Harvard Review of Psychiatry最新文献_第10页

Assessment and Treatment of a Deaf Patient with Alcohol Use Disorder-Limitations and Special Considerations. 1例酒精使用障碍聋人患者的评估与治疗:局限性与特殊考虑。

IF 3.8 4区医学

Harvard Review of Psychiatry Pub Date : 2022-04-24 DOI: 10.1097/HRP.0000000000000333

Ann Felhofer, Teresa V. Crowe, C. AhnAllen, L. Mistler, J. Suzuki

引用次数: 0

The Practice of Psychiatric E-Consultation: Current State and Future Directions 精神病学电子会诊的实践:现状与未来方向

IF 3.8 4区医学

Harvard Review of Psychiatry Pub Date : 2022-04-23 DOI: 10.1097/HRP.0000000000000338

Thomas C E Adams, Christopher T. Lim, Hsiang Huang

引用次数: 2

"Non-healing Wounds": Addressing Complex Physical and Emotional Trauma in a Case of Factitious Disorder. “无法愈合的创伤”：在一例情感障碍病例中处理复杂的身体和情感创伤。

IF 3.8 4区医学

Harvard Review of Psychiatry Pub Date : 2022-04-15 DOI: 10.1097/HRP.0000000000000335

Cynthia S Peng, Amanda M. Koire, S. Eisendrath, Joshua L Abrams, M. Feldman, Carolina Jimenez-Madiedo

引用次数: 0

Suicide Prevention in Your Pocket: A Systematic Review of Ecological Momentary Interventions for the Management of Suicidal Thoughts and Behaviors 口袋里的自杀预防：自杀思想和行为管理的生态瞬时干预的系统回顾

IF 3.8 4区医学

Harvard Review of Psychiatry Pub Date : 2022-03-01 DOI: 10.1097/HRP.0000000000000331

L. Jiménez-Muñoz, I. Peñuelas-Calvo, I. Díaz-Oliván, L. Gutiérrez-Rojas, E. Baca-García, A. Porras-Segovia

{"title":"Suicide Prevention in Your Pocket: A Systematic Review of Ecological Momentary Interventions for the Management of Suicidal Thoughts and Behaviors","authors":"L. Jiménez-Muñoz, I. Peñuelas-Calvo, I. Díaz-Oliván, L. Gutiérrez-Rojas, E. Baca-García, A. Porras-Segovia","doi":"10.1097/HRP.0000000000000331","DOIUrl":"https://doi.org/10.1097/HRP.0000000000000331","url":null,"abstract":"Abstract Background This study reviews the evidence on ecological momentary interventions (EMIs) for managing and preventing suicidal thoughts and behaviors. Methods This review follows the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Its protocol was registered in the PROSPERO database. We conducted a systematic literature search of five databases: PubMed, EMBASE, Web of Science, PsycInfo, and Cochrane library. The most recent search date was 10 September 2021. Results After screening and full-text review, 27 studies were included, totaling 19 different interventions. Many of the available interventions have not yet been clinically tested. Those that have undergone effectiveness evaluation (10 interventions) showed good rates of effectiveness and feasibility, with some exceptions. The most widely used intervention model is the safety plan, which allows the user to implement coping and distracting strategies in case of suicidal ideation. Conclusions Ecological momentary interventions provide certain advantages, such as their wide availability, versatility, and potential for customization. These interventions can be useful complements to traditional care, especially in situations in which face-to-face care is not possible. Evidence on the effectiveness of such interventions is still scarce. Furthermore, barriers limiting implementation in clinical practice remain. The constant advance of technology means that these interventions have great potential for improvement in the coming years.","PeriodicalId":12915,"journal":{"name":"Harvard Review of Psychiatry","volume":"30 1","pages":"85 - 99"},"PeriodicalIF":3.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41933024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 7

Psychiatric Symptoms Across the Menstrual Cycle in Adult Women: A Comprehensive Review 成年女性月经周期中的精神症状：一项综合综述

IF 3.8 4区医学

Harvard Review of Psychiatry Pub Date : 2022-03-01 DOI: 10.1097/HRP.0000000000000329

A. B. Handy, S. Greenfield, K. Yonkers, Laura A Payne

{"title":"Psychiatric Symptoms Across the Menstrual Cycle in Adult Women: A Comprehensive Review","authors":"A. B. Handy, S. Greenfield, K. Yonkers, Laura A Payne","doi":"10.1097/HRP.0000000000000329","DOIUrl":"https://doi.org/10.1097/HRP.0000000000000329","url":null,"abstract":"Learning objective After participating in this activity, learners should be better able to: • Discuss and outline the general and overlapping effects of the menstrual cycle on women’s mental health Abstract A growing body of research demonstrates menstrual cycle–dependent fluctuations in psychiatric symptoms; these fluctuations can therefore be considered as prevalent phenomena. Possible mechanisms underlying these fluctuations posit behavioral, psychological, and neuroendocrine influences. Recent reviews document cyclic exacerbation of symptoms and explore these mechanisms in the context of specific and often single disorders. The question remains, however, as to whether there are general and overlapping effects of the menstrual cycle on women’s mental health. To address this gap, we synthesized the literature examining the exacerbation of a variety of psychiatric symptoms across the menstrual cycle in adult women. Results show that the premenstrual and menstrual phases are most consistently implicated in transdiagnostic symptom exacerbation. Specifically, strong evidence indicates increases in psychosis, mania, depression, suicide/suicide attempts, and alcohol use during these phases. Anxiety, stress, and binge eating appear to be elevated more generally throughout the luteal phase. The subjective effects of smoking and cocaine use are reduced during the luteal phase, but fewer data are available for other substances. Less consistent patterns are demonstrated for panic disorder, symptoms of posttraumatic stress disorder, and borderline personality disorder, and it is difficult to draw conclusions for symptoms of generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, and trichotillomania because of the limited data. Future research should focus on developing standardized approaches to identifying menstrual cycle phases and adapting pharmacological and behavioral interventions for managing fluctuations in psychiatric symptoms across the menstrual cycle.","PeriodicalId":12915,"journal":{"name":"Harvard Review of Psychiatry","volume":"30 1","pages":"100 - 117"},"PeriodicalIF":3.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47495422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 22

A Case of Catatonia and Psychosis: A Multidisciplinary Approach and Perspective. 紧张症和精神病一例:多学科的方法和观点。

IF 3.8 4区医学

Harvard Review of Psychiatry Pub Date : 2022-03-01 DOI: 10.1097/HRP.0000000000000317

Roman Becicka, Mary Lou England, Sophie Kwass, Esra Guvenek-Cokol

引用次数: 0

The Computations of a Traumatized Mind: A Latent Cause Model of Posttraumatic Stress Disorder. 创伤心理的计算:创伤后应激障碍的潜在原因模型。

IF 3.8 4区医学

Harvard Review of Psychiatry Pub Date : 2022-03-01 DOI: 10.1097/HRP.0000000000000327

Francesco Rigoli

{"title":"The Computations of a Traumatized Mind: A Latent Cause Model of Posttraumatic Stress Disorder.","authors":"Francesco Rigoli","doi":"10.1097/HRP.0000000000000327","DOIUrl":"https://doi.org/10.1097/HRP.0000000000000327","url":null,"abstract":"<p><strong>Abstract: </strong>In cognitive psychology, a recent perspective based on the notion of latent cause (LC) has offered new insight on how learning and memory work. Here I explore the implications of this novel perspective to understand posttraumatic stress disorder (PTSD). The proposal is that, because of a propensity to interpret events as manifestations of multiple LCs (a propensity facilitated by experiencing traumas in childhood), PTSD patients form an LC associated with the trauma and that this LC is responsible for typical symptoms of the illness (specifically, intrusive symptoms and associated fear). Later, after the trauma, some patients develop a second LC, now associated with the presence of trauma-related cues combined with absence of danger. Development of the latter LC would interfere with extinction and explain why, for some patients, exposure to trauma-related cues (even when supported by interventions such as exposure protocols) fails to provide much improvement. This proposal has potential clinical implications, raising the possibility that some patients might benefit from exposure to mildly painful aspects of the trauma in conjunction with trauma-related cues.</p>","PeriodicalId":12915,"journal":{"name":"Harvard Review of Psychiatry","volume":"30 2","pages":"146-154"},"PeriodicalIF":3.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39606780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 in the Treatment of Obsessive-Compulsive Disorder: A Systematic Review 氯胺酮治疗强迫症的系统评价

IF 3.8 4区医学

Harvard Review of Psychiatry Pub Date : 2022-03-01 DOI: 10.1097/HRP.0000000000000330

I. D. Bandeira, D. Lins-Silva, V. B. Cavenaghi, I. Dorea-Bandeira, D. Faria-Guimarães, J. L. Barouh, A. P. Jesus-Nunes, G. Beanes, Lucca S. Souza, G. C. Leal, G. Sanacora, E. Miguel, A. Sampaio, L. Quarantini

{"title":"Ketamine in the Treatment of Obsessive-Compulsive Disorder: A Systematic Review","authors":"I. D. Bandeira, D. Lins-Silva, V. B. Cavenaghi, I. Dorea-Bandeira, D. Faria-Guimarães, J. L. Barouh, A. P. Jesus-Nunes, G. Beanes, Lucca S. Souza, G. C. Leal, G. Sanacora, E. Miguel, A. Sampaio, L. Quarantini","doi":"10.1097/HRP.0000000000000330","DOIUrl":"https://doi.org/10.1097/HRP.0000000000000330","url":null,"abstract":"Abstract Introduction First-line treatment for obsessive-compulsive disorder (OCD) includes exposure and response prevention behavioral therapy and serotonin reuptake inhibitors, particularly in combination. New and more effective treatments are needed, give that recent studies suggest that glutamatergic neurotransmission contributes to the pathophysiology of the disorder. In these circumstances, ketamine, as a potent N-methyl-D-aspartate receptor antagonist and glutamate modulator, offers alternative possibilities for OCD treatment. Methods This systematic review aims to investigate the effects of ketamine in OCD, following the Preferred Reporting Items for Systematic Review and Meta-analyses Protocols (PRISMA-P). Searches were carried out using the PubMed/MEDLINE, Embase, and PsycINFO databases. Results Nine articles were included, of which three were randomized controlled trials, three case reports, two open-label trials, and one a retrospective chart review. Reported data have shown a potential for fast onset of action and good tolerability of ketamine for OCD, even though the principal studies used only single-session racemic ketamine treatments, administered intravenously, and the results have been erratic. In addition, none of the available evidence demonstrates whether racemic ketamine, S-ketamine, or R-ketamine has the best efficacy in controlling OCD symptoms, and only sparse evidence suggests that a combination of ketamine and psychotherapy could benefit patients with OCD. Conclusion In order to advance clinical practice regarding the use of ketamine in treating OCD, future randomized, double-blind, placebo-controlled trials are required. These trials need to use larger samples to explore ketamine and its enantiomers, with different methods of administration, multiple sessions, and appropriate washout periods.","PeriodicalId":12915,"journal":{"name":"Harvard Review of Psychiatry","volume":"30 1","pages":"135 - 145"},"PeriodicalIF":3.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47602034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 10

From the Blood-Brain Barrier to Childhood Development: A Case of Acute-Onset Psychosis and Cognitive Impairment Attributed to Systemic Lupus Erythematosus in an Adolescent Female: Erratum. 从血脑屏障到儿童发育：一例青少年女性系统性红斑狼疮引起的急性发作性精神病和认知障碍：勘误表。

IF 3.8 4区医学

Harvard Review of Psychiatry Pub Date : 2022-03-01 DOI: 10.1097/HRP.0000000000000332

引用次数: 0

Does Hippocampal Volume in Patients with Posttraumatic Stress Disorder Vary by Trauma Type? 创伤后应激障碍患者的海马体积是否因创伤类型而异?

IF 3.8 4区医学

Harvard Review of Psychiatry Pub Date : 2022-02-16 DOI: 10.1097/HRP.0000000000000328

Cecilia A. Hinojosa

{"title":"Does Hippocampal Volume in Patients with Posttraumatic Stress Disorder Vary by Trauma Type?","authors":"Cecilia A. Hinojosa","doi":"10.1097/HRP.0000000000000328","DOIUrl":"https://doi.org/10.1097/HRP.0000000000000328","url":null,"abstract":"Abstract Posttraumatic stress disorder (PTSD) is a debilitating disorder that can develop after experiencing a traumatic event and is, in part, characterized by memory disturbances. Given its important role in learning and memory, the hippocampus has been studied extensively in PTSD using volumetric neuroimaging techniques. However, the results of these studies are mixed. The variability in findings across studies could arise from differences in samples with regard to trauma type, but this connection has not yet been formally assessed. To assess this question, we conducted (1) mixed-effects meta-analyses to replicate previous meta-analytic findings of significant differences in hippocampal volumes in PTSD groups versus two different types of control groups (trauma-exposed and -unexposed groups), and (2) mixed-effects subgroup and meta-regression analyses to determine whether trauma type moderated these hippocampal volume differences. Overall, the PTSD groups showed significantly smaller right hippocampal volumes than both control groups and significantly smaller left hippocampal volumes than trauma-unexposed control groups. Subgroup and meta-regression analyses revealed that trauma type did not moderate the effect seen between PTSD and trauma-exposed non-PTSD groups but did moderate the effect between the PTSD and trauma-unexposed control groups: studies that contained participants with PTSD related to combat trauma exhibited significantly smaller effect sizes for right hippocampal volumes compared to the interpersonal violence and “other” trauma-type groups with PTSD. These findings suggest that trauma type may moderate hippocampal volume in trauma-exposed individuals but not in those with PTSD.","PeriodicalId":12915,"journal":{"name":"Harvard Review of Psychiatry","volume":"30 1","pages":"118 - 134"},"PeriodicalIF":3.8,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45882683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 4