Journal of Psychiatric Practice最新文献_第6页

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. 人格功能水平量表的临床应用：治疗视角。

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. 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