Clinical Practice and Epidemiology in Mental Health最新文献

{"title":"Impacts on and Care of Psychiatric Patients during the Outbreak of COVID-19.","authors":"Pavarud Puangsri,&nbsp;Vinn Jinanarong,&nbsp;Apichai Wattanapisit","doi":"10.2174/1745017902117010052","DOIUrl":"https://doi.org/10.2174/1745017902117010052","url":null,"abstract":"<p><p>The outbreak of coronavirus disease (COVID-19) in December 2019 has led to massive lifestyle, economic, and health changes. The COVID-19 pandemic has had broad impacts on psychiatric patients, exacerbating symptoms such as psychosis, depression, and suicidal ideation. Therefore, we aimed to review the psychological impacts of COVID-19 on psychiatric patients and mental healthcare staff and provide practical guidance for medical staff and authorities. The main findings of this review included the impacts of COVID-19 on psychiatric patients and mental health professionals as well as the transformation of mental health care. Greater consideration should be given to the care of patients with psychosis and depression because of their lack of self-care ability, neurocognitive impairment, and impaired immune function. Depressive symptoms can be exacerbated due to several factors, such as economic crises, social isolation, and limited physical activity. Unemployment and financial problems can lead to an increased suicide rate. Consequently, mental healthcare workers' workload can increase, which could lead to burnout and psychological symptoms such as insomnia, depression, and anxiety. A transformation of psychiatric care is needed during the time of the pandemic. While emergency care should be maintained, outpatient care should be limited to decrease viral spread. Shifting care to telemedicine and community-based psychiatry can be helpful. Inpatient services should be adapted by tightening admission criteria, shortening the length of hospital stays, suspending some group activities, limiting visitors, and preparing for quarantine if necessary. Mental healthcare workers can be supported with telecommunication, appropriate work shifts, alternative accommodations, and good communication between the team leader and staff.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"17 ","pages":"52-60"},"PeriodicalIF":0.0,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8386085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39414749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Memory of Hagop Akiskal.","authors":"Mauro G Carta,&nbsp;Francesc Colom,&nbsp;Andreas Erfurth,&nbsp;Michele Fornaro,&nbsp;Heinz Grunze,&nbsp;Elie Hantouche,&nbsp;Antonio E Nardi,&nbsp;Antonio Preti,&nbsp;Eduard Vieta,&nbsp;Elie Karam","doi":"10.2174/1745017902117010048","DOIUrl":"https://doi.org/10.2174/1745017902117010048","url":null,"abstract":"Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy Hospital del Mar, Barcelona, Spain Department of Psychiatry and Psychotherapeutic Medicine, Klinik Hietzing, Vienna, Austria Laboratory of Molecular and Translational Psychiatry, Department of Neuroscience, School of Medicine, University \"Federico II\", Naples, Italy Center for Psychiatry Weinsberg, Klinikum am Weissenhof, Weinsberg, Germany Center for Anxiety and Mood Disorders, Anxiety & Mood Center, 117, Rue de Rennes, Paris 75006, France Institute of Psychiatry,Federal University of Rio de Janeiro,Rio de Janeiro, Brazil Department of Neurosciences, University of Turin, 10124 Turin, Italy Bipolar Disorders Unit, Hospital Clinic, Institute of Neurosciences, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Catalonia, Spain Department of Psychiatry and Clinical Psychology, Faculty of Medicine, Balamand University, Beirut, Lebanon","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"17 ","pages":"48-51"},"PeriodicalIF":0.0,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8227446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39173941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Catatonia Associated with Hyponatremia: Case Report and Brief Review of the Literature.","authors":"Vaios Peritogiannis,&nbsp;Dimitrios V Rizos","doi":"10.2174/1745017902117010026","DOIUrl":"https://doi.org/10.2174/1745017902117010026","url":null,"abstract":"Background: Catatonia is a syndrome of altered motor behavior that is mostly associated with general medical, neurologic, mood and schizophrenia-spectrum disorders. The association of newly onset catatonic symptoms with hyponatremia has been rarely reported in the literature. Case Presentation: We present a rare case of a young female patient with schizophrenia, who presented with catatonic symptoms in the context of hyponatremia due to water intoxication. The symptoms were eliminated with the correction of hyponatremia. There are only a few reports of hyponatremia-associated catatonia in psychiatric and non-psychiatric patients. Sometimes, catatonic symptoms may co-occur with newly onset psychotic symptoms and confusion, suggesting delirium. In several cases, the catatonic symptoms responded to specific treatment with benzodiazepines or electroconvulsive therapy. Conclusion: Hyponatremia may induce catatonic symptoms in patients, regardless of underlying mental illness, but this phenomenon is even more relevant in patients with a psychotic or mood disorder, which may itself cause catatonic symptoms. It is important for clinicians not to attribute newly-onset catatonic symptoms to the underlying psychotic or mood disorder without measuring sodium serum levels. The measurement of sodium serum levels may guide treating psychiatrists to refer the patient for further investigation and appropriate treatment.","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"17 ","pages":"26-30"},"PeriodicalIF":0.0,"publicationDate":"2021-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8227445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39173939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Malaysian Women's Experience of Care and Management of Postnatal Depression.","authors":"Siti R B M Arifin,&nbsp;Helen Cheyne,&nbsp;Margaret Maxwell,&nbsp;Abdilahi Yousuf","doi":"10.2174/1745017902117010010","DOIUrl":"https://doi.org/10.2174/1745017902117010010","url":null,"abstract":"<p><strong>Objectives: </strong>Early detection and intervention for Maternal Postnatal Depression (PND) are imperative to prevent devastating consequences for mothers, babies, and families. However, there are no guidelines that explicitly focus on the management of PND in Malaysia. Consequently, it is unclear whether women with PND are receiving proper care and treatment. Therefore, this study aimed to explore Malaysian Women's experience in managing PND symptoms.</p><p><strong>Methods: </strong>A qualitative study was conducted among 33 women attending Maternal and Child Health (MCH) clinics in Kuala Lumpur. Data were obtained through a face-to-face semi-structured interview and analysed using framework analysis.</p><p><strong>Results: </strong>The women considered PND as a personal and temporary issue. Therefore, professional care was deemed unnecessary for them. Additionally, all Malay women considered religious approach as their primary coping strategy for PND. However, this was not the case for most Indian and Chinese women.</p><p><strong>Conclusion: </strong>The findings of this study indicated that women did not acknowledge the roles of Healthcare Practitioners (HCPs) in alleviating their emotional distress.Also, they perceived PND as a personal problem and less serious emotional condition. It is due to this perception that the women adopted self-help care as their primary coping strategy for PND. However, the coping strategy varied between different cultures. These findings underscore the importance of HCPs' proactive action to detect and alleviate PND symptoms as their attitude towards PND may influence Women's help-seeking behaviour.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"17 ","pages":"10-18"},"PeriodicalIF":0.0,"publicationDate":"2021-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/20/CPEMH-17-10.PMC8097402.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39036428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing WHO-Quality Rights Project in Tunisia: Results of an Intervention at Razi Hospital.","authors":"Mauro Giovanni Carta, Rym Ghacem, Myriam Milka, Olfa Moula, Nidhal Staali, Uta Uali, Ghassene Boukhari, Monica Mannu, Rym Refrafi, Souha Yaakoubi, Maria Francesca Moro, Marie Baudel, Simon Vasseur-Bacle, Natalie Drew, Michelle Funk","doi":"10.2174/1745017902117010008","DOIUrl":"10.2174/1745017902117010008","url":null,"abstract":"","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"17 ","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2021-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5f/06/CPEMH-17-8.PMC7931145.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25478597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prevalence of Diabetes in Autistic Persons: A Systematic Review.","authors":"Samuel Tromans,&nbsp;Guiqing Yao,&nbsp;Regi Alexander,&nbsp;Elizabeta Mukaetova-Ladinska,&nbsp;Reza Kiani,&nbsp;Mohammed Al-Uzri,&nbsp;Verity Chester,&nbsp;Richard Carr,&nbsp;Zoe Morgan,&nbsp;Elpida Vounzoulaki,&nbsp;Traolach Brugha","doi":"10.2174/1745017902016010212","DOIUrl":"https://doi.org/10.2174/1745017902016010212","url":null,"abstract":"<p><strong>Background: </strong>It has been proposed that autistic individuals are at an increased risk of type 1 and type 2 diabetes. Improved understanding of diabetes prevalence in autistic persons will help inform resource allocation for diabetes-related public health measures for this patient group.</p><p><strong>Objective: </strong>To conduct a systematic review of published literature pertaining to type 1 and type 2 diabetes prevalence in autistic individuals, including comparison with their non-autistic peers.</p><p><strong>Methods: </strong>Eligibility criteria included studies investigating the prevalence of diabetes in autistic individuals, as well as having been published in the English language. A systematic search of online databases (MEDLINE, PsycINFO, CINAHL, EMBASE and PubMed) was conducted on 4^th April 2020. Additional approaches included the ancestry method, grey literature searches and expert consultation. Studies were qualitatively analysed with reporting quality appraised.</p><p><strong>Results: </strong>19 eligible studies were identified, 7 of which provided type-specific diabetes prevalence data. Of 15 studies that included a non-autistic control group, 9 reported a higher diabetes prevalence among autistic persons, with a statistically significant difference in 4 studies. Studies demonstrating a higher diabetes prevalence in autistic groups had higher average study population sizes and reporting quality ratings.</p><p><strong>Conclusion: </strong>It is uncertain whether diabetes is significantly more prevalent in autistic persons relative to their non-autistic peers, though larger studies suggest a trend in this direction. Nevertheless, diabetes is a significant public health issue for the autistic community, which may require a tailored approach for identification and management. Prospero database registration number: CRD42019122176.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"16 ","pages":"212-225"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/22/CPEMH-16-212.PMC7931154.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25478595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining the Optimal Threshold Scores for Adult Autism Subthreshold Spectrum (AdAS Spectrum) in Clinical and General Population.","authors":"Liliana Dell'Osso,&nbsp;Claudia Carmassi,&nbsp;Ivan Mirko Cremone,&nbsp;Dario Muti,&nbsp;Antonio Salerni,&nbsp;Filippo Maria Barberi,&nbsp;Enrico Massimetti,&nbsp;Camilla Gesi,&nbsp;Pierluigi Politi,&nbsp;Eugenio Aguglia,&nbsp;Mario Maj,&nbsp;Barbara Carpita","doi":"10.2174/1745017902016010204","DOIUrl":"https://doi.org/10.2174/1745017902016010204","url":null,"abstract":"<p><strong>Background: </strong>The Adult Autism Subthreshold Spectrum (AdAS Spectrum) is a recently developed instrument tailored to assess the broad range of full-threshold as well as sub-threshold manifestations related to the autism spectrum. Although it has proved to be a valuable instrument for quantitative assessment of autistic symptoms, the AdAS Spectrum still lacks validated diagnostic thresholds.</p><p><strong>Objective: </strong>The aim of this study was to define the best cut-off scores of the AdAS Spectrum for determining the presence of subthreshold autistic traits as well as a clinically significant autism spectrum disorder (ASD).</p><p><strong>Methods: </strong>Our sample was composed of 39 patients with full-blown ASD, 73 subjects with autistic traits, and 150 healthy controls. Subjects were evaluated by trained psychiatrists, who performed a clinical diagnosis according to DSM-5 and then assessed with the AdAS Spectrum and the Autism Spectrum Quotient.</p><p><strong>Results: </strong>Our results showed that the most discriminant cut-off scores were 70 for identifying subjects with full-blown ASD, and 43 for determining the presence of significant autistic traits.</p><p><strong>Conclusion: </strong>The threshold values proposed here showed satisfying levels of specificity and sensibility, as well as a good agreement with the diagnosis according to DSM-5 criteria, confirming the validity of the AdAS Spectrum as a psychometric tool for measuring ASD-related conditions in the clinical and general population.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"16 ","pages":"204-211"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/3d/CPEMH-16-204.PMC7931149.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25478594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Self-administered Version of the Functioning Assessment Short Test for Use in Population-based Studies: A Pilot Study.","authors":"Christoph Riegler,&nbsp;Silke Wiedmann,&nbsp;Viktoria Rücker,&nbsp;Henning Teismann,&nbsp;Klaus Berger,&nbsp;Stefan Störk,&nbsp;Eduard Vieta,&nbsp;Hermann Faller,&nbsp;Bernhard T Baune,&nbsp;Peter U Heuschmann","doi":"10.2174/1745017902016010192","DOIUrl":"https://doi.org/10.2174/1745017902016010192","url":null,"abstract":"<p><strong>Background: </strong>The Functioning Assessment Short Test (FAST) is an interviewer-administered scale assessing functional impairment originally developed for psychiatric patients.</p><p><strong>Objectives: </strong>To adapt the FAST for the general population, we developed a self-administered version of the scale and assessed its properties in a pilot study.</p><p><strong>Methods: </strong>The original FAST scale was translated into German <i>via</i> forward and backward translation. Afterwards, we adjusted the scale for self-administered application and inquired participants from two ongoing studies in Germany, 'STAAB' (Würzburg) and 'BiDirect' (Münster), both recruiting subjects from the general population across a wide age range (STAAB: 30-79 years, BiDirect: 35-65 years). To assess reliability, agreement of self-assessment with proxy-assessment by partners was measured <i>via</i> intraclass correlation coefficient (ICC) over the FAST score. Construct validity was estimated by conducting correlations with validated scales of depression (PHQ-9), anxiety (GAD-7), and health-related quality of life (SF-12) and regression analyses using these scales besides potentially disabling comorbidities (<i>e.g.</i> Chronic Back Pain (CBP)).</p><p><strong>Results: </strong>Participants (n=54) had a median age of 57.0 years (quartiles: 49.8, 65.3), 46.3% were female. Reliability was moderate: ICC 0.50 (95% CI 0.46-0.54). The FAST score significantly correlated with PHQ-9, GAD-7, and the mental sub-scale of SF-12. In univariable linear regression, all three scales and chronic back pain explained variance of the FAST score. In multivariable analysis, only CBP and the SF-12 remained significant predictors.</p><p><strong>Conclusion: </strong>The German self-administered version of the FAST yielded moderate psychometric properties in this pilot study, indicating its applicability to assess functional impairment in the general population.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"16 ","pages":"192-203"},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7539537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38518367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"School Closure and Children in the Outbreak of COVID-19.","authors":"Donatella Rita Petretto,&nbsp;Ilaria Masala,&nbsp;Carmelo Masala","doi":"10.2174/1745017902016010189","DOIUrl":"https://doi.org/10.2174/1745017902016010189","url":null,"abstract":"<p><p>School closure and home confinement are two of the measures of lockdown chosen by governments and policymakers all over the world to prevent and limit the spread of the infection of COVID-19. There is still an open debate about the real effect of school closure on the reduction of risk of infection on children and the risk of infection on with other age groups (parents, grandparents and others). There is an agreement on the effect of school closure in reducing and delaying the peak of the outbreak. In this Editorial, starting from the ongoing Italian experience, we discuss direct and indirect effects of school closure on children's psychological health and learning. We also highlight the need for an \"on peace time\" planning of measures and strategies necessary to face the direct and indirect effect of this outbreak and other outbreaks, on children's psychological health.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"16 ","pages":"189-191"},"PeriodicalIF":0.0,"publicationDate":"2020-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38491835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Migrant Women-experiences from the Mediterranean Region.","authors":"Caterina La Cascia,&nbsp;Giulia Cossu,&nbsp;Jutta Lindert,&nbsp;Anita Holzinger,&nbsp;Thurayya Zreik,&nbsp;Antonio Ventriglio,&nbsp;Dinesh Bhugra","doi":"10.2174/1745017902016010101","DOIUrl":"https://doi.org/10.2174/1745017902016010101","url":null,"abstract":"<p><strong>Introduction: </strong>The phenomenon of migration is characterized and influenced by a number of different variables; and the different stages of journey are related to different levels and types of psychological distress. Women, in particular, are exposed to further specific risks during migration.</p><p><strong>Aim: </strong>To determine the factors that affect the psychological health of migrant women during the different stages of the migration journey.</p><p><strong>Methods: </strong>We provide a narrative review of the literature around the experiences of women during migration process, with a geographical focus on women migrating to the Mediterranean area.</p><p><strong>Results: </strong>Little data is currently available on the burden of mental health disorders for female migrants. Most studies about the mental health status of migrants were not gender-disaggregated or focused specifically on migrant women's experiences of violence. Sexual and Gender-Based Violence (SGBV) was found to be a common risk factor faced by all the women who leave their native country to migrate to other countries.</p><p><strong>Conclusion: </strong>Despite the importance of the issue and the gender-specific variables related to the experience of migrant women, few studies have looked specifically at psychological variables and mental health status in the female migrant population. It is crucial that future studies are conducted around female migration, violence towards women, and women's mental health, in order to provide an evidence-base for promoting adequate policies and prevention/treatment programs for women.</p>","PeriodicalId":35447,"journal":{"name":"Clinical Practice and Epidemiology in Mental Health","volume":"16 Suppl-1","pages":"101-108"},"PeriodicalIF":0.0,"publicationDate":"2020-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7536719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38465075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}