The primary care companion for CNS disorders最新文献

{"title":"Bridging the Gap: An Educational Intervention to Enhance Mental Health Competency Among Primary and Specialty Care Providers.","authors":"Maxwell F Lydiatt, William M Lydiatt, John C Mitchell, Hannah V Lydiatt, Robert R Althoff, David H Rubin","doi":"10.4088/PCC.24m03777","DOIUrl":"https://doi.org/10.4088/PCC.24m03777","url":null,"abstract":"<p><p><b>Objective:</b> To evaluate a novel curriculum aimed to increase nonpsychiatry providers' confidence in treating mental health conditions.</p><p><p><b>Methods:</b> The study sample consisted of a cohort of convenience of nonbehavioral health physicians and advanced practice providers. The authors administered pre and posttests to measure provider confidence in treating specific mental health diagnoses, utilizing specific classes of psychotropic medications, and managing specific clinical scenarios. Questions were ranked using a Likert scale from 1 (least comfortable) to 5 (very comfortable). Paired sample <i>t</i>-tests were utilized to compare the pre- and posttest survey results. A follow-up survey was administered 1 month following the completion of the seminar, and the results were analyzed qualitatively.</p><p><p><b>Results:</b> Twenty nonbehavioral health care providers attended an educational 2-day seminar on August 3-4, 2023. There were statistically significant improvements between the pre- and posttest measures of confidence in all 31 items measured. At 1-month follow-up, 87.5% (N = 14) rated their overall impression of the seminar as \"excellent\" and 12.5% (N = 2) rated their impression as \"very good.\" At the 1- month follow-up, 15 participants reported treating patients for depression and anxiety, compared to 13 who had done so prior to the seminar.</p><p><p><b>Conclusions:</b> An educational seminar hosted by psychiatrists is an effective intervention for increasing provider confidence in treating mental health conditions and could serve as a valuable method for expanding the mental health workforce.</p><p><p><i>Prim Care Companion CNS Disord2024;26(6):24m03777</i>.</p><p><p>\u0000 <i>Author affiliations are listed at the end of this article.</i>\u0000 </p>","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789578","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}

{"title":"Pindolol Use for Treatment-Refractory Panic Disorder.","authors":"Melissa Vaz-Ayes, Bernard Sarmiento, Matthew Gunther, Shixie Jiang","doi":"10.4088/PCC.24cr03789","DOIUrl":"https://doi.org/10.4088/PCC.24cr03789","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789588","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}

{"title":"Recurrent Catatonia Following Radiation-Induced Hypothyroidism.","authors":"Vincent Zhang, Anmol Dhingra, Sabeeha Hussain, Hector Lisboa, Najeeb Hussain","doi":"10.4088/PCC.24cr03800","DOIUrl":"https://doi.org/10.4088/PCC.24cr03800","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789594","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}

{"title":"Panic Attacks in the Presentation of COVID-19.","authors":"Tej Joshi, Rita Suri","doi":"10.4088/PCC.24cr03714","DOIUrl":"https://doi.org/10.4088/PCC.24cr03714","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732749","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}

{"title":"Tardive Dyskinesia: Etiology, Prevention, and Management.","authors":"Nicholas O Daneshvari, Chirag M Vyas, Carol S Lim, Abigail L Donovan, Desta S Lissanu, Theodore A Stern","doi":"10.4088/PCC.24f03706","DOIUrl":"https://doi.org/10.4088/PCC.24f03706","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732752","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}

{"title":"The Comorbidity Between Eating Disorders and Alcohol Misuse: Biological and Psychological Perspectives Illustrated by a Case Report.","authors":"Kevin Chen, Patrick Ho, Eduardo Andres Calagua-Bedoya","doi":"10.4088/PCC.24cr03806","DOIUrl":"https://doi.org/10.4088/PCC.24cr03806","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639891","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}

{"title":"A Review of Dextromethorphan-Quinidine for the Treatment of Agitation in Dementia.","authors":"Amber N Khan, Kayla S Murphy, Rajesh R Tampi","doi":"10.4088/PCC.24nr03737","DOIUrl":"10.4088/PCC.24nr03737","url":null,"abstract":"<p><p><b>Objective:</b> To provide an updated summary of the literature on dextromethorphan quinidine for the treatment of agitation in dementia.</p><p><p><b>Data Sources:</b> PubMed, Medline, APA PsycINFO, Embase, and Cochrane Collaboration were searched from inception to January 7, 2024 using the keywords <i>dementia</i>, <i>dextromethorphan</i>, and <i>quinidine</i>. The search was limited to the English language and human subjects.</p><p><p><b>Study Selection:</b> Twenty-four articles underwent full-text review. One randomized controlled trial (RCT) and 2 case reports were included. Twenty one studies were excluded because they were editorials or commentaries, were not treatment studies, or were assessing outcomes other than agitation.</p><p><p><b>Data Extraction:</b> The 3 included studies underwent full-text review. A qualitative analysis of the data was performed, and abstracted data included patient diagnosis and symptoms, treatment dose and duration of dextromethorphan-quinidine, and symptom response.</p><p><p><b>Data Synthesis:</b> One RCT and 2 case reports showed an improvement in dementia-related agitation with dextromethorphan-quinidine treatment; however, the data are limited.</p><p><p><b>Conclusion:</b> Though all the identified studies demonstrated that treatment with dextromethorphan improved agitation, more evidence is needed to establish its potential efficacy and associated risks for this patient population. Future studies should include diverse types of dementia, a variety of treatment settings, and longer duration of treatment.</p><p><p><i>Prim Care Companion CNS Disord 2024;26(6):24nr03737</i>.</p><p><p>\u0000 <i>Author affiliations are listed at the end of this article.</i>\u0000 </p>","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639818","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}

{"title":"Cisplatin-Etoposide-Induced Hyperammonemic Encephalopathy in a Lung Cancer Patient.","authors":"Tanvi Mittal, Arundhathi Krishna Komathodi, Nishanth Jalaja Haridas","doi":"10.4088/PCC.24cr03778","DOIUrl":"https://doi.org/10.4088/PCC.24cr03778","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639875","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}

{"title":"A Side Effect You've Never Heard of: Ototoxicity Associated With Mirtazapine.","authors":"Vincent Zhang, Douglas J Opler","doi":"10.4088/PCC.24cr03795","DOIUrl":"https://doi.org/10.4088/PCC.24cr03795","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639822","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}

{"title":"Psychiatric Comorbidities in Hospitalized Adolescents With Polycystic Ovary Syndrome: A Cross-Sectional Study Using the National Inpatient Sample.","authors":"Chintan Trivedi, Abid Rizvi, Sahar Ashraf, Karrar Husain, Garima Yadav, Erin Adams, Malathi Perugula, Sharmin Nabi, Zeeshan Mansuri, Shailesh Jain","doi":"10.4088/PCC.24m03760","DOIUrl":"https://doi.org/10.4088/PCC.24m03760","url":null,"abstract":"<p><p><b>Objective:</b> Polycystic ovary syndrome (PCOS) symptoms extend beyond reproductive issues, impacting mental health significantly, with noted correlations to anxiety, depression, and suicide attempts. The objective of this study was to quantify psychiatric comorbidities among adolescent females with PCOS.</p><p><p><b>Methods:</b> Utilizing the National Inpatient Sample dataset from January 2016 to December 2018, this study examined a cohort of female adolescents aged 14-17 years diagnosed with PCOS, identified via <i>International Classification of Diseases, Tenth Revision, Clinical Modification</i> code E28.2, and matched 1:2 with non-PCOS individuals on demographic variables using propensity score matching. The primary outcomes included the prevalence of psychiatric disorders and were analyzed through categorical and continuous variable comparisons, employing <i>t</i> tests and Rao-Scott adjusted χ² tests, with odds ratios calculated to assess associations.</p><p><p><b>Results:</b> The study encompassed 11,985 patients, highlighting a significantly higher prevalence of mood disorders, major depressive disorder, and anxiety disorders in the PCOS cohort compared to controls (<i>P</i> < .001). Specifically, mood disorders were reported in 43.6% of the PCOS group. Attention-deficit/hyperactivity disorder/conduct disorders were also more prevalent in the PCOS population. However, rates of schizophrenia and suicidal ideation/attempts did not significantly differ between groups.</p><p><p><b>Conclusion:</b> Adolescents with PCOS exhibit increased psychiatric comorbidities, highlighting the urgent need for integrated care strategies. Future research should aim to elucidate the mechanisms underlying these associations and develop effective interventions to improve outcomes in this vulnerable population.</p><p><p><i>Prim Care Companion CNS Disord 2024;26(6):24m03760</i>.</p><p><p>\u0000 <i>Author affiliations are listed at the end of this article.</i>\u0000 </p>","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639886","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}