Journal of Clinical Psychiatry最新文献_第7页

Dark Was the Night: Sleep Alterations as Proximal Markers for Suicide Risk. 黑暗的夜晚睡眠变化是自杀风险的近端标志。

IF 5.3 2区医学

Journal of Clinical Psychiatry Pub Date : 2024-06-03 DOI: 10.4088/JCP.24com15359

Pierre A Geoffroy

引用次数: 0

Longitudinal Trajectories of Depressive Symptoms and Their Associations With Risks of Underweight and Obesity in Women: A Population-Based Longitudinal Study in Korea. 抑郁症状的纵向轨迹及其与女性体重不足和肥胖风险的关系：韩国人口纵向研究》。

IF 5.3 2区医学

Journal of Clinical Psychiatry Pub Date : 2024-06-03 DOI: 10.4088/JCP.24m15247

Seong-Uk Baek, Yu-Min Lee, Jong-Uk Won, Jin-Ha Yoon

{"title":"Longitudinal Trajectories of Depressive Symptoms and Their Associations With Risks of Underweight and Obesity in Women: A Population-Based Longitudinal Study in Korea.","authors":"Seong-Uk Baek, Yu-Min Lee, Jong-Uk Won, Jin-Ha Yoon","doi":"10.4088/JCP.24m15247","DOIUrl":"https://doi.org/10.4088/JCP.24m15247","url":null,"abstract":"Objective: We explored depressive symptom trajectories and their associations with underweight and obesity in Korean women.Methods: This prospective cohort study involved 7,691 women enrolled in the Korean Longitudinal Survey of Women and Families, with a follow-up period spanning from 2014 to 2020. Depressive symptoms were evaluated through the 10-item version of the Center of Epidemiologic Studies Depression Scale. Growth mixture modeling was employed to identify trajectories of depressive symptoms. Multinomial logistic regressions were conducted to investigate the correlation between depression trajectories and the evolving risks of underweight and obesity over the study period.Results: Five distinct trajectory classes were observed (\"persistent low symptoms\": N = 5,236, 68.1%; \"decreasing symptoms\": N = 930, 12.1%; \"transient high symptoms\": N = 421, 5.5%; \"increasing symptoms\" N = 825, 10.7%; and \"persistent high symptoms\": N = 279, 3.6%). Those with a low socioeconomic status, comorbidity, and who were divorced or widowed were more likely to follow the persistent high symptom trajectory. Among the 5 trajectories, the risks of underweight and obesity steadily increased in women following the trajectory with persistent high symptoms. For these women, the odds ratio (OR) of underweight increased from 2.27 (95% CI, 1.32-3.92) in 2014 to 3.39 (1.91-6.05) in 2020. They were not associated with obesity in 2014 (OR [95% CI]: 1.38 [0.61-3.11]) but exhibited an elevated risk of obesity in 2020 (3.76 [1.97-7.17]).Conclusion: We observed considerable heterogeneity in the trajectories of depressive symptoms among women, and individuals with persistent high depressive symptoms face an escalating risk of both underweight and obesity.","PeriodicalId":50234,"journal":{"name":"Journal of Clinical Psychiatry","volume":"85 2","pages":""},"PeriodicalIF":5.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Co-occurrence of Depression and Obesity: Implications for Clinical Practice and the Discovery of Targeted and Precise Mechanistically Informed Therapeutics. 抑郁症与肥胖症并存：对临床实践和发现有针对性的精确机制治疗方法的影响》。

IF 5.3 2区医学

Journal of Clinical Psychiatry Pub Date : 2024-06-03 DOI: 10.4088/JCP.24com15322

Roger S McIntyre

引用次数: 0

Interpersonal Psychotherapy for Posttraumatic Stress Disorder: A Critical Review of the Evidence. 创伤后应激障碍的人际心理疗法：对证据的批判性评述》。

IF 5.3 2区医学

Journal of Clinical Psychiatry Pub Date : 2024-05-29 DOI: 10.4088/JCP.23nr15172

John C Markowitz

{"title":"Interpersonal Psychotherapy for Posttraumatic Stress Disorder: A Critical Review of the Evidence.","authors":"John C Markowitz","doi":"10.4088/JCP.23nr15172","DOIUrl":"10.4088/JCP.23nr15172","url":null,"abstract":"Importance: Extensively researched, exposure-focused therapies have dominated the treatment of posttraumatic stress disorder (PTSD). No treatment benefits all patients. Interpersonal psychotherapy (IPT), a nonexposure, affect-focused treatment, has emerged over 2 decades as an alternative evidence-based PTSD intervention.Objective: This narrative review critically assesses IPT outcomes for PTSD. Time limited IPT focuses on affect toleration and the interpersonal consequences of trauma rather than on reconstructing the trauma narrative and exposure to traumatic cues.Evidence Review: The author searched the outcome literature on IPT for adults with syndromal PTSD and drew upon personal involvement in studies since 2001. Subsyndromal PTSD studies and 1 adolescent trial were excluded.Findings: Thirteen published studies of IPT targeted PTSD in individual and group formats for 592 civilians (n = 8, 6 randomized controlled trials [RCTs]) and 187 military veterans (n = 5, 1 RCT). Some trials had methodological limitations. IPT surpassed outcomes of waiting lists and other weak controls and was noninferior to evidence-based PTSD treatments including Prolonged Exposure (n = 2) and sertraline (n = 1). Depression and other outcomes improved. The RCTs demonstrate IPT efficacy for PTSD and allow preliminary exploration of outcome mediators and moderators and differential therapeutics.Conclusion: While the number of studies remains limited, research by multiple investigators in differing populations supports the efficacy of IPT as a non trauma-focused PTSD treatment and justifies its inclusion in PTSD treatment guidelines. More research is necessary to determine how IPT compares to exposure-focused treatments in patient preference, attrition, and response for PTSD comorbid with major depression or due to sexual trauma.","PeriodicalId":50234,"journal":{"name":"Journal of Clinical Psychiatry","volume":"85 2","pages":""},"PeriodicalIF":5.3,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing Postpartum Psychosis Care With Qualitative Research: Current Findings and Future Directions. 通过定性研究加强产后精神病护理：当前发现与未来方向》。

IF 5.3 2区医学

Journal of Clinical Psychiatry Pub Date : 2024-05-29 DOI: 10.4088/JCP.24com15305

Lauren A Kobylski, Huynh-Nhu Le, Marlene P Freeman, Lee S Cohen, Rachel Vanderkruik

引用次数: 0

Risk for Suicide and Homicide Peaks at Night: Findings From the National Violent Death Reporting System, 35 States, 2003-2017. 夜间自杀和杀人风险达到高峰：全国暴力死亡报告系统的调查结果，35 个州，2003-2017 年。

IF 5.3 2区医学

Journal of Clinical Psychiatry Pub Date : 2024-05-29 DOI: 10.4088/JCP.23m15207

Andrew S Tubbs, Fabian-Xosé Fernandez, Elizabeth B Klerman, Jordan F Karp, Mathias Basner, Subhajit Chakravorty, Ellen Watkins, Michael L Perlis, Michael A Grandner

{"title":"Risk for Suicide and Homicide Peaks at Night: Findings From the National Violent Death Reporting System, 35 States, 2003-2017.","authors":"Andrew S Tubbs, Fabian-Xosé Fernandez, Elizabeth B Klerman, Jordan F Karp, Mathias Basner, Subhajit Chakravorty, Ellen Watkins, Michael L Perlis, Michael A Grandner","doi":"10.4088/JCP.23m15207","DOIUrl":"https://doi.org/10.4088/JCP.23m15207","url":null,"abstract":"Objective: The Mind after Midnight hypothesis proposes that nocturnal wakefulness increases the risk for dysregulated behaviors. Prior studies highlight a greater risk for suicide at night after adjusting for population wakefulness. How this risk varies hour to hour, differs across subgroups, or applies to other behaviors is unknown.Methods: Data on 78,647 suicides and 50,526 homicides from the National Violent Death Reporting System were combined with population wakefulness data for 2003-2017 from the American Time Use Survey. Hourly incident risk ratios (IRRs) were estimated after adjusting for population wakefulness. Two-way analysis of variances identified significant time-by-subgroup interactions that were quantified in post hoc analyses.Results: Suicide counts peaked at 12:00 PM, while homicide counts peaked at 10:00- 11:00 PM. Adjusting for demographics and population wakefulness revealed a 5-fold greater risk for suicide at 3:00 AM (aIRR: 5.20 [4.74-5.70]) and an 8-fold greater risk for homicide at 2:00 AM (aIRR: 8.04 [6.35-10.2]). Hourly risk for suicide varied by age, ethnicity, blood alcohol level, and current partner conflict. Hourly risk for homicide varied by sex and blood alcohol level.Conclusions: Risk for suicide and homicide is greater at night than expected based on the number of people awake at that time. Nighttime risk was greater among young adults and those intoxicated with alcohol, but not among those with a history of suicidal ideation or attempts. Further research should evaluate mechanisms of risk and confirm these findings at an individual level.","PeriodicalId":50234,"journal":{"name":"Journal of Clinical Psychiatry","volume":"85 2","pages":""},"PeriodicalIF":5.3,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Long Road Toward Equitable MDMA Treatment in the United States. 美国实现摇头丸公平治疗的漫漫长路。

IF 5.3 2区医学

Journal of Clinical Psychiatry Pub Date : 2024-05-29 DOI: 10.4088/JCP.23com15224

Zofia Kozak, Scott T Aaronson

引用次数: 0

Evidence-Based Benzodiazepine Practice Guidelines Are Needed. 需要以证据为基础的苯二氮卓实践指南。

IF 5.3 2区医学

Journal of Clinical Psychiatry Pub Date : 2024-05-27 DOI: 10.4088/JCP.24lr15306

Breanna Sigler, Bernard Silvernail, Alexis D Ritvo, Christy Huff, D E Foster, Reid Finlayson, Jolene Bressi, Peter R Martin

引用次数: 0

Concerns About Long-Term Benzodiazepine Treatment and the State of the Evidence: Reply to Sigler et al. 对苯二氮卓类药物长期治疗的担忧和证据现状：对 Sigler 等人的答复

IF 4.5 2区医学

Journal of Clinical Psychiatry Pub Date : 2024-05-27 DOI: 10.4088/JCP.24lr15306a

Edward Silberman, Antonio E Nardi, Vladan Starcevic, Richard Balon, Fiametta Cosci, Giovanni A Fava, Carl Salzman, Richard Shader, Nicoletta Sonino

引用次数: 0

How to Value a Life Without Limits: Quantifying Suffering With Quality-Adjusted Life-Years in Social Anxiety Disorder. 如何珍惜没有限制的人生：用社交焦虑症患者的 "质量调整生命年 "量化痛苦。

IF 5.3 2区医学

Journal of Clinical Psychiatry Pub Date : 2024-05-27 DOI: 10.4088/JCP.23com15379

John L Havlik, Taeho Greg Rhee

引用次数: 0