Annals of Clinical Psychiatry最新文献

Treatment options for methamphetamine-associated catatonia. 甲基苯丙胺相关紧张症的治疗方案。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-11-01 DOI: 10.12788/acp.0128

Brendan T Carroll, Joel Hassell, Abdullah Ali

引用次数: 0

In Memoriam: William (Bill) R. Yates, MD, and Russell (Russ) Noyes, MD. William（Bill）R.Yates，医学博士和Russell（Russ）Noyes，医学博士。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-11-01 DOI: 10.12788/acp.0121

Donald W Black

引用次数: 0

Problematic internet use and suicidal behavior in adolescents: A review. 青少年有问题的网络使用和自杀行为：综述。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-11-01 DOI: 10.12788/acp.0119

Edith Jolin, Ronald Weller

{"title":"Problematic internet use and suicidal behavior in adolescents: A review.","authors":"Edith Jolin, Ronald Weller","doi":"10.12788/acp.0119","DOIUrl":"10.12788/acp.0119","url":null,"abstract":"Background: Suicide is a leading cause of death in adolescents. Problematic internet use (PIU) has been associated with suicidal behavior in this age group. To assess this association, we reviewed population-based studies that examined the relationship between PIU and suicidal behavior.Methods: We searched PubMed, PsycINFO, and Web of Science for studies published in English from 1995 through 2021. Only studies with the stated aim to examine the relationship between PIU and suicidal behavior in participants age 13 through 18 were included. Also, each study had to include a measure of internet overuse with resultant impairment/distress. To minimize selection bias, studies with convenience samples were excluded.Results: Seven cross-sectional studies with at least 9,500 participants each met the inclusion/exclusion criteria. Five assessed both suicidal ideation and suicide attempts and 2 examined suicidal ideation only. All studies found a statistically significant association between suicidal behavior and PIU. Effect sizes were mostly in the minimal to small range.Conclusions: All 7 studies supported a positive relationship between PIU and suicidal ideation and suicide attempts, which could be clinically important. Longitudinal studies with improved methodology are needed to identify risk factors and determine whether PIU is causally related to suicidality.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"35 4","pages":"272-279"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Posttraumatic stress disorder comorbidity in patients undergoing ECT for major depressive disorder. 接受ECT治疗的重度抑郁症患者的创伤后应激障碍合并症。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-11-01 DOI: 10.12788/acp.0115

Nagy A Youssef, Leon Brodsky, Rikinkumar S Patel

{"title":"Posttraumatic stress disorder comorbidity in patients undergoing ECT for major depressive disorder.","authors":"Nagy A Youssef, Leon Brodsky, Rikinkumar S Patel","doi":"10.12788/acp.0115","DOIUrl":"10.12788/acp.0115","url":null,"abstract":"Background: Posttraumatic stress disorder (PTSD) is not recognized as an indication for electroconvulsive therapy (ECT). However, research indicates promise for this treatment modality. To elucidate the effects of ECT for treating PTSD, prospective research is needed. The first step in assessing the feasibility of such research is to determine if many patients being treated with ECT have comorbid PTSD. This study examined the PTSD comorbidity rates and compared demographic data among patients with major depressive disorder (MDD) who were treated with ECT vs patients with MDD who were not treated with ECT.Methods: Data from patients with MDD were obtained from the Nationwide Inpatient Sample.Results: Approximately 10% of patients undergoing ECT for MDD also had PTSD. The difference in comorbidity of PTSD in those treated with ECT vs those not treated with ECT was approximately 1%.Conclusions: Prospective naturalistic studies that examine the response of PTSD to ECT are feasible because a sizable number of patients with PTSD are receiving ECT.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"35 3","pages":"223-227"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9958593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Vitamin D levels among adult psychiatric inpatients and the association with psychosis. 成年精神病住院患者的维生素D水平及其与精神病的关系。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-11-01 DOI: 10.12788/acp.0126

Hossam Guirgis, Anne-Marie Duchemin, Sophia Vargo, Nagy A Youssef

{"title":"Vitamin D levels among adult psychiatric inpatients and the association with psychosis.","authors":"Hossam Guirgis, Anne-Marie Duchemin, Sophia Vargo, Nagy A Youssef","doi":"10.12788/acp.0126","DOIUrl":"10.12788/acp.0126","url":null,"abstract":"Background: The association between low vitamin D levels and mental illness has been described in earlier research. The aim of our study was to examine the association between vitamin D levels with psychotic symptoms among hospitalized patients.Methods: A total of 1,456 patient records from an academic psychiatric hospital were examined. Vitamin D levels were classified as normal (>30 ng/mL); insufficient (20 to 30 ng/mL); and deficient (<20 ng/mL). We then analyzed the association among vitamin D groups and symptoms of psychosis.Results: The average vitamin D level in our sample was 23.59 ng/mL, with 76.2% of patients presenting with vitamin D levels <30 ng/mL. There was a significant association between vitamin D levels <20 ng/mL and symptoms of psychosis (P < .05). African American patients had lower mean vitamin D levels than White patients (15.6 ± 0.2 ng/mL vs 25.8 ± 0.4 ng/mL, P < .001). There was no sex difference in vitamin D levels (females: 23.3 ± 11.5 ng/mL; males: 23.9 ± 11.0 ng/mL).Conclusions: Patients with vitamin D levels <30 ng/mL were 1.5 times more likely to have symptoms of psychosis. Patients who were African American, Hispanic, Asian, or biracial had lower vitamin D levels than patients who were White. Multivariate analysis found that after adjusting for age, sex, and race, the association between vitamin D and psychosis was not statistically significant. Possible explanations could include the known tendency to overdiagnose psychosis among individuals who are African American, referral bias, subgroup effect, or an epiphenomenon.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"35 4","pages":"238-245"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Trichotillomania in sexual minority individuals. 性少数群体中的拔毛癖。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-11-01 DOI: 10.12788/acp.0125

Jon E Grant, Madison Collins, Samuel R Chamberlain, Dustin Ehsan

{"title":"Trichotillomania in sexual minority individuals.","authors":"Jon E Grant, Madison Collins, Samuel R Chamberlain, Dustin Ehsan","doi":"10.12788/acp.0125","DOIUrl":"10.12788/acp.0125","url":null,"abstract":"Background: Trichotillomania is a common psychiatric disorder, but little is known about whether or how it differs in people with minority sexual identities. We sought to understand whether lesbian, gay, bisexual, and other individuals differ from heterosexual individuals in terms of hair pulling and associated characteristics.Methods: A total of 207 participants age 18 to 64 with trichotillomania undertook clinical evaluations. Those who identified as sexual minorities were compared to those who identified as heterosexuals on clinical measures, comorbidities, impulsivity, and stress responses.Results: Overall, 33 participants (15.9%) identified as sexual minorities. These individuals showed significantly higher levels of attentional impulsivity and higher rates of co-occurring obsessive-compulsive disorder compared to heterosexual participants. The groups did not differ in terms of trichotillomania severity or dysfunction due to trichotillomania or in terms of stress response CONCLUSIONS: The rate of sexual minorities in this study (15.9%) is higher than recent US Census Bureau data for sexual minorities in the US population (11.7%). People with trichotillomania from sexual minority groups may present with unique clinical symptoms. Treatments may need to be tailored for this population.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"35 4","pages":"246-250"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Protest behaviors among patients placed in seclusion in a psychiatric emergency service. 被隔离在精神病紧急服务中心的病人的抗议行为。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-11-01 DOI: 10.12788/acp.0124

Tyler Q Ruch, Chelsea Hoops, Rif S El-Mallakh, Christina Terrell

{"title":"Protest behaviors among patients placed in seclusion in a psychiatric emergency service.","authors":"Tyler Q Ruch, Chelsea Hoops, Rif S El-Mallakh, Christina Terrell","doi":"10.12788/acp.0124","DOIUrl":"10.12788/acp.0124","url":null,"abstract":"Background: Patients placed in seclusion for behavioral dyscontrol often perceive that the health care team is treating them inappropriately. These patients may express their indignation in many ways. To better characterize these behaviors, we conducted a study of protest behaviors in a psychiatric emergency service.Methods: Video surveillance of seclusion room occupants is routinely reviewed as part of our safety protocol. For 1 month in 2022, we noted the frequency and timing of potential protest behaviors such as disrobing and evacuation. Descriptive statistics were applied.Results: A total of 41 seclusion events (8.1%) occurred over the surveillance period, which included 504 initial emergency psychiatric evaluations. Six patients (14.6%) engaged in protest behaviors (all within 5 minutes of being placed in seclusion), including 3 (7.3%) who urinated and 3 (7.3%) who disrobed. One patient urinated almost immediately (2.4%), and another urinated 25 minutes after entering seclusion; the latter was not interpreted as a protest behavior.Conclusions: Immediate behaviors in seclusion that are different from behaviors that led to seclusion can be interpreted as protest behaviors. The 2 most often observed protest behaviors were urination and disrobing.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"35 4","pages":"234-237"},"PeriodicalIF":1.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 role of psychiatry in bariatric care. 精神病学在减肥护理中的作用。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-11-01 DOI: 10.12788/acp.0122

Richard Balon

引用次数: 0

Incongruous approach to addictions? 不协调的成瘾方法?

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-08-01 DOI: 10.12788/acp.0111

Richard Balon

引用次数: 0

Better than we think: Is the treatment of depressed patients more effective than we think? 比我们想象的好:抑郁症患者的治疗比我们想象的更有效吗?

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-08-01 DOI: 10.12788/acp.0117

Mark Zimmerman, Sin-Ying Lin

{"title":"Better than we think: Is the treatment of depressed patients more effective than we think?","authors":"Mark Zimmerman, Sin-Ying Lin","doi":"10.12788/acp.0117","DOIUrl":"https://doi.org/10.12788/acp.0117","url":null,"abstract":"Background: Most studies of depression treatment rely on measures of symptom severity to evaluate outcome. We hypothesized that many patients would consider themselves to have benefitted significantly from treatment despite not being considered a responder according to a measure of depression symptom severity (ie, 50% reduction in symptom score).Methods: In our study, 854 patients with major depressive disorder completed the Remission from Depression Questionnaire, a self-report measure that assesses several constructs patients consider to be relevant for assessing treatment outcome. At discharge, patients completed the Patient Global Rating of Improvement (PGI) to gauge effectiveness of treatment.Results: Less than 40% of patients were responders on the depressive symptom subscale, whereas two-thirds of the sample were PGI responders. Among patients who were PGI responders but nonresponders on the depression symptoms scale, more than one-half were responders on at least 1 of 4 nonsymptom domains (functioning, quality of life, coping ability, positive mental health).Conclusions: A patient-centered approach to evaluating outcome goes beyond an assessment of symptoms. When viewed from a broader perspective, the results of our study suggest that patients with depression benefit more from treatment than is suggested by only examining outcome from a symptom-based perspective.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"35 3","pages":"188-194"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9960665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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