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Should pregnant women with substance use disorders be managed differently? 是否应该对有药物使用障碍的孕妇进行不同的管理?
Neuropsychiatry Pub Date : 2012-01-25 DOI: 10.2217/npy.11.74
Verena Metz, Birgit Köchl, Gabriele Fischer
{"title":"Should pregnant women with substance use disorders be managed differently?","authors":"Verena Metz,&nbsp;Birgit Köchl,&nbsp;Gabriele Fischer","doi":"10.2217/npy.11.74","DOIUrl":"https://doi.org/10.2217/npy.11.74","url":null,"abstract":"<p><p>Pregnant women with substance use disorders have multiple special needs, which might be best managed within a multiprofessional treatment setting involving medical, psychological and social care. Adequate treatment provision remains a challenge for healthcare professionals, who should undergo special training and education when working with this patient population. Careful assessment and screening is necessary to tailor interventions individually to the woman's needs in order to achieve beneficial clinical outcomes for mothers and newborns, whereas the choice of treatment options highly depends on the type of substance of abuse and evidence-based treatment interventions available. Economic considerations have shown that early multiprofessional treatment might yield better clinical outcomes and save healthcare costs over the lifespan.</p>","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"2 1","pages":"29-41"},"PeriodicalIF":0.0,"publicationDate":"2012-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/npy.11.74","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31126198","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}
引用次数: 25
Attenuated psychosis and the schizophrenia prodrome: current status of risk identification and psychosis prevention. 减轻精神病和精神分裂症前驱症状:风险识别和精神病预防的现状。
Neuropsychiatry Pub Date : 2012-01-01 DOI: 10.2217/npy.12.36
Neeraj Tandon, Jai Shah, Matcheri S Keshavan, Rajiv Tandon
{"title":"Attenuated psychosis and the schizophrenia prodrome: current status of risk identification and psychosis prevention.","authors":"Neeraj Tandon,&nbsp;Jai Shah,&nbsp;Matcheri S Keshavan,&nbsp;Rajiv Tandon","doi":"10.2217/npy.12.36","DOIUrl":"10.2217/npy.12.36","url":null,"abstract":"<p><p>Recent efforts in the prevention of schizophrenia have focused on defining psychosis-risk syndromes and evaluating treatments that can prevent transition to psychosis in these ultra-high risk groups. In this review, different kinds of prevention approaches are enumerated and necessary conditions for a disease-prevention strategy are summarized. The broad overlap as well as the significant difference between a schizophrenia prodrome and a 'psychosis-risk syndrome' is discussed and the present status of approaches to identify individuals at increased risk for developing psychosis and schizophrenia are critically examined along with evaluations on therapeutic interventions to reduce these risks. Finally, to conclude, recommendations for current best clinical practice and key questions for the future are suggested.</p>","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"2 4","pages":"345-353"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/npy.12.36","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31026881","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}
引用次数: 54
Treatment of comorbid anxiety and autism spectrum disorders. 共病焦虑和自闭症谱系障碍的治疗。
Neuropsychiatry Pub Date : 2011-12-01 DOI: 10.2217/npy.11.62
Joshua Nadeau, Michael L Sulkowski, Danielle Ung, Jeffrey J Wood, Adam B Lewin, Tanya K Murphy, Jill Ehrenreich May, Eric A Storch
{"title":"Treatment of comorbid anxiety and autism spectrum disorders.","authors":"Joshua Nadeau,&nbsp;Michael L Sulkowski,&nbsp;Danielle Ung,&nbsp;Jeffrey J Wood,&nbsp;Adam B Lewin,&nbsp;Tanya K Murphy,&nbsp;Jill Ehrenreich May,&nbsp;Eric A Storch","doi":"10.2217/npy.11.62","DOIUrl":"https://doi.org/10.2217/npy.11.62","url":null,"abstract":"<p><p>Clinically significant anxiety occurs frequently among individuals with autism spectrum disorders (ASDs) and is linked to increased psychosocial, familial, behavioral and academic impairment beyond the core autism symptoms when present. Although efforts are underway to establish empirically supported treatments for anxiety among individuals with ASDs, this remains an emerging research area. This literature review summarizes available information on the efficacy of pharmacological and psychosocial approaches for treating anxiety and repetitive behaviors in children, adolescents and adults with ASDs. Specifically, we evaluate evidence for the use of cognitive-behavioral therapy and selective serotonin-reuptake inhibitors. Evidence is growing in support of using cognitive-behavioral therapy to treat anxiety in youths with ASDs; however, mixed evidence exists for its application in treating repetitive behaviors, as well as the use of selective serotonin-reuptake inhibitors for anxiety in youths with ASDs. We conclude the article with a discussion of the strength of current information and next steps in research.</p>","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":" ","pages":"567-578"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/npy.11.62","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40279863","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}
引用次数: 71
A perspective on the proposal for neurocognitive disorder criteria in DSM-5 as applied to HIV-associated neurocognitive disorders. 关于DSM-5中神经认知障碍标准的建议应用于hiv相关神经认知障碍的观点
Neuropsychiatry Pub Date : 2011-10-01 DOI: 10.2217/npy.11.57
Karl Goodkin, Francisco Fernandez, Marshall Forstein, Eric N Miller, James T Becker, Antoine Douaihy, Luis Cubano, Flavia H Santos, Nelson Silva Filho, Jorge Zirulnik, Dinesh Singh
{"title":"A perspective on the proposal for neurocognitive disorder criteria in DSM-5 as applied to HIV-associated neurocognitive disorders.","authors":"Karl Goodkin,&nbsp;Francisco Fernandez,&nbsp;Marshall Forstein,&nbsp;Eric N Miller,&nbsp;James T Becker,&nbsp;Antoine Douaihy,&nbsp;Luis Cubano,&nbsp;Flavia H Santos,&nbsp;Nelson Silva Filho,&nbsp;Jorge Zirulnik,&nbsp;Dinesh Singh","doi":"10.2217/npy.11.57","DOIUrl":"https://doi.org/10.2217/npy.11.57","url":null,"abstract":"<p><p>HIV-associated neurocognitive disorders remain common in the current era of effective antiretroviral therapy. However, the severity at presentation of these disorders has been reduced, and the typical manifestations have changed. A revision of the American Academy of Neurology (AAN) criteria has been made on this basis, and a revision of the analogous criteria by the American Psychiatric Association will be forthcoming in the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5. This article compares the relevant sets of diagnostic criteria that will be employed. It is concluded that a greater degree of integration of the revised, HIV-specific AAN criteria for HIV-associated neurocognitive disorders with the criteria proposed for the DSM-5 would prove advantageous for research, clinical, educational and administrative purposes.</p>","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"1 5","pages":"431-440"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/npy.11.57","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30798433","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}
引用次数: 9
Impulse control disorders in Parkinson's disease: clinical characteristics and implications. 帕金森病的冲动控制障碍:临床特征和意义。
Neuropsychiatry Pub Date : 2011-04-01 DOI: 10.2217/npy.11.11
Robert F Leeman, Marc N Potenza
{"title":"Impulse control disorders in Parkinson's disease: clinical characteristics and implications.","authors":"Robert F Leeman,&nbsp;Marc N Potenza","doi":"10.2217/npy.11.11","DOIUrl":"https://doi.org/10.2217/npy.11.11","url":null,"abstract":"<p><p>Impulse control disorders (ICDs), specifically those related to excessive gambling, eating, sex and shopping, have been observed in a subset of people with Parkinson's disease (PD). Although some initial case reports claimed that dopamine replacement therapies, particularly dopamine agonists, cause ICDs, more recent, larger and better controlled studies indicate a more complicated picture. While dopamine replacement therapy use is related to ICDs, other vulnerabilities, some related to PD and/or its treatment directly and others seemingly unrelated to PD, have also been associated with ICDs in PD. This suggests a complex etiology with multiple contributing factors. As ICDs occur in a sizable minority of PD patients and can be associated with significant distress and impairment, further investigation is needed to identify factors that can predict who may be more likely to develop ICDs. Clinical implications are discussed and topics for future research are offered.</p>","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"1 2","pages":"133-147"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/npy.11.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29967848","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}
引用次数: 35
Antisocial personality and bipolar disorder: interactions in impulsivity and course of illness. 反社会人格与双相情感障碍:冲动与病程的相互作用。
Neuropsychiatry Pub Date : 2011-01-01 DOI: 10.2217/npy.11.69
Alan C Swann
{"title":"Antisocial personality and bipolar disorder: interactions in impulsivity and course of illness.","authors":"Alan C Swann","doi":"10.2217/npy.11.69","DOIUrl":"https://doi.org/10.2217/npy.11.69","url":null,"abstract":"<p><p>Antisocial personality disorder (ASPD) and bipolar disorder are both characterized by impulsive behavior, increased incarceration or arrest, addictive disorders and suicidal behavior. These characteristics appear more severe in the combined disorders. Individuals with ASPD who also have bipolar disorder have higher rates of addictive disorders and suicidal behavior and are more impulsive, as measured by questionnaires or behavioral laboratory tests. Those with bipolar disorder who have ASPD have higher rates of addictive, criminal and suicidal behavior, earlier onset of bipolar disorder with a more recurrent and predominately manic course and increased laboratory-measured, but not questionnaire-rated, impulsivity. These characteristics may result in part from differential impulsivity mechanisms in the two disorders, with bipolar disorder driven more by excessive catecholamine sensitivity and ASPD by deficient serotonergic function.</p>","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"1 6","pages":"599-610"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/npy.11.69","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30377787","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}
引用次数: 21
Parallels in maturity: an ontogenetic view of mental hygiene. 成熟期的平行:心理卫生的个体发生观。
Neuropsychiatry Pub Date : 1953-01-01
A J BACHRACH
{"title":"Parallels in maturity: an ontogenetic view of mental hygiene.","authors":"A J BACHRACH","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"3 2","pages":"49-55"},"PeriodicalIF":0.0,"publicationDate":"1953-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22702864","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
Personality, life stress and myasthenia gravis. 人格、生活压力与重症肌无力。
Neuropsychiatry Pub Date : 1953-01-01
S L WERKMAN
{"title":"Personality, life stress and myasthenia gravis.","authors":"S L WERKMAN","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"3 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"1953-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22667035","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
The response of small children to continued psychic insult. 小孩子对持续的精神侮辱的反应。
Neuropsychiatry Pub Date : 1953-01-01
D F POWERS
{"title":"The response of small children to continued psychic insult.","authors":"D F POWERS","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"3 2","pages":"42-8"},"PeriodicalIF":0.0,"publicationDate":"1953-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22702863","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
The psychiatric implications of Jefferson's attitude toward freedom of the mind. 杰弗逊对思想自由态度的精神病学含义。
Neuropsychiatry Pub Date : 1953-01-01
D C WILSON
{"title":"The psychiatric implications of Jefferson's attitude toward freedom of the mind.","authors":"D C WILSON","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"3 2","pages":"31-41"},"PeriodicalIF":0.0,"publicationDate":"1953-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22702862","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
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