The International Journal of Psychiatry in Medicine最新文献

Application of AI in the creation of discharge summaries in psychiatric clinics 人工智能在精神病诊所出院摘要制作中的应用

The International Journal of Psychiatry in Medicine Pub Date : 2024-09-17 DOI: 10.1177/00912174241284730

Bertrand Janota, Krzysztof Janota

{"title":"Application of AI in the creation of discharge summaries in psychiatric clinics","authors":"Bertrand Janota, Krzysztof Janota","doi":"10.1177/00912174241284730","DOIUrl":"https://doi.org/10.1177/00912174241284730","url":null,"abstract":"BackgroundThe integration of artificial intelligence (AI; ChatGPT 4.0) into medical workflows presents a great potential to enhance efficiency and quality. The use of artificial intelligence in the creation of discharge summaries seems particularly interesting and valid. The course of each hospitalization is described in the discharge summary, which is given to each patient and then to his general practitioner at the end of hospital treatment. An exploratory analysis of discharge summaries in psychiatric clinics underscores that these documents must fulfill diverse and specific requirements. Nevertheless, AI-generated discharge summaries offer the opportunity to optimize information transfer and alleviate the workload on physicians.MethodThe study evaluates the quality of discharge summaries produced by clinical staff and by an AI model (ChatGPT 4.0). The clinicians involved in writing of the discharge summaries were not informed about the study’s purpose or methodology. The completed summaries were subsequently assessed by four attending physicians using predefined criteria. These physicians were also blinded to the study’s objectives and were unaware of the individual authors of the summaries. The evaluation criteria included consistency, completeness, and comprehensibility. Additionally, the time required to prepare these summaries and its impact on overall quality were analyzed.ResultsThe results of the study indicate that discharge summaries generated by AI are more efficient than discharge summaries prepared by clinic staff. The AI was particularly effective in terms of coherence and information structure.ConclusionFurther research, training and development is needed to improve the accuracy and reliability of AI-generated discharge summaries.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142262532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical correlates of medication adherence in individuals with bipolar disorder and comorbid hypertension 双相情感障碍和合并高血压患者坚持用药的临床相关性

The International Journal of Psychiatry in Medicine Pub Date : 2024-09-14 DOI: 10.1177/00912174241281984

Jennifer B. Levin, David J. Moore, Farren Briggs, Mahboob Rahman, Jessica Montoya, Colin Depp, Douglas Einstadter, Kurt C. Stange, Celeste Weise, Taylor Maniglia, Richard Barigye, Gracie Howard Griggs, Clara Adeniyi, Joy Yala, Martha Sajatovic

{"title":"Clinical correlates of medication adherence in individuals with bipolar disorder and comorbid hypertension","authors":"Jennifer B. Levin, David J. Moore, Farren Briggs, Mahboob Rahman, Jessica Montoya, Colin Depp, Douglas Einstadter, Kurt C. Stange, Celeste Weise, Taylor Maniglia, Richard Barigye, Gracie Howard Griggs, Clara Adeniyi, Joy Yala, Martha Sajatovic","doi":"10.1177/00912174241281984","DOIUrl":"https://doi.org/10.1177/00912174241281984","url":null,"abstract":"ObjectiveIndividuals with bipolar disorder (BD) have high rates of suboptimal medication adherence, medical illness, and premature mortality, largely from cardiovascular causes. This analysis examined the association between adherence to antihypertensive and BD medications and clinical symptoms in patients with BD and comorbid hypertension (HTN) from an ongoing trial to optimize adherence.MethodInclusion criteria were a BD diagnosis, treatment with antihypertensives, adherence challenges, and poorly controlled HTN. Adherence was measured via self-report using the Tablets Routine Questionnaire and using eCAP, an electronic pillcap which captures openings. Average systolic blood pressure (SBP) was calculated from 12 readings over 1 week. The Montgomery-Asberg Depression Rating Scale (MADRS) and the Brief Psychiatric Rating Scale (BPRS) assessed BD symptoms.ResultsA total of 83 participants with BD and HTN were included. Adherence to BD and antihypertensive medications were positively correlated. eCAP openings showed more missed doses than self-reported antihypertensive adherence. BD medication adherence was positively correlated with BPRS at baseline; antihypertensive adherence was negatively correlated with SBP at screening. Antihypertensive adherence improved and SBP decreased between screening and baseline.ConclusionsAdherence levels fluctuated over time and differed based on measurement method in people with comorbid BD and HTN. Self-reported BD adherence was positively related to global psychiatric symptoms and antihypertensive adherence was related to better SBP control. Monitoring both medication and blood pressure led to change in self-reported adherence. BD symptom severity may indicate poor adherence in patients with BD and should be considered in treatment planning.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142262533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

All medical workers together: For better mental health and primary health care- Posters 所有医务工作者齐心协力：为了更好地开展心理健康和初级保健工作--海报

The International Journal of Psychiatry in Medicine Pub Date : 2024-04-29 DOI: 10.1177/00912174241248903

引用次数: 0

Duration of untreated psychosis and its associated sociodemographic and clinical factors in first-episode psychosis: A study from Eastern Nepal 首次发病的精神病患者未经治疗的持续时间及其相关的社会人口和临床因素：尼泊尔东部的一项研究

The International Journal of Psychiatry in Medicine Pub Date : 2024-04-15 DOI: 10.1177/00912174241247611

Suren Limbu, Suraj Nepal, Sanjeev Kumar Mishra

{"title":"Duration of untreated psychosis and its associated sociodemographic and clinical factors in first-episode psychosis: A study from Eastern Nepal","authors":"Suren Limbu, Suraj Nepal, Sanjeev Kumar Mishra","doi":"10.1177/00912174241247611","DOIUrl":"https://doi.org/10.1177/00912174241247611","url":null,"abstract":"ObjectiveDuration of untreated psychosis (DUP) is considered an important factor in outcome. Individual, familial and illness factors may prolong DUP. Little data on this issue is available from the country of Nepal. The purpose of the present study was to assess DUP in patients with first-episode psychosis and identify associations with patients’ socio-demographic and clinical factors.MethodsA cross-sectional, descriptive study was conducted in the department of psychiatry, of Tertiary Hospital in the Eastern part of Nepal. Eighty-six patients were enrolled. ICD-10 was used to make the diagnosis. Nottingham Onset Schedule-DUP version (NOS-DUP) was used to assess DUP. Positive and Negative Syndrome Scale (PANSS) was used to assess patients’ clinical symptoms.ResultsThe mean (SD) DUP was 21.4 (42.1) months and median DUP was 3.0 months (IQR = 23.5). Participants from mountainous region, the unemployed, having an insidious onset of illness, and patients with a diagnosis of schizophrenia had significantly longer DUP ( P < .005). Duration of untreated psychosis was also positively correlated with negative symptoms (r = .42, ( P < .001) and total PANSS score (r = .42, P < .001).ConclusionDuration of untreated psychosis in first-episode psychotic patients was relatively long (compared to studies in other countries), and was found to be positively associated with mountainous regions of Nepal, being unemployed, having an insidious onset of illness, and having a diagnosis of schizophrenia. Programs and educational efforts are needed to ensure early treatment of patients with first-episode psychosis, especially in the mountainous rural areas of Nepal.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140591834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Depression, anxiety, hopelessness, and suicide in first-degree relatives of patients hospitalised in intensive care units in Türkiye 土耳其重症监护病房住院患者一级亲属的抑郁、焦虑、绝望和自杀情况

The International Journal of Psychiatry in Medicine Pub Date : 2024-04-04 DOI: 10.1177/00912174241244812

Başak Merve Yanmaz, Melike Yüce Aktepe, Ali Erdoğan, Özlem Çakin

{"title":"Depression, anxiety, hopelessness, and suicide in first-degree relatives of patients hospitalised in intensive care units in Türkiye","authors":"Başak Merve Yanmaz, Melike Yüce Aktepe, Ali Erdoğan, Özlem Çakin","doi":"10.1177/00912174241244812","DOIUrl":"https://doi.org/10.1177/00912174241244812","url":null,"abstract":"ObjectiveThe purpose of this study was to investigate the prevalence of depression, anxiety disorder, hopelessness, and suicide among first-degree relatives of patients hospitalised in medical and anaesthesia intensive care units at an academic medical centre.MethodsIn this case–control study conducted in Türkiye, 32 first-degree relatives of 32 patients hospitalised for 14 days or more in intensive care units and 32 healthy volunteers were included for assessment. The Beck Depression Scale (BDS), Beck Anxiety Scale (BAS), Beck Hopelessness Scale (BHS), and Suicide Probability Scale (SPS) were administered to participants. Results: The mean age of patients’ relatives was 42.1 ± 11.6 years and that of the controls was 43.0 ± 11.3 years. The median scores for the BDS, BHS, and SPS were significantly higher among the relatives of the patients than among controls ( P = .008, P = .013, and P = .001, respectively). Based on cutoff scores for the BDS and BAS, depression was observed in 56.3% of the relatives of the patients and anxiety disorder was observed in 46.9%. In the group comprising patients’ relatives, the median score for the BDS was significantly higher among female participants than among male participants ( P = .038).ConclusionsFirst-degree relatives of patients hospitalised in intensive care units have a higher prevalence of depression, hopelessness, and suicidality. Female relatives are more depressed than male. Ensuring psychiatric evaluation of the relatives of patients hospitalised in intensive care units in Türkiye is important.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"298 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140591623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abstract 摘要

The International Journal of Psychiatry in Medicine Pub Date : 2024-03-07 DOI: 10.1177/00912174241234416

引用次数: 0

Book Review: Insights from a sixty-four-year case of anorexia nervosa: Constancy and change in symptoms and treatment 书评:来自64年神经性厌食症病例的见解:症状和治疗的恒常性和变化

The International Journal of Psychiatry in Medicine Pub Date : 2023-09-07 DOI: 10.1177/00912174231201010

J. Yager

引用次数: 0

First experiences of the dying patient: student essays from Australia 临终病人的第一次经历:来自澳大利亚的学生论文

The International Journal of Psychiatry in Medicine Pub Date : 2022-05-29 DOI: 10.1177/00912174221105841

Alexa Gilbert-Obrart, H. Wilson

{"title":"First experiences of the dying patient: student essays from Australia","authors":"Alexa Gilbert-Obrart, H. Wilson","doi":"10.1177/00912174221105841","DOIUrl":"https://doi.org/10.1177/00912174221105841","url":null,"abstract":"Two articles in this issue of the Journal are from the Balint Society of Australia and New Zealand (BSANZ), which has been supporting an essay competition for medical students since 2015. These essays are two of 45 student entries in 2021, based on reflections about a significant patient. This biannual competition uses similar criteria to the International Ascona Prize. Students are encouraged to describe a student-patient relationship from their medical studies and to include critical reflection on the implications of their learning in relation to becoming a doctor. Since its inception, there have been 60 to 75 entries in each competition from Australian and New Zealand medical students. Despite the distractions and uncertainty of Covid-19 over the last two years, it was particularly rewarding in 2021 to receive 45 essays of a high standard. Many of the students’more poignant essays focussed on their first experiences of end-of-life care. Australasian medical schools are largely postgraduate entry. These essays are from junior students as they first enter the clinical phase of training. At this stage, it can be profoundly shocking for students to get to know a patient, who then dies from a terminal illness. These essays may represent opportunities to work through their affective responses to those patients, as while there are some reflective groups in these","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"35 1","pages":"256 - 258"},"PeriodicalIF":0.0,"publicationDate":"2022-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80172490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Too momentous for words 重大得难以言表

The International Journal of Psychiatry in Medicine Pub Date : 2022-05-27 DOI: 10.1177/00912174221105845

Madison Booth

引用次数: 1

Beyond the Medical 超越医学

The International Journal of Psychiatry in Medicine Pub Date : 2022-05-27 DOI: 10.1177/00912174221105846

Stephanie Lee

引用次数: 2