Annals of Clinical Psychiatry最新文献_第7页

Creutzfeldt-Jakob disease presenting as catatonia with desaturation on lorazepam challenge. 克雅氏病在劳拉西泮刺激下表现为紧张症伴低饱和度。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-08-01 DOI: 10.12788/acp.0077

Himangshu Rathinakumar, Clayton Schutz, Ross Smith, Brandi R French, Eman Mhadi, Kimberly Brandt

引用次数: 2

Krankheitsreste: The residual signs of catatonia. A case series. 龟裂症:紧张症的残余症状。一个案例系列。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-08-01 DOI: 10.12788/acp.0073

Brendan T Carroll, Stephen L Scott, Heather P M Theibert, Bojan Slavnic, Krishna D Vellanki

{"title":"Krankheitsreste: The residual signs of catatonia. A case series.","authors":"Brendan T Carroll, Stephen L Scott, Heather P M Theibert, Bojan Slavnic, Krishna D Vellanki","doi":"10.12788/acp.0073","DOIUrl":"https://doi.org/10.12788/acp.0073","url":null,"abstract":"Background: Catatonic signs were first described by 19th- and 20th-century researchers. An important concept known as \"Krankheitsreste,\" or the residual signs of catatonia, was described by Kraepelin in 1896. Modern researchers describe patients who demonstrate \"partial response to the treatment of catatonia with residual signs.\" Kraepelin observed that these signs occurred between catatonic episodes as part of the natural course of illness. Modern psychiatrists see residual signs after intervention or treatment. The determination of residual signs of catatonia is necessary to evaluate the most effective treatment approach to the patient.Methods: In this case series, we describe 3 patients whose catatonia improved with treatment, but each exhibited continued residual signs of the syndrome. Appropriate consent was obtained from the patients and we identified the varying levels of catatonic signs using the Bush-Francis Catatonia Rating Scale (BFCRS) and the KANNER scale.Results: Scores on both the BFCRS and KANNER scale decreased on followup in all 3 patients, with varying levels of success. The BFCRS score for the patient in Case 1 dropped 4 points upon follow-up, and their score on Part 2 of the KANNER scale decreased 12 points. The patient in Case 2 experienced a 5-point drop in their BFCRS score at follow-up and their score on Part 2 of the KANNER scale decreased 4 points. In Case 3, the patient's BFCRS score dropped 10 points at follow-up and their score on Part 2 of the KANNER scale decreased 20 points.Conclusions: These 3 patients demonstrate Krankheitsreste, or \"partial response to the treatment of catatonia with residual signs.\" Each patient had a developmental disorder and 2 had autism spectrum disorder. They exhibited improved self-care and greater independence and required less restrictive living environments.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"34 3","pages":"192-196"},"PeriodicalIF":1.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40604812","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

Dissociation and psychopathology in Kenyan survivors of a terrorist bombing. 肯尼亚恐怖爆炸幸存者的精神分裂和精神病理学。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-08-01 DOI: 10.12788/acp.0076

Ala Ustyol, Josh M Raitt, C Robert Cloninger, Carol S North

{"title":"Dissociation and psychopathology in Kenyan survivors of a terrorist bombing.","authors":"Ala Ustyol, Josh M Raitt, C Robert Cloninger, Carol S North","doi":"10.12788/acp.0076","DOIUrl":"https://doi.org/10.12788/acp.0076","url":null,"abstract":"Background: Dissociation is a serious psychological condition that is characterized as a pathological outcome of trauma-related experience. Thus, dissociation could be expected to develop in survivors of disaster trauma and to be associated with trauma exposure and psychopathology.Methods: A sample of 278 disaster-affected Kenyans was assessed 8 to 10 months after the 1998 terrorist bombing of the US Embassy in Nairobi for a study of trauma-related psychopathology and dissociation in the context of personality and culture. Instruments of assessment were the Diagnostic Interview Schedule, the Dissociative Experiences Scale, and the Temperament and Character Inventory.Results: Dissociation appeared to represent a largely nonpathological response to the disaster experience that reflected personality variables and a cultural context.Conclusions: These findings suggest that dissociation encountered in disaster-exposed groups in this cultural setting does not necessarily represent psychopathology, but attention to dissociative responses might help clinicians identify and provide interventions for individuals experiencing distressing intrusive and hyperarousal symptoms.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"34 3","pages":"183-191"},"PeriodicalIF":1.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40626375","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 2022 Spring Abstract Compendium. 精神病学更新2022春季摘要纲要。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-08-01

引用次数: 0

Neurobehavioral follow-up of children exposed to selective serotonin reuptake inhibitors in utero. 子宫内暴露于选择性血清素再摄取抑制剂的儿童的神经行为随访。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-08-01 DOI: 10.12788/acp.0074

Lee S Cohen, Sinéad M Rhodes, Lauren D Claypoole, Lina Góez-Mogollón, Alexandra Z Sosinsky, Danna Moustafa, Olivia B Noe, Sara A McElheny, Laura J Cheng, Johanna R Bick, Marlene P Freeman, Charles A Nelson

{"title":"Neurobehavioral follow-up of children exposed to selective serotonin reuptake inhibitors in utero.","authors":"Lee S Cohen, Sinéad M Rhodes, Lauren D Claypoole, Lina Góez-Mogollón, Alexandra Z Sosinsky, Danna Moustafa, Olivia B Noe, Sara A McElheny, Laura J Cheng, Johanna R Bick, Marlene P Freeman, Charles A Nelson","doi":"10.12788/acp.0074","DOIUrl":"https://doi.org/10.12788/acp.0074","url":null,"abstract":"Background: Systematic data regarding long-term neurobehavioral effects of maternal antidepressant use during pregnancy are sparse. The aim of this study was to evaluate the impact of gestational exposure to antidepressants on later neurodevelopmental function.Methods: This study describes a cohort of mother-child dyads (44 mothers, 54 children) in which maternal depressive symptoms and medication exposures were prospectively collected across pregnancy and the postpartum period. Children age 6 to 17 were assessed using validated instruments across domains of childhood behavior and executive memory and functioning.Results: No associations were found between maternal use of selective serotonin reuptake inhibitors (SSRIs) during pregnancy and atypical neurodevelopment of children. Borderline clinical or clinical ranges of internalizing symptoms were associated with exposure to a higher maternal depressive symptom burden during pregnancy compared with those in the normal range. Compared with age- and sex-matched controls, the SSRI-exposed group showed superior performance on executive function tasks; findings did not demonstrate elevated risk for abnormal neurodevelopment in children age 6 to 17 exposed to SSRIs in utero. Deviations from the norm were instead associated with higher in utero exposure to maternal depression burden.Conclusions: This study highlights the need for rigorous studies of long-term outcomes after fetal antidepressant exposure.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"34 3","pages":"197-206"},"PeriodicalIF":1.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40626376","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 need to clarify professional terminology in psychiatry. 澄清精神病学专业术语的必要性。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-08-01 DOI: 10.12788/acp.0079

Carol S North, Betty Pfefferbaum

引用次数: 0

Repetitive transcranial magnetic stimulation for generalized anxiety and panic disorders: A systematic review and meta-analysis 重复经颅磁刺激治疗广泛性焦虑和惊恐障碍:系统回顾和荟萃分析

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-05-01 DOI: 10.12788/acp.0067

J. Cox

引用次数: 3

Treatment engagement of depressed patients with and without psychosis in a partial hospital program: Dropout, symptom reduction, and satisfaction. 部分医院项目中伴有和不伴有精神病的抑郁症患者的治疗参与:退出、症状减轻和满意度。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-05-01 DOI: 10.12788/acp.0062

Madeline Ward, M. Zimmerman

{"title":"Treatment engagement of depressed patients with and without psychosis in a partial hospital program: Dropout, symptom reduction, and satisfaction.","authors":"Madeline Ward, M. Zimmerman","doi":"10.12788/acp.0062","DOIUrl":"https://doi.org/10.12788/acp.0062","url":null,"abstract":"BACKGROUND\u0000The ways patients with psychosis and depression engage in therapeutic treatment is not well understood. To determine if an intensive outpatient psychotherapy program could benefit patients experiencing psychotic symptoms, it is important to know how these individuals engage with psychotherapeutic treatment.\u0000\u0000\u0000METHODS\u0000The present study from the Rhode Island Hospital Methods to Improve Diagnostic Assessment and Services (MIDAS) project compared dropout rates, treatment response, and satisfaction among 219 individuals with psychosis and major depressive disorder (MDD) to 2,545 individuals with MDD at a general, Acceptance and Commitment Therapy-based partial hospital program (PHP).\u0000\u0000\u0000RESULTS\u0000Those with psychosis were significantly less likely to complete treatment. Approximately one-fifth of all patients experienced at least a 50% reduction in depressive and anxiety symptoms. The vast majority of patients with psychosis were highly satisfied with treatment.\u0000\u0000\u0000CONCLUSIONS\u0000Findings suggest patients with psychosis have a higher risk of premature dropout. Patients with psychosis demonstrated a reduction in symptoms during PHP treatment and self-reported high satisfaction with treatment. This study calls for the implementation of practices to reduce premature dropout for patients with psychosis, and for future research on the effectiveness of general psychiatric treatment for those with psychotic symptoms.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"136 1","pages":"106-113"},"PeriodicalIF":1.3,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80433731","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

Sexual tactile hallucinations in a patient with obsessive-compulsive disorder. 强迫症患者的性触觉幻觉。

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-05-01 DOI: 10.12788/acp.0064

F. Elghazouani, H. Hlal

引用次数: 0

Mechanisms of new-onset psychosis during the COVID-19 pandemic: What ignited the fire? COVID-19大流行期间新发精神病的机制:是什么点燃了火?

IF 1.3 4区医学

Annals of Clinical Psychiatry Pub Date : 2022-05-01 DOI: 10.12788/acp.0065

S. C. Mourani, R. Khoury, E. Ghossoub

{"title":"Mechanisms of new-onset psychosis during the COVID-19 pandemic: What ignited the fire?","authors":"S. C. Mourani, R. Khoury, E. Ghossoub","doi":"10.12788/acp.0065","DOIUrl":"https://doi.org/10.12788/acp.0065","url":null,"abstract":"BACKGROUND\u0000The coronavirus disease 2019 (COVID-19) pandemic has been associated with the emergence of various psychiatric illnesses, although very little literature has focused on the effect of COVID-19 on psychosis. Preliminary data have shown possible increases in new-onset psychosis.\u0000\u0000\u0000METHODS\u0000Using MEDLINE, we performed a review of the current literature to identify the mechanisms by which pandemics may increase psychosis risk and generate evidence-based recommendations to control surges of psychosis. We identified 85 relevant studies, of which 34 were case reports on psychosis during the COVID-19 pandemic.\u0000\u0000\u0000RESULTS\u0000Underlying mechanisms of psychosis include \"direct viral mechanisms,\" such as neuroinflammation linked with the coronavirus, and \"nonviral mechanisms,\" such as stress, isolation, and uncertainty.\u0000\u0000\u0000CONCLUSIONS\u0000Improvement of our understanding of the pathophysiology of psychosis related to COVID-19 along with implementation of strategies to fight against stress and social isolation in addition to awareness campaigns regarding new-onset psychotic symptoms are much needed to optimize early detection and management of psychosis.","PeriodicalId":50770,"journal":{"name":"Annals of Clinical Psychiatry","volume":"112 1","pages":"123-135"},"PeriodicalIF":1.3,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79223097","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: 3