Annals of Clinical Psychiatry最新文献_第7页

Deconstructing childhood conduct and adult antisocial criteria for the diagnosis of antisocial personality disorder. 解构儿童行为和成人反社会标准诊断反社会人格障碍。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-05-01 DOI: 10.12788/acp.0063

C. North, Vinay Kotamarti, D. Pollio

{"title":"Deconstructing childhood conduct and adult antisocial criteria for the diagnosis of antisocial personality disorder.","authors":"C. North, Vinay Kotamarti, D. Pollio","doi":"10.12788/acp.0063","DOIUrl":"https://doi.org/10.12788/acp.0063","url":null,"abstract":"BACKGROUND\u0000Antisocial personality disorder (ASPD) is a serious psychiatric disorder that can be incapacitating and costly to individuals and society. The ASPD diagnosis has 2 main components, childhood conduct problems and adult antisocial behaviors, with specific age requirements. The nosological effects of these criteria on population subgroups defined by these aspects of the criteria have not been fully explored.\u0000\u0000\u0000METHODS\u0000Data for ASPD were analyzed for 3,498 individuals in the St Louis, Missouri, site of the Epidemiologic Catchment Area study of general population psychiatric disorders collected in the early 1980s using structured diagnostic interviews for DSM-III criteria. Effects of the criteria on population subgroups defined by various combinations of the criteria were examined.\u0000\u0000\u0000RESULTS\u0000Earlier-onset conduct disorder was more severe than later-onset childhood conduct disorder, with more total childhood and adult symptoms and negative psychosocial adult outcomes (substance use disorders, criminality, and homelessness). Three subgroups with adult antisocial behaviors (differentiated by no conduct disorder, later-onset conduct disorder, and earlier-onset conduct disorder meeting ASPD criteria) were similar in numbers of adult antisocial symptoms, but the ASPD subgroup had more negative psychosocial adult outcomes.\u0000\u0000\u0000CONCLUSIONS\u0000These findings provide evidence for and against reconsideration of the 15-year age-of-onset requirement for conduct symptoms in ASPD criteria.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"7 1","pages":"97-105"},"PeriodicalIF":1.3,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87219293","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

The psychiatrist in scrubs. 穿着外科医生服的精神病医生。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-05-01 DOI: 10.12788/acp.0066

M. Morrissette

引用次数: 0

Anxiety, depression, and rejection towards parents among individuals who grew up in a hoarded home. 焦虑、抑郁和对父母的排斥在一个封闭的家庭中长大。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-02-01 DOI: 10.12788/acp.0053

Andrew G Guzick, Suzanne Chabaud, Cecilia Garrett, Eric A Storch

{"title":"Anxiety, depression, and rejection towards parents among individuals who grew up in a hoarded home.","authors":"Andrew G Guzick, Suzanne Chabaud, Cecilia Garrett, Eric A Storch","doi":"10.12788/acp.0053","DOIUrl":"https://doi.org/10.12788/acp.0053","url":null,"abstract":"Background: Limited research has investigated parent-child conflict and mental health among adult children of parents with hoarding problems.Methods: Four hundred fourteen participants who reported clinically significant parental hoarding completed assessments of parental hoarding characteristics (clutter, insight, difficulty discarding), feelings of rejection towards their parent, depression, and generalized anxiety. These latter 3 variables were retrospectively rated across childhood (age 0 to 12), adolescence (age 13 to 20), young adulthood (age 21 to 29), and adulthood (age ≥30 years). Path analyses assessed mediated relationships.Results: More than one-half of respondents endorsed clinically significant generalized anxiety, and more than one-third endorsed clinically significant depressive symptoms across ages, with highest rates during adolescence. Parental insight was related to rejection across ages, and clutter was related to rejection from adolescence through adulthood. Rejection was significantly positively related to depressive symptoms and generalized anxiety in childhood and adolescence and to depressive symptoms in young adulthood. Poor insight was significantly indirectly related to depressive symptoms through rejection across childhood and adolescence and to generalized anxiety in childhood.Conclusions: Results suggest that parental hoarding may be a risk factor for anxiety and depression. Feelings of rejection towards parents may account for the link between parental hoarding and psychological distress, particularly between poor insight and depressive symptoms.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"34 1","pages":"77-88"},"PeriodicalIF":1.3,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10728291","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

Psychiatry Update Winter 冬季精神病学更新

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-02-01 DOI: 10.12788/acp.0060

引用次数: 0

Paula Jean Winkler Clayton, MD (1934-2021). Paula Jean Winkler Clayton，医学博士(1934-2021)。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-02-01 DOI: 10.12788/acp.0057

C. Rich, L. Cunningham

引用次数: 0

Psychiatry Update Winter Abstract Compendium 精神病学冬季更新摘要纲要

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-02-01

引用次数: 0

Psychotherapy for personality disorders is underfunded. 人格障碍的心理治疗资金不足。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2021-11-01 DOI: 10.12788/acp.0043

Joel Paris, Donald W Black

引用次数: 2

Artificial intelligence to aid detection and diagnostic accuracy of mood disorders and predict suicide risk: A systematic review. 人工智能有助于情绪障碍的检测和诊断准确性，并预测自杀风险:系统综述。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2021-11-01 DOI: 10.12788/acp.0041

Sahithi Edavally, D Doug Miller, Nagy A Youssef

{"title":"Artificial intelligence to aid detection and diagnostic accuracy of mood disorders and predict suicide risk: A systematic review.","authors":"Sahithi Edavally, D Doug Miller, Nagy A Youssef","doi":"10.12788/acp.0041","DOIUrl":"https://doi.org/10.12788/acp.0041","url":null,"abstract":"Background: Mood disorders often are diagnosed by clinical interview, yet many cases are missed or misdiagnosed. Mood disorders increase the risk of suicide, making it imperative to diagnose and treat these disorders quickly. Artificial intelligence (AI) has been investigated for diagnosing mood disorders, but the merits of the literature have not been evaluated. This systematic review aims to understand and explain AI methods and evaluate their use in augmenting clinical diagnosis of mood disorders as well as identifying individuals at increased suicide risk.Methods: We conducted a systematic literature review of all studies until August 1, 2020 examining the efficacy of different AI techniques for diagnosing mood disorders and identifying individuals at increased suicide risk because of a mood disorder.Results: Our literature search generated 13 studies (10 of mood disorders and 3 describing suicide risk) where AI techniques were used. Machine learning and artificial neural networks were most commonly used; both showed merit in helping to diagnose mood disorders and assess suicide risk.Conclusions: The data shows that AI methods have merit in improving the diagnosis of mood disorders as well as identifying suicide risk. More research is needed for bipolar disorder because only 2 studies explored this condition, and it is often misdiagnosed. Although only a few AI techniques are discussed in detail in this review, there are many more that can be employed, and should be evaluated in future studies.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"33 4","pages":"270-281"},"PeriodicalIF":1.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39536564","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

Psychometric properties of the Generalized Anxiety Disorder 7-item scale in youth: Screening in a primary care sample. 青少年广泛性焦虑障碍7项量表的心理测量特征:初级保健样本的筛选。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2021-11-01 DOI: 10.12788/acp.0047

Jennifer L Hughes, Bruce D Grannemann, Joseph M Trombello, W Blake Martin, Anne K Fuller, Madhukar H Trivedi

{"title":"Psychometric properties of the Generalized Anxiety Disorder 7-item scale in youth: Screening in a primary care sample.","authors":"Jennifer L Hughes, Bruce D Grannemann, Joseph M Trombello, W Blake Martin, Anne K Fuller, Madhukar H Trivedi","doi":"10.12788/acp.0047","DOIUrl":"https://doi.org/10.12788/acp.0047","url":null,"abstract":"Background: Anxiety disorders in youth are frequently underdiagnosed and untreated, partly due to a lack of screening in primary care. The Generalized Anxiety Disorder 7-item (GAD-7) scale is a brief self-report measure designed to screen for anxiety in primary care settings. However, little is known about the psychometrics of this scale with adolescents.Methods: Participants included 579 youth age 11 to 17 years who received screening for depression in a primary care setting through a web-based application, VitalSign6, over a 4-year period. Psychometric analyses were completed based on classical test theory (CTT) and item response theory (IRT).Results: Using CTT and IRT methods, the GAD-7 has a unidimensional structure with good psychometric properties. In addition, the IRT analysis demonstrates that items 1 and 2 are strongly associated with the total score, and thus are good choices as a 2-item screening tool. Convergent validity was demonstrated, with high correlations between the GAD-7 and other measures of anxiety, and discriminant validity was also demonstrated, with low correlations to measures of other psychological states.Conclusions: This psychometric evaluation of the GAD-7 provides support for the utility of this measure with adolescents. The GAD-2 is a good estimate of GAD-7 total score.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"33 4","pages":"241-250"},"PeriodicalIF":1.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39536198","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: 6

Characteristics of patients who had deep brain stimulation for treatment-resistant depression from among 116,890 inpatients with major depressive disorder. 116,890例重度抑郁症住院患者中接受脑深部电刺激治疗难治性抑郁症的患者特征

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2021-11-01 DOI: 10.12788/acp.0045

Nagy A Youssef, Sonia Ann Marie F Dela Cruz, Patricio Riva-Posse, Rikinkumar S Patel

{"title":"Characteristics of patients who had deep brain stimulation for treatment-resistant depression from among 116,890 inpatients with major depressive disorder.","authors":"Nagy A Youssef, Sonia Ann Marie F Dela Cruz, Patricio Riva-Posse, Rikinkumar S Patel","doi":"10.12788/acp.0045","DOIUrl":"https://doi.org/10.12788/acp.0045","url":null,"abstract":"Background: The aims of this study were to evaluate the characteristics of patients and the pattern and rate of use of deep brain stimulation (DBS) for major depressive disorder (MDD) in the United States.Methods: Data from the 2012-2014 Nationwide Inpatient Sample (NIS) included 116,890 patients. Patient variables included age, gender, race, median household income, insurance, primary diagnosis, primary procedure, length of stay, and total cost. Hospital variables included ownership, location, teaching status, bed size, and geographic region.Results: Patients who received DBS for MDD were primarily high- income White females with private insurance. The mean age was 49.1 years (SD 7.85). The length of inpatient stay was 1 to 1.6 days. Total cost was highest in the West and lowest in the Northeast. Deep brain stimulation was mostly used by private nonprofit urban teaching hospitals in the South region of the United States.Conclusions: Deep brain stimulation was used in .03% of the total inpatient population with a primary diagnosis of MDD. If efficacy is established in definitive trials, DBS could fill a need for patients with treatment-resistant depression who do not respond to standard therapeutics or electro-convulsive therapy.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"33 4","pages":"251-257"},"PeriodicalIF":1.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39536562","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