General hospital psychiatry最新文献

{"title":"Are opioid use disorder assessments in the emergency department biased? An examination across sex, race, and employment status using item response theory","authors":"Katie P. Himes ,&nbsp;M.A. Dan Petrovitch ,&nbsp;Caroline E. Freiermuth ,&nbsp;Daniel J. Bachmann ,&nbsp;Jason J. Bischof ,&nbsp;Robert S. Braun ,&nbsp;Jennifer L. Brown ,&nbsp;Jennifer A. Frey ,&nbsp;Michael S. Lyons ,&nbsp;Michael V. Pantalon ,&nbsp;Brittany E. Punches ,&nbsp;Jon E. Sprague ,&nbsp;Andrew K. Littlefield","doi":"10.1016/j.genhosppsych.2024.11.007","DOIUrl":"10.1016/j.genhosppsych.2024.11.007","url":null,"abstract":"<div><h3>Background</h3><div>In acute care settings such as the emergency department (ED), the absence of test bias is essential for any assessment. Unbiased assessments of the DSM-5 criteria for opioid use disorder (OUD) are crucial to ensure valid comparison of OUD severity, though focused tests of potential bias are lacking.</div></div><div><h3>Method</h3><div>This study used item response theory (IRT) to examine potential test bias across patient characteristics (i.e., sex, race, employment status) in a sample of 518 individuals aged 18+ who reported opioid use within the prior 12 months. Participants indicated the presence or absence of the 11 DSM-5 OUD criteria, as well as self-reported demographic information.</div></div><div><h3>Results</h3><div>IRT indicated a lack of test bias (i.e., measurement invariance) for DSM-5 OUD across biological sex, race, and employment status. The lack of test bias permitted the groups to be compared on OUD severity across demographic groups. Males, White individuals, and unemployed individuals reported higher OUD severity.</div></div><div><h3>Conclusions</h3><div>Findings indicate the DSM-5 OUD criteria are unbiased across sex, race, and employment status. Thus, these criteria can be used in the ED to compare differences in OUD severity across key demographic groups. The current study provides empirical support for using OUD assessments in ED settings to inform in-vivo clinical decisions across different sexes, races, and employment statuses. Future studies are needed to corroborate this finding in additional samples and across additional demographic characteristics (e.g., ethnicity, age).</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 186-189"},"PeriodicalIF":4.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692739","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":"Stakeholders and their perspectives on perinatal depression screening: a systematic review","authors":"Ting Wang,&nbsp;Yating Yang,&nbsp;Shuyong Zhang,&nbsp;Yifei Yuan,&nbsp;Hanyu Guo,&nbsp;Sitong Fang,&nbsp;Yan Ji,&nbsp;Jiancheng Tong,&nbsp;Yu Wang,&nbsp;Yizhuo Li,&nbsp;Juan Yin","doi":"10.1016/j.genhosppsych.2024.11.009","DOIUrl":"10.1016/j.genhosppsych.2024.11.009","url":null,"abstract":"<div><h3>Background</h3><div>Untreated perinatal depression significantly affects the health outcomes of both mothers and infants and increases the economic burden on families and society. Early depression screening to identify at-risk women is essential, and involving key stakeholders ensures the successful integration of best practices within healthcare settings.</div></div><div><h3>Objectives</h3><div>This study aims are: 1) to identify stakeholders from guidelines and studies that influence the implementation of perinatal depression screening; and 2) to provide a thematic summary of stakeholders' perspectives on the opportunities and challenges for scaling perinatal depression screening.</div></div><div><h3>Methods</h3><div>A total of 10 databases were comprehensively searched from their inception until July 28 in 2024, encompassing both Chinese and English literature. Websites of academic organizations were also explored to obtain guidelines pertaining to perinatal depression screening. This study followed the PRISMA guidelines for systematic reviews. Stakeholders' perspectives were analyzed using second-order thematic qualitative analysis.</div></div><div><h3>Results</h3><div>A total of 3268 original articles and 104 guidelines were retrieved. Titles, abstracts, and full texts were screened, resulting in the inclusion of 57 original studies and 9 guidelines for data analysis. The most commonly mentioned stakeholders in perinatal depression screening were health care workers (<em>n</em> = 48) and perinatal women (<em>n</em> = 32), followed by healthcare leaders/managers (<em>n</em> = 16) and policymakers (<em>n</em> = 15). A total 23 articles reported stakeholders' perspectives, from which 291 quotes were extracted. Thematic synthesis identified 12 initial codes, which were summarized into three themes: perinatal depression screening practices, challenges in implementing screening, facilitating factors and opportunities for screening services.</div></div><div><h3>Conclusions</h3><div>This study identified 17 types of stakeholders, with health care workers and perinatal women being the primary groups. Additionally, key challenges in perinatal depression screening were identified, highlighting the need for future research to focus cost, quality, and reimbursement structures to ensure the sustainable and scalable implementation of screening initiatives.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 194-203"},"PeriodicalIF":4.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747447","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":"Hospital resource utilization among physically restrained patients with bipolar disorder","authors":"Jane Abernethy,&nbsp;Ilana Nelson-Greenberg,&nbsp;Scott Mitchell Wright,&nbsp;Ché Matthew Harris","doi":"10.1016/j.genhosppsych.2024.07.010","DOIUrl":"10.1016/j.genhosppsych.2024.07.010","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 232-233"},"PeriodicalIF":4.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758134","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":"Differences in self-reported disruptions in mental health treatment between SMI and non-SMI groups during COVID-19 in a national household sample","authors":"Margaret Z. Wang ,&nbsp;Scott Graupensperger ,&nbsp;Mark Olfson ,&nbsp;Natalie Bareis ,&nbsp;Mark Edlund ,&nbsp;Maria Monroe-DeVita ,&nbsp;Ronald Kessler ,&nbsp;Mackenzie Tennison ,&nbsp;Katherine Winans ,&nbsp;Lydia Chwastiak","doi":"10.1016/j.genhosppsych.2024.07.014","DOIUrl":"10.1016/j.genhosppsych.2024.07.014","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 237-239"},"PeriodicalIF":4.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843110","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":"A systematic review and meta-analysis of transdiagnostic interventions for common mental disorders in primary care","authors":"Marie Vogel ,&nbsp;Christopher Ebert ,&nbsp;Jochen Gensichen ,&nbsp;Hanna Applis ,&nbsp;Alkomiet Hasan ,&nbsp;Kirsten Lochbühler ,&nbsp;POKAL-Group","doi":"10.1016/j.genhosppsych.2024.11.003","DOIUrl":"10.1016/j.genhosppsych.2024.11.003","url":null,"abstract":"<div><h3>Objective</h3><div>In primary care, treating common mental disorders according to the ICD or DSM is challenging. A transdiagnostic approach may facilitate the management of mental health problems by treating across psychiatric diagnoses.</div><div>This meta-analysis aims to identify and compare transdiagnostic interventions delivered in primary care and to determine the effectiveness of these interventions, focusing on common mental disorders.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted by searching the databases Medline, Embase, Web of Science, and PsycINFO. Standardized mean differences (SMD) were calculated for the outcomes, and additional subgroup analyses were performed.</div></div><div><h3>Results</h3><div>From an initial set of 10,618 RCTs, 38 studies were included and retained for data extraction. Transdiagnostic interventions led to a significant reduction in symptoms of depression (SMD: −0.38) and anxiety (SMD: - 0.47). Treatment outcomes for somatoform disorders were not significant (SMD: - 0.22). About half of the interventions were provided by health professionals not specifically trained in psychotherapy; these interventions also proved to be effective (depression: SMD: −0.47; anxiety: −0.39).</div></div><div><h3>Conclusion</h3><div>This meta-analysis supports the use of transdiagnostic interventions for common mental disorders in primary care. Transdiagnostic interventions carried out by medical and health professionals not specifically trained in psychotherapy are feasible in PC, but emphasis should be placed on adequate training for them.</div><div>Trial registration: The protocol for this study is registered with PROSPERO: CRD42024459073, Date of registration: 2024/01/03.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 167-179"},"PeriodicalIF":4.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Chinese version of the 8-item Center for Epidemiologic Studies Depression Scale: Longitudinal psychometric syntheses with 10-year cohort multi-center evidence in an adult sample","authors":"Chen Jiang ,&nbsp;Jiaqi Sun ,&nbsp;Yingbo Lv ,&nbsp;Sujun Hu,&nbsp;Wei Cheng,&nbsp;Xudong Zhao,&nbsp;Yi Zheng,&nbsp;Xiangping Wu,&nbsp;Lanqiu Lv","doi":"10.1016/j.genhosppsych.2024.11.008","DOIUrl":"10.1016/j.genhosppsych.2024.11.008","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate cross-sectional (CMI), longitudinal (LMI), and cross-measurement invariance (C-LMI) of the Chinese version of the 8-item Center for Epidemiologic Studies Depression Scale (CES-D 8) and reconfirm other properties for measuring depression construct.</div></div><div><h3>Methods</h3><div>11,479 Chinese adults from China Family Panel Studies were enrolled and randomly split into two halves. The exploratory half was used to reidentify the structures of the CES-D 8 by bootstrap exploratory graph analysis (bootEGA) and the confirmatory half was used to compare and choose the structure by confirmatory factor analysis (CFA).</div></div><div><h3>Results</h3><div>The original two-factor model was found satisfactory as the solution for the Chinese CES-D 8 because of the relatively best fit. The CMI, LMI, and C-LMI were supported within groups of gender, age, marital status, and time with indices that have met the expectations. The Chinese CES-D 8 also showed sufficient internal consistencies with Cronbach's alpha valuing 0.795–0.868 and McDonald's omega valuing 0.850–0.870.</div></div><div><h3>Conclusions</h3><div>The CES-D 8 presents sufficient psychometric syntheses for assessing depressive symptoms to adulthood. These results demonstrate adequate measurement invariances and can be reliably used at different genders, ages, and long-term time points in Chinese cultural backgrounds.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 204-211"},"PeriodicalIF":4.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747500","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":"Comment on: “Prevalence and incidence of suicide, suicidal ideation and self-harm in caregivers of cancer patients: A systematic review and meta-analysis”","authors":"Ankur Kapoor ,&nbsp;Rachana Mehta ,&nbsp;Sanjit Sah ,&nbsp;Ganesh Bushi","doi":"10.1016/j.genhosppsych.2024.09.016","DOIUrl":"10.1016/j.genhosppsych.2024.09.016","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 263-264"},"PeriodicalIF":4.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142462470","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":"Cost savings of a perinatal psychiatry access program in Vermont","authors":"Isabel S. Platt ,&nbsp;Emma L. Pendl-Robinson ,&nbsp;Sasigant So O'Neil ,&nbsp;Divya Vohra ,&nbsp;Laura Pentenrieder ,&nbsp;Kara Zivin","doi":"10.1016/j.genhosppsych.2024.07.009","DOIUrl":"10.1016/j.genhosppsych.2024.07.009","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 230-231"},"PeriodicalIF":4.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758133","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":"Identifying opportunities to improve depression screening in specialty care: Implications for population health management","authors":"Jason B. Liu ,&nbsp;Carlos G. Fernandez-Robles ,&nbsp;Trina E. Chang ,&nbsp;Sri Harshini Malapati ,&nbsp;Finn Tobias ,&nbsp;Chengbo Zeng ,&nbsp;Jianyi Zhang ,&nbsp;Rachel C. Sisodia ,&nbsp;Andrea L. Pusic ,&nbsp;Maria O. Edelen","doi":"10.1016/j.genhosppsych.2024.07.012","DOIUrl":"10.1016/j.genhosppsych.2024.07.012","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 234-236"},"PeriodicalIF":4.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838826","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":"Prevalence and measurement of post-exertional malaise in post-acute COVID-19 syndrome: A systematic review and meta-analysis","authors":"Yi An,&nbsp;Ziyu Guo,&nbsp;Jin Fan,&nbsp;Tingting Luo,&nbsp;Huimin Xu,&nbsp;Huiying Li,&nbsp;Xi Wu","doi":"10.1016/j.genhosppsych.2024.10.011","DOIUrl":"10.1016/j.genhosppsych.2024.10.011","url":null,"abstract":"<div><h3>Objective</h3><div>Post-exertional malaise (PEM) is a common and debilitating symptom of post-acute COVID-19 syndrome (PACS), and it is also included in the core outcome set for PACS. Our aims are to determine the prevalence of PEM in patients with PACS, and to review the measurement tools utilized in studies assessing PEM among these patients.</div></div><div><h3>Methods</h3><div>A systematic literature search was conducted up to 29 February 2024 across four databases: PubMed, EMBASE, Web of Science, and Cochrane Library. Studies were included if they evaluated PACS individuals who had at least one persistent symptom, with the mean or median follow-up duration of at least 3 months after COVID-19 diagnosis or hospital discharge, and specially reported on PEM or any measurement tools utilized to assess PEM. Data extraction and quality assessment were performed independently by two authors.</div></div><div><h3>Results</h3><div>After screening 953 articles, 12 studies comprising 2665 patients were included in the meta-analysis, and 16 studies were included in the narrative review. The pooled prevalence of PEM among PACS patients at 3 months or more after COVID-19 diagnosis was 0.55 (95 % CI, 0.38, 0.71). Moreover, narrative review identified seven questionnaires used to assess PEM in PACS individuals, with the DePaul Symptom Questionnaire–Post Exertional Malaise (DSQ-PEM) being the most frequently utilized instrument.</div></div><div><h3>Conclusion</h3><div>Our findings indicate that over half of the PACS individuals experience PEM, and seven questionnaires have been identified for researchers to assess PEM. It is imperative to develop effective intervention strategies to treat and alleviate the burden of PEM.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"91 ","pages":"Pages 130-142"},"PeriodicalIF":4.1,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}