Nicholas S McDuffee, Aren A Forster, Kaushal Shah, Preston Easterday
{"title":"Factitious Disorder in the Context of Abuse in an Adolescent: Importance of a Multidisciplinary Approach.","authors":"Nicholas S McDuffee, Aren A Forster, Kaushal Shah, Preston Easterday","doi":"10.4088/PCC.24cr03832","DOIUrl":"https://doi.org/10.4088/PCC.24cr03832","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574028","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}
Yelizaveta Sher, Filza Hussain, Benjamin J Hoover, Matthew Gunther, Daniel O Fishman, Mira Zein, Jose R Maldonado, Theodore A Stern
{"title":"Wishing That Your Patient Would Die: Reasons and Reactions.","authors":"Yelizaveta Sher, Filza Hussain, Benjamin J Hoover, Matthew Gunther, Daniel O Fishman, Mira Zein, Jose R Maldonado, Theodore A Stern","doi":"10.4088/PCC.24f03823","DOIUrl":"10.4088/PCC.24f03823","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 2025;27(1):24f03823</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":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574013","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":"Frontal Lobe Syndrome Unveils an Unexpected Diagnosis.","authors":"André F Silva, Rita M Lopes, Inês S Fernandes","doi":"10.4088/PCC.24cr03827","DOIUrl":"https://doi.org/10.4088/PCC.24cr03827","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574030","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}
Abid Rizvi, Reneta Osenova, Seo Young Huh, Aradhita Yadava
{"title":"Low-Dose Clozapine in Schizophrenia With Aggression After a Single Failed Antipsychotic Trial.","authors":"Abid Rizvi, Reneta Osenova, Seo Young Huh, Aradhita Yadava","doi":"10.4088/PCC.24cr03850","DOIUrl":"https://doi.org/10.4088/PCC.24cr03850","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574092","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}
Adalberto Campo-Arias, John Carlos Pedrozo-Pupo, Carmen Cecilia Caballero-Domínguez
{"title":"Sleepiness in Colombian Medical Students: Prevalence and Associated Variables.","authors":"Adalberto Campo-Arias, John Carlos Pedrozo-Pupo, Carmen Cecilia Caballero-Domínguez","doi":"10.4088/PCC.24m03807","DOIUrl":"10.4088/PCC.24m03807","url":null,"abstract":"<p><p><b>Objective:</b> To establish the prevalence of sleepiness in Colombian medical students and associated variables.</p><p><p><b>Methods:</b> A cross-sectional study was conducted with the participation of university students aged ≥18 years. Students completed scales for sleepiness, insomnia, depressive symptoms, anxiety symptoms, sleep hygiene, and cognitive social capital (measured as social support) between September and November 2022. Raw and adjusted odds ratios (ORs) with 95% CIs were calculated.</p><p><p><b>Results:</b> Three hundred nine students agreed to participate, of whom 169 (54.7%) were women. The prevalence of sleepiness was 53.1%, insomnia 41.1%, depression 61.2%, anxiety 31.1%, poor sleep hygiene 16.2%, and poor cognitive social capital 23.6%. Sleepiness was associated with the interaction of depression risk and poor cognitive social capital (OR = 4.08, 95% CI, 1.57-10.62) and insomnia risk (OR = 4.01, 95% CI, 2.34-6.89).</p><p><p><b>Conclusions:</b> The prevalence of sleepiness is high among medical students and is associated with depression, anxiety, and insufficient social capital. Expanding knowledge about the variables related to sleepiness among university students is crucial.</p><p><p><i>Prim Care Companion CNS Disord 2025;27(1):24m03807</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":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574097","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":"Young Adults With Attention-Deficit/Hyperactivity Disorder: Does Parenting Still Matter?","authors":"Vania Modesto-Lowe, Ashley Gehrin, Deanna Sgambato","doi":"10.4088/PCC.24lr03848","DOIUrl":"https://doi.org/10.4088/PCC.24lr03848","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450231","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":"Correction. Modern Psychedelic Microdosing Research on Mental Health: A Systematic Review.","authors":"","doi":"10.4088/PCC.25lcx03941","DOIUrl":"https://doi.org/10.4088/PCC.25lcx03941","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450220","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":"Unveiling Unconventional Demographics: Reversible Cerebral Vasoconstriction Syndrome in a Young Male With Marijuana Use.","authors":"Aratrika Pal, Lakshmi S Kasi, Alexandra A Roman","doi":"10.4088/PCC.24cr03824","DOIUrl":"https://doi.org/10.4088/PCC.24cr03824","url":null,"abstract":"","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450228","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":"Psychiatry Clerkship and the COVID-19 Pandemic: Lessons Learned at Penn State College of Medicine.","authors":"Usman Hameed, Emma Batchelder, Ahmad Hameed","doi":"10.4088/PCC.24m03809","DOIUrl":"10.4088/PCC.24m03809","url":null,"abstract":"<p><p><b>Objectives:</b> To present experiences with an alternative psychiatry clerkship curriculum during the pandemic and potential initiatives for medical education in the future.</p><p><p><b>Methods:</b> The psychiatry clerkship curriculum at Penn State College of Medicine was revised from a block rotation to a longitudinal integrated model in 2020 in response to the COVID-19 pandemic. Educational activities were separated into indirect patient care and direct patient care experience. Outcomes were measured via end of course evaluations and compared to the data from the previous year.</p><p><p><b>Results:</b> The percentage of students who \"agreed\" or \"strongly agreed\" with \"faculty/preceptors provided effective teaching\" was 96% (N = 98) compared to 97% (N = 95) in the previous year, and the percentage who \"agreed/strongly agreed\" with \"the feedback I received from attendings/residents helped me improve my patient care skills during the rotation\" was 95% (N = 97) compared to 98% (N = 95) previously. The percentage of students who \"agreed/strongly agreed\" with \"I was able to establish a meaningful relationship with at least 1 preceptor/attending during this rotation\" was 94% (N = 98) compared to 97% (N = 95) previously, and the percentage who \"agreed/strongly agreed\" with \"I was able to play a significant role in patient care during this rotation\" was 88% (N = 98) compared to 91% (N = 94) previously. Also, 90% of students (N = 98) versus 93% (N = 95) from the year prior rated the quality of their educational experience during the clerkship as \"4\" or \"5\" on a Likert scale.</p><p><p><b>Discussion:</b> The pandemic disrupted traditional undergraduate medical education and required adaptations to the clerkship curriculum to provide meaningful learning experiences. Integration of virtual patient care and telehealth services into medical education will serve to develop well-rounded physicians prepared for the future of health care.</p><p><p><i>Prim Care Companion CNS Disord 2025;27(1):24m03809</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":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450226","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}