The Psychiatric quarterly最新文献_第5页

Artificial Intelligence and Chatbots in Psychiatry. 精神病学中的人工智能和聊天机器人。

IF 3.5

The Psychiatric quarterly Pub Date : 2022-03-01 Epub Date: 2022-02-25 DOI: 10.1007/s11126-022-09973-8

Kay T Pham, Amir Nabizadeh, Salih Selek

{"title":"Artificial Intelligence and Chatbots in Psychiatry.","authors":"Kay T Pham, Amir Nabizadeh, Salih Selek","doi":"10.1007/s11126-022-09973-8","DOIUrl":"https://doi.org/10.1007/s11126-022-09973-8","url":null,"abstract":"The utilization of artificial intelligence (AI) in psychiatry has risen over the past several years to meet the growing need for improved access to mental health solutions. Additionally, shortages of mental health providers during the COVID-19 pandemic have continued to exacerbate the burden of mental illness worldwide. AI applications already in existence include those enabled to assist with psychiatric diagnoses, symptom tracking, disease course prediction, and psychoeducation. Modalities of AI mental health care delivery include availability through the internet, smartphone applications, and digital gaming. Here we review emerging AI-based interventions in the form of chat and therapy bots, specifically conversational applications that teach the user emotional coping mechanisms and provide support for people with communication difficulties, computer generated images of faces that form the basis of avatar therapy, and intelligent animal-like robots with new advances in digital psychiatry. We discuss the implications of incorporating AI chatbots into clinical practice and offer perspectives on how these AI-based interventions will further impact the field of psychiatry.","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"249-253"},"PeriodicalIF":3.5,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8873348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39960655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 46

Suicide Mortality Rate as a Sustainable Development Goal (SDG): A Bibliometric Analysis. 自杀死亡率作为可持续发展目标:文献计量学分析。

IF 3.5

The Psychiatric quarterly Pub Date : 2022-03-01 Epub Date: 2020-11-19 DOI: 10.1007/s11126-020-09858-8

Bruno Filipe Coelho da Costa, André Ramalho, Manuel Gonçalves-Pinho, Alberto Freitas

{"title":"Suicide Mortality Rate as a Sustainable Development Goal (SDG): A Bibliometric Analysis.","authors":"Bruno Filipe Coelho da Costa, André Ramalho, Manuel Gonçalves-Pinho, Alberto Freitas","doi":"10.1007/s11126-020-09858-8","DOIUrl":"https://doi.org/10.1007/s11126-020-09858-8","url":null,"abstract":"Suicidal behaviors are a serious but potentially preventable cause of premature death. Increased awareness of the importance of mental health for global health has led to new initiatives, supported by the World Health Organization (WHO) and the United Nations (UN). The suicide mortality rate is one of the indicators covered in the UN's Sustainable Development Goal (SDG) 3. The aim of this study is to identify the scientific production and its temporal evolution related to the suicide mortality rate indicator in the context of mental disorders and as one of the SDG. A bibliometric analysis was performed in Scopus to assess the related research on suicide mortality rate, including on the context of the third SDG, from inception to September 2, 2020. The set of articles were analyzed for bibliometric measures. A total of 3126 documents about mental health and suicide mortality rate on the context of SDG were collected. Articles were the predominant type of literature on this area (78.3%), with significant expression on the last years, more evident around 2015, the year of adoption of SDGs. Despite a large volume of evidence, the debate about suicide mortality rate as an indicator of SDG is still very sparse suggesting a need for better consensus on its evaluation methods. This study presents useful characteristics for the formulation of new studies and provides specific targets for the construction or improvement of public policies on the context of the SDGs for further discussion on this strategy proposed by the UN.","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"15-26"},"PeriodicalIF":3.5,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11126-020-09858-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38623407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Methods and Strategies for Reducing Seclusion and Restraint in Child and Adolescent Psychiatric Inpatient Care. 减少儿童和青少年精神病住院护理中隔离和约束的方法和策略。

IF 3.5

The Psychiatric quarterly Pub Date : 2022-03-01 Epub Date: 2021-02-25 DOI: 10.1007/s11126-021-09887-x

Charlotta Perers, Beata Bäckström, Björn Axel Johansson, Olof Rask

{"title":"Methods and Strategies for Reducing Seclusion and Restraint in Child and Adolescent Psychiatric Inpatient Care.","authors":"Charlotta Perers, Beata Bäckström, Björn Axel Johansson, Olof Rask","doi":"10.1007/s11126-021-09887-x","DOIUrl":"https://doi.org/10.1007/s11126-021-09887-x","url":null,"abstract":"Restraints and seclusions are restrictive interventions used in psychiatric inpatient units when there is an imminent risk of harm to the patient or others. Coercive measures are controversial and can lead to negative consequences, including negative emotions, re-traumatization, injuries, or death. The article summarizes the last 10 years of literature regarding methods and strategies used for reducing seclusions and restraints in child and adolescent psychiatric inpatient units, and reports on their outcomes. The literature was reviewed by searching PubMed and PsycInfo for English-language articles published between May 2010 and May 2020. Eighteen articles were found that described methods or strategies aimed at reducing restraint or seclusion utilization in child and adolescent psychiatric inpatient units. The following interventions were evaluated: Trauma-Informed Care (TIC), Six Core Strategies, Child and Family Centered Care (CFCC), Collaborative & Proactive Solutions (CPS), Strength-Based Care, Modified Positive Behavioral Interventions and Supports (M-PBIS), Behavioral Modification Program (BMP), Autism Spectrum Disorder Care Pathway (ASD-CP), Dialectical Behavior Therapy (DBT), sensory rooms, Mindfulness-Based Stress Reduction Training (MBSR) of staff, and Milieu Nurse-Client Shift Assignments. Most of the interventions reduced the use of seclusions and/or restraints. Two child-centered and trauma-informed initiatives eliminated the use of mechanical restraints. This review shows that the use of coercive measures can be reduced and should be prioritized. Successful implementation requires ongoing commitment on all levels of an organization and a willingness to learn. To facilitate comparisons, future models should evaluate different standardized parameters.","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"107-136"},"PeriodicalIF":3.5,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11126-021-09887-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25403753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

The Association Between Service Connection and Treatment Outcome in Veterans Undergoing Residential PTSD Treatment. 退伍军人创伤后应激障碍住院治疗服务联系与治疗结果的关系。

IF 3.5

The Psychiatric quarterly Pub Date : 2022-03-01 Epub Date: 2021-09-17 DOI: 10.1007/s11126-021-09940-9

Jessica L Rodriguez, Andrew C Hale, Holloway N Marston, Chelsea E Sage-Germain, Theodore P Wright, Scott A Driesenga, Shannon M Martin, Rebecca K Sripada

{"title":"The Association Between Service Connection and Treatment Outcome in Veterans Undergoing Residential PTSD Treatment.","authors":"Jessica L Rodriguez, Andrew C Hale, Holloway N Marston, Chelsea E Sage-Germain, Theodore P Wright, Scott A Driesenga, Shannon M Martin, Rebecca K Sripada","doi":"10.1007/s11126-021-09940-9","DOIUrl":"https://doi.org/10.1007/s11126-021-09940-9","url":null,"abstract":"The Department of Veterans Affairs has invested significant time and resources into the treatment of posttraumatic stress disorder (PTSD). Despite concerted efforts, a significant portion of patients do not respond optimally to trauma-focused treatment. One of the factors that has been hypothesized to be associated with treatment response is participation in the Veterans Benefits Administration service-connected disability process. This factor may be particularly relevant in the residential treatment setting, where most participants are engaged in the compensation seeking process. We conducted a retrospective chart review of 105 veterans who completed Cognitive Processing Therapy (CPT) in a residential rehabilitation program. ANCOVAs that adjusted for baseline PTSD severity compared symptom change between those who were and were non-compensation seeking at the time of treatment. Compensation seeking status was associated with significantly less symptom improvement over the course of CPT after adjusting for baseline PTSD severity (F(1, 102) = 4.29, p < .001, η2 = .03). Sensitivity analyses did not detect a similar effect during a prior coping skills phase of treatment. During CPT, clinically significant change was met by 66.7% of non-compensation seeking veterans (M = -15, SD = 14.56) and by 40.1% of the compensation seeking group (M = -7.1, SD = 12.24). Compensation-seeking may be associated with reduced response to trauma-focused treatment in certain settings. Future research is needed to better understand the mechanisms underlying this effect.","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"285-296"},"PeriodicalIF":3.5,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39424653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hospital-Based Suicides: Challenging Existing Myths. 医院自杀:挑战现有的神话。

IF 3.5

The Psychiatric quarterly Pub Date : 2022-03-01 Epub Date: 2020-11-09 DOI: 10.1007/s11126-020-09856-w

Alan L Berman, Morton M Silverman

引用次数: 2

Psychological Trauma and the Trauma Surgeon. 心理创伤和创伤外科医生。

IF 3.5

The Psychiatric quarterly Pub Date : 2022-03-01 Epub Date: 2020-11-21 DOI: 10.1007/s11126-020-09862-y

Raymond B Flannery

引用次数: 4

Postpartum Post-Traumatic Stress Symptoms Following Cesarean Section-the Mediating Effect of Sense of Control. 剖宫产术后创伤后应激症状-控制感的中介作用。

IF 3.5

The Psychiatric quarterly Pub Date : 2021-12-01 Epub Date: 2021-09-07 DOI: 10.1007/s11126-021-09949-0

Yeela Tomsis, Esther Perez, Limor Sharabi, Moshit Shaked, Shani Haze, Salam Hadid

{"title":"Postpartum Post-Traumatic Stress Symptoms Following Cesarean Section-the Mediating Effect of Sense of Control.","authors":"Yeela Tomsis, Esther Perez, Limor Sharabi, Moshit Shaked, Shani Haze, Salam Hadid","doi":"10.1007/s11126-021-09949-0","DOIUrl":"https://doi.org/10.1007/s11126-021-09949-0","url":null,"abstract":"Our aim is to clarify the differences in post-traumatic symptom levels between women who had emergency cesarean sections (C-sections) and women who had elective ones and investigate the function of sense of control in post-traumatic symptoms development. On the fourth day after the C-section, participants were recruited and completed a demographic and background questionnaire. Six to eight weeks later, they received continuation questionnaires. A total of 161 women who underwent Cesarean-sections participated in the study's final sample. Women above the age of 18, who gave birth by elective or emergency cesarean-sections were included. Post-traumatic symptoms were measured by the post-traumatic stress disorder checklist for DSM-5 (PCL-5), and sense of control was measured by the Support and Control in Birth (SCIB) questionnaire. Demographic and background data were also taken. The relationship between the type of cesarean section and the post-traumatic symptom levels was fully mediated by the sense of internal control. Women who underwent emergency cesarean-sections experienced lower levels of internal control than women who had elective ones, which in turn, correlated negatively with post-traumatic symptom levels. The mediation model explained 38.5% of the variance in post-traumatic symptoms levels. An internal sense of control is important in reducing post-traumatic symptoms, especially among women undergoing emergency cesarean-sections. The medical team should develop an awareness of the importance of gaining an internal sense of control by including the antenatal woman in decision-making as much as possible. By explaining and normalizing physical and mental feelings, physicians can possibly reduce the prevalence and severity of postpartum post-traumatic symptoms.","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"1839-1853"},"PeriodicalIF":3.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39392330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Risk of Excessive Daytime Sleepiness Associated to Major Depression in Adolescents. 青少年重度抑郁与日间过度嗜睡风险相关

IF 3.5

The Psychiatric quarterly Pub Date : 2021-12-01 Epub Date: 2021-05-06 DOI: 10.1007/s11126-021-09922-x

Sevlin Boz, Jean-Pol Lanquart, Anaïs Mungo, Marie Delhaye, Gwenolé Loas, Matthieu Hein

{"title":"Risk of Excessive Daytime Sleepiness Associated to Major Depression in Adolescents.","authors":"Sevlin Boz, Jean-Pol Lanquart, Anaïs Mungo, Marie Delhaye, Gwenolé Loas, Matthieu Hein","doi":"10.1007/s11126-021-09922-x","DOIUrl":"https://doi.org/10.1007/s11126-021-09922-x","url":null,"abstract":"Given the limited data currently available in the literature, the aim of this study was to investigate the risk of excessive daytime sleepiness (EDS) associated with major depression in a large sample of adolescents. The clinical and polysomnographic data of 105 adolescents recruited from the database of the Erasme Hospital sleep laboratory were analysed. A score > 10 on the Epworth Sleepiness Scale was used as cut-off for the diagnosis of EDS. The status (remitted or current) and the severity (mild to moderate or severe) of major depressive episodes were determined based on the diagnostic criteria of the DSM-IV-TR during a systematic psychiatric assessment. Logistic regression analyses were performed to determine the risk of EDS associated with major depression in adolescents. The prevalence of EDS was 34.3% in our sample of adolescents. After adjusting for the main confounding factors associated with EDS, multivariate logistic regression analysis demonstrated that unlike mild to moderate major depression, remitted major depression and severe major depression were risk factors for EDS in adolescents. In our study, we have highlighted that in adolescents, the EDS could be both residual symptom and severity marker of major depression, which seems to justify a systematic psychiatric assessment in adolescents with EDS complaints in order to allow better management of this problem in this particular subpopulation.","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"1473-1488"},"PeriodicalIF":3.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11126-021-09922-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38955728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Understanding the Barriers and Facilitators to Employment for People with Bipolar Disorder. 了解双相情感障碍患者就业的障碍和促进因素。

IF 3.5

The Psychiatric quarterly Pub Date : 2021-12-01 Epub Date: 2021-06-07 DOI: 10.1007/s11126-021-09931-w

K M Filia, S M Cotton, A E Watson, A Jayasinghe, M Kerr, P B Fitzgerald

{"title":"Understanding the Barriers and Facilitators to Employment for People with Bipolar Disorder.","authors":"K M Filia, S M Cotton, A E Watson, A Jayasinghe, M Kerr, P B Fitzgerald","doi":"10.1007/s11126-021-09931-w","DOIUrl":"https://doi.org/10.1007/s11126-021-09931-w","url":null,"abstract":"People with Bipolar Disorder (BD) consistently report a desire for employment; however, this is not reflected in employment figures. Individuals' perceptions of barriers to employment, along with endorsement of facilitators to employment remain under-investigated. We aimed to address this limitation by: (i) first examining differences in employed versus unemployed individuals (demographic, clinical, functioning); then (ii) identifying barriers and/or facilitators to employment, perception of same, and subsequent impact on employment. We assessed demographics, functioning, and illness-related characteristics in 35 participants with BD (19 employed, 16 unemployed). Participants were asked to indicate perception of common barriers and facilitators to employment. Groups did not differ regarding demographic or clinical variables. High levels of absenteeism, termination of last role and commonly perceived barriers were attributed to mental ill-health. 93.3% of unemployed participants reportedly desired employment, and more perceived barriers were observed in the unemployed group. Identified facilitators included increased support and flexible work strategies. A comprehensive understanding of perceptions of limiting and helpful factors related to employment for people with BD was obtained. These findings have implications for service provision, encouraging targeted discussion, and tailored treatment approaches to individual's unique perceptions of factors related to employment.","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"1565-1579"},"PeriodicalIF":3.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11126-021-09931-w","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39070518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Impact of Prenatal Depression in Patients of High Risk Pregnancy Clinic on Obstetric Outcomes. 高危妊娠门诊患者产前抑郁对产科结局的影响

IF 3.5

The Psychiatric quarterly Pub Date : 2021-12-01 Epub Date: 2021-06-25 DOI: 10.1007/s11126-021-09925-8

Sofia Soltsman, Yeela Tomsis, Anat Konforty, Izhar Ben Shlomo

{"title":"The Impact of Prenatal Depression in Patients of High Risk Pregnancy Clinic on Obstetric Outcomes.","authors":"Sofia Soltsman, Yeela Tomsis, Anat Konforty, Izhar Ben Shlomo","doi":"10.1007/s11126-021-09925-8","DOIUrl":"https://doi.org/10.1007/s11126-021-09925-8","url":null,"abstract":"Prenatal depression is common and has been associated with risky maternal behavior, postpartum depression, and atypical child development. Still, its association with adverse perinatal outcomes is complex. The aim of our study was to look for this potential association in our region. The medical charts of women who were treated at our High-Risk Pregnancy Clinic and gave birth at our hospital were reviewed. The Edinburgh Postnatal Depression Scale (EPDS) was used to discover prenatal depression. Patients who reported past or current mental illness were excluded. We enrolled 202 women at a mean age of 32.81. Twin pregnancy was the most common reason for referral to the clinic (17.3%). The mean EPDS score was 4.63 (±4.66), with 15.3% scoring 10 or more. A significant correlation was found between the EPDS score and intrapartum fetal heart rate abnormalities, as well as with low birth weight. There were significant associations between the EPDS score and the maternal status of genetic disorder carrier, and the number of previous pregnancies, miscarriages, and elective termination of pregnancy. This study demonstrates a significant impact of the maternal psychological state on the obstetric outcome. In addition, we observed a significant association between maternal obstetric history, genetic data, and the risk of prenatal depression. Our study shows that completing the EPDS questionnaire is a very important part of the pregnancy follow-up, as it illuminates risk factors for prenatal depression and adverse perinatal outcomes.","PeriodicalId":520814,"journal":{"name":"The Psychiatric quarterly","volume":" ","pages":"1673-1684"},"PeriodicalIF":3.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11126-021-09925-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39108434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2