Journal of Psychiatric Practice最新文献_第5页

Clinical Manifestations of Semaglutide Overdose: A Case Study. 西马鲁肽过量的临床表现：一个案例研究。

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. 计算机辅助认知行为疗法和抑郁症和焦虑症的移动应用程序：临床实践的循证数字工具。

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. 耶鲁-布朗强迫量表ii自我报告的心理测量特征。

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

Digital Psychiatry, Revisited. 数字精神病学，重访。

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

Efficiency and Completeness in Outpatient Visits Using the Scientific Method and Analog Scales. 用科学方法和模拟量表评价门诊就诊的效率和完整性。

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

The American Psychiatric Association Publishing Textbook of Mood Disorders, Second Edition. 美国精神病学协会出版心境障碍教材，第二版。

IF 1.3 4区医学

Journal of Psychiatric Practice Pub Date : 2024-11-01 DOI: 10.1097/PRA.0000000000000817

David A Kahn

引用次数: 0

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