Current Psychiatry Reports最新文献

Addressing Racial and Ethnic Inequities in Opioid Overdose Mortality: Strategies for Equitable Interventions and Structural Change. 解决阿片类药物过量致死中的种族和民族不平等问题：公平干预和结构变革战略》。

IF 5.5 2区医学

Current Psychiatry Reports Pub Date : 2024-11-05 DOI: 10.1007/s11920-024-01556-7

Fabiola Arbelo Cruz, Oluwole Jegede

{"title":"Addressing Racial and Ethnic Inequities in Opioid Overdose Mortality: Strategies for Equitable Interventions and Structural Change.","authors":"Fabiola Arbelo Cruz, Oluwole Jegede","doi":"10.1007/s11920-024-01556-7","DOIUrl":"https://doi.org/10.1007/s11920-024-01556-7","url":null,"abstract":"Purpose of review: This review synthetizes findings reflecting the increasing racial and ethnic inequities in opioid overdose mortality and emphasizes the necessity for tailored interventions as well as other policy-level and structural strategies to stem this trend.Recent findings: Factors contributing to inequities in overdose mortality include changes in drug supply, persistent social-structural vulnerabilities stemming from structural racism, and inequities in access to medication for opioid use disorder and harm reduction services. Key strategies to address these inequities include the cultural adaptation of evidence-based interventions within an equity-based framework, integrating social determinants of health into addiction treatment, centering anti-racism praxis in addiction research, diversifying the addiction workforce, and integrating structural competency as a tool to restructure education and inform practice. Structural racism must be recognized as a key driver of inequities in substance use outcomes, and this understanding must be integrated into existing models of substance use disorder prevention, treatment, and research.","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Update on the Neurobiology of Borderline Personality Disorder: A Review of Structural, Resting-State and Task-Based Brain Imaging Studies. 边缘型人格障碍的最新神经生物学研究：结构、静息态和任务型脑成像研究综述》。

IF 5.5 2区医学

Current Psychiatry Reports Pub Date : 2024-10-30 DOI: 10.1007/s11920-024-01553-w

Anthony C Ruocco, Ely M Marceau

{"title":"Update on the Neurobiology of Borderline Personality Disorder: A Review of Structural, Resting-State and Task-Based Brain Imaging Studies.","authors":"Anthony C Ruocco, Ely M Marceau","doi":"10.1007/s11920-024-01553-w","DOIUrl":"10.1007/s11920-024-01553-w","url":null,"abstract":"Purpose of review: This review summarizes recent advances in research on the neurobiology of borderline personality disorder (BPD) according to structural brain imaging investigations and resting-state and task-based functional brain activation studies.Recent findings: Extending established findings on differences in regional brain volumes and cortical thickness between BPD and healthy controls, recent research illuminates shared and distinct brain structural characteristics compared to other psychiatric diagnoses, and uncovers relations of these brain structures with transdiagnostic symptoms and clinical features. Resting-state functional brain imaging studies reveal disruptions among adolescents and adults with BPD in frontolimbic and default-mode networks, which primarily underlie affect regulation and self-referential processes, respectively. Recent task-based functional brain imaging research builds on existing neurobiological understanding of emotion and cognition in BPD by revealing novel intersections with interpersonal- and stress-related processes. Studies of psychological and pharmacological interventions suggest possible effects on neural regions underlying emotion processing and behavioral control. Recent advances in neurobiological research on BPD underscore the pathophysiology of affective, behavioral and self-interpersonal symptoms, with growing interest in adolescents with BPD and the impacts of psychological and biological interventions. Corresponding with the increased prominence of alternative dimensional models of personality disorder in recent years, there is a gradual rise in studies examining the relationships of brain structures and functional brain activation with BPD-relevant symptom dimensions, including within transdiagnostic samples.","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Abortion and Mental Health and Wellbeing: A Contemporary Review of the Literature. 堕胎与心理健康和幸福：当代文献综述》。

IF 5.5 2区医学

Current Psychiatry Reports Pub Date : 2024-10-28 DOI: 10.1007/s11920-024-01557-6

Megan Masten, Olivia Campbell, Sarah Horvath, Leilah Zahedi-Spung

{"title":"Abortion and Mental Health and Wellbeing: A Contemporary Review of the Literature.","authors":"Megan Masten, Olivia Campbell, Sarah Horvath, Leilah Zahedi-Spung","doi":"10.1007/s11920-024-01557-6","DOIUrl":"https://doi.org/10.1007/s11920-024-01557-6","url":null,"abstract":"Purposeof review: This review discusses the importance of abortion care and access for mental wellbeing for people seeking abortion, abortion providers, and trainees. The recent Dobbs v. Jackson case has jeopardized the physical and mental health of millions.Recent findings: Much of the data regarding mental health impacts of abortion access comes from the Turnaway Study. This study supports that abortion does not cause negative mental health effects and being denied abortion is detrimental to mental health, physical health, and has negative socioeconomic impacts. Other recent studies support that the Dobbs decision continues to disproportionately harm historically marginalized groups. Additionally, there is more anxiety and depression reported in states with abortion restrictions. Many obstetrician gynecologists are moving away from restricted states and report moral distress due to restrictions. Many medical students are choosing not to apply to obstetrics and gynecology residency programs in states with abortion restrictions. Access to abortion care is important for mental and physical health, and socioeconomic well-being for people seeking abortion. Restrictive bans negatively affect people seeking abortion, as well as healthcare providers and trainees.","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Addressing Stigma-Related Health Disparities for Autistic Individuals Through Cultural Competemility: Insights from Research and Lived Experience. 通过文化竞争力解决自闭症患者与污名相关的健康差异：来自研究和生活经验的启示。

IF 5.5 2区医学

Current Psychiatry Reports Pub Date : 2024-10-26 DOI: 10.1007/s11920-024-01551-y

Emily Hotez, Jenny M Phan, Dieu M Truong

{"title":"Addressing Stigma-Related Health Disparities for Autistic Individuals Through Cultural Competemility: Insights from Research and Lived Experience.","authors":"Emily Hotez, Jenny M Phan, Dieu M Truong","doi":"10.1007/s11920-024-01551-y","DOIUrl":"10.1007/s11920-024-01551-y","url":null,"abstract":"Purpose of review: Autistic individuals experience disproportionate stigma across the life course in interpersonal, healthcare, and educational contexts. These experiences contribute to negative health and healthcare outcomes for this population. This paper seeks to describe autistic individuals' experiences of stigma and marginalization; discuss frameworks such as Campinha-Bacote's innovative concept of cultural competemility and its relevance to autistic populations; offer recommendations to healthcare providers based on this framework; and apply theory to practice in a case study.Recent findings: Autistic individuals increasingly understand autism as an important aspect of their identity. There are, however, few culturally informed healthcare efforts that reflect this understanding. As a result, efforts to address stigma-related health disparities for this population have limited effectiveness. In this manuscript, we highlight opportunities within clinical encounters, medical training, healthcare offices and systems, and research to provide higher quality culturally informed care to autistic populations and address stigma-related health disparities.","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Autism Early Intervention - Progress, Steps Backward, and the Reconciliation of Conflicting Narratives. 自闭症早期干预--进步、退步以及矛盾叙事的调和。

IF 5.5 2区医学

Current Psychiatry Reports Pub Date : 2024-10-25 DOI: 10.1007/s11920-024-01552-x

Giacomo Vivanti

{"title":"Autism Early Intervention - Progress, Steps Backward, and the Reconciliation of Conflicting Narratives.","authors":"Giacomo Vivanti","doi":"10.1007/s11920-024-01552-x","DOIUrl":"https://doi.org/10.1007/s11920-024-01552-x","url":null,"abstract":"Purpose of review: We review recent research on interventions, services and supports for children on the autism spectrum, examining both advancements and setbacks.Recent findings: Progress has included an increase in quantity and rigor of intervention science, as well as a broadening of disciplines and perspectives engaged in the examination of early interventions, including their effectiveness, social validity and the contextual determinants of implementation outcomes. Setbacks have included the decrease in research involving children on the autism spectrum who have co-occurring profound intellectual disability, minimal or no spoken language, and who require constant assistance with daily living activities. This trend is alarming because it contributes to the marginalization and unmet needs of children who need intervention the most. Additionally, access to early intervention services is unequal and complicated by the misalignment of policy with the evolving evidence base in the field. The recent growth in the depth and breadth of knowledge related to autism early intervention means that policies, practices, advocacy efforts and research directions can be grounded on a more comprehensive evidence base and societal appraisal of autism. Nevertheless, these indisputable markers of success co-exist with conflicting narratives that hinder the establishment of a cohesive agenda to tackle inequities experienced by marginalized subgroups. Reconciliation of conflicting narratives requires a nuanced and compassionate appraisal of sources of tensions and heterogeneity of needs within the autism spectrum.","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Current Evidence Regarding the Evaluation and Management of Neonatal Delirium. 有关新生儿谵妄评估和管理的现有证据。

IF 5.5 2区医学

Current Psychiatry Reports Pub Date : 2024-10-24 DOI: 10.1007/s11920-024-01550-z

Olivia Ruth, Sheri Tomajko, Emman Dabaja, Erin Munsel, Kayla Rice, Christina Cwynar, Melissa Maye, Nasuh Malas

引用次数: 0

An Integrative Pause for Healthcare Personnel Challenged by the War: A Personal Perspective. 面临战争挑战的医护人员的综合暂停：个人视角。

IF 5.5 2区医学

Current Psychiatry Reports Pub Date : 2024-10-21 DOI: 10.1007/s11920-024-01549-6

Sameer Kassem, Orit Gressel

引用次数: 0

Mind-Body Medicine in the Treatment of Depression: A Narrative Review of Efficacy, Safety and Mechanisms. 治疗抑郁症的身心医学：关于疗效、安全性和机制的叙述性综述》。

IF 5.5 2区医学

Current Psychiatry Reports Pub Date : 2024-10-19 DOI: 10.1007/s11920-024-01548-7

Hazal Sarak Kucukosmanoglu, Holger Cramer, Rahele Tavakoly, Alina Moosburner, Mirela-Ioana Bilc

{"title":"Mind-Body Medicine in the Treatment of Depression: A Narrative Review of Efficacy, Safety and Mechanisms.","authors":"Hazal Sarak Kucukosmanoglu, Holger Cramer, Rahele Tavakoly, Alina Moosburner, Mirela-Ioana Bilc","doi":"10.1007/s11920-024-01548-7","DOIUrl":"https://doi.org/10.1007/s11920-024-01548-7","url":null,"abstract":"Purpose of the review: This narrative review examines the efficacy, mechanisms and safety of mind-body medicine (MBM) in the treatment of depression. We reviewed the potential effects of various MBM interventions such as yoga, tai chi, qigong, mindfulness-based interventions and nutrition on clinical and subthreshold depressive symptoms.Recent findings: Current studies indicate a growing interest in the use of MBM for psychiatric disorders, including depression. MBM interventions demonstrate efficacy in reducing depressive symptoms with fewer adverse effects and costs compared to pharmacological treatments. MBM has significant potential to improve mental health outcomes for depression. These interventions encourage self-care and stress management through behavioural, exercise, relaxation and nutritional approaches. While existing data are promising, further, more rigorous studies are required to confirm long-term effectiveness and to determine the role of MBM in comprehensive depression treatment strategies.","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Posttraumatic Stress Disorder and Substance Use Disorder Screening, Assessment, and Treatment. 创伤后应激障碍和药物使用障碍的筛查、评估和治疗。

IF 5.5 2区医学

Current Psychiatry Reports Pub Date : 2024-10-16 DOI: 10.1007/s11920-024-01547-8

Samantha C Patton, Laura E Watkins, Therese K Killeen, Denise A Hien

{"title":"Posttraumatic Stress Disorder and Substance Use Disorder Screening, Assessment, and Treatment.","authors":"Samantha C Patton, Laura E Watkins, Therese K Killeen, Denise A Hien","doi":"10.1007/s11920-024-01547-8","DOIUrl":"https://doi.org/10.1007/s11920-024-01547-8","url":null,"abstract":"Purpose of review: We review prevalence, etiology, impact on treatment, and best practices for treatment of posttraumatic stress disorder (PTSD) in a substance use disorder (SUD) treatment setting. Recommendations are given related to screening, assessment, and symptom monitoring.Recent findings: PTSD and SUDs are highly comorbid. This comorbidity is associated with higher acuity, more difficulty completing treatment, and worse prognosis. Integrated treatment is recommended, and trauma-focused psychotherapies combined with pharmacotherapy show particular promise. PTSD is highly prevalent in substance using samples, negatively impacting treatment course and worsening prognosis. This comorbidity has been explained by a variety of models, with self-medication having garnered the most support. Trauma-focused psychotherapies combined with pharmacotherapy demonstrate the most efficacy and are recommended when treating co-occurring SUDs and PTSD. Specifically, prolonged exposure (PE), concurrent treatment of PTSD and SUDs using PE (COPE), and cognitive processing therapy (CPT) have been seen as promising trauma-focused treatments. Investigations into ways to best augment therapy are also underway, both through treatment format and neuromodulation. Several recommendations are given.","PeriodicalId":11057,"journal":{"name":"Current Psychiatry Reports","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Personality Disorders in Criminal Offenders - A Systematic Literature Review. 刑事罪犯的人格障碍--系统性文献综述。

IF 5.5 2区医学

Current Psychiatry Reports Pub Date : 2024-10-16 DOI: 10.1007/s11920-024-01541-0

Aleya Flechsenhar, Sarah Back, Max Knabe, Katja Bertsch

引用次数: 0