Philip Roehrs, Peter Fenwick, Bruce Greyson, Allan Kellehear, Karalee Kothe, Michael Nahm, Chris Roe, Natasha Tassell-Matamua, Marjorie Woollacott
{"title":"Terminal Lucidity in a Pediatric Oncology Clinic.","authors":"Philip Roehrs, Peter Fenwick, Bruce Greyson, Allan Kellehear, Karalee Kothe, Michael Nahm, Chris Roe, Natasha Tassell-Matamua, Marjorie Woollacott","doi":"10.1097/NMD.0000000000001711","DOIUrl":"10.1097/NMD.0000000000001711","url":null,"abstract":"<p><strong>Abstract: </strong>The sporadic occurrence of unusually enhanced mental clarity before death has been documented over time and cultures, and reported in patients with and without neurodegenerative diseases, psychiatric disorders, and other neurocognitive deficits, as well as those with nonterminal and terminal conditions. Using a purposive sampling method via existing professional networks, clinical presentations of terminal lucidity in pediatric populations, as witnessed by pediatric oncologists and medical personnel, were solicited. We document clinical presentations suggestive of terminal lucidity in children, which were compiled by their attending physician at two large tertiary pediatric hospitals. Unanticipated and unexplained changes in mental clarity, verbal communication, and/or physical capability in the days and hours before the death of the pediatric patients were observed. Each patient's medical condition should not have allowed for such changes. The phenomenon known as terminal lucidity provides a conceptual framework for these deviations, although more systematic documentation and clinical research is required before definitive conclusions can be drawn.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":" ","pages":"57-60"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41176400","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}
{"title":"John Andrew Talbott Memorial Statement.","authors":"","doi":"10.1097/NMD.0000000000001765","DOIUrl":"https://doi.org/10.1097/NMD.0000000000001765","url":null,"abstract":"","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":"212 1","pages":"1"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080602","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}
{"title":"Videos for Psychiatric Education: Could Deidentification Technology Make it Possible to Use Video Recordings of Patients for Psychiatric Education?","authors":"Barbara Schildkrout","doi":"10.1097/NMD.0000000000001742","DOIUrl":"10.1097/NMD.0000000000001742","url":null,"abstract":"<p><strong>Abstract: </strong>The field of psychiatry has been limited in its use of patient videos for educational purposes because essential facial information must be obscured to protect patient privacy, confidentiality, and dignity. This article calls attention to emerging technologies for deidentification of patients in video recordings while still preserving facial expression. Fully anonymized videos could be used to augment the education of psychiatric residents and for continuing education of the psychiatric workforce. This article suggests projects that deidentification technology could make possible; it also outlines some complex problems that would need to be addressed before the field could use this potentially transformative technology.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":"212 1","pages":"2-3"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080604","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}
Tanner J Bommersbach, Taeho Greg Rhee, Bin Zhou, Robert Rosenheck
{"title":"Correlates of Past Childhood Homelessness in a Nationally Representative Sample of US Adults.","authors":"Tanner J Bommersbach, Taeho Greg Rhee, Bin Zhou, Robert Rosenheck","doi":"10.1097/NMD.0000000000001730","DOIUrl":"10.1097/NMD.0000000000001730","url":null,"abstract":"<p><strong>Abstract: </strong>Limited empirical data have been available on the adult sequelae of childhood homelessness. Using nationally representative data from the National Epidemiologic Survey of Alcohol and Related Conditions-III, we compared a hierarchy of adults who were never homeless, those who were only homeless as children, and those who were homeless both as children and adults, hypothesizing greater adversity as one moved up the three-level hierarchy on sociodemographic, behavioral, and lifetime mental health diagnostic characteristics. As a further evaluation of the status of adults who were homeless as both children and adults, we compared this highest risk group to those who had been homeless only as adults. Individuals who experienced childhood homelessness were 46.9 times more likely than others to also experience adult homelessness. Testing the hierarchical hypothesis, compared with those who were never homeless, individuals who experienced homelessness only as children reported numerous associated disadvantages, including childhood sexual abuse/neglect, parental adversities, adult incarceration, psychiatric disorders, and low academic achievement/employment. Those reporting both child and adult homelessness, in contrast to childhood homelessness alone, additionally met the criteria for multiple substance use disorders, confirming our hierarchical hypothesis. Those reporting both child and adult homelessness also showed more numerous social and psychiatric problems when compared with those experiencing homelessness for the first time as adults. This study demonstrates how homelessness in childhood is associated with extensive social and psychiatric adversities in both childhood and adulthood.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":" ","pages":"43-51"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50158146","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}
{"title":"Symptoms and Main Differences Between a Psychopath and a Sociopath.","authors":"Liana Spytska","doi":"10.1097/NMD.0000000000001728","DOIUrl":"10.1097/NMD.0000000000001728","url":null,"abstract":"<p><strong>Abstract: </strong>The research relevance is predefined by the fact that, in modern psychology and psychiatry, the concepts of psychopathy and sociopathy are combined and interchanged. These are two concepts that describe different etiologies of the same mental health condition. The research aims to describe in detail the main manifestations and characteristics of personality disorders (psychopathy and sociopathy) in psychiatry and psychology. The research analyzes the main features and manifestations of sociopathy and psychopathy. It examines the work of psychologists, psychiatrists, neurologists, and neurosurgeons in helping sociopaths and psychopaths. The study also explores the challenges of treating antisocial personality disorders and identifies internal and external factors that influence the development of these conditions. In addition, the article emphasizes the behavioral differences between sociopaths and psychopaths, proposes various methods for integrated therapy, diagnoses the main aspects of these disorders, and highlights the importance of psychiatric care and psychotherapeutic interventions. The research is of theoretical and practical value for psychologists, psychoanalysts, and physicians who can help people with these pathologies of personal development.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":"212 1","pages":"52-56"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080603","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}
{"title":"Which Symptoms Bridge Symptoms of Depression and Symptoms of Eating Disorders?: A Network Analysis.","authors":"Marieke Meier, Berta J Summers, Ulrike Buhlmann","doi":"10.1097/NMD.0000000000001715","DOIUrl":"10.1097/NMD.0000000000001715","url":null,"abstract":"<p><strong>Abstract: </strong>Depression is a common comorbid mental illness in eating disorders (EDs). Network theory focuses on interactions between symptoms, but findings from network analyses of EDs and depression need to be replicated to make reliable claims about the nature of symptomatic interplay. We used cross-sectional data of 366 online-recruited participants with clinically elevated ED symptomatology and constructed a regularized partial correlation network with ED and depression symptoms. To determine each symptom's influence, we calculated expected influence (EI) and bridge EI to identify symptoms that bridged symptoms of depression and ED. Concerns that others see one eat, fear of weight gain, and fear of loss of control over eating were especially important among the ED symptoms. Loss of interest and feeling sad were the key depression symptoms. Eating in secret and low self-esteem emerged as potential bridge symptoms between clusters. These findings regarding bridge symptoms partially overlap with prior network analyses in nonclinical and clinical samples. Future studies that investigate symptom interplay via a longitudinal design to deduce causality are needed.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":"212 1","pages":"61-67"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080605","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}
Mitchell G Weiss, Ankita Deshmukh, Sanjeev B Sarmukaddam, Vasudeo P Paralikar
{"title":"Sociocultural Framework for Psychiatric Case Formulation.","authors":"Mitchell G Weiss, Ankita Deshmukh, Sanjeev B Sarmukaddam, Vasudeo P Paralikar","doi":"10.1097/NMD.0000000000001721","DOIUrl":"10.1097/NMD.0000000000001721","url":null,"abstract":"<p><strong>Abstract: </strong>A Cultural Formulation Interview (CFI) field trial in India, widely reported racist violence in the United States, and casteist and religious communal conflicts in India highlighted inattention to structural issues affecting mental health problems in the Outline for Cultural Formulation (OCF) and the CFI in the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). Consequently, we revised the OCF as a sociocultural formulation (SCF) to better consider structures of society and culture. We studied and compared clinicians' ratings of SCF case formulations from a constructed assessment instrument (SCF Interview [SCFI]) and the CFI. Socio-cultural formulations from SCFI interviews were rated higher for details of societal structural impact, and overall interrater agreement was better. CFI interviews were rated higher for clinical rapport. Revision of the CFI should enhance consideration of structural issues and incorporate them in SCFs that better integrate assessment process and case formulation content. The need to acknowledge structural sources of mental health problems is clear, and our study indicates how a sociocultural framework may be used for that.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":" ","pages":"16-27"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50158147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gisela Roxana Edith Lisi, Francisco Appiani, María Eugenia Basile, Marcelo Garro, Juan Manuel Duarte
{"title":"Pathophysiological Hypothesis of COVID-19 Psychosis.","authors":"Gisela Roxana Edith Lisi, Francisco Appiani, María Eugenia Basile, Marcelo Garro, Juan Manuel Duarte","doi":"10.1097/NMD.0000000000001624","DOIUrl":"10.1097/NMD.0000000000001624","url":null,"abstract":"<p><strong>Abstract: </strong>In December 2019, a new coronavirus called SARS-CoV-2 was discovered in patients with pneumonia of unknown cause. Although respiratory symptoms mainly characterize infection by this virus, neuropsychiatric manifestations of the disease are becoming more and more frequent. Among them, the appearance of psychotic outbreaks in patients experiencing the infection or after a short time after it has resolved is remarkable. This narrative review aims to describe the possible relationship between SARS-CoV-2 and the onset of psychosis by developing the neurotropic capacities of the virus and analyzing the neurobiology of psychoses.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":"211 12","pages":"890-895"},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138444995","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}
Yassir Mahgoub, Lauren N Forrest, Joy Luther, Nirmal Singh, Jason Kibler, Jason Noel, David Zug, Alison Swigart, Elisabeth Kunkel
{"title":"The Impact of COVID-19 on Psychiatric Acuity in a Community Psychiatric Hospital.","authors":"Yassir Mahgoub, Lauren N Forrest, Joy Luther, Nirmal Singh, Jason Kibler, Jason Noel, David Zug, Alison Swigart, Elisabeth Kunkel","doi":"10.1097/NMD.0000000000001735","DOIUrl":"10.1097/NMD.0000000000001735","url":null,"abstract":"<p><strong>Abstract: </strong>The COVID-19 pandemic has had extensive impacts on mental health care delivery. Anecdotal observations of inpatient care teams at Pennsylvania Psychiatric Institute suggested increased patient acuity during the pandemic. The authors found no consensus definition for measuring psychiatric acuity in the literature. We performed an interrupted time series analysis to identify whether COVID-19 was associated with changes in several hospital parameters that might reflect our patients' access to psychiatric services and acuity. We found increases in inpatient parameters for length of stay, rates of involuntary admissions, and the incidence of restraints, seclusion, and 1:1 observation orders. Observing these increasing trends can inform mitigation efforts to improve the quality of mental health care treatment and care delivery. We suggest the use of these metrics for objective measurements of psychiatric acuity.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":" ","pages":"910-918"},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138176431","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}
Mary F Brunette, Matthew D Erlich, Matthew L Edwards, David A Adler, Jeffrey Berlant, Lisa Dixon, Michael B First, David W Oslin, Samuel G Siris, Rachel M Talley
{"title":"Addressing the Increasing Mental Health Distress and Mental Illness Among Young Adults in the United States.","authors":"Mary F Brunette, Matthew D Erlich, Matthew L Edwards, David A Adler, Jeffrey Berlant, Lisa Dixon, Michael B First, David W Oslin, Samuel G Siris, Rachel M Talley","doi":"10.1097/NMD.0000000000001734","DOIUrl":"10.1097/NMD.0000000000001734","url":null,"abstract":"<p><strong>Abstract: </strong>Recent surveys show rising numbers of young people who report anxiety and depression. Although much attention has focused on mental health of adolescent youth, less attention has been paid to young people as they transition into adulthood. Multiple factors may have contributed to this steady increase: greater exposure to social media, information, and distressing news via personal electronic devices; increased concerns regarding social determinants of health and climate change; and changing social norms due to increased mental health literacy and reduced stigma. The COVID-19 pandemic may have temporarily exacerbated symptoms and impacted treatment availability. Strategies to mitigate causal factors for depression and anxiety in young adults may include education and skills training for cognitive, behavioral, and social coping strategies, as well as healthier use of technology and social media. Policies must support the availability of health insurance and treatment, and clinicians can adapt interventions to encompass the specific concerns and needs of young adults.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":"211 12","pages":"961-967"},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138444916","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}