Journal of Psychiatric Practice最新文献

Digital Psychiatry: Opportunities, Challenges, and Future Directions.

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000819

Lana Sidani, Sarah M Nadar, Jana Tfaili, Serena El Rayes, Fatima Sharara, Joe C Elhage, Marc Fakhoury

{"title":"Digital Psychiatry: Opportunities, Challenges, and Future Directions.","authors":"Lana Sidani, Sarah M Nadar, Jana Tfaili, Serena El Rayes, Fatima Sharara, Joe C Elhage, Marc Fakhoury","doi":"10.1097/PRA.0000000000000819","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000819","url":null,"abstract":"Recently, the field of psychiatry has experienced a transformative shift with the integration of digital tools into traditional therapeutic approaches. Digital psychiatry encompasses a wide spectrum of applications, ranging from digital phenotyping, smartphone applications, wearable devices, virtual/augmented reality, and artificial intelligence (AI). This convergence of digital innovations has the potential to revolutionize mental health care, enhancing both accessibility and patient outcomes. However, despite significant progress in the field of digital psychiatry, its implementation presents a plethora of challenges and ethical considerations. Critical problems that require careful investigation are raised by issues such as data privacy, the digital divide, legal frameworks, and the dependability of digital instruments. Furthermore, there are potential risks and several hazards associated with the integration of digital tools into psychiatric practice. A better understanding of the growing field of digital psychiatry is needed to promote the development of effective interventions and improve the accuracy of diagnosis. The overarching goal of this review paper is to provide an overview of some of the current opportunities in digital psychiatry, highlighting both its potential benefits and inherent challenges. This review paper also aims at providing guidelines for future research and for the proper integration of digital psychiatry into clinical practice.","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"30 6","pages":"400-410"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801339","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

Misdiagnosis of Primary Eating Disorder in an Individual With Major Depressive Disorder and Comorbid Catatonic Syndrome.

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000825

Adam Howard, Gregg Robbins-Welty, Nicole J Schindler, Brian Kincaid, Jonathan Komisar

{"title":"Misdiagnosis of Primary Eating Disorder in an Individual With Major Depressive Disorder and Comorbid Catatonic Syndrome.","authors":"Adam Howard, Gregg Robbins-Welty, Nicole J Schindler, Brian Kincaid, Jonathan Komisar","doi":"10.1097/PRA.0000000000000825","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000825","url":null,"abstract":"Catatonia is a neuropsychiatric syndrome affecting movement, emotion, speech, and behavior, which commonly occurs secondary to medical or psychiatric disorders and with comorbid illnesses. We report the case of an 18-year-old male with a history of depression, anxiety, attention-deficit/hyperactivity disorder, polysubstance use, and previous suicide attempts who presented to the hospital from a residential eating disorders treatment facility, due to psychomotor slowing. The patient scored 3 or lower on the Bush-Francis Catatonia Rating Scale (BFCRS), but he showed marked improvement following 2 mg of intravenous lorazepam. The patient was referred for ECT, experienced dramatic improvement, and was discharged at his baseline functioning. His discharge diagnosis was catatonic syndrome secondary to severe melancholic depression. Catatonia may present a diagnostic challenge as no single catatonia screener captures all possible phenotypes. The patient consistently scored low on the BFCRS but he had a clear response to standard-of-care catatonia treatment. Psychomotor slowing is common in catatonia but is not designated as a catatonic feature in either the DSM-5 or the BFCRS. This case also presented diagnostic complexity as the patient initially presented with malnutrition and concern about a possible eating disorder. This report highlights that diagnosing catatonia is challenging, particularly in the context of medical complexity, and that there are discrepancies between diagnostic tools. When suspicion of catatonia is high, despite low individual screening scores, clinicians may consider alternative screening instruments or empiric treatment.","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"30 6","pages":"447-448"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801427","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

How a Dream Led Me to Psychoanalysis. 一个梦如何引领我走向精神分析》（How a Dream Led Me to Psychoanalysis.

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000818

Eric M Plakun

引用次数: 0

The Clinical Utility of the Level of Personality Functioning Scale: A Treatment Perspective.

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000822

Joost Hutsebaut, Donna S Bender

{"title":"The Clinical Utility of the Level of Personality Functioning Scale: A Treatment Perspective.","authors":"Joost Hutsebaut, Donna S Bender","doi":"10.1097/PRA.0000000000000822","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000822","url":null,"abstract":"The Level of Personality Functioning Scale (LPFS) was introduced in DSM-5 to articulate a conceptual foundation for all types of personality psychopathology, and to provide an assessment of the severity of impairment. Constructed using universal human capacities related to self- and interpersonal functioning, the LPFS defines a continuum of 5 levels ranging from optimal functioning to extreme impairments in functioning. While there have been a growing number of empirical studies demonstrating its reliability and validity, the LPFS was designed fundamentally as an informative clinical tool, potentially useful to practitioners working in a variety of roles using diverse interventions. This article addresses the issue of treatment utility from 2 particular perspectives. First, we illustrate how the capacities targeted by the LPFS offer a framework for treatment, applicable to a variety of theoretical or methodological orientations. We illustrate that the different facets of the LPFS may provide general aims for treatment by identifying the pathways through which change is realized in (whatever) psychotherapy. Second, we suggest how the levels of functioning may inform pathways toward change by providing information useful for treatment assignment and planning, such as the therapist's stance, the types of intervention, and specific goals in treatment. Through discussing these issues while using brief clinical vignettes, we hope that this article may stimulate clinicians to use the LPFS and discover its value in clinical practice.","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"30 6","pages":"411-420"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801444","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

Clinical Manifestations of Semaglutide Overdose: A Case Study.

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000824

Matthew R Branch, Isabella E Amador, Irina Tardif, Kruti K Patel, Daniel A Lewis

引用次数: 0

Computer-assisted Cognitive Behavior Therapy and Mobile Apps for Depression and Anxiety: Evidence-based Digital Tools for Clinical Practice.

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000815

Lavanya Rajeshkumar, Matthew Mishkind, Jeremy J Coleman, Mehak Pahwa, Dani LaPreze, Shaelyn Solenske, Jesse H Wright

{"title":"Computer-assisted Cognitive Behavior Therapy and Mobile Apps for Depression and Anxiety: Evidence-based Digital Tools for Clinical Practice.","authors":"Lavanya Rajeshkumar, Matthew Mishkind, Jeremy J Coleman, Mehak Pahwa, Dani LaPreze, Shaelyn Solenske, Jesse H Wright","doi":"10.1097/PRA.0000000000000815","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000815","url":null,"abstract":"Purpose of review: Provider shortages and other barriers to traditional mental health care have led to the development of technology-based services designed to enhance access and improve the efficiency and convenience of treatment. We reviewed research on computer-assisted cognitive behavior therapy (CCBT) and mobile mental health applications to assess the effectiveness of these methods of delivering or augmenting treatment, evaluating patient and provider uptake, and making recommendations on the clinical use of these tools in the treatment of depression and anxiety.Results: Research on CCBT has found solid evidence for efficacy when the use of a therapeutic computer program is supported by a clinician or other helping professional. Lower levels of efficacy have been found when CCBT is used as a stand-alone treatment. Current CCBT programs have many desirable features; however, few of the current programs incorporate services such as artificial intelligence that have the potential to help improve communication with patients. An increasing number of mobile apps have been created that claim to be useful for depression and/or anxiety, yet caution is warranted before using most due to limited research on effectiveness, low retention rates, and other issues like safety concerns.Summary: Growth in the development of CCBT and mental health applications for depression/anxiety has provided several tools that could enhance treatment delivery. A large number of randomized, controlled trials have documented the effectiveness of CCBT, while research on mobile apps has been much less robust. The advantages and disadvantages of these digital technologies are identified, and recommendations are made for clinical use.","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"30 6","pages":"389-399"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801333","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

Psychometric Properties of the Yale-Brown Obsessive Compulsive Scale-II Self-Report.

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000823

Caitlin M Pinciotti, Catherine E Rast, Andrew D Wiese, Katherine L Foshee, Samuel D Spencer, Blake M Upshaw, Andrew G Guzick, Wayne K Goodman, Eric A Storch

{"title":"Psychometric Properties of the Yale-Brown Obsessive Compulsive Scale-II Self-Report.","authors":"Caitlin M Pinciotti, Catherine E Rast, Andrew D Wiese, Katherine L Foshee, Samuel D Spencer, Blake M Upshaw, Andrew G Guzick, Wayne K Goodman, Eric A Storch","doi":"10.1097/PRA.0000000000000823","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000823","url":null,"abstract":"The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) is one of the most commonly used instruments for assessing and quantifying the presence and severity of obsessive-compulsive disorder (OCD) symptoms. Both the interview and self-report (SR) versions of the original Y-BOCS have demonstrated good psychometrics. However, areas for revision were noted regarding the measure's severity ceiling and a \"resistance to obsessions\" item that did not perform adequately in psychometric testing and was not consistent with theoretical models of OCD. The Y-BOCS-II was thereby created to address these concerns. While the interview has demonstrated strong psychometrics, psychometric evaluation of the self-report version is currently nonexistent. In a sample of 63 adult patients seeking outpatient treatment for OCD (66.7% female, 77.8% white, and 17.5% Hispanic or Latine), we examined the psychometric properties of the Y-BOCS-II-SR, including the level of agreement with the Y-BOCS-II items, subscales, and severity qualifiers, as well as its internal consistency, and its convergent validity with measures of OCD, functional impairment, and quality of life. As expected, the Y-BOCS-II-SR demonstrated strong psychometric properties and expected overlap with responses obtained using the Y-BOCS-II. The findings provide strong initial support for the psychometric properties of the Y-BOCS-II-SR and suggest that it is an efficient and effective option to measure OCD severity.","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"30 6","pages":"421-427"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801438","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

Efficiency and Completeness in Outpatient Visits Using the Scientific Method and Analog Scales.

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000816

Sheldon H Preskorn

引用次数: 0

Digital Psychiatry, Revisited.

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000821

John M Oldham

引用次数: 0

The American Psychiatric Association Publishing Textbook of Mood Disorders, Second Edition.