis of the multicenter prospective cohort Study of Osteoporotic Fractures (SOF).

Participants: Community-dwelling women aged ≥80 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/jgs.15027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5681421PMC
November 2017
26 Reads

Daytime sleepiness: more than just Obstructive Sleep Apnea (OSA).

Med Lav 2017 08 28;108(4):260-266. Epub 2017 Aug 28.

IRCCS San Raffaele Scientific Institute, Department of Clinical Neurosciences and Università Vita-Salute San Raffaele, Milan, Italy.

Excessive Daytime Sleepiness (EDS) is a common condition with a significant impact on quality of life and general health. A mild form of sleepiness can be associated with reduced reactivity and modest distractibility symptoms, but more severe symptomatic forms are characterized by an overwhelming and uncontrollable need to sleep, causing sudden sleep attacks, amnesia and automatic behaviors. The prevalence in the general population is between 10 and 25%. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23749/mdl.v108i4.6497DOI Listing
August 2017
24 Reads

A prospective cohort study of hospital separations among people who inject drugs in Australia: 2008-2013.

BMJ Open 2017 Aug 18;7(8):e014854. Epub 2017 Aug 18.

Centre for Population Health, Burnet Institute, Melbourne, Victoria, Australia.

Objectives: Injecting drug use is a persistent behaviour that increases the risk of morbidities and mortality. We assessed the burden of hospital separations among people who inject drugs (PWID), the excess compared to the general population and characteristics of separations associated with frequent use.

Design: Prospective cohort study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2016-014854DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724200PMC
August 2017
16 Reads

Scope, Scale, and Dose of the World's Largest School-Based Mental Health Programs.

Harv Rev Psychiatry 2017 Sep/Oct;25(5):218-228

From: Harvard Medical School (Drs. Murphy and Jellinek); Departments of Psychiatry (Dr. Murphy) and Pediatrics (Dr. Jellinek), Massachusetts General Hospital, Boston, MA; Clinical Child Psychology Program, University of Kansas (Ms. Abel); Department of Psychiatry, University of Maryland School of Medicine (Dr. Hoover); Department of Psychiatry, Oxford University, Warneford Hospital, Oxford, UK (Dr. Fazel).

Untreated mental health problems are among the most disabling, persistent, and costly health conditions. Because they often begin in childhood and continue into adulthood, there has been growing interest in preventive mental health programs for children. In recent years, several such programs have been implemented at regional, state, or national scale, and although many experimental studies have documented positive outcomes of individual programs, this article represents the first attempt to systematically compare the largest programs in terms of scope, scale, and dose. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/HRP.0000000000000149DOI Listing
May 2018
12 Reads

Lithium Use in Pregnancy and the Risk of Cardiac Malformations.

N Engl J Med 2017 06;376(23):2245-2254

From the Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine (E.P., K.F.H., B.T.B., R.J.D., H.M.), and the Department of Anesthesiology, Perioperative and Pain Medicine (B.T.B.), Brigham and Women's Hospital and Harvard Medical School, the Department of Epidemiology, Harvard T.H. Chan School of Public Health (J.M.C., S.H.-D.), and the Center for Women's Mental Health, Department of Psychiatry, Massachusetts General Hospital (L.S.C.) - all in Boston.

Background: There has been concern that exposure to lithium early in pregnancy may be associated with a marked increase in the risk of Ebstein's anomaly (a right ventricular outflow tract obstruction defect) in infants and overall congenital cardiac defects, but data are conflicting and limited.

Methods: We conducted a cohort study involving 1,325,563 pregnancies in women who were enrolled in Medicaid and who delivered a live-born infant between 2000 and 2010. We examined the risk of cardiac malformations among infants exposed to lithium during the first trimester as compared with unexposed infants and, in secondary analyses, with infants exposed to another commonly used mood stabilizer, lamotrigine. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1056/NEJMoa1612222DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5667676PMC
June 2017
73 Reads

Hypertension with unsatisfactory sleep health (HUSH): study protocol for a randomized controlled trial.

Trials 2017 06 6;18(1):256. Epub 2017 Jun 6.

Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O'Hara Street, E-1123 TDH, Pittsburgh, PA, 15213, USA.

Background: Insomnia is common in primary care medical practices. Although behavioral treatments for insomnia are safe, efficacious, and recommended in practice guidelines, they are not widely-available, and their effects on comorbid medical conditions remain uncertain. We are conducting a pragmatic clinical trial to test the efficacy of two cognitive behavioral treatments for insomnia (Brief Behavioral Treatment for Insomnia (BBTI) and Sleep Healthy Using the Internet (SHUTi)) versus an enhanced usual care condition (EUC). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13063-017-2001-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461741PMC
June 2017
77 Reads