The primary care companion for CNS disorders最新文献

{"title":"Neuromodulatory and Wearable Technologies for Central Nervous System Disorders: Clinical Applications and Contraindications.","authors":"James K Rustad, Amit Chopra, Joseph L Bonvie, Mara Joy, Kaitlin M Picard, Sofia E Matta, Anne Felde, Theodore A Stern","doi":"10.4088/PCC.26f04189","DOIUrl":"https://doi.org/10.4088/PCC.26f04189","url":null,"abstract":"<p><p>The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.</p><p><p><i>Prim Care Companion CNS Disord</i> <i>2026;28(4):26f04189</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":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760065","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":"Combining Clozapine and Xanomeline/Trospium Chloride: Mechanisms of Action and the Genesis of Catatonia.","authors":"Rika Matsuo, Matthew R Caldwell, Warren Cheng, Patrick A Ho, James K Rustad, Theodore A Stern","doi":"10.4088/PCC.26f04194","DOIUrl":"https://doi.org/10.4088/PCC.26f04194","url":null,"abstract":"<p><p>The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.</p><p><p><i>Prim Care Companion CNS Disord</i> <i>2026;28(4):26f04194</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":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713623","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":"Silence as Defiance: A Case of Volitional Mutism in Adulthood.","authors":"Garrett Hill, Gregory Noe, Sahil Munjal","doi":"10.4088/PCC.26cr04195","DOIUrl":"https://doi.org/10.4088/PCC.26cr04195","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713576","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":"Exacerbation of Psychotic Symptoms Associated With Mushroom-Based Supplementation in a Patient With Cerebral Palsy.","authors":"Kirat Kaur, Shobit Garg","doi":"10.4088/PCC.26cr04200","DOIUrl":"https://doi.org/10.4088/PCC.26cr04200","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713590","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 Impact of Spirituality and Religious Practices on Health and Mental Health.","authors":"Sofia E Matta, Seth Mattson, Michalla B Braford, John R Peteet, Danny A Schieffler, Theodore A Stern","doi":"10.4088/PCC.26f04213","DOIUrl":"https://doi.org/10.4088/PCC.26f04213","url":null,"abstract":"<p><p>The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.</p><p><p><i>Prim Care Companion CNS Disord</i> <i>2026;28(4):26f04213</i>.</p><p><p>\u0000 <i>Author affiliations are listed at the end of this article.</i>\u0000 </p><p><p></p>","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713604","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":"Abrupt Smoking Cessation Due to Sensory Aversion Following Tirzepatide Initiation.","authors":"Omar I Ceesay, Blase Rokusek, Jordan Rasmussen, Christine Sedze DeWolf, Erin Delsol, Rashmi Ojha","doi":"10.4088/PCC.25cr04174","DOIUrl":"https://doi.org/10.4088/PCC.25cr04174","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621368","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":"Parenteral Testosterone-Induced Acute Psychosis in Klinefelter Syndrome.","authors":"Abhijeet Anand, Shobit Garg","doi":"10.4088/PCC.26cr04203","DOIUrl":"https://doi.org/10.4088/PCC.26cr04203","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621377","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":"Decision-Making Capacity in a High-Acuity Operative Setting.","authors":"Greg Noe, Garret Hill, Hannah Lee, Sahil Munjal","doi":"10.4088/PCC.26cr0420","DOIUrl":"https://doi.org/10.4088/PCC.26cr0420","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621433","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":"Mania Due to Amiodarone-Induced Thyrotoxicosis Type 2 or Its Treatment, Prednisone.","authors":"David R Spiegel, Rachel Billingsly, Melissa Cazzell, Arusha Arif, Denaeya Easley, Caitlin Mea","doi":"10.4088/PCC.26cr04180","DOIUrl":"https://doi.org/10.4088/PCC.26cr04180","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621451","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":"Reducing Screen Time in Children With Borderline IQ: A Randomized Controlled Trial of a Parent-Mediated Screen Time Usage Module.","authors":"Sarita Kumari, Nitasha Sharma, Sunita Sharma, Nidhi Chauhan, Akhilesh Sharma","doi":"10.4088/PCC.25m04135","DOIUrl":"10.4088/PCC.25m04135","url":null,"abstract":"<p><p><b>Objective:</b> The rapid expansion of mobile technology has significantly altered children's screen time behaviors, contributing to concerns about excessive usage. These changes are particularly relevant for children with borderline intellectual functioning, in whom unmanaged screen time may exacerbate developmental challenges. This study aimed to evaluate the effectiveness of a parent-mediated screen time usage module (PM-STUM) in reducing screen time and improving physical activity levels, sleep quality, and behavioral outcomes in children aged 4-12 years with borderline IQ.</p><p><p><b>Methods:</b> A randomized controlled trial was conducted with 60 children diagnosed with borderline IQ, recruited from a child and adolescent psychiatry outpatient department at a tertiary care hospital in North India. Participants were randomly allocated to intervention and control groups. The PM-STUM was delivered online to parents through 3 interactive sessions, each lasting 50-60 minutes, addressing the adverse effects of excessive screen time, general guidelines for regulation, technological management, and behavioral strategies for moderating screen time. Screen time was assessed using a 24-hour screen time diary, sleep quality was measured via the Children's Sleep Habits Questionnaire, behavioral outcomes were evaluated using the Strengths and Difficulties Questionnaire, and physical activity was assessed using a standardized physical activity questionnaire. Data were collected between July 15 and September 15, 2023, with outcome assessment conducted 6 weeks postintervention.</p><p><p><b>Results:</b> Repeated-measures analysis of variance indicated significant reductions in children's screen time (<i>P</i> <.05, η²<i>_P</i>=0.4), improvements in physical activity (<i>P</i> <.05, η²<i>_P</i>=0.2), enhancements in sleep quality (<i>P</i> <.05, η²<i>_P</i>=0.3), and reductions in behavioral difficulties (<i>P</i> <.05, η²<i>_P</i>=0.2) in the intervention group compared to controls.</p><p><p><b>Conclusion:</b> The PM-STUM demonstrated significant efficacy in reducing screen time and improving associated behavioral and health outcomes among children with borderline IQ. These findings underscore the importance of parent-mediated interventions in managing screen time and fostering healthier behavioral patterns in vulnerable pediatric populations.</p><p><p><b>Trial Registry:</b> Clinical Trials Registry, India: CTRI/2023/08/056180.</p><p><p><i>Prim Care Companion CNS Disord</i> <i>2026;28(4):25m04135</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":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621446","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}