Journal of Psychiatric Practice最新文献_第2页

Digital Technologies Tracking Active and Passive Data Collection in Depressive Disorders: Lessons Learned From a Case Series. 数字技术跟踪抑郁障碍的主动和被动数据收集：从病例系列中汲取的经验教训。

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000820

Manuel Gardea-Resendez, Scott Breitinger, Alex Walker, Laura Harper, Ashley Xiong, Cynthia Stoppel, Rama M Volety, Jeyakumar Raman, Jin Soo Byun, Carsten Langholm, Fernando S Goes, Peter P Zandi, John Torous, Mark A Frye

{"title":"Digital Technologies Tracking Active and Passive Data Collection in Depressive Disorders: Lessons Learned From a Case Series.","authors":"Manuel Gardea-Resendez, Scott Breitinger, Alex Walker, Laura Harper, Ashley Xiong, Cynthia Stoppel, Rama M Volety, Jeyakumar Raman, Jin Soo Byun, Carsten Langholm, Fernando S Goes, Peter P Zandi, John Torous, Mark A Frye","doi":"10.1097/PRA.0000000000000820","DOIUrl":"10.1097/PRA.0000000000000820","url":null,"abstract":"In this case series, we present several examples from participants (2 patients and 1 healthy control) of a 12-week pilot feasibility study to create a digital phenotype of depression (unipolar or bipolar) through active and passive data collection from a smartphone and a wearable device combined with routine clinical care for mood disorders. The selected cases represent real clinical examples that highlight the intrinsic challenges that should be expected when conducting similar studies, including appropriate health data privacy protection, clinical standardization, and interindividual differences in levels of engagement and acceptability of active and passive data collection (ie, self-reported, behavioral, cognitive, and physiological data), particularly with patient-generated data in mobile apps, digital proficiency habituation, and consistent use of wearable devices. In the context of the rapidly growing use of digital technologies in psychiatry, anticipating challenges for the integration of personal mobile devices and smartphone mental health apps as aides to track specific aspects of depressive disorders is critical for a clinically meaningful digital transformation of mood disorders care.","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"30 6","pages":"434-439"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801347","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

Exploring the Relationship Between Prolonged Grief and Borderline Personality Symptoms. 探索长期悲伤与边缘型人格症状之间的关系。

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000814

Christopher Magoon, M Katherine Shear

{"title":"Exploring the Relationship Between Prolonged Grief and Borderline Personality Symptoms.","authors":"Christopher Magoon, M Katherine Shear","doi":"10.1097/PRA.0000000000000814","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000814","url":null,"abstract":"Background: Prolonged grief disorder (PGD) is a new diagnosis that is often mistaken for other psychopathologies. We report a case of PGD in a patient who screened positive for personality disorder. Both PGD and personality disorder symptoms were much improved after a course of prolonged grief disorder therapy.Case presentation: A bereaved woman in her mid-20s sought treatment for depression 9 months after the death of her father. Her depressive symptoms responded well to antidepressant medication and a brief course of interpersonal psychotherapy. However, prolonged grief symptoms persisted at a clinically significant level. Elements of her history, as well as her score of 9 out of 10 on the McLean Screening Instrument for Borderline Personality Disorder, indicated a possible diagnosis of borderline personality disorder. Yet, after completing a course of prolonged grief disorder therapy, both her grief and borderline symptoms were much reduced.Conclusions: This case raises the possibility of an association between prolonged grief and borderline symptoms. Disruption of attachment relationships provides a possible way of understanding this association. The case we present raises the possibility that prolonged grief disorder may better explain symptoms in some patients presenting with borderline personality disorder symptoms.","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"30 6","pages":"440-443"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801363","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

Management of Psychiatric Diagnoses in Reversible Cerebral Vasoconstriction Syndrome: The Dangers of Worsening Pathology with Serotonergic Medications: A Case Report and Literature Review. 可逆性脑血管收缩综合征的精神诊断管理：使用羟色胺能药物导致病理恶化的危险：病例报告和文献综述。

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-09-01 DOI: 10.1097/PRA.0000000000000811

Chris Wang, Anika Iftekharuddin, David C Fipps

{"title":"Management of Psychiatric Diagnoses in Reversible Cerebral Vasoconstriction Syndrome: The Dangers of Worsening Pathology with Serotonergic Medications: A Case Report and Literature Review.","authors":"Chris Wang, Anika Iftekharuddin, David C Fipps","doi":"10.1097/PRA.0000000000000811","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000811","url":null,"abstract":"Reversible cerebral vasoconstriction syndrome (RCVS) represents a group of conditions that show reversible multifocal narrowing or constriction of the cerebral arteries that supply blood to the brain. The initial manifestation of RCVS often includes a \"thunderclap\" headache that is sudden, severe, and often disabling. Stimulants, selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, and antipsychotics with serotonergic activity can alter the cerebral arterial tone, trigger vasoconstriction, and place patients at risk of a cerebrovascular accident. Thus, psychiatric medications are commonly discontinued on admission for RCVS, and psychiatry is often consulted for input on acute medication management and longitudinal treatment options. Currently, there is a dearth of literature on managing psychiatric medications in RCVS, resulting in variable practice patterns that place patients at risk of withdrawal, decompensation, and relapse. In this article, we provide a case example and aim to consolidate the limited data surrounding the management of psychiatric illness with comorbid RCVS in our discussion. There is a clear concern about worsening and even potentially lethal consequences due to serotonin or stimulant-induced vasospasm both during an acute episode and in long-term management of RCVS. We discuss the underlying pathophysiologic mechanisms proposed for serotonergic-, noradrenergic-, and dopaminergic-induced cerebral vasospasm and how this correlates with the clinical management of patients on psychiatric medications. These data will then be organized to create a risks versus benefits outline to equip psychiatrists to make decisions about when to stop and when to restart psychiatric medications in the setting of RCVS.","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"30 5","pages":"379-384"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365608","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

Mobile Delivery Program to Prevent Relapse and Improve Functioning in Patients With Psychiatric Diseases. 预防精神病复发和改善精神病患者功能的移动交付计划。

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-09-01 DOI: 10.1097/PRA.0000000000000807

Erin M Sanzone, Olivia Kam, Kaitlin E Sanzone, Michael Bai, Nicole Rodecker, Mujeeb U Shad, Sajoy P Varghese, Stefano Barlati, Matthias Kirschner, Pavan Kooner, Dawn I Velligan, Rohit Aiyer, Napoleon Waszkiewicz, David J Castle, Ronald L Cowan, Maju Mathew Koola

{"title":"Mobile Delivery Program to Prevent Relapse and Improve Functioning in Patients With Psychiatric Diseases.","authors":"Erin M Sanzone, Olivia Kam, Kaitlin E Sanzone, Michael Bai, Nicole Rodecker, Mujeeb U Shad, Sajoy P Varghese, Stefano Barlati, Matthias Kirschner, Pavan Kooner, Dawn I Velligan, Rohit Aiyer, Napoleon Waszkiewicz, David J Castle, Ronald L Cowan, Maju Mathew Koola","doi":"10.1097/PRA.0000000000000807","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000807","url":null,"abstract":"The term \"revolving door patients\" refers to those who are frequently rehospitalized for relapse. This phenomenon can be explained by a multitude of factors, including a lack of medical and/or social support. On the basis of a review of various modalities of psychiatric treatment, such as long-acting injectables, assisted outpatient treatment, and telehealth, it is clear that a major underlying issue among people with psychiatric diseases who lack insight into their mental and physical health is medication nonadherence. Therefore, we propose a mobile delivery program (MDP) in which health care professionals deliver medications and care to psychiatric patients in their own homes. The target patient population for MDP is patients with medication nonadherence, frequent emergency department visits, and missed appointments. Patients with mental illnesses, especially schizophrenia, are disproportionately represented among the homeless and incarcerated populations. By implementing MDP, we can help break the cycle of incarceration for patients with mental illnesses and homelessness. In addition, the cost of transportation and salaries for the mobile delivery team would be considerably lower than the billions of dollars spent each year due to relapses, emergency department visits, inpatient admissions, and crime leading to long-term stays in correctional facilities. This model has the potential to reduce relapse, improve functioning, and reduce excess morbidity and mortality. Substantial cost savings for health services can, in turn, be expected.","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"30 5","pages":"364-373"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365609","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

Depression and the Olympics. 抑郁症与奥运会

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-09-01 DOI: 10.1097/PRA.0000000000000812

John M Oldham

引用次数: 0

The Role of Hopelessness in Patients With Borderline Personality Disorder. 无望感在边缘型人格障碍患者中的作用。

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-09-01 DOI: 10.1097/PRA.0000000000000813

Andrea Aguglia, Daniele Cioci, Matteo Meinero, Valeria Placenti, Edoardo Verrina, Davide Bianchi, Laura Fusar-Poli, Alessandra Costanza, Irene Schiavetti, Andrea Amerio, Mario Amore, Gianluca Serafini

{"title":"The Role of Hopelessness in Patients With Borderline Personality Disorder.","authors":"Andrea Aguglia, Daniele Cioci, Matteo Meinero, Valeria Placenti, Edoardo Verrina, Davide Bianchi, Laura Fusar-Poli, Alessandra Costanza, Irene Schiavetti, Andrea Amerio, Mario Amore, Gianluca Serafini","doi":"10.1097/PRA.0000000000000813","DOIUrl":"10.1097/PRA.0000000000000813","url":null,"abstract":"Background: The goal of this study was to evaluate specific characteristics associated with hopelessness, potentially correlated with coping strategies, sensory profile, and alexithymia in patients with borderline personality disorder (BPD).Materials and methods: Two hundred twenty-four (N=224) inpatients completed a clinical interview with administration of the Beck Hopelessness Scale (BHS), the Adolescent/Adult Sensory Profile (AASP), the Coping Orientation to Problems Experienced Inventory (COPE), and the Toronto Alexithymia Scale (TAS).Results: Hopelessness was significantly associated with female gender, more hospitalizations, current suicidal ideation, number of suicide attempts, current and lifetime medication abuse, and alcohol misuse. Furthermore, patients with BHS ≥ 9 had higher scores in low registration, sensory sensitivity and sensation avoiding in AASP, higher rate of alexithymia, and the use of maladaptive coping strategies.Conclusions: Hopelessness in BPD was associated with higher severity of illness, alternative process sensory input from the environment, reduced ability to cope with stressful events, and alexithymia. Therefore, a routine assessment of hopelessness in patients with BPD could lead to better and more specific therapeutic strategies.","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"30 5","pages":"325-332"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11451973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365553","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}

引用次数: 0

Treating Malignant Catatonia With Liquid Amantadine: A Case Report and Literature Review: Erratum. 用液体金刚烷胺治疗恶性紧张症：病例报告和文献综述：勘误。

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-09-01 DOI: 10.1097/PRA.0000000000000804

引用次数: 0

Reflections on Integrating a Therapist-guided CBT Website Into Routine Clinical Practice. 将治疗师指导的 CBT 网站纳入常规临床实践的思考。

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-09-01 DOI: 10.1097/PRA.0000000000000808

Adrienne Lapidos, Sagar V Parikh

引用次数: 0

Acceptance and Commitment Therapy for an Emerging Adult Female With Misophonia: A Case Study. 接受与承诺疗法治疗一名患有失音症的成年女性：案例研究。

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-09-01 DOI: 10.1097/PRA.0000000000000800

Samuel D Spencer, Katie H Mangen, Yasmine Omar, Eric A Storch

{"title":"Acceptance and Commitment Therapy for an Emerging Adult Female With Misophonia: A Case Study.","authors":"Samuel D Spencer, Katie H Mangen, Yasmine Omar, Eric A Storch","doi":"10.1097/PRA.0000000000000800","DOIUrl":"https://doi.org/10.1097/PRA.0000000000000800","url":null,"abstract":"Misophonia is characterized by decreased tolerance to idiosyncratic and repetitive human-generated sounds (ie, triggers), coupled with affective-based reactions that result in impairment and distress. Often having its onset in youth, misophonia can become especially prominent during key developmental periods, including emerging adulthood. While efforts to develop interventions for misophonia remain ongoing, a consensus has not yet been reached concerning recommended first-line treatments. Acceptance and commitment therapy (ACT), which has demonstrated efficacy in treating various psychiatric disorders via targeting psychological flexibility processes, represents one potentially feasible approach for addressing misophonia. This case study describes the application of an individually delivered, 12-session ACT intervention for a black female in her early 20s with misophonia. Descriptive data collected at 4 time points (pretreatment, mid-treatment, posttreatment, and at 2-month follow-up) suggested the potential promise of ACT as a treatment for misophonia, improving psychological flexibility processes and reducing secondary depression and anxiety symptoms. Findings are discussed in the context of the possible mechanisms of ACT most likely responsible for misophonia-related clinical improvement. More rigorous studies (eg, clinical trials) are needed to confirm promising findings from existing case studies.","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"30 5","pages":"374-378"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365604","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

Harm Reduction Treatment for Substance Use. 减少药物使用危害的治疗。

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-09-01 DOI: 10.1097/PRA.0000000000000805

Brian S Fuehrlein

引用次数: 0