Psychiatric Quarterly最新文献

{"title":"Exploring the Impact of Education Strategies on Individuals' Attitude Towards Telemental Health Service: Findings from a Survey Experiment Study.","authors":"Yajiong Xue,&nbsp;Sy A Saeed,&nbsp;Kalyan S Muppavarapu,&nbsp;Kathrine Jones,&nbsp;Linda L Xue","doi":"10.1007/s11126-023-10033-y","DOIUrl":"https://doi.org/10.1007/s11126-023-10033-y","url":null,"abstract":"<p><p>While COVID-19 has caused significant mental health consequences, telemental health services have the potential to mitigate this problem. But due to the sensitive nature of mental health issues, such services are seriously underutilized. Based on an integrated variance-process theoretical framework, this study examines the impact of applying different education strategies on individuals' attitude toward telemental health and subsequently their intention to adopt telemental health. Two different education videos on telemental health (peer- or professional-narrated) were developed based on social identity theory. A survey experiment study was conducted at a major historically black university, with 282 student participants randomly assigned to the two education videos. Individual perceptions of the telemental health service (usefulness, ease of use, subjective norms, relative advantage, trust, and stigma) and their attitude and usage intention data were collected. The results show that ease of use, subjective norms, trust, relative advantage, and stigma significantly influence individuals' attitude toward telemental health in the peer-narrated video group. Only trust and relative advantage were found to be significant factors toward attitude in the professional-narrated video group. This study highlights the importance of designing education strategies and builds a theoretical foundation for understanding the nuanced differences in individuals' responsiveness to different educational materials.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"94 3","pages":"483-499"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10291185","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}

{"title":"Stressful Life Events and Near-term Suicidal Risk in a Clinical Population.","authors":"Lisa J Cohen,&nbsp;Michelle Hernandez,&nbsp;Radwa Mokhtar,&nbsp;Jenelle Richards,&nbsp;Sarah Bloch-Elkouby,&nbsp;Megan L Rogers,&nbsp;Igor Galynker","doi":"10.1007/s11126-023-10038-7","DOIUrl":"https://doi.org/10.1007/s11126-023-10038-7","url":null,"abstract":"<p><p>The present study examined 22 specific stressful life events (SLEs) in relation to recent and prospective suicidal thoughts and behaviors (STBs). The effect of assessment method (self-report vs. chart-based ratings) and inpatient/outpatient status was also investigated. Past 3-month STBs and SLEs were assessed for 1,058 psychiatric patients; 696 completed one-month follow-up assessments. SLEs were common, with 684 participants (64.7%) reporting at least one. Total number of SLEs correlated with recent and prospective STB. A higher incidence of SLE's was found with self-report vs. chart-based measures (on 20 SLEs) and inpatients vs. outpatients (on 7 SLEs). SLEs of interpersonal rejection and loss, homelessness and academic failure offered elevated risk. In sum, SLEs are common and associated with STBs in psychiatric patients. SLEs of interpersonal rejection and loss, homelessness and academic failure may merit increased clinical attention.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"94 3","pages":"467-482"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10304115","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":"The Utility of CYP2D6 and CYP2C19 Variants to Guide Pharmacological Treatment in Complex Unipolar Major Depression: A Pilot Longitudinal Study.","authors":"Reshma Ramaraj,&nbsp;Zeina N Al-Mahayri,&nbsp;Reema Saleous,&nbsp;Karim Abdel Aziz,&nbsp;Fadwa Al-Mugaddam,&nbsp;Mouza Al-Sabousi,&nbsp;Aysha Alhassani,&nbsp;Noura Ali Al Ahbabi,&nbsp;Emmanuel Stip,&nbsp;George P Patrinos,&nbsp;Bassam R Ali,&nbsp;Danilo Arnone","doi":"10.1007/s11126-023-10044-9","DOIUrl":"https://doi.org/10.1007/s11126-023-10044-9","url":null,"abstract":"<p><p>Major depression is a frequent condition which variably responds to treatment. In view of its high prevalence, the presence of treatment resistance in major depression significantly impacts on quality of life. Tailoring pharmacological treatment based on genetic polymorphisms is a current trend to personalizing pharmacological treatment in patients with major depressive disorders. Current guidelines for the use of genetic tests in major depression issued by the Clinical Pharmacogenomics Implementation Consortium (CPIC) are based on CYP2D6 and CYP2C19 polymorphisms which constitute the strongest evidence for pharmacogenomic guided treatment. There is evidence of increased clinical response to pharmacological treatment in major depression although largely in non-treatment resistant patients from Western countries. In this study, well characterised participants (N = 15) with complex, largely treatment resistant unipolar major depression were investigated, and clinical improvement was measured at baseline and at week-8 after the pharmacogenomics-guided treatment with the Montgomery Åsberg Depression Rating Scale (MÅDRS). Results suggested a statistically significant improvement (p = 0.01) of 16% at endpoint in the whole group and a larger effect in case of changes in medication regime (28%, p = 0.004). This small but appreciable effect can be understood in the context of the level of treatment resistance in the group. To our knowledge, this is the first study from the Middle East demonstrating the feasibility of this approach in the treatment of complex major depressive disorders.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"94 3","pages":"435-447"},"PeriodicalIF":3.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305033","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}

{"title":"The Causal Role of Lockdowns in COVID-19: Conclusions From Daily Epidemiological, Psychological, and Sociological Data.","authors":"Noa Vardi,&nbsp;Teddy Lazebnik","doi":"10.1007/s11126-023-10035-w","DOIUrl":"https://doi.org/10.1007/s11126-023-10035-w","url":null,"abstract":"<p><p>Much has been written about the COVID-19 pandemic's epidemiological, psychological, and sociological consequences. Yet, the question about the role of the lockdown policy from psychological and sociological points of view has not been sufficiently addressed. Using epidemiological, psychological, and sociological daily data, we examined the causal role of lockdown and variation in morbidity referring to emotional and behavioral aspects. Dynamics of support requests to the Sahar organization concerning loneliness, depression, anxiety, family difficulties, and sexual trauma were investigated alongside processes of emergency and domestic violence reports to the Ministry of Welfare and Social Affairs. By exploring the signals and predictive modeling for a situation with no lockdown implementation, the lockdown was found as a critical factor in distress rising among the general population, which could affect long after the improvement in pandemic case counts. Applications and implications are discussed in the context of decision-making in dealing with crises as well as the need to allocate resources for adaptive coping.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"94 2","pages":"321-341"},"PeriodicalIF":3.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10257173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10196144","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}

{"title":"Evaluating the Use of Online Self-Report Questionnaires as Clinically Valid Mental Health Monitoring Tools in the Clinical Whitespace.","authors":"Kaitlyn Arrow,&nbsp;Philip Resnik,&nbsp;Hanna Michel,&nbsp;Christopher Kitchen,&nbsp;Chen Mo,&nbsp;Shuo Chen,&nbsp;Carol Espy-Wilson,&nbsp;Glen Coppersmith,&nbsp;Colin Frazier,&nbsp;Deanna L Kelly","doi":"10.1007/s11126-023-10022-1","DOIUrl":"https://doi.org/10.1007/s11126-023-10022-1","url":null,"abstract":"<p><p>Although digital health solutions are increasingly popular in clinical psychiatry, one application that has not been fully explored is the utilization of survey technology to monitor patients outside of the clinic. Supplementing routine care with digital information collected in the \"clinical whitespace\" between visits could improve care for patients with severe mental illness. This study evaluated the feasibility and validity of using online self-report questionnaires to supplement in-person clinical evaluations in persons with and without psychiatric diagnoses. We performed a rigorous in-person clinical diagnostic and assessment battery in 54 participants with schizophrenia (N = 23), depressive disorder (N = 14), and healthy controls (N = 17) using standard assessments for depressive and psychotic symptomatology. Participants were then asked to complete brief online assessments of depressive (Quick Inventory of Depressive Symptomatology) and psychotic (Community Assessment of Psychic Experiences) symptoms outside of the clinic for comparison with the ground-truth in-person assessments. We found that online self-report ratings of severity were significantly correlated with the clinical assessments for depression (two assessments used: R = 0.63, p < 0.001; R = 0.73, p < 0.001) and psychosis (R = 0.62, p < 0.001). Our results demonstrate the feasibility and validity of collecting psychiatric symptom ratings through online surveys. Surveillance of this kind may be especially useful in detecting acute mental health crises between patient visits and can generally contribute to more comprehensive psychiatric treatment.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"94 2","pages":"221-231"},"PeriodicalIF":3.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10316014","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}

{"title":"Clinician Perspectives for Mental Health Delivery Following COVID-19 in Carceral Settings: A Pilot Study.","authors":"Samir M Kamat,&nbsp;William Gansa,&nbsp;Tyler D'Ovidio,&nbsp;Saahil Patel,&nbsp;Halbert Bai,&nbsp;Matthew J Akiyama,&nbsp;Jacob M Appel","doi":"10.1007/s11126-023-10028-9","DOIUrl":"https://doi.org/10.1007/s11126-023-10028-9","url":null,"abstract":"<p><p>We aimed to understand clinician perspectives on mental healthcare delivery during COVID-19 and the utility of tele-mental health services in carceral settings. A survey was administered in November 2022 through the American College of Correctional Physicians listserv. A nationwide sample of 55 respondents included 78.2% male (n = 43) and 21.8% female (n = 12), 49.1% active clinicians (n = 27) and 50.9% medical directors (n = 28), with a median of 12 and mean of 14.5 years working in carceral settings. Most agreed that mental telehealth services could serve as a stopgap amid infection prevention measures and resource-limited settings with an increasing role moving forward (80.0%, n = 44) but may not be sufficient to replace in-person services completely. Access to mental healthcare is vital in helping achieve optimal health during incarceration. Most clinicians in a nationwide survey report an essential role of mental telehealth in the future, although they vary in beliefs on the present implementation. Future efforts should further identify facilitators and barriers and bolster delivery models, particularly via e-health.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"94 2","pages":"233-242"},"PeriodicalIF":3.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10172725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9731800","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}

{"title":"Correction to: Loneliness in Elderly Inpatients.","authors":"Sandra Anna Just,&nbsp;Magdalena Seethaler,&nbsp;Rosana Sarpeah,&nbsp;Nathalie Waßmuth,&nbsp;Felix Bermpohl,&nbsp;Eva Janina Brandl","doi":"10.1007/s11126-023-10021-2","DOIUrl":"https://doi.org/10.1007/s11126-023-10021-2","url":null,"abstract":"","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"94 2","pages":"343"},"PeriodicalIF":3.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9733289","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}

{"title":"Correlates of Homelessness Among Adults with Personality Disorder.","authors":"Nathaniel A Dell,&nbsp;Michael G Vaughn,&nbsp;Jin Huang,&nbsp;Michael Mancini,&nbsp;Brandy R Maynard","doi":"10.1007/s11126-023-10027-w","DOIUrl":"https://doi.org/10.1007/s11126-023-10027-w","url":null,"abstract":"<p><p>Although personality disorders (PDs) are more common among persons experiencing homelessness than the general population, few studies have investigated the risk of experiencing homelessness among persons with PDs. This study seeks to identify the demographic, socioeconomic, and behavioral health correlates of past-year homelessness among persons with antisocial, borderline, and schizotypal PDs. Nationally representative data of the civilian, noninstitutionalized population of the United States was used to identify correlates of homelessness. Descriptive statistics and bivariate associations between variables and homeless status were summarized prior to conducting several multivariate logistic regression models to identify correlates of homelessness. Main findings revealed positive associations between poverty, relationship dysfunction, and lifetime suicide attempt with homelessness. In the antisocial PD (ASPD) and borderline PD (BPD) models, comorbid BPD and ASPD, respectively, were associated with higher odds of past-year homelessness. Findings underscore the importance of poverty, interpersonal difficulties, and behavioral health comorbidities on homelessness among persons with ASPD, BPD, and schizotypal PD. Strategies to promote economic security, stable relationships, and interpersonal functioning may buffer against the effects of economic volatility and other systemic factors that could contribute to homelessness and persons with PD.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"94 2","pages":"281-295"},"PeriodicalIF":3.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735074","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":"Tele-mental Health Transitions for Pennsylvania Coordinated Specialty Care Programs for Early Psychosis During the COVID-19 Pandemic.","authors":"Fanghong Dong,&nbsp;Megan B E Jumper,&nbsp;Emily M Becker-Haimes,&nbsp;Crystal Vatza,&nbsp;Lucille Lucy Miao,&nbsp;Catherine Conroy,&nbsp;Melanie Bennett,&nbsp;Deepak K Sarpal,&nbsp;Courtney Abegunde,&nbsp;Christian G Kohler,&nbsp;Monica E Calkins","doi":"10.1007/s11126-023-10015-0","DOIUrl":"https://doi.org/10.1007/s11126-023-10015-0","url":null,"abstract":"<p><p>This study examined provider and client perspectives of tele-mental health (TMH) in early psychosis care during the COVID-19 pandemic. To achieve this goal, thirty-three mental health providers and 31 clients from Pennsylvania Coordinated Specialty Care (CSC) programs completed web-based surveys assessing TMH usage, experiences, and perceptions between May and September 2020. Three additional TMH-related questions were asked two years later of PA CSC Program Directors between Feb and March 2022. Descriptive statistics characterized responses. Open-ended items were coded and grouped into themes for qualitative synthesis. As early as mid-2020, participants reported extensive use of TMH technologies, including telephone and video visits. Although most providers and clients preferred in-person care to TMH, most clients still found TMH to be comparable to or better than in-person care; 94% of clients indicated interest in future TMH services. Providers also noted more successes than challenges with TMH. Nine themes emerged regarding provider-perceived client characteristics that could benefit from TMH and were grouped into two categories: client-level (access to technology, comfort with technology, transportation, young age, symptom severity, functioning level, motivation for treatment adherence) and interpersonal-level (external support systems and engagement with program prior to the pandemic) characteristics. Two years later, program directors reported continued perceived advantages of TMH in CSCs, although some barriers persisted. Despite the unexpected shift to TMH in early psychosis programs during the COVID-19 pandemic, findings indicated a relatively positive transition to TMH and perceived promise of TMH as a sustained part of routine care.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"94 2","pages":"89-102"},"PeriodicalIF":3.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9947877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10109235","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}

{"title":"Implementing Peer Specialists in Suicide Prevention Efforts in the Veterans Health Administration.","authors":"Timothy Schmutte, Lauren S Krishnamurti, Larry Davidson, Anne Klee, Joshua Bullock, Raymond M Panas, Paul N Pfeiffer, Matthew Chinman","doi":"10.1007/s11126-023-10034-x","DOIUrl":"10.1007/s11126-023-10034-x","url":null,"abstract":"<p><strong>Objective: </strong>The Veterans Health Administration (VHA) recognizes peer support as an underused intervention in suicide prevention. PREVAIL is a peer-based suicide prevention intervention that was designed and piloted with non-veteran patients recently hospitalized for suicidal thoughts or behaviors. The purpose of this study was to elicit veteran and stakeholder feedback to inform the adaptation of PREVAIL for piloting with veterans flagged for high suicide risk.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with multiple stakeholders from a VHA medical center in the northeast. Interviews focused on the perceived benefits and concerns of peer specialists directly addressing suicide risk with veterans. Interviews were recorded, transcribed, and analyzed using rapid qualitative analysis.</p><p><strong>Results: </strong>Interviewees included clinical directors (n = 3), suicide prevention coordinators (n = 1), outpatient psychologists (n = 2), peer specialists (n = 1), and high-risk veterans (n = 2). Overall, peer specialists were viewed as possessing many distinct strengths in engaging and helping high-risk veterans as part of a team approach. Concerns included liability, adequate training, clinical supervision and support, and self-care for peer specialists.</p><p><strong>Conclusions: </strong>Findings indicated support and confidence that peer support specialists would be a valuable addition and could help fill existing gap in VHA's suicide prevention efforts.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":"94 2","pages":"311-319"},"PeriodicalIF":2.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10424796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195658","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}