General hospital psychiatry最新文献

{"title":"The effect of inhaled aromatherapy on cognitive function in patients with cognitive impairment: A systematic review and meta-analysis.","authors":"Guiting Su, Fang Liu, Xiaoqiu Yang, Ziqiong Chen, Yahong Kang, Shan Gao","doi":"10.1016/j.genhosppsych.2025.01.002","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2025.01.002","url":null,"abstract":"<p><strong>Background and purpose: </strong>Cognitive function is the basis of human thinking and behavior. Cognitive impairment has a serious impact on each individual and imposes a financial burden to families and healthcare systems. Inhalation aromatherapy has advantages, due to its safety, convenience, lack of toxicity, and wide use in the treatment of cognitive impairment. This systematic review was conducted to provide evidence for the use of inhaled aromatherapy in patients with cognitive impairment.</p><p><strong>Methods: </strong>We searched nine databases for pertinent Chinese and English studies published through November 2024 studies using inhaled aromatherapy in patients with cognitive impairment. Literature screening and data extraction were performed independently by two researchers and evaluated using the Cochrane Collaboration's quality criteria and were then cross-checked. A meta-analysis was carried out using Cochrane's Review Manager (RevMan, version 5.4), and we followed the PRISMA guidelines.</p><p><strong>Results: </strong>We included fourteen studies involving 888 patients with cognitive impairment in our study. Meta-analyses indicated that inhaled aromatherapy increased Mini-mental State Examination (MMSE, mean difference MD = 3.89 95 % CI [3.19, 4.58], P < 0.00001) and Montreal Cognitive Assessment Scale (MoCA, MD = 4.11, 95 % CI [3.54, 4.68], P < 0.00001) scores and decreased Homocysteine levels (Hcy, MD = -2.27 95 % CI [-2.80, -1.74], P < 0.00001) in patients with cognitive impairment compared with controls.</p><p><strong>Conclusion: </strong>Inhaled aromatherapy could improve global cognition and lower Hcy in patients with cognitive impairment.</p>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"93 ","pages":"20-31"},"PeriodicalIF":4.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970483","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}

{"title":"Establishment and clinical impacts of decision-support system for older patients with aortic valve stenosis: A retrospective observational study.","authors":"Sayoko Kawano, Yoko Eguchi, Azusa Oosumi, Hiroyoshi Takeuchi, Michiyo Takubo, Noriko Kimura, Naomi Nakano, Toshinobu Ryuzaki, Kentaro Hayashida, Masaki Ieda, Hiroyuki Uchida, Masaru Mimura, Daisuke Fujisawa","doi":"10.1016/j.genhosppsych.2024.12.024","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.12.024","url":null,"abstract":"<p><strong>Objectives: </strong>Treatment decisions for severe aortic stenosis (AS) are complex, since there are two active and comparable options: transcatheter aortic valve implantation and surgical aortic valve replacement. The disease predominantly affects older individuals, who are frequently comorbid with from cognitive impairment. This study aimed to establish a screening-triggered system to assess the decision-making capacity of patients with AS, support their decision-making, and facilitate referrals to specialists when necessary.</p><p><strong>Methods: </strong>This is a retrospective pre-post observational study. Relevant healthcare professionals were trained to assess and support patients' decision-making capacities.</p><p><strong>Results: </strong>Subtotals of 203 and 244 patients were enrolled before and after the implementation of the system, respectively. The requests for decision-making support significantly increased (from 1.5 % to 14.8 % of the patients). 11.5 % of the patients were identified as with declined decision-making capacity. The proportion of patients who received active treatments for AS significantly decreased from 95.0 % to 83.0 %. The nurses' documentation of patients' decision-making capacities significantly increased.</p><p><strong>Conclusion: </strong>This screening-triggered system identified a substantial proportion of patients with declined decision-making capacity. A significant decrease in patients receiving active treatments for AS and increased documentation of patients' decision-making capacities in nursing records were observed. A future randomized controlled is warranted.</p>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"106-111"},"PeriodicalIF":4.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926973","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}

{"title":"Development and validation of the BRief Eating Disorder Screener (BREDS) for US veterans in healthcare and community settings.","authors":"Robin M Masheb, Adam Batten, Sarah E Siegel, Joy Huggins, Alison Marsh, Jennifer L Snow, Lindsay F Munro, Dawne Vogt, Marney A White, Shira Maguen","doi":"10.1016/j.genhosppsych.2024.12.021","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.12.021","url":null,"abstract":"<p><strong>Objective: </strong>To develop a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) eating disorder screener.</p><p><strong>Method: </strong>Veterans enrolled in VA healthcare (N = 344) completed a survey of screening items and established measures. A validation subset (n = 166) participated in diagnostic interviews to confirm an eating disorder diagnosis. Items most predictive of diagnosis were included or adapted for a confirmatory national survey (N = 405).</p><p><strong>Results: </strong>Item selection models using machine learning techniques resulted in a five-item screen with good sensitivity, specificity and area under the curve (0.75, 0.87, and 0.83). Items included: (1) Do you do things to rid your body or stomach of calories or food (vomiting, excessive exercise, laxative or diuretic use, or something else)? (2) Do you ever eat an extremely large amount of food without thinking? (3) Are you or other people in your life concerned about a recent change in your weight? (4) Is your weight or shape one of the main ways you judge yourself? (5) Do you need to eat in order to get back to sleep when you wake up at night?</p><p><strong>Conclusion: </strong>The 5-item BRief Eating Disorder Screener (BREDS) is the first screen developed and validated for a broad range of DSM-5 eating disorder diagnoses.</p>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"93 ","pages":"1-8"},"PeriodicalIF":4.1,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927010","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}

{"title":"Understanding years of life lost to psychiatric disorders: A review and recommendations for further research.","authors":"Rikas Saputra, Yenni Lidyawati, Rani Mega Putri, Kiki Mariah, Isnaria Rizki Hayati, Sigit Dwi Sucipto","doi":"10.1016/j.genhosppsych.2024.12.023","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.12.023","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"62-63"},"PeriodicalIF":4.1,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142902874","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}

{"title":"Development of a short form of the Geriatric Depression Scale-30 based on item response theory and the RiskSLIM algorithm.","authors":"Fei Wang, Junying Zhang, Zhanjun Zhang, Xin Li","doi":"10.1016/j.genhosppsych.2024.12.019","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.12.019","url":null,"abstract":"<p><p>Recently, methods of quickly and accurately screening for geriatric depression have attracted substantial attention. Short forms of the 30-item Geriatric Depression Scale have been developed based on classical test theory, such as the GDS-4, GDS-5, and GDS-15, but they have shown low diagnostic accuracy. Therefore, in this study, we developed a new short form of the GDS-30 based on item response theory and the RiskSLIM, a machine learning method, and validated it based on gray matter volume. We found that the short form based on IRT (GDS-9) and the short form based on the RiskSLIM (GDS-14) had higher diagnostic accuracy than other short forms of the scale. In addition, in the Region of Interest based brain analysis, we found that the GDS-9 was significantly negatively correlated with the gray matter volumes of the right hippocampus, the right parahippocampal gyrus, and the right superior temporal gyrus, whereas the other short forms were not significantly associated with the gray matter volumes of any regions. This implies that the GDS-9 has higher empirical validity than other short forms and corresponds with brain structure. Therefore, the GDS-9 can be used to screen for geriatric depression and may improve the efficiency and accuracy of screening.</p>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"84-92"},"PeriodicalIF":4.1,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909509","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}

{"title":"Psychiatric comorbidity in eating disorders: The urgency of an integrated approach.","authors":"Rikas Saputra, Yenni Lidyawati, Roro Umi Dwi Badriyah, Sri Datuti, Kadek Suhardita","doi":"10.1016/j.genhosppsych.2024.12.020","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.12.020","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"60-61"},"PeriodicalIF":4.1,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893824","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}

{"title":"Disparities in school based mental health service use among US adolescents in 2021.","authors":"Rachel Smith, Mir M Ali, Priscilla Novak","doi":"10.1016/j.genhosppsych.2024.12.017","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.12.017","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"64-66"},"PeriodicalIF":4.1,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142902873","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}

{"title":"Exploring the association between hearing status and suicidal ideation among U.S. adults: An observational study.","authors":"Ying Cui, Tong Wu, Huimin Du, Wen Zhang","doi":"10.1016/j.genhosppsych.2024.12.014","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.12.014","url":null,"abstract":"<p><strong>Background: </strong>Suicidal ideation is a critical public health concern, and its relationship with hearing status has garnered increasing attention. This study aimed to investigate the association between hearing status and suicidal ideation in a nationally representative sample of U.S. adults.</p><p><strong>Methods: </strong>Data were analyzed from 8095 participants in the 2015-2018 National Health and Nutrition Examination Survey (NHANES). Weighted logistic regression models, along with restricted cubic spline (RCS) analyses, explored the relationship between hearing status and suicidal ideation, adjusting for potential confounders. Subgroup analyses by sex, race, education level, marital status, family monthly poverty level, vision trouble, mobility trouble, smoking, hypertension, diabetes, coronary heart disease, stroke, and cancer were conducted. A Zero-Inflated Poisson (ZIP) regression model was applied to explore the association between hearing status and the level of suicidal ideation.</p><p><strong>Results: </strong>Participants with more difficulty hearing showed a higher likelihood of experiencing suicidal ideation (P < 0.05 for all). Further analysis using RCS regression confirmed a linear relationship between hearing status and suicidal ideation risk (P_nonlinear > 0.05). Subgroup analyses revealed no significant interactions across different stratifications (P > 0.05 for all). The ZIP analysis revealed that individuals with moderate hearing trouble or those identified as deaf or hard of hearing exhibited higher frequencies of suicidal ideation.</p><p><strong>Conclusions: </strong>This study identifies an association between hearing status and suicidal ideation among U.S. adults. Factors such as discrimination, social isolation, environmental inaccessibility, and communication barriers may underlie this relationship. Interventions aimed at reducing suicidal ideation should focus on addressing these underlying factors, improving access to supportive resources, and promoting inclusive and accommodating environments for individuals with hearing difficulties.</p>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"52-59"},"PeriodicalIF":4.1,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893808","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}

{"title":"Development of a perceived eHealth literacy scale for individuals with serious mental illness: A cross-sectional study.","authors":"Li-Ting Huang, Ling-Ling Yeh, Chieh-Yu Liu, Yia-Ping Liu, Chi-Wen Chen, Chiu-Yueh Yang","doi":"10.1016/j.genhosppsych.2024.12.016","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.12.016","url":null,"abstract":"<p><strong>Background: </strong>The development of an electronic health literacy scale for the population with serious mental illness (SMI) is needed due to individuals' characteristics.</p><p><strong>Aim: </strong>Develop a graphic-based perceived electronic health literacy scale for SMI (GP-eHLS-SMI).</p><p><strong>Design: </strong>A cross-section study.</p><p><strong>Methods: </strong>This study was conducted from May 2023 to February 2024. The GP-eHLS-SMI was constructed based on qualitative interviews. Experts reviewed the items, and a pilot questionnaire was developed. A total of 436 community-dwelling participants with SMI from 20 medical facilities were recruited for psychometric analysis. Ten questionnaires were invalid, and 426 questionnaires were used for analysis. We used the first 220 questionnaires to perform the item and exploratory factor analyses. The last 206 questionnaires were used for confirmatory factor analysis. All valid questionnaires were used to examine test-retest reliability and criterion validity. Research tools included a demographic data questionnaire, the GP-eHLS-SMI, and the Chinese eHealth Literacy Scale (C-eHEALS). The C-eHEALS was used as the gold standard to explore the area under the receiver operating characteristic (ROC) curve (AUC) and cut-off point of the GP-eHLS-SMI.</p><p><strong>Results: </strong>The Cronbach's alpha for the 16-item GP-eHLS-SMI was 0.882. The GP-eHLS-SMI score was significantly correlated with the C-eHEALS score (r = 0.733, p < .001). The AUC was 0.863 (95 % CI: 0.828, 0.897), and the cut-off point was 41. The test-retest reliability was r = 0.929 (p < .001), and the intraclass correlation coefficient (ICC) was 0.961.</p><p><strong>Conclusion: </strong>The GP-eHLS-SMI is a valuable tool.</p>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"67-74"},"PeriodicalIF":4.1,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142902809","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}

{"title":"Efficacy of Home-Based Transcranial Direct Current Stimulation for Major Depressive Disorder: A Meta-Analysis of Randomized Controlled Trials.","authors":"Omar Kassar, Moaz Elsayed Abouelmagd, Ahmed Elshahat, Sheikh Shoib","doi":"10.1016/j.genhosppsych.2024.12.015","DOIUrl":"https://doi.org/10.1016/j.genhosppsych.2024.12.015","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"48-49"},"PeriodicalIF":4.1,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893806","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}