{"title":"Effects of prenatal cannabis use on fetal and neonatal development and its association with neuropsychiatric disorders: A systematic review","authors":"Sunil Kumar Daha , Pawan Sharma , Pankaj Kumar Sah , Anish Karn , Aashis Poudel , Bhishma Pokhrel","doi":"10.1016/j.npbr.2020.08.008","DOIUrl":"10.1016/j.npbr.2020.08.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Cannabis is one of the commonly used substances among women of childbearing age. The majority of the evidence points to the negative birth outcomes of maternal use of cannabis with some exceptions. This study aims to review the published literature on the effect of prenatal cannabis use in fetal and neonatal development. It also aims to identify neuropsychiatric manifestations among children due to prenatal cannabis use.</p></div><div><h3>Methodology</h3><p>We performed a systematic review of studies in PubMed/Medline, Google Scholar, and PsycINFO using the keywords: (\"Cannabis\" or \"Marijuana\" or \"THC\" or \"Tetrahydrocannabinol\" or \"Cannabis Sativa\") AND Pregnancy. All the case reports, case-series, case-control studies, cross-sectional studies, cohort studies, and Randomized Control Trials (RCTs) published in the English language were systematically reviewed.</p></div><div><h3>Results</h3><p>A total of 31 studies were included. The bulk of evidence supported significant adverse clinical outcomes among children with prenatal cannabis exposure. The major intrauterine effects included stillbirth and gestational hypertension. Pre-term birth, small for gestational age, low birth weight, and intensive care admission were early neonatal effects whereas lifetime conduct disorder, increased delinquency, depression, including neurobehavioral changes, substance abuse disorder during childhood, etc in offsprings were neuropsychiatric outcomes.</p></div><div><h3>Conclusion</h3><p>We recommend abstinence of cannabis in pregnant mothers in order to avoid any complication. Also, further studies from low and middle-income countries are warranted.</p></div>","PeriodicalId":49756,"journal":{"name":"Neurology Psychiatry and Brain Research","volume":"38 ","pages":"Pages 20-26"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.npbr.2020.08.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43028230","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}
Samantha J. Reznik , Joseph L. Sanguinetti , William J. Tyler , Chris Daft , John J.B. Allen
{"title":"A double-blind pilot study of transcranial ultrasound (TUS) as a five-day intervention: TUS mitigates worry among depressed participants","authors":"Samantha J. Reznik , Joseph L. Sanguinetti , William J. Tyler , Chris Daft , John J.B. Allen","doi":"10.1016/j.npbr.2020.06.004","DOIUrl":"10.1016/j.npbr.2020.06.004","url":null,"abstract":"<div><p>Transcranial ultrasound (TUS) provides a noninvasive neuromodulation method that has greater spatial precision than existing methods. The present study examined TUS, for the first time, as a potential depression intervention. Twenty-four college students with mild to moderate depression were randomly assigned to an Active TUS Condition or Placebo TUS (no power administered). Participants completed five TUS sessions within seven days. Although depression scores did not change differentially for TUS/Placebo, trait worry decreased in the Active TUS Condition and increased in the Placebo condition. Additionally, those in TUS Active Condition had an increase in global affect over the course of the study, whereas those in the Placebo Condition did not. These results have significant implications for the potential utility of TUS as an intervention for anxiety disorders or worry-related psychopathology, warranting future investigation of the impact of TUS in a larger sample.</p></div>","PeriodicalId":49756,"journal":{"name":"Neurology Psychiatry and Brain Research","volume":"37 ","pages":"Pages 60-66"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.npbr.2020.06.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48878643","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}
Desmond Aroke , Yacouba N. Mapoure , Therese Nicole Fouda Mbarga , Christian A. Dimala , Valery K. Danwe , Alfred K. Njamnshi , Siméon-Pierre Choukem
{"title":"Prevalence and factors associated with depression among type 2 diabetes patients in a Reference Hospital in Cameroon","authors":"Desmond Aroke , Yacouba N. Mapoure , Therese Nicole Fouda Mbarga , Christian A. Dimala , Valery K. Danwe , Alfred K. Njamnshi , Siméon-Pierre Choukem","doi":"10.1016/j.npbr.2020.08.005","DOIUrl":"10.1016/j.npbr.2020.08.005","url":null,"abstract":"<div><h3>Background</h3><p>Depression is the most common psychiatric disorder in patients with diabetes. We aimed to investigate the prevalence and factors associated with depression in patients with type 2 diabetes and to assess the relationship between depression and attainment of treatment targets.</p></div><div><h3>Methods</h3><p>In this cross-sectional study, we included patients with type 2 diabetes who were receiving chronic care in the outpatient diabetes unit of the Douala General Hospital, Cameroon. Depression was assessed using the 9-Item-Patient Health Questionnaire (PHQ-9). Logistic regression models were used to identify independent associations.</p></div><div><h3>Results</h3><p>Of the 177 participants, 52 (29.4 %, 95 % CI: 22.8–36.7) had depression. In bivariate analysis factors associated with depression were; age > 48 years, physical inactivity, major life event, pill burden (≥5 medication types and ≥7 tablets/day), nephropathy and neuropathy. In multivariate analysis neuropathy (aOR: 3.25, 95 % CI: 1.47–7.19; p = 0.004) and major life event (aOR: 8.38, 95 % CI: 2.79–25.15; p < 0.001) were independently associated with depression. Depression was independently associated with HbA1c > 7 % (aOR: 2.50, 95 % CI: 1.23–5.00; p = 0.010).</p></div><div><h3>Conclusion</h3><p>Depression is common in this group of Cameroonians with type 2 diabetes and is strongly associated with major life event, neuropathy and poor glycaemic control. Our results portray the need to systematically screen and manage depression in patients with type 2 diabetes in this setting.</p></div>","PeriodicalId":49756,"journal":{"name":"Neurology Psychiatry and Brain Research","volume":"37 ","pages":"Pages 123-128"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.npbr.2020.08.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43360099","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}
Salimeh Yarahmadzehi , Hamed Fanaei , Mohammad Ali Mirshekar , Ali Reza Atashpanjeh
{"title":"Opium consumption exerts protective effect against cerebral ischemia through reducing inflammation and enhancing antioxidant defense in male rats","authors":"Salimeh Yarahmadzehi , Hamed Fanaei , Mohammad Ali Mirshekar , Ali Reza Atashpanjeh","doi":"10.1016/j.npbr.2020.05.005","DOIUrl":"10.1016/j.npbr.2020.05.005","url":null,"abstract":"<div><h3>Objective</h3><p>Brain ischemia is an arterial vascular disorder, the second cause of death in the world. In this study, the effect of oral consumption of opium on the inflammation status, oxidative stress, infarction volume and neurological function after stroke in male rats were investigated.</p></div><div><h3>Materials and methods</h3><p>A total of 48 male Wistar rats were randomly assigned into three groups: 1- Sham group: these rats underwent sham surgery. 2- Stroke group: rats of this group underwent 2 h transient focal cerebral ischemia. 3- Opium group: opium administration began eight days before the ischemia, and then rats were underwent 2 h of transient focal cerebral ischemia. After that, the rats were evaluated for neurological impairment 24 h after stroke. The cerebral edema and infarct volume were evaluated by Image j software, and the concentration of total antioxidant capacity (TAC), Malondialdehyde (MDA), TNF-α, and C-reactive protein (CRP) of the brain tissue were measured as an indicator of inflammation and oxidative stress.</p></div><div><h3>Results</h3><p>TAC concentration in the opium group was significantly higher than of stroke group. Also, the TNF-α, CRP and MDA concentrations in the opium group were significantly lower than stroke group. The degree of cerebral edema and infarct volume in the opium group was significantly lower than stroke group. Moreover, the opium group had better neurological performance than the stroke group.</p></div><div><h3>Conclusion</h3><p>Based on the results of this study, the use of opium by enhancing the antioxidant capacity and decreasing inflammation after cerebral ischemia can reduce the extent of damage.</p></div>","PeriodicalId":49756,"journal":{"name":"Neurology Psychiatry and Brain Research","volume":"37 ","pages":"Pages 15-20"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.npbr.2020.05.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41998762","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}
Asmae Chekira , Siham Bouchal , Toufik Tabril , Rim El Amrani , Chadya Aarab , Rachid Aalouane , Mohammed Faouzi Belahsen
{"title":"Psychogenic pseudoptosis: Case report with review of literature","authors":"Asmae Chekira , Siham Bouchal , Toufik Tabril , Rim El Amrani , Chadya Aarab , Rachid Aalouane , Mohammed Faouzi Belahsen","doi":"10.1016/j.npbr.2020.06.006","DOIUrl":"10.1016/j.npbr.2020.06.006","url":null,"abstract":"<div><h3>Background</h3><p>Conversion disorder or functional neurological disorder is a psychiatric condition in which the body’s emotional and psychological stressors are converted to physical symptoms that cannot be explained by a neurological or medical condition. Psychogenic pseudoptosis is a rare manifestation of conversion disorder that present a major challenge in terms of diagnosis and treatment.</p></div><div><h3>Case description</h3><p>A 36-year-old woman presented with acquired left ptosis and longstanding generalized weakness. She denied any toxic substance exposure, insect bites, recent travel or family history of neurological disease. The neurological examination was normal except for an atypical left ptosis with eyebrow droop and inability to walk. However, electrophysiological investigations were normal. The presence of dissociative symptoms and the improvement after starting pharmacotherapy in combination with psychotherapy led to the diagnosis of conversion disorder.</p></div><div><h3>Conclusion</h3><p>After the exclusion of organic causes, the conversion disorder must be considered in the differential diagnosis of acquired ptosis, especially when accompanied by eyebrows droop sign and a suggestive psychological context.</p></div>","PeriodicalId":49756,"journal":{"name":"Neurology Psychiatry and Brain Research","volume":"37 ","pages":"Pages 91-94"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.npbr.2020.06.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41781221","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}
Angelyn O. Fairchild , Eva G. Katz , Shelby D. Reed , F. Reed Johnson , Allitia DiBernardo , David Hough , Jaskaran Sing , Bennett Levitan
{"title":"Patient preferences for ketamine-based antidepressant treatments in treatment-resistant depression: Results from a clinical trial and panel","authors":"Angelyn O. Fairchild , Eva G. Katz , Shelby D. Reed , F. Reed Johnson , Allitia DiBernardo , David Hough , Jaskaran Sing , Bennett Levitan","doi":"10.1016/j.npbr.2020.05.003","DOIUrl":"10.1016/j.npbr.2020.05.003","url":null,"abstract":"<div><h3>Background</h3><p>Novel ketamine-based pharmacotherapies can reduce depressive symptoms among patients with treatment-resistant depression (TRD), but associated short-term symptoms and potential adverse events raise complex benefit-risk questions.</p></div><div><h3>Methods</h3><p>A web-based discrete-choice experiment was administered to 161 esketamine-treated TRD subjects participating in the SUSTAIN-2 and SUSTAIN-3 clinical-trials; and to 301 online panel participants. Participants evaluated hypothetical depression treatments defined by varying levels of improvement in depression symptoms; time to response; transient post-dose issues (dissociation, dizziness, monitoring requirements, and driving restrictions); and potential long-term risks of ulcerative cystitis and cognitive impairment previously reported from ketamine abuse.</p></div><div><h3>Results</h3><p>The clinical-trial and panel respondents had similar preferences. On average, the 54 % of clinical-trial and 64 % of panel respondents who accepted benefit-risk tradeoffs placed the highest value on improving depression symptoms (relative importance = 10) and the least importance on avoiding transient post-dose issues (relative importance <3). Clinical-trial respondents were willing to accept risks of permanent cognitive impairment up to 4.7 % [95 % CI: 3.5 % – >5.0 %] or ulcerative cystitis higher than the survey’s maximum 5 % level to improve their depression symptoms from MADRS-40 (severe) equivalent to MADRS-20 (moderate) equivalent; panel respondents accepted somewhat lower risks (P>.05).</p></div><div><h3>Conclusions</h3><p>Most patients and panelists indicated a willingness to accept significant ulcerative cystitis or cognitive risks to realize improvements in depression, with few differences between samples. Avoiding transient post-dose issues with esketamine was of relatively little concern to most participants.</p></div>","PeriodicalId":49756,"journal":{"name":"Neurology Psychiatry and Brain Research","volume":"37 ","pages":"Pages 67-78"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.npbr.2020.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46383044","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":"Auditory hallucination leading to compulsive washing behavior in schizophrenia: Unveiling the missing link","authors":"Mohit Jain, Sujita Kumar Kar, Asish Kumar","doi":"10.1016/j.npbr.2020.06.001","DOIUrl":"10.1016/j.npbr.2020.06.001","url":null,"abstract":"<div><h3>Background</h3><p><span><span>Obsessive-compulsive symptoms can be seen in patients with </span>schizophrenia. Association of obsessive-compulsive symptoms in schizophrenia can be a co-morbid association or can be induced by the </span>antipsychotic medications too.</p></div><div><h3>Method</h3><p>We present here a lady with schizophrenia whose repeated washing behavior. The significance of the psychopathology and its implications in management are discussed with review of literature.</p></div><div><h3>Result</h3><p>The patient was initially thought to be having obsessive-compulsive symptoms, which was later found to be the result of commanding auditory hallucinations.</p></div><div><h3>Conclusion</h3><p>Obsessive compulsive symptoms in schizophrenia can be secondary to core schizophrenia psychopathology like auditory hallucination.</p></div>","PeriodicalId":49756,"journal":{"name":"Neurology Psychiatry and Brain Research","volume":"37 ","pages":"Pages 41-42"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.npbr.2020.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45434339","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":"Bipolar depression had more atypical depressive symptoms in comparison with unipolar depression","authors":"Cai-Lan Hou , Sheng-Jun Zhang , Xie Chen , Zhuo-Hui Huang , Cheng-Jia Yang , Fu-Jun Jia , Ming-Zhi Xu","doi":"10.1016/j.npbr.2020.05.006","DOIUrl":"10.1016/j.npbr.2020.05.006","url":null,"abstract":"<div><h3>Background</h3><p>Depressive patients with atypical symptoms tend to cause greater functional impairment. This study examined the differences of the atypical depressive symptoms between unipolar and bipolar depressive patients (BP I and BP II).</p></div><div><h3>Methods</h3><p>We studied 466 depressed patients (262 unipolar and 204 bipolar subjects, in which 122 BP I depression, 82 BP II depression) diagnosed with DSM-IV criteria. Atypical depressive symptoms were also evaluated with DSM-IV criteria for atypical features specifier. Binary logistic regression was used to examine the associations of atypical depressive symptoms with depressive disorders after control of confounding variables.</p></div><div><h3>Results</h3><p>The prevalence with any atypical depressive symptoms in unipolar depressive disorder was 32.8 % (86/262), and in bipolar depression was 44.6 % (91/204), X<sup>2</sup> = 6.76, P = 0.009. In stepwise binary logistic regression analysis, patients with bipolar depression had more females, more positive psychiatric history, more weight gain or increase in appetite, more interpersonal rejection sensitivity, and more visual values of severest pain.</p></div><div><h3>Limitations</h3><p>The participants recruited were both inpatients and outpatients in one major hospital which might influence the generality of the study. The cross-sectional research methods can't work out causality.</p></div><div><h3>Conclusions</h3><p>Bipolar depression and major depressive disorder exhibit subtle differences in presentation, which may help guide the early intervention, initial diagnosis and the choice of therapy.</p></div>","PeriodicalId":49756,"journal":{"name":"Neurology Psychiatry and Brain Research","volume":"37 ","pages":"Pages 104-109"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.npbr.2020.05.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44128798","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 buying: An insight from the content analysis of media reports during COVID-19 pandemic","authors":"S.M. Yasir Arafat , Sujita Kumar Kar , Vikas Menon , Charanya Kaliamoorthy , Srijeeta Mukherjee , Angi Alradie-Mohamed , Pawan Sharma , Marthoenis Marthoenis , Russell Kabir","doi":"10.1016/j.npbr.2020.07.002","DOIUrl":"10.1016/j.npbr.2020.07.002","url":null,"abstract":"<div><h3>Background</h3><p>Panic buying is an emerging phenomenon observed during, but not restricted to, pandemic.</p></div><div><h3>Aim</h3><p>We aimed to evaluate the nature, extent, and impact of panic buying as reported in the media.</p></div><div><h3>Methods</h3><p>This study was conducted by collecting the information from the English media reports published till 22nd May 2020. A structured format was developed to collect data. Searching was done by using the keyword “panic buying”. We have excluded the social media posts discussing the panic buying.</p></div><div><h3>Results</h3><p>The majority of media reporting was from the USA (40.7 %), and about 46 % of reports highlighted the scarce item. Approximately 82 % of the reports presented the causes of panic buying whereas almost 80 % report covered the impact of it. About 25.7 % of reports highlighted the rumor about panic buying and only 9.3 % of reports blamed the government. Only 27.1 % reports described the remedial measures, 30.8 % reports conferred the news on the psychology behind panic buying and 67.3 % news displayed the images of empty shelves.</p></div><div><h3>Conclusion</h3><p>A high proportion of reports on panic buying have been found from the developed countries discussing the causes & impact of panic buying on the basis of expert opinion.</p></div>","PeriodicalId":49756,"journal":{"name":"Neurology Psychiatry and Brain Research","volume":"37 ","pages":"Pages 100-103"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.npbr.2020.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38295033","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}