1,016 results match your criteria preexisting mental

The Perfect Storm: Rapid Progression of Diabetic Ketoacidosis in Pediatric Diabetes in the Setting of COVID-19.

AACE Clin Case Rep 2021 Jun 4. Epub 2021 Jun 4.

Duke University Hospital, Department of Pediatric Critical Care 5260Y Duke North DUMC Box 3046 Durham, NC 27710.

Objective: The coronavirus disease-2019 (COVID-19) pandemic has introduced countless challenges to the medical field. While pediatric patients are reported to have lower rates of COVID-19 mortality, the presence of pre-existing conditions can heighten the severity of their clinical presentation.

Case Report: Our patient, a six year old female with known type 1 diabetes, presented with acute onset of abnormal breathing and altered mental status. Read More

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Analysis of the survival and clinical characteristics of colorectal cancer patients with mental disorders.

Ann Gastroenterol Surg 2021 May 25;5(3):314-320. Epub 2021 Jan 25.

Department of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.

Aim: Many studies have shown that patients with mental disorders are less likely than non-psychiatric patients to be diagnosed with or treated for various types of cancers because of their low awareness and understanding of the disease as well as reduced ability to cooperate with medical staff. We analyzed the clinical features of patients with colorectal cancer (CRC) and preexisting mental illness.

Methods: All patients underwent primary tumor resection for CRC. Read More

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[Feedback from the establishment of a psychiatric regulation line at SAMU 62 in the context of Covid-19].

Ann Med Psychol (Paris) 2021 May 28. Epub 2021 May 28.

CUMP 62, centre hospitalier d'Arras (62), Arras, France.

The epidemic context of Covid-19 and the containment measures, put in place since 16 March 2020, has significantly increased the number of emergencies calls in call center (SAMU). In the department of Pas-de-Calais, one step of the crisis measures was setting up a psychiatric regulation line, which aims to manage calls with strong emotional valence (in connexion with containment, anxiety related to the epidemic context, or break in psychiatric cares for people suffering of mental disorders). This psychiatric hotline was provided from 20 March 2020 to 15 May 2020 by fifteen psychiatric careers (psychiatrists, psychologists and psychiatric nurses) from the network of the medical-psychological emergency unit (unit of the emergency call center which aims to manage people involved in psychotraumatic events). Read More

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Shift work and incidence of psychiatric disorders: The Danish Nurse Cohort study.

J Psychiatr Res 2021 Jul 23;139:132-138. Epub 2021 May 23.

Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Background: Research on health effects of shift work has especially focused on somatic diseases, such as breast cancer and cardiometabolic disease, while less attention has been given to the association between shift work and mental health.

Methods: We used information on 19 964 female nurses (≥44 years) from the Danish Nurse Cohort, who reported current work schedule (day, evening, night, or rotating) at recruitment (1993/1999). In 5102 nurses who participated in both cohort waves, we defined persistent night shift work as working night shift in 1993 and 1999. Read More

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Fat Embolism Syndrome Mimicking a COVID-19 Infection.

Case Rep Crit Care 2021 6;2021:5519812. Epub 2021 May 6.

Orthopedic Anaesthesia and Intensive Care Compartment, Emergency County Hospital Cluj-Napoca, Romania.

Fat embolism syndrome (FES) is a multiple organ disorder that can appear after pelvic and long bone fractures. The most common clinical finding is hypoxia, accompanied by diffuse petechiae, alveolar infiltrates, altered mental status, fever, polypnea, and tachycardia. We present a mild FES case on a 32-year-old man with no medical history admitted for an orthopedic procedure, following both tibia and fibulae fractures. Read More

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COVID-19 pandemic fears and obsessive-compulsive symptoms in adolescents with pre-existing mental disorders: An exploratory cross-sectional study.

Clin Child Psychol Psychiatry 2021 May 28:13591045211017606. Epub 2021 May 28.

Mental Health Service, Hamad Medical Corporation, Doha, Qatar.

Background: Previous research has established an association between pandemic fears and the development of obsessive-compulsive symptoms mainly in the general population.

Aim: To explore whether COVID-19 pandemic fears are associated with obsessive-compulsive symptoms and vice versa in adolescents with preexisting mental and behavioural disorders.

Methods: A questionnaire-based cross-sectional study among adolescents with pre-existing mental disorders. Read More

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Depression, anxiety, and the COVID-19 pandemic: Severity of symptoms and associated factors among university students after the end of the movement lockdown.

PLoS One 2021 27;16(5):e0252481. Epub 2021 May 27.

Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia.

Background And Aims: This online cross-sectional study investigated the severity of depressive, anxiety, and stress symptoms among university students and determined the association between various factors and the levels of depressive and anxiety symptoms in response to the coronavirus disease 2019 (COVID-19) pandemic after the movement control order (MCO) was lifted.

Methods: A total of 316 participants were administered a self-report questionnaire that collected data on sociodemographic attributes, personal characteristics, COVID-19-related stressors, religious coping, and clinical characteristics. In addition, the Multidimensional Scale of Perceived Social Support (MSPSS) and the 21-item Depression, Anxiety and Stress Scale (DASS-21) were administered. Read More

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Women's postpartum experiences in Canada during the COVID-19 pandemic: a qualitative study.

CMAJ Open 2021 Apr-Jun;9(2):E556-E562. Epub 2021 May 21.

Department of Family Medicine (Rice), McGill University, Montréal, Que.; Department of Anthropology (Williams), University of Toronto, Toronto, Ont.

Background: The mental health of postpartum women has worsened during the COVID-19 pandemic; however, the experiences that underlie this remain unexplored. The purpose of this study was to examine how people in Canada who gave birth during the pandemic were affected by policies aimed at limiting interpersonal contact to reduce SARS-CoV-2 transmission in hospital and during the early weeks postpartum.

Methods: We took a social constructionist approach and used a qualitative descriptive methodology. Read More

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COVID-19 Mental Health Disparities.

Health Secur 2021 Jun 19;19(S1):S5-S13. Epub 2021 May 19.

Leia Y. Saltzman, LMSW, PhD, is an Assistant Professor; Veronica Henry, MSW, is a Graduate Student; Tonya C. Hansel, PhD, LMSW, is an Associate Professor; and Patrick S. Bordnick, PhD, is Dean; all at the School of Social Work, Tulane University, New Orleans, LA. Amy E. Lesen, PhD, is an Associate Professor, Minority Health and Health Disparities Research Center, Biology Department, Dillard University, New Orleans, LA.

Communities of color in the United States have been disproportionately impacted by the COVID-19 pandemic. Studies exploring the mental health implications of these disparities have only just begun to emerge. The purpose of this study is to better understand mental health concerns and test whether social determinants of health and COVID-19-related experiences influence these concerns. Read More

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The Independent Effects of Psychosocial Stressors on Subclinical Psychosis: Findings From the Multinational EU-GEI Study.

Schizophr Bull 2021 May 19. Epub 2021 May 19.

Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands.

The influence of psychosocial stressors on psychosis risk has usually been studied in isolation and after the onset of the disorder, potentially ignoring important confounding relationships or the fact that some stressors that may be the consequence of the disorder rather than preexisting. The study of subclinical psychosis could help to address some of these issues. In this study, we investigated whether there was (i) an association between dimensions of subclinical psychosis and several psychosocial stressors including: childhood trauma, self-reported discrimination experiences, low social capital, and stressful life experiences, and (ii) any evidence of environment-environment (ExE) interactions between these factors. Read More

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Preexisting Depression and Daytime Sleepiness in Women and Men.

Behav Sleep Med 2021 May 18:1-13. Epub 2021 May 18.

Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

: Sleep problems can persist following the treatment of depression and remission of symptoms. The extent to which having a previous history of depression may be associated with current daytime sleepiness is largely unknown.: Data were obtained from the spring 2017 American College Health Association-National College Health Assessment (ACHA-NCHA) survey (92 institutions) which assessed self-reported health in U. Read More

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A Cross-Sectional and Prospective Comparison of Medicinal Cannabis Users and Controls on Self-Reported Health.

Cannabis Cannabinoid Res 2020 Jun 8. Epub 2020 Jun 8.

Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Despite widespread legalization, the impact of medicinal cannabis use on patient-level health and quality of life (QOL) has not been carefully evaluated. The objective of this study was to characterize self-reported demographics, health characteristics, QOL, and health care utilization of Cannabis Users compared with Controls. A longitudinal, cross-sectional web-based survey study was completed between April 2016 and February 2018. Read More

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Post-ICU Care in the Outpatient Setting.

Am Fam Physician 2021 05;103(10):590-596

University of Iowa Carver College of Medicine, Iowa City, IA, USA.

More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should be prepared to provide ongoing care and screening for post-ICU complications. Risk factors for complications after ICU discharge include previous ICU admissions, preexisting mental illness, greater number of comorbidities, and prolonged mechanical ventilation or higher opioid exposure while in the ICU. Read More

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Changes in Diagnostic and Demographic Characteristics of Patients Seeking Mental Health Care During the Early COVID-19 Pandemic in a Large, Community-Based Health Care System.

J Clin Psychiatry 2021 03 3;82(2). Epub 2021 Mar 3.

Division of Research, Kaiser Permanente Northern California, Oakland, California.

Objective: The early COVID-19 pandemic resulted in great psychosocial disruption and stress, raising speculation that psychiatric disorders may worsen. This study aimed to identify patients vulnerable to worsening mental health during the COVID-19 pandemic.

Methods: This retrospective observational study used electronic health records from March 9 to May 31 in 2019 (n = 94,720) and 2020 (n = 94,589) in a large, community-based health care system. Read More

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The association between preterm birth and postpartum mental healthcare utilization among California birthing people.

Am J Obstet Gynecol MFM 2021 Apr 28;3(4):100380. Epub 2021 Apr 28.

University of California San Francisco School of Medicine, San Francisco, CA (Ms Calthorpe); California Preterm Birth Initiative (Ms Baer, Dr Chambers, Mr Oltman, and Drs Rand, Jelliffe-Pawlowski, and Pantell); Department of Epidemiology and Biostatistics (Drs Chambers and Steurer, Mr Oltman, and Dr Jelliffe-Pawlowski); Department of Pediatrics (Drs Steurer, Karvonen, Rogers, and Pantell); Department of Obstetrics, Gynecology, and Reproductive Sciences (Dr Rand), University of California San Francisco, San Francisco, CA; Department of Pediatrics, University of California San Diego, La Jolla, CA (Ms Baer); University of California San Francisco School of Nursing, San Francisco, CA (Dr Shannon).

Background: While mental health conditions such as postpartum depression are common, little is known about how mental healthcare utilization varies after term versus preterm delivery.

Objective: This study aimed to determine whether preterm birth is associated with postpartum inpatient and emergency mental healthcare utilization.

Study Design: The study sample was obtained from a database of live-born neonates delivered in California between the years of 2011 and 2017. Read More

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Diet-Cognition Associations Differ in Mild Cognitive Impairment Subtypes.

Nutrients 2021 Apr 17;13(4). Epub 2021 Apr 17.

National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, 29 Nanwei Road, Beijing 100050, China.

Cognitive function is not generally associated with diet, and there is debate over that association. Moreover, little is known about such associations with the specific cognitive domains and subtypes of mild cognitive impairment (MCI). We analyzed data of 4309 Chinese adults aged 55 and over from the Community-based Cohort Study on Nervous System Diseases from 2018-2019. Read More

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The presence of semantic content in a visual recognition memory task reduces the severity of neglect.

Neuropsychologia 2021 Jul 24;157:107860. Epub 2021 Apr 24.

Neurobiology Department, The Alexander Silberman Institute of Life Sciences, The Hebrew University of Jerusalem, Jerusalem, 91904, Israel; The Edmond and Lily Safra Center for Brain Sciences, The Hebrew University of Jerusalem, Jerusalem, 91904, Israel.

Patients with right hemisphere damage often show a lateral bias when asked to report the left side of mental images held in visual working memory (i.e. representational neglect). Read More

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The self-serving benefits of being a good host: A role for our micro-inhabitants in shaping opioids' function.

Neurosci Biobehav Rev 2021 Apr 21;127:284-295. Epub 2021 Apr 21.

Behavioral and Cellular Neuroscience, Department of Psychological and Brain Sciences, Texas A&M University, 4235 TAMU, College Station, TX, 77843, USA.

Opioids are highly efficacious in their ability to relieve pain, but they are liable for abuse, dependence, and addiction. Risk factors to develop opioid use disorders (OUD) include chronic stress, socio-environment, and preexisting major depressive disorders (MDD) and posttraumatic stress disorders (PTSD). Additionally, opioids reduce gut motility, induce loss of gut barrier function, and alter the composition of the trillions of microbes hosted in the gastrointestinal tract, known as the gut microbiota. Read More

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Sexual Assault Nurse Examiner/Forensic Nurse Hospital-based Staffing Solution: A Business Plan Development and Evaluation.

J Emerg Nurs 2021 Apr 21. Epub 2021 Apr 21.

Nationally and internationally, providing competent and sustainable sexual assault nurse examiner/forensic nurse coverage has been a shared challenge. This project, "Sexual Assault Nurse Examiner/Forensic Nurse Hospital-based Staffing Solution: A Business Plan Development and Evaluation," provides an example for assessment, construction, implementation, and evaluation of a business plan for a sustainable sexual assault nurse examiner/forensic nurse staffing solution. By using preexisting float pool positions and converting them to sexual assault nurse examiner emergency nurses, coverage for sexual assault nurse examiner examinations in a 16-hospital health system was established, which decreased sexual assault nurse examiner turnover related to burnout while increasing the sustainability of sexual assault nurse examiner nurses who provided quality care to patients who had experienced a sexual assault, domestic or intimate partner violence, elder or child abuse or neglect, assault, strangulation, or human trafficking. Read More

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What Characterizes Vulnerability? Interdisciplinary Perspectives on Service Provision for Survivors of Sexual Assault.

J Interpers Violence 2021 Apr 18:8862605211006358. Epub 2021 Apr 18.

University of Southern Denmark, Odense, Denmark.

Although research indicates that specialized sexual assault (SA) services are effective in terms of promoting postassault recovery and improving legal outcomes, little is known about how to best support survivors facing co-occurring difficulties and inequalities (e.g., preexisting mental health issues, substance abuse, poverty). Read More

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Understanding Patients' Decisions to Obtain Unplanned, High-Resource Health Care After Colorectal Surgery.

Qual Health Res 2021 Apr 10:10497323211002479. Epub 2021 Apr 10.

The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Readmissions and emergency department (ED) visits after colorectal surgery (CRS) are common, burdensome, and costly. Effective strategies to reduce these unplanned postdischarge health care visits require a nuanced understanding of how and why patients make the decision to seek care. We used a purposefully stratified sample of 18 interview participants from a prospective cohort of adult CRS patients. Read More

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Neurologic manifestations in hospitalized patients with COVID-19 in Mexico City.

PLoS One 2021 8;16(4):e0247433. Epub 2021 Apr 8.

Department of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.

Background: The coronavirus disease 2019 (COVID-19) is a systemic entity that frequently implies neurologic features at presentation and complications during the disease course. We aimed to describe the characteristics and predictors for developing in-hospital neurologic manifestations in a large cohort of hospitalized patients with COVID-19 in Mexico City.

Methods: We analyzed records from consecutive adult patients hospitalized from March 15 to June 30, 2020, with moderate to severe COVID-19 confirmed by reverse transcription real-time polymerase chain reaction (rtRT-PCR) for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Read More

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Rethinking Risk Assessments in a Borderline Personality Disorder Unit: Patient and Staff Perspectives.

Cureus 2021 Feb 25;13(2):e13557. Epub 2021 Feb 25.

Springbank Ward, Fulbourn Hospital, Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, GBR.

Background The present study was undertaken in a borderline personality disorder unit in Cambridge, UK. Our aim was to evaluate patient and staff perspectives on the current risk assessment procedure and to assemble opinions on a proposed change to this procedure. Methodology Structured interviews were conducted with patients and risk-assessing staff. Read More

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February 2021

Understanding the genetics and neurobiological pathways behind addiction (Review).

Exp Ther Med 2021 May 23;21(5):544. Epub 2021 Mar 23.

Department of General Surgery, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.

The hypothesis issued by modern medicine states that many diseases known to humans are genetically determined, influenced or not by environmental factors, which is applicable to most psychiatric disorders as well. This article focuses on two pending questions regarding addiction: Why do some individuals become addicted while others do not? along with Is it a learned behavior or is it genetically predefined? Recent data suggest that addiction is more than repeated exposure, it is the synchronicity between intrinsic factors (genotype, sex, age, preexisting addictive disorder, or other mental illness), extrinsic factors (childhood, level of education, socioeconomic status, social support, entourage, drug availability) and the nature of the addictive agent (pharmacokinetics, path of administration, psychoactive properties). The dopamine-mesolimbic motivation-reward-reinforcement cycle remains the most coherent physiological theory in addiction. Read More

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How did Tunisian university students cope with fear of COVID-19? A comparison across schizotypy features.

Pers Individ Dif 2021 Aug 30;178:110872. Epub 2021 Mar 30.

Tunis El Manar University, Faculty of Medicine of Tunis, Tunisia.

Background: Little consideration has been given to the impact of COVID-19 on people at risk of psychosis despite their particular preexisting vulnerability. We aimed to examine the role of coping strategies in determining the levels of fear in nonclinical students with high levels of self-reported schizotypal personality traits as compared to low-schizotypy controls.

Method: This was a cross-sectional survey. Read More

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Shared Language Erosion: Rethinking Immigrant Family Communication and Impacts on Youth Development.

Children (Basel) 2021 Mar 25;8(4). Epub 2021 Mar 25.

Human Development and Family Science, Oklahoma State University, Stillwater, OK 74078, USA.

In this paper we make the case for Shared Language Erosion as a potential explanation for the negative outcomes described in the immigrant paradox for second- and third- generation immigrants (e.g., declines in physical, mental, and behavioral health). Read More

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Assessing the Psychological Impacts of COVID-19 in Undergraduate Medical Students.

Int J Environ Res Public Health 2021 03 13;18(6). Epub 2021 Mar 13.

Department of Biomedical Sciences, School of Medicine Greenville, University of South Carolina, Greenville, SC 29605, USA.

Medical education has been uniquely affected by the Novel Coronavirus Disease 2019 (COVID-19). As the pandemic's psychological impacts on medical students remain unclear, this study assessed COVID-19's impacts on undergraduate medical students' stress and anxiety. A nationwide, online survey was administered via email chains between June-August 2020 to first-fourth year medical students in the United States. Read More

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Disruptions in the management and care of university students with preexisting mental health conditions during the COVID-19 pandemic.

Transl Behav Med 2021 04;11(3):802-807

Human Development and Family Sciences, University of Connecticut, Storrs, CT, USA.

Students with preexisting mental health conditions or disabilities may fair worse due to virus mitigation strategies during the COVID-19 pandemic. This study was conducted to understand the experiences of students with preexisting mental health conditions or disabilities at a public university during COVID-19. We examined disruptions in the management of preexisting mental health conditions or disabilities and its impact on psychological well-being. Read More

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Fireside Chats: A Novel Wellness Initiative for Medical Students in the COVID-19 Era.

Am Surg 2021 Mar 20:31348211003060. Epub 2021 Mar 20.

Department of Surgery, Division of Hepatobiliary Surgery and Liver Transplantation, 12328Vanderbilt University Medical Center, Nashville, Tennessee, USA.

To supplement preexisting wellness programming for the surgery clerkship, a faculty surgeon at Vanderbilt initiated Fireside Chats (FC) in 2015. Inspired by Franklin Roosevelt's Depression-era radio broadcasts, FC features small group sizes, off-campus excursions, and a reimagining of the mentor-mentee relationship that eschews hierarchy in favor of deep, mutualistic connections in both personal and professional domains. Here we describe the rationale and implementation of FC and present survey data that demonstrate the warm reception of FC and its efficacy in stewarding the mental health of medical students. Read More

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