Journal of the Academy of Consultation-Liaison Psychiatry最新文献

{"title":"In Memoriam: Max Fink MD 1923-2025.","authors":"Andrew Francis, Gregory L Fricchione","doi":"10.1016/j.jaclp.2025.08.010","DOIUrl":"https://doi.org/10.1016/j.jaclp.2025.08.010","url":null,"abstract":"","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abemaciclib-Related Psychosis in a Patient With Metastatic Breast Cancer.","authors":"Elizabeth Hale","doi":"10.1016/j.jaclp.2025.08.007","DOIUrl":"10.1016/j.jaclp.2025.08.007","url":null,"abstract":"","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differentiating Opioid Use Disorder from Chronic Pain in Sickle Cell Disease: A Diagnostic Challenge.","authors":"Xiaofeng Yan, James A Bourgeois, Fei Cao","doi":"10.1016/j.jaclp.2025.08.005","DOIUrl":"10.1016/j.jaclp.2025.08.005","url":null,"abstract":"","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Urinary Retention in Catatonia: An Illustrative Case Report and Literature Review.","authors":"Michael Q Fleming, Hyelin Oh","doi":"10.1016/j.jaclp.2025.08.002","DOIUrl":"10.1016/j.jaclp.2025.08.002","url":null,"abstract":"<p><strong>Background: </strong>Acute urinary retention (AUR) is a well-known urologic emergency with potentially catastrophic consequences, but is not typically thought of as a complication of catatonia. AUR is a urologic emergency that occurs when the patient is unable to pass urine voluntarily and is not in the The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria for catatonia.</p><p><strong>Basic procedures: </strong>The patient's AUR improved with treatment of the catatonia with benzodiazepine administration but did not improve with urologic interventions beyond temporary relief of the symptoms.</p><p><strong>Main findings: </strong>The authors provide a case report and review of the literature that suggests AUR in catatonia is either an underrecognized or underreported condition.</p><p><strong>Principal conclusions: </strong>Thus, it is important to recognize that AUR can be caused by catatonia.</p>","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Intersection Between Factitious Disorder and Eating Disorders: A Narrative Review.","authors":"Michelle Y Li, Carol Silberberg","doi":"10.1016/j.jaclp.2025.08.004","DOIUrl":"10.1016/j.jaclp.2025.08.004","url":null,"abstract":"<p><strong>Background: </strong>Factitious disorder is a rare condition that is important to recognise and treat appropriately. Patients with eating disorders can present seeking care for self-induced illnesses such as complications of purging and deliberate self-harm, the origins of which may not be disclosed by the patient. Rarely, patients will also present self-reporting a history of an eating disorder where there is evidence that this has been fabricated or exaggerated.</p><p><strong>Objective: </strong>Critically evaluate the literature to better understand the presentation of factitious disorder co-occurring with eating disorders.</p><p><strong>Methods: </strong>A literature search was conducted to identify published clinical cases of factitious disorder co-occurring with eating disorders. Demographics, clinical presentations, factors leading to a diagnosis of factitious disorder, etiological factors, psychiatric comorbidity, healthcare utilisation, management, and outcomes were examined.</p><p><strong>Results: </strong>Thirty-four cases were identified in 29 publications across the years 1984-2022 from 10 countries. Mean age of the patients was 27.8 (range 14-48) years, and 94% of the them were female. A healthcare background was identified in 29% of cases. The most common method of producing factitious illness was via self-induction (74%). Most cases represented factitious disorder comorbid with eating disorders, and only 4 cases (12%) described patients presenting with a factitious eating disorder.</p><p><strong>Conclusions: </strong>Factitious disorder can intersect with eating disorders in a variety of presentations, but this has been rarely described in the literature. Further research is warranted to better characterise this phenomenon.</p>","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clozapine-Associated Pericarditis: A Systematic Review.","authors":"Aliu Opeyemi Yakubu, Olorungbami Kolade Anifalaje, Moses Gregory Effiong, Oluwakemi Eunice Olalude, Maryam Abubakar, Francess Oluwaferanmi Adeyemi","doi":"10.1016/j.jaclp.2025.07.004","DOIUrl":"10.1016/j.jaclp.2025.07.004","url":null,"abstract":"<p><strong>Background: </strong>Clozapine is an atypical antipsychotic for treatment-resistant schizophrenia. Despite its efficacy, it is associated with many serious side effects, including pericarditis. Clozapine-associated pericarditis may range from mild symptoms to life-threatening complications. Despite increasing case reports, a comprehensive synthesis is lacking, necessitating a systematic review.</p><p><strong>Objective: </strong>To systematically summarize and analyze published case reports of clozapine-assoicated pericarditis with a focus of clinical presentation, diagnostic findings, treatment approaches and patient outcomes.</p><p><strong>Methods: </strong>A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines and registered in International Prospective Register of Systematic Reviews. Eight databases, including PubMed, Embase, and PsycINFO, were searched, identifying case reports published between 1980 and 2024. Inclusion criteria focused on English-language case reports diagnosing clozapine-associated pericarditis. Exclusion criteria included nonclozapine-associated pericarditis and mixed etiologies without clozapine-specific data. Data extraction included demographics, clinical presentation, diagnostic findings, management, and outcomes.</p><p><strong>Results: </strong>The mean age was 33.56 years, with males comprising 63.9%. Fever (52.8%), breathlessness (50%), and tachycardia (44.4%) were the most common symptoms. Diagnostic tests consistently indicated elevated inflammatory markers, including C-reactive protein (mean: 88.13 mg/dL) and erythrocyte sedimentation rate (mean: 72.72 mm/h). Echocardiograms confirmed pericardial effusion in 88.9% of cases. Management strategies included colchicine (16.7%) and analgesics (19.4%), with cardiac recovery achieved in all but one case. Clozapine rechallenge was attempted in 16.7% of the cases, with successful outcomes in 83.3% of these cases.</p><p><strong>Conclusions: </strong>Clozapine-associated pericarditis is a rare but serious adverse event characterized by elevated inflammatory markers and diagnostic imaging abnormalities. Prompt recognition and tailored management, including anti-inflammatory treatment and careful rechallenge, can lead to favorable cardiac and psychiatric outcomes.</p>","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Metformin Use History With Delirium and Mortality in Patients With Type 2 Diabetes Mellitus: A Retrospective Cohort Study.","authors":"Tomoteru Seki, Takehiko Yamanashi, Akiyoshi Shimura, Gloria Chang, Therese Anne Santiago, Nathan James Phuong, Hieu Dinh Nguyen, Nipun Gorantla, Tsuyoshi Nishiguchi, Kyosuke Yamanishi, Takaya Ishii, Bun Aoyama, Takeshi Inoue, Gen Shinozaki","doi":"10.1016/j.jaclp.2025.07.003","DOIUrl":"10.1016/j.jaclp.2025.07.003","url":null,"abstract":"<p><strong>Background: </strong>Higher body mass index (BMI) generally increases susceptibility to certain diseases. However, previous studies have shown that metformin, a medication for type 2 diabetes mellitus (T2DM), can improve various outcomes, including survival in obese patients. This indicates that the effectiveness of metformin on certain outcomes is more pronounced in those with a higher BMI. It remains unclear if the effects of metformin on delirium risk differ according to BMI.</p><p><strong>Methods: </strong>This study analyzed a subset of 506 T2DM subjects from the cohort used in our previous study. We compared delirium cases identified during hospitalization and survival curves among T2DM subjects with and without a history of metformin use, stratified by BMI. Furthermore, we investigated the influence of metformin use history and various other factors on cases of delirium identified during hospitalization and 3-year mortality among T2DM subjects in different BMI groups.</p><p><strong>Results: </strong>Metformin use history was associated with fewer cases of delirium (odds ratio = 0.422, 95% confidence interval [CI] = 0.217-0.820, P = 0.011) and lower 3-year mortality (hazard ratio = 0.564, 95% CI = 0.342-0.931, P = 0.025) among the BMI ≥30 group. On the other hand, the associations between metformin use history and fewer cases of delirium (odds ratio = 0.606, 95% CI = 0.320-1.150, P = 0.125) and lower 3-year mortality (hazard ratio = 0.754, 95% CI = 0.447-1.270, P = 0.288) among the BMI <30 group were relatively small and nonsignificant.</p><p><strong>Conclusions: </strong>Metformin use history was associated with a lower risk of delirium and mortality in the T2DM obesity group.</p>","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consultation-Liaison Psychiatry at a Crossroads: Policy Threats, Medicaid Cuts, and the Future of Our Field.","authors":"Hochang Benjamin Lee","doi":"10.1016/j.jaclp.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.jaclp.2025.07.002","url":null,"abstract":"","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Catatonia: American Psychiatric Association Resource Document","authors":"Jo Ellen Wilson M.D., Ph.D., M.P.H. ,&nbsp;Mark A. Oldham M.D. ,&nbsp;Andrew Francis M.D., Ph.D. ,&nbsp;Dina Perkey M.D. ,&nbsp;Eric Kramer M.D., M.P.H. ,&nbsp;Shixie Jiang M.D. ,&nbsp;Jennifer Yoon M.D. ,&nbsp;Scott Beach M.D. ,&nbsp;Gregory Fricchione M.D. ,&nbsp;Matthew Gunther MD., M.A. ,&nbsp;Jihoon Ha M.D. ,&nbsp;James Luccarelli M.D., D.Phil. ,&nbsp;Jordan Rosen M.D. ,&nbsp;Dallas Hamlin M.D. ,&nbsp;Joseph D. Dragonetti M.D. ,&nbsp;Avi Gerstenblith M.D. ,&nbsp;Anne Louise Stewart M.D. ,&nbsp;Jon Sole M.D. ,&nbsp;James A. Bourgeois O.D., M.P.A., M.D.","doi":"10.1016/j.jaclp.2025.05.001","DOIUrl":"10.1016/j.jaclp.2025.05.001","url":null,"abstract":"<div><div>The American Psychiatric Association Resource Document for Catatonia was prepared by the Catatonia Work Group of the Council on Consultation-Liaison Psychiatry, with the goal of supporting psychiatrists, trainees, and other mental healthcare workers and to provide a useful framework for understanding catatonia. In 2023, the American Psychiatric Association Council on Consultation-Liaison Psychiatry convened a work group to develop a resource document on Catatonia. A draft of this document was reviewed by the Council in December 2024, and a revised version was approved by this Council in January 2025. The accepted version was subsequently reviewed by the American Psychiatric Association Council on Women's Mental Health, Council on Geriatric Psychiatry, Council on Research, Council on Quality Care, Committee on Practice Guidelines, and Committee on Ethics in December 2024. The final version was approved by the Joint Reference Committee on March 12, 2025, and posted to the American Psychological Association website. In this resource document, we review the history of the catatonia and its epidemiology including prevalence and risk factors. We review the common evaluation methods including rating scales, diagnostic criteria, and clinical evaluation of medical causes of catatonia and its complications, with a focus on the physical examination, laboratory studies, neuroimaging, and electroencephalography. We review the differential diagnosis of catatonia across the medical and psychiatric context of care including abulia/akinetic mutism, delirium, major neurocognitive disorders, locked-in syndrome, late-stage Parkinson's disease, stiff-person syndrome, akathisia, mania, malignant catatonia/neuroleptic malignant syndrome, autoimmune encephalitis, and serotonin syndrome. In this resource document, we additionally review the pathophysiology of catatonia and highlight common interventions and treatment recommendations, with a focus on benzodiazepines and electroconvulsive therapy. We additionally highlight considerations in specific populations including pediatrics, the medically complex, pregnancy and postpartum period, and dementia. We conclude the document with a review of ethical and legal considerations and provide some suggestions for educational resources.</div></div>","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":"66 4","pages":"Pages 277-299"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to ‘Clinical Utility and Performance of the Traditional Chinese Version of the 4-As Test for Delirium due to Traumatic Brain Injury’ [Journal of the Academy of Consultation-Liaison Psychiatry, Volume 66 (2025) 130–138]","authors":"Yun-Hsuan Lai ,&nbsp;Chia-Jou Lin ,&nbsp;I-Chang Su ,&nbsp;Sheng-Wen Huang ,&nbsp;Chia-Chi Hsiao ,&nbsp;Ying-Ling Jao ,&nbsp;Pin-Yuan Chen ,&nbsp;Victoria Traynor ,&nbsp;Chuan-Ya Lee ,&nbsp;Ting-Jhen Chen ,&nbsp;Mu-Hsing Ho ,&nbsp;Hsiao-Yean Chiu","doi":"10.1016/j.jaclp.2025.06.001","DOIUrl":"10.1016/j.jaclp.2025.06.001","url":null,"abstract":"","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":"66 4","pages":"Page 375"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}