Annals of Clinical Psychiatry最新文献_第3页

A longitudinal follow-up study of Oklahoma City bombing survivors in the first quarter century after the disaster. 对俄克拉荷马城爆炸案幸存者在灾难发生后的前25年进行的纵向跟踪研究。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-05-01 DOI: 10.12788/acp.0095

Carol S North, Katy McDonald, David E Pollio

{"title":"A longitudinal follow-up study of Oklahoma City bombing survivors in the first quarter century after the disaster.","authors":"Carol S North, Katy McDonald, David E Pollio","doi":"10.12788/acp.0095","DOIUrl":"https://doi.org/10.12788/acp.0095","url":null,"abstract":"Background: This study is one of the longest postdisaster prospective longitudinal studies of disaster-related psychopathology, completed nearly a quarter century after a terrorist bombing, and the longest follow-up study ever conducted using full diagnostic assessment in highly exposed disaster survivors.Methods: Oklahoma City bombing survivors (87% injured) were randomly selected from a state survivor registry and interviewed approximately 6 months postdisaster (N = 182; 71% participation) and again nearly 25 years later (N = 103; 72% participation). Interviews were conducted using the Diagnostic Interview Schedule (a structured interview assessing full diagnostic criteria) for panic disorder, generalized anxiety disorder, and substance use disorder at baseline and also for posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) at follow-up. The Disaster Supplement assessed disaster trauma exposure and subjective experience.Results: At follow-up, 37% of participants exhibited bombing-related PTSD (34% at baseline) and 36% had MDD (23% at baseline). More new cases of PTSD than MDD developed over time. Nonremission rates were 51% for bombing-related PTSD and 33% for MDD. One-third of participants reported long-term nonemployability.Conclusions: The presence of long-term medical problems among survivors parallels the persistence of psychopathology. Ongoing medical problems might have contributed to psychiatric morbidity. Because no major variables predicted remission from bombing-related PTSD and MDD, all survivors with postdisaster psychopathology likely need access to long-term evaluation and care.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9580541","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

Learning and achievement characteristics of sheltered homeless population subgroups. 庇护流浪人口亚群的学习与成就特征。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-05-01 DOI: 10.12788/acp.0108

Carol S North, Melissa Black, Sheila Gokul, David E Pollio, Faith M Scofield, Paul J Handal, Barry A Hong

{"title":"Learning and achievement characteristics of sheltered homeless population subgroups.","authors":"Carol S North, Melissa Black, Sheila Gokul, David E Pollio, Faith M Scofield, Paul J Handal, Barry A Hong","doi":"10.12788/acp.0108","DOIUrl":"https://doi.org/10.12788/acp.0108","url":null,"abstract":"Background: There is little systematic information about intelligence and academic achievement among sheltered homeless adults. This study adds descriptive data on intelligence and academic achievement, examines discrepancies across these concepts, and explores the associations among demographic and psychosocial characteristics in the context of intelligence categories and discrepancies.Methods: We studied intelligence, academic achievement, and discrepancies between IQ and academic achievement among 188 individuals experiencing homelessness who were systematically recruited from a large, urban, 24-hour homeless recovery center. Participants completed structured interviews, urine drug testing, the Wechsler Abbreviated Scale of Intelligence, and the Wide Range Achievement Test, 4th edition.Results: Average full-scale intelligence was low average (90) but higher than scores obtained in other studies of homeless populations. Academic achievement was lower than average (82 to 88). Performance/math deficits in the higher intelligence group indicate functional difficulties that could have contributed to homeless risk.Conclusions: The low-normal intelligence and below-average achievement scores are not extreme enough to warrant immediate attention and intervention for most individuals. Systematic screening during entry into homeless services might identify learning strengths and weaknesses, presenting modifiable factors that could be addressed in focused educational/vocational interventions.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10149611","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

Temperament in trichotillomania and skin picking disorder. 毛手毛脚症和抠皮症的气质。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-05-01 DOI: 10.12788/acp.0096

Jon E Grant, Stephanie Valle, Ibrahim Aslan, Eve K Chesivoir, Samuel R Chamberlain

{"title":"Temperament in trichotillomania and skin picking disorder.","authors":"Jon E Grant, Stephanie Valle, Ibrahim Aslan, Eve K Chesivoir, Samuel R Chamberlain","doi":"10.12788/acp.0096","DOIUrl":"10.12788/acp.0096","url":null,"abstract":"Background: Trichotillomania (TTM) and skin picking disorder (SPD) result in significant psychosocial burden. Despite this burden, however, risk factors related to the development of these disorders remain unclear. The present study assessed temperament in a well-characterized sample of adults with TTM or SPD.Methods: A total of 202 adults age 18 to 65 were enrolled; 44 had TTM, 30 had SPD, and 128 served as controls. Participants completed the self-report Tridimensional Personality Questionnaire (TPQ) to examine the severity of TTM and SPD symptoms, quality of life, and temperament. Group differences were characterized and correlations with other measures were examined.Results: Compared to controls, those with TTM or SPD scored significantly higher on harm avoidance and its subscales, with TTM associated with higher scores than SPD. Those with TTM or SPD scored significantly higher on only 1 measure of novelty seeking (extravagance). Higher TPQ harm avoidance correlated with worse hair pulling severity and worse quality of life.Conclusions: The temperament traits of participants with TTM or SPD differed in significant ways from controls; those with TTM or SPD generally demonstrated similar trait profiles. A dimensional approach to the personalities of those with TTM or SPD may offer insight and provide clues to treatment strategies.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7614459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COVID-19 and catatonia: Prevalence, challenges, pathophysiology, and treatment. COVID-19和紧张症:患病率、挑战、病理生理学和治疗。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-05-01 DOI: 10.12788/acp.0109

Joan Oh, Puneet Chawla Sahota, Tarannum Mohammadi, Basant K Pradhan, Maju Mathew Koola

{"title":"COVID-19 and catatonia: Prevalence, challenges, pathophysiology, and treatment.","authors":"Joan Oh, Puneet Chawla Sahota, Tarannum Mohammadi, Basant K Pradhan, Maju Mathew Koola","doi":"10.12788/acp.0109","DOIUrl":"https://doi.org/10.12788/acp.0109","url":null,"abstract":"Background: Emerging literature supports the association between acute COVID-19 infection and neuropsychiatric complications. This article reviews the evidence for catatonia as a potential neuropsychiatric sequela of COVID-19 infection.Methods: PubMed was searched using the terms catatonia, severe acute respiratory syndrome coronavirus 2, and COVID-19. Articles were limited to those published in the English language between 2020 and 2022. Forty-five articles that specifically studied catatonia associated with acute COVID-19 infection were screened.Results: Overall, 30% of patients with severe COVID-19 infection developed psychiatric symptoms. We found 41 cases of COVID-19 and catatonia, with clinical presentations that varied in onset, duration, and severity. One death was reported in a case of catatonia. Cases were reported in patients with and without a known psychiatric history. Lorazepam was successfully used, along with electroconvulsive therapy, antipsychotics, and other treatments.Conclusions: Greater recognition and treatment of catatonia in individuals with COVID-19 infection is warranted. Clinicians should be familiar with recognizing catatonia as a potential outcome of COVID-19 infection. Early detection and appropriate treatment are likely to lead to better outcomes.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9580542","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

An accelerated course of TMS using intermittent theta burst for veterans with major depressive disorder: A case series. 使用间歇性θ波爆发的经颅磁刺激加速过程对患有重度抑郁症的退伍军人:一个病例系列。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-05-01 DOI: 10.12788/acp.0110

Zachary D Zuschlag, Laura Bajor, Kimberly Van Trees, Sean Philips, Greg Sullivan, Christine Burke, F Andrew Kozel

{"title":"An accelerated course of TMS using intermittent theta burst for veterans with major depressive disorder: A case series.","authors":"Zachary D Zuschlag, Laura Bajor, Kimberly Van Trees, Sean Philips, Greg Sullivan, Christine Burke, F Andrew Kozel","doi":"10.12788/acp.0110","DOIUrl":"https://doi.org/10.12788/acp.0110","url":null,"abstract":"Background: Transcranial magnetic stimulation (TMS) is a neuro-modulation technique for treatment-resistant major depressive disorder (MDD). Standard TMS protocols for MDD involve once-daily treatment for 6 to 9 weeks. We report a case series of an accelerated TMS protocol for outpatient MDD treatment.Methods: From July 2020 through January 2021, patients deemed appropriate candidates for TMS treatment were offered an accelerated TMS protocol consisting of intermittent theta burst stimulation (iTBS) applied to the left dorsolateral prefrontal cortex, localized by the Beam F3 method, and consisting of 5 treatments daily for 5 days. Assessment scales were obtained as part of standard clinical care.Results: A total of 19 veterans received the accelerated protocol and 17 completed treatment. Statistically significant mean reductions from baseline to end of treatment were observed across all assessment scales. Remission and response rates, as defined by changes in Montgomery-Åsberg Depression Rating Scale scores, were 47.1% and 64.7%, respectively. Treatments were well tolerated without unexpected or serious adverse events.Conclusions: This case series details the safety and efficacy of an accelerated iTBS TMS protocol consisting of 25 treatments over 5 days. Improved depressive symptoms were observed, with remission and response rates similar to standard TMS protocols of daily TMS for ≥6 weeks.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573808","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: 2

Electroconvulsive therapy complicated by ventricular fibrillation: A case report. 电休克治疗并发心室颤动1例。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-05-01 DOI: 10.12788/acp.0105

Brandon Neisewander, Nicholas Trapp

引用次数: 0

Prolonged psychosis with reformulated methamphetamine. 重新配制的甲基苯丙胺延长精神病。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-05-01 DOI: 10.12788/acp.0104

Elizabeth Yeske, Sarah McQuaide, Tyler Q Ruch, Brenda L Goetz, Rif S El-Mallakh, Christina L Terrell

引用次数: 1

Electroconvulsive therapy plus lithium is associated with less cognitive impairment and drug-induced delirium in bipolar depression compared to unipolar depression. 与单极抑郁症相比，电惊厥治疗加锂与双相抑郁症的认知障碍和药物性谵妄相关。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-05-01 DOI: 10.12788/acp.0107

Nagy A Youssef, Neha Madangarli, Anil Bachu, Rikinkumar S Patel

{"title":"Electroconvulsive therapy plus lithium is associated with less cognitive impairment and drug-induced delirium in bipolar depression compared to unipolar depression.","authors":"Nagy A Youssef, Neha Madangarli, Anil Bachu, Rikinkumar S Patel","doi":"10.12788/acp.0107","DOIUrl":"https://doi.org/10.12788/acp.0107","url":null,"abstract":"Background: Although major depressive disorder (MDD) and bipolar depression can present with similar symptoms, biological differences exist. One difference is the possible variance in adverse effects associated with treatment. This study examined the association of cognitive impairment and delirium in patients treated with electroconvulsive therapy (ECT) plus lithium for MDD or bipolar depression.Methods: The Nationwide Inpatient Sample included 210 adults receiving ECT plus lithium. Descriptive statistics and a Chi-square test were used to evaluate the differences between mild cognitive impairment and drug-induced delirium for those with MDD or bipolar depression. We calculated the odds ratio (OR) for drug-induced delirium in inpatients with MDD (compared to inpatients with bipolar depression) using a binomial logistic regression model.Results: Mild cognitive impairment was observed in 9.1% of patients with MDD (n = 110), compared to 0 in bipolar depression (n = 100) (P = .002). Drug-induced delirium was more prevalent in MDD (OR 1.19; 95% CI, 1.11 to 1.30).Conclusions: ECT plus lithium is associated with less cognitive impairment and drug-induced delirium in bipolar depression compared to MDD. This study may also support biological differences between the 2 types of depression.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9580539","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: 1

Travails of psychiatric genetics. 精神病遗传学的苦难。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-05-01 DOI: 10.12788/acp.0103

Richard Balon

引用次数: 0

The American Psychiatric Association Publishing Textbook of Anxiety, Trauma, and OCD-Related Disorders. Third Edition. 美国精神病学协会出版焦虑、创伤和强迫症相关疾病教科书。第三版。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2023-02-01

James Allen Wilcox

引用次数: 0