International Journal of Psychiatry in Clinical Practice最新文献_第3页

Exploring real-world prescribing patterns for maintenance treatment in bipolar disorders: a focus on antidepressants and benzodiazepines. 探索现实世界中双相情感障碍维持治疗的处方模式：关注抗抑郁药和苯二氮卓类药物。

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-06-01 Epub Date: 2024-09-04 DOI: 10.1080/13651501.2024.2398796

Sanja Andric Petrovic, Dusan Jankovic, Nina Kaurin, Vanja Mandic Maravic, Danilo Pesic, Ivan Ristic, Nadja P Maric

{"title":"Exploring real-world prescribing patterns for maintenance treatment in bipolar disorders: a focus on antidepressants and benzodiazepines.","authors":"Sanja Andric Petrovic, Dusan Jankovic, Nina Kaurin, Vanja Mandic Maravic, Danilo Pesic, Ivan Ristic, Nadja P Maric","doi":"10.1080/13651501.2024.2398796","DOIUrl":"10.1080/13651501.2024.2398796","url":null,"abstract":"Objective: Bipolar disorders (BD) are characterized by highly recurrent nature, necessitating adequate maintenance treatment for long-term disorder control. This study aimed to investigate real-world prescribing patterns among outpatients with BD, focusing on the utilisation of antidepressants (AD) and benzodiazepines (BDZ).Methods: We analysed prescription patterns of the five main groups of psychotropic medications (antipsychotics, mood stabilizers, AD, BDZ, and anticholinergic medications) and their relationships with basic socio-demographic and clinical data in a sample of 107 clinically stable BD outpatients (75.7% female, age 44.8 ± 11.7).Results: Maintenance therapy predominantly involved polypharmacy (92.5%), with mood stabilizers (87.9%) and antipsychotics (80.4%, predominantly second-generation) being the most commonly prescribed. Our findings highlight a high percentage of patients prescribed AD (50.5%) and BDZ (54.2%). BDZ patients, compared to the non-BDZ group in maintenance treatment, were significantly older with longer psychiatric history and a decreased likelihood of comorbid personality disorder diagnoses.Conclusions: This study offers insights into prescribing practices within a university psychiatric clinic in the Western Balkans. The prevalent use of polypharmacy in real-world clinical settings, along with high percentage of patients prescribed AD and BDZ, suggests a gap between guideline recommendations and clinical practice, indicating a lack of consensus or standardized approaches in clinical practice.","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"94-101"},"PeriodicalIF":2.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125615","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

Neurobiological and psychological factors to depression. 抑郁症的神经生物学和心理学因素。

IF 2.9 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-06-01 Epub Date: 2024-08-05 DOI: 10.1080/13651501.2024.2382091

Malini Turner

引用次数: 0

Prevalence of suicide attempt, suicide ideation and self-harm at diagnosis in adolescents with eating disorders 患有饮食失调症的青少年在确诊时自杀未遂、自杀意念和自残行为的发生率

IF 3 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-04-09 DOI: 10.1080/13651501.2024.2337796

Sinem Akgül, Melis Pehlivantürk Kızılkan, Ayşegül Yıldırım, Orhan Derman

引用次数: 0

Effects of seasonality in emergency admissions for mental disorders: two years of clinical experience 精神障碍急诊入院的季节性影响：两年的临床经验

IF 3 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-04-08 DOI: 10.1080/13651501.2024.2331481

Thomas Fraccalini, Valerio Ricci, Beatrice Tarozzo, Luciano Cardinale, Giuseppe Primerano, Meraji Kowsaralsadat, Giacomo Piccininni, Adriana Boccuzzi, Giuseppe Maina, Giovanni Volpicelli

引用次数: 0

Suicide ideation and male-female differences in major depressive disorder 自杀意念与重度抑郁障碍的男女差异

IF 3 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-04-08 DOI: 10.1080/13651501.2024.2335950

Paolo Olgiati, Basilio Pecorino, Alessandro Serretti

引用次数: 0

Editorial: Embracing continuity and diversity in psychiatric practice 社论：拥抱精神科实践的连续性和多样性

IF 3 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-04-03 DOI: 10.1080/13651501.2024.2336822

Pia Baldinger-Melich

引用次数: 0

The relevance of anti-N-methyl-d-aspartate receptor encephalitis for psychiatrists 抗 N-甲基-d-天冬氨酸受体脑炎对精神科医生的意义

IF 3 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-03-04 DOI: 10.1080/13651501.2024.2323926

Denis Pavăl, Nicoleta Gherghel-Pavăl, Octavia Oana Căpățînă, Adina Stan, Ioana Valentina Micluția

引用次数: 0

Sertraline with desvenlafaxine and sertraline with mirtazapine as treatment initiation in MDD patients with moderate to severe depression and effect on inflammatory markers. 舍曲林联合地文拉法辛、舍曲林联合米氮平治疗中重度抑郁症患者炎症指标的影响

IF 3 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-03-01 Epub Date: 2023-11-29 DOI: 10.1080/13651501.2023.2287754

Norman Arockiaraj, Rachna Gupta, Rafat Ahmad, Sumita Halder, M S Bhatia

{"title":"Sertraline with desvenlafaxine and sertraline with mirtazapine as treatment initiation in MDD patients with moderate to severe depression and effect on inflammatory markers.","authors":"Norman Arockiaraj, Rachna Gupta, Rafat Ahmad, Sumita Halder, M S Bhatia","doi":"10.1080/13651501.2023.2287754","DOIUrl":"10.1080/13651501.2023.2287754","url":null,"abstract":"Background: This study evaluated the effect of sertraline with desvenlafaxine and sertraline with mirtazapine on HAM-D score and inflammatory markers (IL-6 and TNF-α levels) in major depressive disorder.Methods: Patients (18-60 years) with MDD diagnosed by DSM-V criteria and HAM-D score 18 or more were included (n = 60). Group A patients (n = 30) received sertraline 50 mg/day and desvenlafaxine 50 mg/day. Group B patients (n = 30) received sertraline 50 mg/day and mirtazapine 30 mg/day. All patients were followed up for 8 weeks for the evaluation of clinical efficacy, safety, serum IL-6, and TNF-α levels.Results: Our study showed a comparatively similar and statistically significant (p < 0.05) reduction in HAM-D score in both groups in the 4th and 8th week of the treatment. Both drug combinations significantly (p < 0.05) decreased serum IL-6 and TNF-α after 8 weeks of treatment.Conclusion: The present study suggests that the combination therapy (as treatment initiation) with sertraline and desvenlafaxine, and sertraline with mirtazapine is effective and well tolerated in MDD patients with moderate to severe depression, and their therapeutic efficacy is accompanied by decreased inflammatory markers (serum IL-6 and TNF-α).","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"9-16"},"PeriodicalIF":3.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138451457","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

Depressive symptoms in the entire spectrum of cognitive ageing in Greece: evidence from the Hellenic Longitudinal Investigation of Aging and Diet (HELIAD). 希腊认知老龄化全过程中的抑郁症状：希腊老龄化和饮食纵向调查（HELIAD）提供的证据。

IF 3 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-03-01 Epub Date: 2023-12-25 DOI: 10.1080/13651501.2023.2296889

Eleni-Zacharoula Eliza Georgiou, Antonios Politis, Mary H Kosmidis, Mary Yannakoulia, Efthimios Dardiotis, Georgios Hadjigeorgiou, Paraskevi Sakka, Nikolaos Scarmeas, Polychronis Economou, Panagiotis Alexopoulos

{"title":"Depressive symptoms in the entire spectrum of cognitive ageing in Greece: evidence from the Hellenic Longitudinal Investigation of Aging and Diet (HELIAD).","authors":"Eleni-Zacharoula Eliza Georgiou, Antonios Politis, Mary H Kosmidis, Mary Yannakoulia, Efthimios Dardiotis, Georgios Hadjigeorgiou, Paraskevi Sakka, Nikolaos Scarmeas, Polychronis Economou, Panagiotis Alexopoulos","doi":"10.1080/13651501.2023.2296889","DOIUrl":"10.1080/13651501.2023.2296889","url":null,"abstract":"Objectives: To study (i) the prevalence of mild and moderate-to-severe depressive symptoms in the entire spectrum of cognitive ageing in Greece and (ii) the relationship between these symptoms and demographic and clinical data.Methods: The study was based on the randomly selected cohort of the Hellenic Longitudinal Investigation of Aging and Diet (HELIAD). Depressive symptoms were assessed with the 15-item version of the Geriatric Depression Scale. Participants also received a comprehensive neuropsychological assessment, while the clinical diagnoses of dementia and mild cognitive impairment were established according to international diagnostic criteria. Statistical analyses relied on comparison tests and a logistic (proportional odds) ordinal regression model.Results: Depressive symptoms were detected in 19.5% of the 1936 study participants, while 11.3% of both people with MCI and dementia had moderate-to-severe depressive symptoms. The regression model revealed that older adults with more severe depressive symptoms were more likely female, cognitively impaired, less educated, were treated with psychotropic medication and lived in Attica versus Thessaly.Conclusions: Since depressive symptoms were detected in almost one in five older adults, healthcare professionals in Greece should safeguard the timely detection and effective treatment of such symptoms and the post-diagnostic care of older adults with depression.","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"27-34"},"PeriodicalIF":3.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032272","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

Does attention deficit hyperactivity disorder worsen family functioning and parenting styles? A case control study. 注意缺陷多动障碍会恶化家庭功能和养育方式吗?病例对照研究。

IF 3 4区医学

International Journal of Psychiatry in Clinical Practice Pub Date : 2024-03-01 Epub Date: 2023-11-28 DOI: 10.1080/13651501.2023.2283221

Mehmet Karadağ, Gizem Yılmaz Saygılı, Zehra Topal Hangül, Fatma Subaşı Turgut

{"title":"Does attention deficit hyperactivity disorder worsen family functioning and parenting styles? A case control study.","authors":"Mehmet Karadağ, Gizem Yılmaz Saygılı, Zehra Topal Hangül, Fatma Subaşı Turgut","doi":"10.1080/13651501.2023.2283221","DOIUrl":"10.1080/13651501.2023.2283221","url":null,"abstract":"Objective: A bidirectional relationship between family functioning and parenting styles and Attention Deficit and Hyperactivity Disorder (ADHD) is proposed. The aim of this study is to examine the effect of ADHD symptoms on parenting styles and the general functionality of the family as well as symptoms of depression and anxiety.Methods: 73 children with ADHD (56%) and 56 controls (43%) (a total of 129 participants, 31% female, 69% male) with a mean age of 11.3 (7-17, n: 129) were included in the study, which was conducted in Gaziantep University Hospital Child Psychiatry Department in 2022. The participants completed psychometric scales.Results: Parents of children with ADHD showed higher positive parenting scores than the control group (p < 0.05). Inconsistent discipline scores were substantially higher in the ADHD combined subtype (14.38 ± 5.2) than in the attention deficit dominant group (17.59 ± 3.96) In addition, a strong correlation was found between familial functionality scores and ADHD severity in the ADHD attention deficit dominant subtype (r:0.601; p:0.027) and as ADHD severity increased, family functionality decreased.Conclusions: This study shows that parents of children with ADHD have different parenting styles and ADHD affects the overall functionality of the family in the Turkish sample.","PeriodicalId":14351,"journal":{"name":"International Journal of Psychiatry in Clinical Practice","volume":" ","pages":"2-8"},"PeriodicalIF":3.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138444654","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