Current Treatment Options in Psychiatry最新文献

{"title":"Trauma-Informed Guilt Reduction Therapy: Overview of the Treatment and Research","authors":"S. Norman","doi":"10.1007/s40501-022-00261-7","DOIUrl":"https://doi.org/10.1007/s40501-022-00261-7","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":"9 1","pages":"115 - 125"},"PeriodicalIF":0.0,"publicationDate":"2022-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46252616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicinal Cannabis for the Treatment of Anxiety Disorders: a Narrative Review","authors":"Sophie K. Stack, N. Wheate, Elise A. Schubert","doi":"10.1007/s40501-022-00260-8","DOIUrl":"https://doi.org/10.1007/s40501-022-00260-8","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":"9 1","pages":"163 - 173"},"PeriodicalIF":0.0,"publicationDate":"2022-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44448981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Possible Antidepressive Effect of Dietary Interventions: Emergent Findings and Research Challenges","authors":"Gilciane Ceolin, V. Breda, Elena Koning, Arunachalam Meyyappan, F. Gomes, J. D. Moreira, F. Gerchman, E. Brietzke","doi":"10.1007/s40501-022-00259-1","DOIUrl":"https://doi.org/10.1007/s40501-022-00259-1","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":"9 1","pages":"151 - 162"},"PeriodicalIF":0.0,"publicationDate":"2022-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46510387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmacological Treatment of Individuals at Familial Risk for Bipolar or Major Depressive Disorders: a Scoping Review","authors":"Christian Møller, K. Miskowiak, L. Kessing, M. Vinberg","doi":"10.1007/s40501-022-00258-2","DOIUrl":"https://doi.org/10.1007/s40501-022-00258-2","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":"9 1","pages":"55 - 72"},"PeriodicalIF":0.0,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41659476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nail Biting Pharmacotherapy: a Review","authors":"R. Taleb, Zeina El Obaji, Zeinab Abraham, Razan El Sayed","doi":"10.1007/s40501-022-00257-3","DOIUrl":"https://doi.org/10.1007/s40501-022-00257-3","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":"1 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43315383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The State of Overmedication in Borderline Personality Disorder: Interpersonal and Structural Factors.","authors":"Rosa Shapiro-Thompson,&nbsp;Sarah K Fineberg","doi":"10.1007/s40501-021-00255-x","DOIUrl":"https://doi.org/10.1007/s40501-021-00255-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>a)This review paper describes the state of prescribing practice in Borderline Personality Disorder (BPD), wherein medications are prescribed far more than either evidence or practice guideline would recommend. First, we describe the frequencies of medication use and polypharmacy in people with BPD.</p><p><strong>Recent findings: </strong>b)In subsequent sections, we elaborate two main categories of factors that lead to overmedication of people with BPD: the interpersonally mediated and the structural. We consider interpersonally mediated factors to arise from communications of patients in distress and the well-meaning efforts of their prescribers to provide relief for certain overwhelming affective states. We are particularly focused on patterns of countertransference in prescribing that are directly linked to specific aspects of BPD pathology. We consider structural factors to arise from the complexities of medical and medicolegal systems and the contemporary patterns of financing medical care; we postulate that these complexities often compel prescribers to start medications, with associated disincentives for decreasing or discontinuing those medications over time.</p><p><strong>Summary: </strong>c)More research is needed to understand how to best use medications in BPD, for example in targeted combination with psychotherapeutic and psychosocial interventions. However, current practice often departs markedly from the evidence. We recommend the dissemination of accessible, generalist BPD-treatment models in outpatient and inpatient practice; increased early detection of BPD; and increased diagnostic disclosure. We also recommend for individual providers and systems to implement prospective treatment plans that draw from BPD-specific psychosocial models. This approach can employ tiers of interventions to minimize reactive prescribing by anticipating high affect and offering BPD patients steadily empathic evidence-supported care.</p>","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":"9 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9524237/pdf/nihms-1798472.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9373188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preventing Suicide Among Women Veterans: Gender-Sensitive, Trauma-Informed Conceptualization.","authors":"Lindsey L Monteith, Ryan Holliday, Melissa E Dichter, Claire A Hoffmire","doi":"10.1007/s40501-022-00266-2","DOIUrl":"10.1007/s40501-022-00266-2","url":null,"abstract":"<p><strong>Purpose of review: </strong>There is growing concern regarding suicide among women veterans, who have experienced an increase in suicide rates that has exceeded that reported for other US adult populations. Recent research has bolstered understanding of correlates of suicide risk specific to women veterans. Yet most existing suicide prevention initiatives take a gender-neutral, rather than gender-sensitive, approach. We offer clinical considerations and suggestions for suicide prevention tailored to the needs, preferences, and experiences of women veterans. Discussion is framed around the White House strategy for preventing suicide among military service members and veterans.</p><p><strong>Recent findings: </strong>Considering high rates of trauma exposure among women veterans, we propose that a trauma-informed lens is essential for taking a gender-sensitive approach to suicide prevention with this population. Nonetheless, research to inform evidence-based assessment and intervention remains largely focused on veteran men or gender-neutral. Integral next steps for research are posited.</p><p><strong>Summary: </strong>Extant research provides an initial foundation for beginning to understand and address suicide among women veterans in a gender-sensitive, trauma-informed manner. Additional research that is specific to women veterans or that examines gender differences is critical to ensure women veterans receive optimal, evidence-based care to prevent suicide.</p>","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":" ","pages":"186-201"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9198614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40165120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moral Injury in the Context of Substance Use Disorders: a Narrative Review.","authors":"Jessica Van Denend,&nbsp;J Irene Harris,&nbsp;Brian Fuehrlein,&nbsp;Ellen L Edens","doi":"10.1007/s40501-022-00280-4","DOIUrl":"https://doi.org/10.1007/s40501-022-00280-4","url":null,"abstract":"<p><p>The rate of annual drug overdose deaths in the USA recently topped 100,000 (CDC/National Center for Health Statistics 2021), an illustration of the critical need to prevent and treat substance use disorders (SUDs). As a complex, chronic medical condition, substance use treatment requires psychological, emotional, and spiritual interventions along with medical care. The recently developed concept of moral injury has been increasingly studied and applied to military service members who experience conflict between the expectations or survival needs of combat and their moral values. This review explores whether moral injury, along with the related emotional, psychological, and spiritual symptoms, can also develop in the context of SUDs. This review identified 5 manuscripts related to moral injury arising in a substance use context. These studies were small in sample size and qualitative in nature but did indicate the presence of moral injury within the context of substance use. Further studies are needed to better understand and treat moral injury related to SUDs. A conceptualization of how moral injury may arise in the context of substance use is presented here. It is suggested that the activation of the primitive dopaminergic reward system causes a potential conflict between the experienced need for the addictive substance and a person's moral code or values. The moral injury resulting from this collision may impact treatment and recovery.</p>","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":"9 4","pages":"321-330"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9483387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33484256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building Spiritual Strength: a Spiritually Integrated Approach to Treating Moral Injury.","authors":"Stephanie Winkeljohn Black,&nbsp;Kelsey Klinger","doi":"10.1007/s40501-022-00276-0","DOIUrl":"https://doi.org/10.1007/s40501-022-00276-0","url":null,"abstract":"<p><strong>Purpose of review: </strong>This article reviews a spiritually integrated group therapy, Building Spiritual Strength (BSS), designed to treat moral injury and associated syndromes (e.g., PTSD, burnout) with Gestalt and cognitive techniques and psychoeducation about spiritual coping. BSS was designed for active duty and military veterans but has since been adapted and expanded for other groups experiencing moral injury.</p><p><strong>Recent findings: </strong>Two RCTs have demonstrated BSS led to a decrease in PTSD symptoms in military members. Though BSS did not outperform a person-centered group therapy control in one RCT, the BSS group reported a decrease in spiritual struggle compared to the control. While no studies have yet been published on the expansion of BSS to new populations, emergent qualitative evidence on BSS for volunteers working with refugees indicates effectiveness in increasing positive spiritual coping. This expansion also revealed an opportunity for BSS to increase cultural humility in group members, in addition to reducing moral injury and other symptoms of distress.</p><p><strong>Summary: </strong>BSS is an effective, spiritually integrated means of reducing distress and improving spiritual coping. There are numerous opportunities for expansion of BSS to new populations and to test a variety of outcomes, including moral injury, spiritual flourishing, and cultural humility.</p>","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":"9 4","pages":"313-320"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9685023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35208500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Firearm Lethal Means Counseling Among Women: Clinical and Research Considerations and a Call to Action.","authors":"Talia L Spark, Chelsea M Cogan, Lindsey L Monteith, Joseph A Simonetti","doi":"10.1007/s40501-022-00273-3","DOIUrl":"10.1007/s40501-022-00273-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>Firearm injury is the leading mechanism of suicide among US women, and lethal means counseling (LMC) is an evidence-based suicide prevention intervention. We describe current knowledge and research gaps in tailoring LMC to meet the needs of US women.</p><p><strong>Recent findings: </strong>Available LMC and firearm suicide prevention literature has not fully considered how LMC interventions should be tailored for women. This is especially important as firearm ownership and firearm-related suicides among women are increasing. Additional research is needed to better understand firearm characteristics, behaviors, and beliefs of US women, particularly related to perceptions of personal safety and history of trauma. Research is also needed to identify optimal components of LMC interventions (e.g., messengers, messages, settings) and how best to facilitate safety practices among women with firearm access who are not themselves firearm owners but who reside in households with firearms. Finally, it will be important to examine contextual and individual factors (e.g., rurality, veteran status, intimate partner violence) which may impact LMC preferences and recommendations.</p><p><strong>Summary: </strong>This commentary offers considerations for applying existing knowledge in LMC and firearm suicide prevention to clinical practice and research among US women, among whom the burden of firearm suicide is increasing.</p>","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":" ","pages":"301-311"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40573774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}