CNS Spectrums最新文献

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What role did serious mental illness play in Jackson Pollock's drip paintings? Abstract expressionism and possible links to serious mental illness and encrypted images (polloglyphs). 严重的精神疾病在杰克逊·波洛克的水滴画中扮演了什么角色?抽象表现主义和可能与严重精神疾病和加密图像(polloglyphs)有关。
IF 3.4 3区 医学
CNS Spectrums Pub Date : 2025-01-13 DOI: 10.1017/S1092852924002347
Stephen M Stahl, Debbi Ann Morrissette, Jahon Jabali, Jon A Gates
{"title":"What role did serious mental illness play in Jackson Pollock's drip paintings? Abstract expressionism and possible links to serious mental illness and encrypted images (polloglyphs).","authors":"Stephen M Stahl, Debbi Ann Morrissette, Jahon Jabali, Jon A Gates","doi":"10.1017/S1092852924002347","DOIUrl":"10.1017/S1092852924002347","url":null,"abstract":"<p><p>The link between creativity and serious mental illness (SMI) is widely discussed. Jackson Pollock is one example of a giant in the field of art who was both highly creative and experiencing an SMI. Pollock created a new genre of art known as abstract expressionism (\"action painting\") defined as showing the frenetic actions of painting. The question arises whether his SMI played any role in the way he created his drip paintings, especially when he was overactive and manic. Furthermore, did visual hallucinations or enhanced visual perception associated with mania or psychosis facilitate Pollock in embedding and camouflaging images under layers of thrown paint? Seeing images in Pollocks drip paintings has been a controversy ever since these paintings were created. Some experts attribute this to pareidolia-perceiving specific images out of random or ambiguous visual patterns-a phenomenon known to be enhanced by fractal fuzzy edges such as seen in Rorschach ink blots as well as in Pollock drip paintings. So, are Pollock's drip paintings merely giant Rorschach images, or did Pollock insert polloglyphs-images that are encrypted that tell a story about Pollock's inner being-into his paintings and then disguise them with drippings? Here, we explore answers to these questions and discuss images that Pollock included in his earliest sketches and used repeatedly in his abstract paintings and later in his drip paintings to argue that these images are not accidental.</p>","PeriodicalId":10505,"journal":{"name":"CNS Spectrums","volume":" ","pages":"e9"},"PeriodicalIF":3.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond the hot flashes: how machine learning is uncovering the complexity of menopause-related depression. 除了潮热:机器学习如何揭示更年期相关抑郁症的复杂性。
IF 3.4 3区 医学
CNS Spectrums Pub Date : 2025-01-06 DOI: 10.1017/S1092852924002463
Graziella Orrù, Rebecca Ciacchini, Anna Conversano, Ciro Conversano, Angelo Gemignani
{"title":"Beyond the hot flashes: how machine learning is uncovering the complexity of menopause-related depression.","authors":"Graziella Orrù, Rebecca Ciacchini, Anna Conversano, Ciro Conversano, Angelo Gemignani","doi":"10.1017/S1092852924002463","DOIUrl":"10.1017/S1092852924002463","url":null,"abstract":"<p><strong>Background: </strong>The transition into menopause marks a significant stage in a woman's life, indicating the end of reproductive capability. This period, encompassing perimenopause and menopause, is characterized by declining levels of estrogen and progesterone, leading to various symptoms such as hot flashes, sleep disturbances, sexual dysfunction, and mood irregularities. Moreover, cognitive functions, notably memory, may decline during this phase.</p><p><strong>Objective: </strong>This exploratory study aimed to evaluate psychological factors in a sample of 98 women recruited from a diagnostic-assistance hospital pathway (AOUP).</p><p><strong>Methods: </strong>Psychological variables, including depression, anxiety, stress, sleep quality, memory, personality traits, and mindfulness, were assessed using psychometric questionnaires. Machine learning techniques were employed to identify independent variables strongly correlated with higher levels of depression measured by BDI-II.</p><p><strong>Results: </strong>The findings revealed positive associations between depression and anxiety, stress, low mood, poor sleep quality, and memory complaints, while mindfulness showed a negative correlation. Remarkably, the machine learning analysis achieved a high classification accuracy in distinguishing between individuals with different levels of depression (low vs high).</p><p><strong>Conclusions: </strong>These results underscore the importance of addressing psychological factors during menopause and offer valuable insights for future research and the development of targeted clinical interventions aimed at enhancing mental health and quality of life for women during this transitional phase.</p>","PeriodicalId":10505,"journal":{"name":"CNS Spectrums","volume":" ","pages":"e33"},"PeriodicalIF":3.4,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlation analysis of the platelet-to-lymphocyte ratio with attention-deficit hyperactivity disorder in children aged 6-14: based on the National Health and Nutrition Examination Survey database. 6-14岁儿童血小板/淋巴细胞比值与注意缺陷多动障碍的相关性分析:基于全国健康与营养检查调查数据库
IF 3.4 3区 医学
CNS Spectrums Pub Date : 2025-01-06 DOI: 10.1017/S1092852924002475
Xianhua Li, Yan Luo, Xiaodan Zeng, Xuewen Qiu, Yang Hua, Lingling Zhan
{"title":"Correlation analysis of the platelet-to-lymphocyte ratio with attention-deficit hyperactivity disorder in children aged 6-14: based on the National Health and Nutrition Examination Survey database.","authors":"Xianhua Li, Yan Luo, Xiaodan Zeng, Xuewen Qiu, Yang Hua, Lingling Zhan","doi":"10.1017/S1092852924002475","DOIUrl":"10.1017/S1092852924002475","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to elucidate the association between the platelet-to-lymphocyte ratio (PLR) and the risk of attention deficit hyperactivity disorder (ADHD) in children aged 6-14 based on National Health and Nutrition Examination Survey (NHANES) data.</p><p><strong>Method: </strong>We utilized data from NHANES 2013-2014 for analysis, with PLR as the independent variable and ADHD as the dependent variable. Weighted logistic regression was used to construct the relationship model. The subgroup analysis with stratification and adjustment for confounding factors was conducted to explore the association between PLR and ADHD risk in children aged 6-14. Finally, the restricted cubic spline (RCS) analysis was carried out to explore the non-linear relationship between PLR and ADHD.</p><p><strong>Results: </strong>The study included 1455 samples with 91 ADHD cases. A significant positive association (OR > 1, <i>P</i> < 0.05) was observed between PLR and ADHD risk in the multivariate weighted logistic regression model. Race and asthma status remarkably influenced the relationship between PLR and ADHD (<i>P</i> for interaction<0.05). The positive association between PLR and ADHD risk was particularly significant (<i>P</i> < 0.05) in boys, children born to mothers aged 20-29, and children with asthma. The RCS curve indicated a non-linear association between PLR and ADHD risk (<i>P</i>-non-linear = 0.0040), with OR > 1 when PLR ≥ 106.40.</p><p><strong>Conclusion: </strong>Increased PLR elevated the risk of ADHD, especially in males, children born to mothers aged 20-29, and children with asthma, with 106.40 possibly being an effective threshold for PLR's impact on ADHD risk.</p>","PeriodicalId":10505,"journal":{"name":"CNS Spectrums","volume":" ","pages":"e20"},"PeriodicalIF":3.4,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Liberty or life: the Aotearoa New Zealand perspective. 自由还是生活:新西兰人的视角。
IF 3.4 3区 医学
CNS Spectrums Pub Date : 2025-01-02 DOI: 10.1017/S1092852924000579
Justin Barry-Walsh
{"title":"Liberty or life: the Aotearoa New Zealand perspective.","authors":"Justin Barry-Walsh","doi":"10.1017/S1092852924000579","DOIUrl":"10.1017/S1092852924000579","url":null,"abstract":"<p><p>A description is provided of the current situation in Aotearoa New Zealand with regard to compulsory treatment of people with schizophrenia. This is placed within the context of homelessness in New Zealand and the provision of services to the incarcerated mentally ill. There are high rates of homelessness and incarceration and services are struggling to meet their needs. This is particularly a problem for the indigenous population. The current Mental Health Act allows for compulsory treatment of people who as a result of schizophrenia are seriously impaired in their capacity to care for themselves, and this will include people where there is a nexus between homelessness and their illness. The Mental Health Act is being reformed, with a new act likely to emphasize autonomy and capacity to a greater degree. Finally, the author considers the learnings from 5 years working within the Fixated Threat Assessment Centre, which provides a unique perspective on these issues.</p>","PeriodicalId":10505,"journal":{"name":"CNS Spectrums","volume":" ","pages":"e10"},"PeriodicalIF":3.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142914031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anosognosia in schizophrenia. 精神分裂症的病感失认症。
IF 3.4 3区 医学
CNS Spectrums Pub Date : 2024-12-26 DOI: 10.1017/S1092852924002323
Benjamin Rose, Philip D Harvey
{"title":"Anosognosia in schizophrenia.","authors":"Benjamin Rose, Philip D Harvey","doi":"10.1017/S1092852924002323","DOIUrl":"10.1017/S1092852924002323","url":null,"abstract":"<p><p>Anosognosia, defined as a lack of knowledge of the disease, was originally identified in neurological disorders and is common in schizophrenia. These deficits are commonly referred to as \"lack of insight\" or \"unawareness of illness.\" They include challenges in accurate judgments of the reality of experience, as well as global and specific personal abilities. Related to inaccuracies in self-assessment are response biases when an incorrect self-assessment is made. We adopted a perspective focused on Introspective Accuracy (IA) and Introspective Bias (IB). IA is the ability to accurately judge several domains of experience and functioning. These include the reality of clinical symptoms, the experience of mood states, momentary competence in the performance of cognitive assessments and everyday functional skills, and the ability to accurately anticipate the success of future performance. IB is the direction of response bias in the context of impairments in IA. Deficits in insight, judgment inaccuracies, and response bias are highly relevant as these difficulties come with downstream impacts including difficulties with treatment adherence, an increase in severity of symptoms, greater everyday disability, reduced response to cognitive training interventions, and a need for increased intensity of interventions to maintain community residence. In this article, we review the research in IA and IB in schizophrenia, including differences in momentary versus global self-assessments, and the clinical correlates and functional impacts of inaccurate self-assessments and response biases in the context of self-assessment errors. We also examine the existing data regarding the neurobiological basis of impairments in IA.</p>","PeriodicalId":10505,"journal":{"name":"CNS Spectrums","volume":" ","pages":"e24"},"PeriodicalIF":3.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dignity restored: the power of treatment first. 恢复尊严:首先是治疗的力量。
IF 3.4 3区 医学
CNS Spectrums Pub Date : 2024-12-23 DOI: 10.1017/S109285292400052X
Jhilam Biswas
{"title":"Dignity restored: the power of treatment first.","authors":"Jhilam Biswas","doi":"10.1017/S109285292400052X","DOIUrl":"10.1017/S109285292400052X","url":null,"abstract":"<p><p>The perspective article explores systemic issues in psychiatric care, particularly the barriers to timely treatment and the ethical dilemmas involved in involuntary interventions. It further examines the impact of anosognosia-lack of disease insight-on treatment, noting the difficulties in managing care for those unaware of their illness, and scrutinizes training materials from international organizations that might mislabel necessary psychiatric practices as human rights violations, thereby complicating the care landscape. The discussion extends to the legal and societal implications of psychiatric interventions, using Massachusetts' Rogers Guardianship as a case study to highlight the consequences of legalistic approaches to mental health treatment.The article calls for destigmatizing psychiatric treatment and integrating robust, evidence-based practices to improve patient outcomes and healthcare equity. The global mental health policy landscape is urged to recognize the critical role of psychiatric care in restoring health and dignity to individuals with serious mental illnesses, advocating for a more nuanced understanding and application of human rights in mental health.</p>","PeriodicalId":10505,"journal":{"name":"CNS Spectrums","volume":" ","pages":"e11"},"PeriodicalIF":3.4,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A neuroethical approach to human life, identity, and liberty of schizophrenic patients. 精神分裂症患者的生命、身份和自由的神经伦理学方法。
IF 3.4 3区 医学
CNS Spectrums Pub Date : 2024-12-12 DOI: 10.1017/S1092852924000506
Alberto Carrara
{"title":"A neuroethical approach to human life, identity, and liberty of schizophrenic patients.","authors":"Alberto Carrara","doi":"10.1017/S1092852924000506","DOIUrl":"10.1017/S1092852924000506","url":null,"abstract":"<p><p>This article presents a comprehensive neuroethical framework that seeks to deepen our understanding of human consciousness and free will, particularly in the context of psychiatric and neurological disorders. By integrating insights from neuroscience with philosophical reflections on freedom and personal identity, the paper examines how various states of consciousness from interoception to self-awareness influence an individual's autonomy and decision-making capabilities. The discussion utilizes a multidimensional, bottom-up approach to explore how neurobiological processes underlie different levels of conscious experience and their corresponding types of freedom, such as \"intero-freedom\" related to internal bodily states and \"self-freedom\" associated with higher self-awareness. This stratification reveals the profound impact of neurological conditions on patients' freedom of choice and the ethical implications therein. The insights gained from this analysis aim to inform more tailored and effective treatments for psychiatric patients, emphasizing the restoration of autonomy and respect for their inherent dignity. This work underscores the essential unity of the human person through the lens of neuroethics, advocating for healthcare policies that recognize and enhance the personal freedom of those with mental health challenges.</p>","PeriodicalId":10505,"journal":{"name":"CNS Spectrums","volume":" ","pages":"e4"},"PeriodicalIF":3.4,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of esketamine for perinatal depression: a systematic review and meta-analysis - CORRIGENDUM. 艾氯胺酮对围产期抑郁症的疗效:一项系统回顾和荟萃分析-勘误。
IF 3.4 3区 医学
CNS Spectrums Pub Date : 2024-12-10 DOI: 10.1017/S1092852924002396
Sabrina Wong, Gia Han Le, Angela T H Kwan, Kayla M Teopiz, Taeho Greg Rhee, Roger Ho, Joshua D Rosenblat, Rodrigo Mansur, Roger S McIntyre
{"title":"Efficacy of esketamine for perinatal depression: a systematic review and meta-analysis - CORRIGENDUM.","authors":"Sabrina Wong, Gia Han Le, Angela T H Kwan, Kayla M Teopiz, Taeho Greg Rhee, Roger Ho, Joshua D Rosenblat, Rodrigo Mansur, Roger S McIntyre","doi":"10.1017/S1092852924002396","DOIUrl":"https://doi.org/10.1017/S1092852924002396","url":null,"abstract":"","PeriodicalId":10505,"journal":{"name":"CNS Spectrums","volume":" ","pages":"1"},"PeriodicalIF":3.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic review on the efficacy of GLP-1 receptor agonists in mitigating psychotropic drug-related weight gain - CORRIGENDUM. 关于GLP-1受体激动剂减轻精神药物相关体重增加功效的系统综述-勘误。
IF 3.4 3区 医学
CNS Spectrums Pub Date : 2024-12-10 DOI: 10.1017/S1092852924002402
Trisha Menon, Serene Lee, Xuan Yi Gong, Sabrina Wong, Gia Han Le, Angela T H Kwan, Kayla M Teopiz, Roger Ho, Bing Cao, Taeho Greg Rhee, Yang Jing Zheng, Kyle Valentino, Kangguang Lin, Maj Vinberg, Heidi K Y Lo, Roger S McIntyre
{"title":"A systematic review on the efficacy of GLP-1 receptor agonists in mitigating psychotropic drug-related weight gain - CORRIGENDUM.","authors":"Trisha Menon, Serene Lee, Xuan Yi Gong, Sabrina Wong, Gia Han Le, Angela T H Kwan, Kayla M Teopiz, Roger Ho, Bing Cao, Taeho Greg Rhee, Yang Jing Zheng, Kyle Valentino, Kangguang Lin, Maj Vinberg, Heidi K Y Lo, Roger S McIntyre","doi":"10.1017/S1092852924002402","DOIUrl":"https://doi.org/10.1017/S1092852924002402","url":null,"abstract":"","PeriodicalId":10505,"journal":{"name":"CNS Spectrums","volume":" ","pages":"1"},"PeriodicalIF":3.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ketamine for the Treatment of Psychiatric Disorders: A Systematic Review and Meta-Analysis - CORRIGENDUM. 氯胺酮治疗精神疾病:系统回顾和荟萃分析-勘误表。
IF 3.4 3区 医学
CNS Spectrums Pub Date : 2024-12-10 DOI: 10.1017/S1092852924002414
Angela T H Kwan, Moiz Lakhani, Gurkaran Singh, Gia Han Le, Sabrina Wong, Kayla M Teopiz, Donovan A Dev, Arshpreet Singh Manku, Gurnoor Sidhu, Roger S McIntyre
{"title":"Ketamine for the Treatment of Psychiatric Disorders: A Systematic Review and Meta-Analysis - CORRIGENDUM.","authors":"Angela T H Kwan, Moiz Lakhani, Gurkaran Singh, Gia Han Le, Sabrina Wong, Kayla M Teopiz, Donovan A Dev, Arshpreet Singh Manku, Gurnoor Sidhu, Roger S McIntyre","doi":"10.1017/S1092852924002414","DOIUrl":"https://doi.org/10.1017/S1092852924002414","url":null,"abstract":"","PeriodicalId":10505,"journal":{"name":"CNS Spectrums","volume":" ","pages":"1"},"PeriodicalIF":3.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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