The International Journal of Psychiatry in Medicine最新文献_第5页

Improving the assessment of depression remission with the Remission Evaluation and Mood Inventory Tool 改善抑郁缓解评估和情绪量表工具的评估

The International Journal of Psychiatry in Medicine Pub Date : 2015-11-01 DOI: 10.1177/0091217415612734

J. Aikens, M. Klinkman, Ananda Sen, D. Nease

{"title":"Improving the assessment of depression remission with the Remission Evaluation and Mood Inventory Tool","authors":"J. Aikens, M. Klinkman, Ananda Sen, D. Nease","doi":"10.1177/0091217415612734","DOIUrl":"https://doi.org/10.1177/0091217415612734","url":null,"abstract":"Objective The Remission Evaluation and Mood Inventory Tool (REMIT) is a practical 5-item self-report measure of key positive mood states associated with recovering from depression, as distinct from depressive symptoms per se. The study goal was to identify a clinically useful threshold for interpreting REMIT responses in the context of mild to moderate depressive symptoms. Methods This was a secondary analysis of a cross-sectional dataset initially used to develop and validate the REMIT. Primary care patients being treated for depressive symptoms of either mild or moderate severity (n = 247 and 240, respectively) rated their perceived degree of depression remission prior to completing the Patient Health Questionnaire-8 (PHQ-8) and the REMIT. We summed the totals of the latter two measures to form the PHQ + REMIT index. Results Receiver Operating Characteristics analysis indicated that the PHQ + REMIT threshold ≥13 was associated with good sensitivity (92%) and acceptable specificity (43%) to the absence of patient-perceived remission. In contrast, the PHQ had only 21% specificity at this sensitivity level. Area under the curve was 0.815 (95% C.I.: 0.765–0.865), which was significantly greater than that of the PHQ-8 alone (area under the curve = 0.745, 95% C.I.: 0.691–0.805, p(diff) = 0.0002). Threshold performance was unaffected by adjustment for demographic characteristics and variation in remission percentage. Compared with standard symptom-based classification, using the REMIT reclassified 27% of mildly symptomatic patients as remitted. Conclusions Using the REMIT with patients who have mild to moderate depressive symptoms improves the assessment of patient-perceived remission, which is indicated by a summed PHQ + REMIT index of less than 13. Longitudinal research is needed to test whether this broadened patient-centered approach to assessing remission improves clinical decision making and long-term outcomes.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"91 1","pages":"383 - 397"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83023153","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: 3

Psychiatric and neuropsychological issues in Marfan syndrome 马凡氏综合征的精神病学和神经心理学问题

The International Journal of Psychiatry in Medicine Pub Date : 2015-11-01 DOI: 10.1177/0091217415612701

A. Gritti, S. Pisano, G. Catone, R. Iuliano, T. Salvati, Paolo Gritti

引用次数: 12

Sustained corticosteroid- induced mania and psychosis despite cessation 持续的皮质类固醇诱发的躁狂症和精神病，尽管停止

The International Journal of Psychiatry in Medicine Pub Date : 2015-11-01 DOI: 10.1177/0091217415612735

M. Gable, D. Depry

引用次数: 25

Drug-induced parkinsonism following chronic methamphetamine use by a patient on haloperidol decanoate 慢性甲基苯丙胺服用癸酸氟哌啶醇后的药物性帕金森病

The International Journal of Psychiatry in Medicine Pub Date : 2015-11-01 DOI: 10.1177/0091217415612736

B. J. Matthew, Joanna S Gedzior

{"title":"Drug-induced parkinsonism following chronic methamphetamine use by a patient on haloperidol decanoate","authors":"B. J. Matthew, Joanna S Gedzior","doi":"10.1177/0091217415612736","DOIUrl":"https://doi.org/10.1177/0091217415612736","url":null,"abstract":"This report attempts to highlight that use of an antipsychotic and concurrent chronic use of methamphetamine can cause drug-induced parkinsonism. Methamphetamine is usually not encountered in the list of agents that induce drug-induced parkinsonism and so its consideration particularly during chronic use by a patient who is also on an antipsychotic is worthwhile because of its popularity as an illegal narcotic. This case report describes just such a case of drug-induced parkinsonism which is a subacute syndrome that mimics Parkinson’s disease. Although less alarming than dystonia, it is more common, more difficult to treat and can be the cause of significant disability during maintenance treatment especially in the elderly. In most cases, symptoms are reversible in days or weeks, but occasionally, especially in the elderly, or if long-acting injectable antipsychotics are used—as in this case—symptoms may last for weeks or months. The report also illustrates the neuronal workings due to chronic methamphetamine-use and the additive effects of dopamine blockade by antipsychotics such as haloperidol.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"31 1","pages":"405 - 411"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77607150","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: 9

Montreal cognitive assessment and analysis of related factors for cognitive impairment in patients with chronic cerebral circulation insufficiency 慢性脑循环不全患者认知功能障碍的蒙特利尔认知评估及相关因素分析

The International Journal of Psychiatry in Medicine Pub Date : 2015-10-01 DOI: 10.1177/0091217415610306

Lin Zhang, Wenjing Dong, Jie Han, Zhe Wang, Dayong Sun, Xiaofei Ji, Ming Li, B. Zhang

{"title":"Montreal cognitive assessment and analysis of related factors for cognitive impairment in patients with chronic cerebral circulation insufficiency","authors":"Lin Zhang, Wenjing Dong, Jie Han, Zhe Wang, Dayong Sun, Xiaofei Ji, Ming Li, B. Zhang","doi":"10.1177/0091217415610306","DOIUrl":"https://doi.org/10.1177/0091217415610306","url":null,"abstract":"Background Chronic cerebral circulation insufficiency (CCCI) refers to cerebral dysfunctions that lead to cerebral vascular pathological changes. Our aim is to identify factors related to cognitive impairment in CCCI. Methods CCCI patients (n = 102) were assessed with the Montreal cognitive assessment (MoCA) to analyze cognitive impairment. Patients were divided into two groups according to MoCA scores: (1) cognitive dysfunction and (2) normal cognitive function. We compared the clinical information with univariate and multivariate logistic regression analyses and identified major risk factors related to cognitive impairment in CCCI. Results Age (p = 0.007, OR = 3.768, χ2 = 7.173), leukoaraiosis (p = 0.002, OR = 6.231, χ2 = 9.478), a history of hypertension (p = 0.021, OR = 3.078, χ2 = 5.307), a history of hyperlipidemia (p = 0.016, OR = 3.429, χ2 = 5.795), and the number of vascular risk factors (p = 0.019, χ2 = 9.921) were related to cognitive impairment by univariate analysis. Age (p = 0.070, OR = 2.689, 95% CI = 0.923 ± 7.837) and leukoaraiosis (p = 0.012, OR = 4.531, 95% CI = 1.401 ± 14.667) were significant by multivariate logistic regression analysis. Age (r = −0.585, p < 0.01) had a marked negative correlation with MoCA scores. There were significant differences in the MoCA subscale scores, including visuospatial and executive capacity (p < 0.01), attention and calculation (p < 0.01), and delayed recall (p < 0.01), in patients with different degrees of leukoaraiosis. Patients with CCCI had a higher incidence of cognitive impairment (78.4%). Conclusions Changes in visuospatial and executive capacity, delayed recall, and language function represent cognitive manifestations in CCCI. Age and leukoaraiosis have the strongest effects on cognitive impairment morbidity and can aggravate cognitive impairment.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"1 1","pages":"257 - 270"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83586076","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: 4

Unmet need for treatment of depression among immigrants from the former USSR in the US: A primary care study 美国前苏联移民未满足的抑郁症治疗需求:一项初级保健研究

The International Journal of Psychiatry in Medicine Pub Date : 2015-10-01 DOI: 10.1177/0091217415610320

A. Landa, Natalia A Skritskaya, Andel V Nicasio, J. Humensky, R. Lewis-Fernández

{"title":"Unmet need for treatment of depression among immigrants from the former USSR in the US: A primary care study","authors":"A. Landa, Natalia A Skritskaya, Andel V Nicasio, J. Humensky, R. Lewis-Fernández","doi":"10.1177/0091217415610320","DOIUrl":"https://doi.org/10.1177/0091217415610320","url":null,"abstract":"The stress of immigration can increase risk for major depressive disorder (MDD), while cultural factors can contribute to difficulty in diagnosis and treatment of MDD among immigrant populations. Consequently, immigrants are less likely to have their treatment needs met. Our goal was to assess the unmet need for the diagnosis and treatment of depression among immigrants from the former USSR—a large immigrant group in the US—as well as demographic characteristics and immigration history associated with depression. We conducted a survey in an urban primary care clinic using measures of MDD symptoms (Patient Health Questionnaire-9), functioning, and treatment history among 102 Russian-speaking immigrants. Current moderate-to-severe symptoms of MDD were reported by 26.5% of participants with 33.3% of the symptomatic patients reporting suicidal ideation. Among participants with probable MDD, 63.0% reported not receiving mental health treatment and 59.3% never being diagnosed with MDD. The rates of untreated depression did not vary by gender nor did they diminish with prolonged stay in the US. Results suggest that undiagnosed and untreated depression is highly prevalent in this immigrant group.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"49 1","pages":"271 - 289"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76400608","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: 8

Traumatic experiences, posttraumatic stress symptoms, depression, and health-risk behavior in relation to injury among University of Nairobi students in Kenya 肯尼亚内罗毕大学学生的创伤经历、创伤后应激症状、抑郁和与伤害有关的健康风险行为

The International Journal of Psychiatry in Medicine Pub Date : 2015-10-01 DOI: 10.1177/0091217415610310

C. Othieno, R. Okoth, K. Peltzer, S. Pengpid, Lucas Malla

{"title":"Traumatic experiences, posttraumatic stress symptoms, depression, and health-risk behavior in relation to injury among University of Nairobi students in Kenya","authors":"C. Othieno, R. Okoth, K. Peltzer, S. Pengpid, Lucas Malla","doi":"10.1177/0091217415610310","DOIUrl":"https://doi.org/10.1177/0091217415610310","url":null,"abstract":"Objective To describe the prevalence and types of injuries in relation to traumatic experiences, posttraumatic stress symptoms, depression, and health-risk behaviors among university students in Kenya. Method A cross-sectional study collected data on a random sample of university students using a questionnaire to record sociodemographic variables while injuries experiences recorded using the Centers for Disease control criteria and Breslau’s seven-item screener was used to identify post-traumatic stress disorder (PTSD) symptoms. Depressive symptoms were measured using Center for Epidemiological Studies Short Depression Scale. Results Nine hundred and twenty-three students (525 male and 365 female) were included in the study, mean age 23 years (SD 4.0). Serious injury in the previous 12 months was reported by 29.00% of the students. PTSD was present in 15.67% (men 15.39% and women 16.1%). Out of the total, 41.33% of the students had depressive symptoms (35.71% mild–moderate symptoms and 5.62% severe). In the multivariable logistic regression being poor, binge drinking, tobacco use, ever been diagnosed with HIV, physically abused as a child, high PTSD score, and depression (adjusted odds ratio 5.49, 95% confidence interval 4.32–13.21) were significantly (p value < 5%) associated with injury in the last 12 months. Conclusion Unintentional injuries and PTSD symptoms are common in this student population and are positively linked to depression and other risky behaviors. Measures aimed at improving the mental health, such as early identification and treatment of depression, may be useful in reducing the prevalence of such injuries among the youth.","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"50 1","pages":"299 - 316"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84937573","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: 17

The International Journal of PSYCHIATRY IN MEDICINE Index—Contents of Volume 48, 2014 国际精神病学医学杂志索引-第48卷内容，2014年

The International Journal of Psychiatry in Medicine Pub Date : 2014-11-01 DOI: 10.2190/pm.48.4.h

See Olisah, V. Obiajulu, J. Pérez, A. I. García, Duddu, Venu, S. Husain, Muhammad Ishrat

{"title":"The International Journal of PSYCHIATRY IN MEDICINE Index—Contents of Volume 48, 2014","authors":"See Olisah, V. Obiajulu, J. Pérez, A. I. García, Duddu, Venu, S. Husain, Muhammad Ishrat","doi":"10.2190/pm.48.4.h","DOIUrl":"https://doi.org/10.2190/pm.48.4.h","url":null,"abstract":"ACIERNO, RON: See Hernandez-Tejada, Melba A., jt. author ADAMS, DANIEL A.: Case Report: Transient Left Bundle Branch Block Associated with ECT, No. 2, p. 147 ADEKEYE, OLUWATOSIN: See Olisah, Victor Obiajulu, jt. author AHLE, GABRIELLA M.: See Adams, Daniel A., jt. author AICHBERGER, MARION: See Marthoenis, M., jt. author AKENA, DICKENS: See Wagner, Glenn J., jt. author ALOYSI, AMY S.: See Adams, Daniel A., jt. author ASCHBRENNER, KELLY A.: A Mixed Methods Exploration of Family Involvement in Medical Care for Older Adults with Serious Mental Illness, No. 2, p. 121 ATMACA, MURAD: Neurochemical Alterations Associated with Borderline Personality Disorder, No. 4, p. 317 AUNON, FRANCES: See Wagner, Glenn J., jt. author AVERYT, JENNIFER: See de Groot, Mary, jt. author BALATSOURAS, DIMITRIOS: See Katotomichelakis, Michael, jt. author BARTELS, STEPHEN J.: See Aschbrenner, Kelly A., jt. author BRYSON, ETHAN O.: See Adams, Daniel A., jt. author CARROZZINO, R.: See Zuccoli, M. L., jt. author CARTER, CAMERON S.: See Xiong, Glen L., jt. author CHAUDHRY, NASIM: See Husain, Muhammad Ishrat, jt. author DANIELIDES, GERASIMOS: See Katotomichelakis, Michael, jt. author DANIELIDES, VASSILIOS: See Katotomichelakis, Michael, jt. author DAPUETO, JUAN J.: See Pérez, Ana Isabel García, jt. author DAVIDSON, TATIANA M.: Feasibility Assessment of a Brief, Web-Based Behavioral Activation Intervention for Adolescents with Depressed Mood, No. 1, p. 69 DAVIS, AMELIA A.: See Shapiro, Michael, jt. author DE GROOT, MARY: Depressive Sumptoms and Type 2 Diabetes Mellitus in Rural Appalachia: An 18-Month Follow-Up Study, No. 4, p. 263","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"1 1","pages":"333 - 336"},"PeriodicalIF":0.0,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81258137","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

The International Journal of Psychiatry in Medicine Index—Contents of Volume 47, 2014 国际精神病学医学杂志索引-内容第47卷，2014年

The International Journal of Psychiatry in Medicine Pub Date : 2014-05-01 DOI: 10.2190/PM.47.4.k

Ayman See Ozkayar, Lekisha Y. Edwards, See Edwards

{"title":"The International Journal of Psychiatry in Medicine Index—Contents of Volume 47, 2014","authors":"Ayman See Ozkayar, Lekisha Y. Edwards, See Edwards","doi":"10.2190/PM.47.4.k","DOIUrl":"https://doi.org/10.2190/PM.47.4.k","url":null,"abstract":"AARTS, FLOOR: Coping Style as a Mediator between Attachment and Mental and Physical Health in Patients Suffering from Morbid Obesity, No. 1, p. 75 ABUDALAL, AYMAN: See Ozkayar, Nihal, jt. author ACHERMAN, YAIR: See Aarts, Floor, jt. author AKBAS, SEHER: See Say, Gök e N., jt. author ALESII, LEKISHA Y. EDWARDS: See Edwards, Christopher L., jt. author ALTINDAL, MAHMUT: See Ozkayar, Nihal, jt. author ALTUN, BULENT: See Ozkayar, Nihal, jt. author ARICI, MUSTAFA: See Ozkayar, Nihal, jt. author BARKER, CAMELA S.: See Edwards, Christopher L., jt. author BILGI , AYHAN: See Kömürc , Erkam, jt. author BLACKMAN, KAREN S.: Self-Report Tool for Recognizing Mania (SToRM): A New Scale for Aiding in the Diagnosis of Bipolar Disorder, No. 3, p. 193 BORCKARDT, JEFFERY J.: See Edwards-Hampton, Shenelle A., jt. author BRANDJES, DEES P. M.: See Aarts, Floor, jt. author BROCK, CLIVE D.: See Johnson, Alan H., jt. author BUTTERIS, REGINA: See Koc, Feyza, jt. author BYRD, GOLDIE S.: See Edwards, Christopher L., jt. author BYRNE, KARL T.: See Edwards-Hampton, Shenelle A., jt. author CARLTON, JANICE C.: See Stern, Patricia J., jt. author CHUNG, KUO-HSUAN: See Tang, Han-Ching, jt. author CIOLETTI, ANNE: See Lieberman, Daniel Z., jt. author COGDILL, BRITTANY R.: Evaluation of Urinalyses Ordered for Diagnosis of Urinary Tract Infections at an Inpatient Psychiatric Hospital, No. 1, p. 17 COLLANTES, ROCHELLE S.: See Lieberman, Daniel Z., jt. author COLLINS-MCNEIL, JANICE: See Edwards, Christopher L., jt. author CROWLEY, NINA: See Edwards-Hampton, Shenelle A., jt. author DECASTRO, LAURA: See Edwards, Christopher L., jt. author","PeriodicalId":22510,"journal":{"name":"The International Journal of Psychiatry in Medicine","volume":"6 1","pages":"369 - 373"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73587704","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

Book Review: Clinical Handbook of Psychotropic Drugs 书评:精神药物临床手册

The International Journal of Psychiatry in Medicine Pub Date : 2014-01-01 DOI: 10.2190/PM.47.1.h

S. Bragg

引用次数: 0