PCN reports : psychiatry and clinical neurosciences最新文献

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Prospective multicenter study of the epidemiological features of emergency patients with overdose of over-the-counter drugs in Japan. 日本非处方药过量急诊患者流行病学特征的前瞻性多中心研究。
PCN reports : psychiatry and clinical neurosciences Pub Date : 2024-07-15 eCollection Date: 2024-09-01 DOI: 10.1002/pcn5.225
Ryoko Kyan, Yoshito Kamijo, Saeko Kohara, Michiko Takai, Takuya Shimane, Toshihiko Matsumoto, Hidetada Fukushima, Shogo Narumi, Takuyo Chiba, Toshiki Sera, Norio Otani, Yasumasa Iwasaki
{"title":"Prospective multicenter study of the epidemiological features of emergency patients with overdose of over-the-counter drugs in Japan.","authors":"Ryoko Kyan, Yoshito Kamijo, Saeko Kohara, Michiko Takai, Takuya Shimane, Toshihiko Matsumoto, Hidetada Fukushima, Shogo Narumi, Takuyo Chiba, Toshiki Sera, Norio Otani, Yasumasa Iwasaki","doi":"10.1002/pcn5.225","DOIUrl":"10.1002/pcn5.225","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the epidemiological characteristics of patients presenting to the emergency department with an overdose of over-the-counter (OTC) drugs.</p><p><strong>Methods: </strong>A questionnaire survey was conducted to examine the sociodemographic characteristics of patients with OTC drugs overdoses visiting emergency departments at eight sites across the country. The patients were divided into \"habitual\" and \"nonhabitual\" groups according to their history of OTC drugs overdose. Student's <i>t</i>-test or Welch's <i>t</i>-test was performed for numerical variables, and Pearson's <i>χ</i> <sup>2</sup> test was performed for dichotomous and nominal variables between the two groups.</p><p><strong>Results: </strong>Of the 124 patients included in this study, 79% were women. The habitual (26.6%) and the nonhabitual (73.4%) groups showed no differences in sex, occupation, cohabitants, history of mental illness, or history of alcohol consumption or smoking; however, those in the habitual group were significantly younger. The proportion of OTC drugs obtained from physical stores was higher in the habitual group, whereas the nonhabitual group used more household medicines. Suicide and self-harm were more common reasons for overdose in the nonhabitual group. Antipyretic analgesics were significantly more common in the nonhabitual group, whereas antitussive expectorants and antihistamines were significantly more common in the habitual group.</p><p><strong>Conclusion: </strong>This is the first multicenter study to determine the status of OTC drugs overdose patients treated at emergency departments of medical facilities in Japan. To prevent new overdoses of OTC drugs, continued detailed epidemiologic studies of patient backgrounds and drug acquisition routes, and investigation of the components of OTC drugs that cause dependency are necessary.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"3 3","pages":"e225"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11250410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629493","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: 0
Psychological treatments for mental health symptoms associated with COVID-19 infection: A scoping review. 与 COVID-19 感染相关的心理健康症状的心理治疗:范围综述。
PCN reports : psychiatry and clinical neurosciences Pub Date : 2024-07-01 eCollection Date: 2024-09-01 DOI: 10.1002/pcn5.223
So Sugita, Kotone Hata, Krandhasi Kodaiarasu, Naoki Takamatsu, Kentaro Kimura, Christian Miller, Lecsy Gonzalez, Ikue Umemoto, Keitaro Murayama, Tomohiro Nakao, Shinsuke Kito, Masaya Ito, Hironori Kuga
{"title":"Psychological treatments for mental health symptoms associated with COVID-19 infection: A scoping review.","authors":"So Sugita, Kotone Hata, Krandhasi Kodaiarasu, Naoki Takamatsu, Kentaro Kimura, Christian Miller, Lecsy Gonzalez, Ikue Umemoto, Keitaro Murayama, Tomohiro Nakao, Shinsuke Kito, Masaya Ito, Hironori Kuga","doi":"10.1002/pcn5.223","DOIUrl":"10.1002/pcn5.223","url":null,"abstract":"<p><p>The aim of this scoping review was to synthesize published studies and ongoing clinical trials of psychological interventions for mental health problems associated with COVID-19 infection. The study protocol was developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews. We conducted systematic searches for studies published or registered between January 2020 and October 2022 using eight scientific databases and clinical trial registries, which identified 40 complete published studies and 53 ongoing clinical trials. We found that most studies were randomized controlled trials (74%) while the remaining used study designs of lower methodological quality. Most studies investigated interventions for acute COVID-19 patients (74%) and others explored post-COVID conditions (PCC) or recovered patients. Cognitive and behavioral therapies were the main intervention approaches (31%), followed by multidisciplinary programs (21%) and mindfulness (17%). The most frequently evaluated outcomes were anxiety (33%), depression (26%), quality of life (13%), and insomnia (10%). No studies on youths, older people, or marginalized communities were found. These findings summarize the burgeoning research on a range of psychological interventions for individuals infected with COVID-19. However, the field is in its infancy and further research to develop an evidence base for targeted care is necessary. The gaps identified in the current study also highlight the need for more research on youths, older people, and members of marginalized communities, and PCC patients. It is important to ascertain interventions and delivery strategies that are not only effective and affordable but also allow high scalability and accessibility.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"3 3","pages":"e223"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499756","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: 0
A case of reinitiation of modified electroconvulsive therapy 2 weeks after modified electroconvulsive therapy-induced Takotsubo cardiomyopathy in a male patient with major depressive disorder. 一例重度抑郁症男性患者在改良电休克疗法诱发塔克次氏心肌病两周后重新开始改良电休克疗法的病例。
PCN reports : psychiatry and clinical neurosciences Pub Date : 2024-06-25 eCollection Date: 2024-06-01 DOI: 10.1002/pcn5.221
Dai Kezuka, Akiko Haruyama, Eiji Suzuki, Kei Sakuma
{"title":"A case of reinitiation of modified electroconvulsive therapy 2 weeks after modified electroconvulsive therapy-induced Takotsubo cardiomyopathy in a male patient with major depressive disorder.","authors":"Dai Kezuka, Akiko Haruyama, Eiji Suzuki, Kei Sakuma","doi":"10.1002/pcn5.221","DOIUrl":"10.1002/pcn5.221","url":null,"abstract":"<p><strong>Background: </strong>Takotsubo cardiomyopathy (TCM) is a left ventricular dysfunction resembling acute coronary syndrome. Its prognosis is generally favorable; however, a subset of patients may present with severe complications. TCM is a rare side-effect of modified electroconvulsive therapy (ECT); it has been reported in 22 female and two male patients. Eight cases of ECT reinitiation after TCM have been reported (all females), with the shortest duration being 3 weeks.</p><p><strong>Case presentation: </strong>We report the case of a 61-year-old man with a history of major depressive disorder and no history of heart disease or previous ECT treatment. Antidepressants had been ineffective, and ECT was indicated. After the third ECT session, the patient complained of chest pain and shortness of breath. Electrocardiography revealed ST elevation, and catheter angiography was used to diagnose TCM. The patient had mild heart failure but remained stable. Recognizing that ECT was effective, the patient asked for it to be reinitiated. We confirmed that the cardiac function had been normalized, applied a bisoprolol fumarate patch as a preventive measure, and reinitiated ECT 14 days after the onset of TCM. ECT was performed five times, with no recurrence of TCM and a marked improvement in depression.</p><p><strong>Conclusion: </strong>We describe a male patient with major depressive disorder who underwent reinitiation of ECT 2 weeks after ECT-induced TCM. Therefore, TCM should be recognized as a side-effect of ECT, even in men. Moreover, depending on whether the patient's condition is stable, ECT can be successfully performed in patients with TCM.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"3 2","pages":"e221"},"PeriodicalIF":0.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452348","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: 0
Effects of childhood experiences of parental attitude, depressive rumination, and sleep disturbances on adulthood depressive symptoms. 父母态度、抑郁反刍和睡眠障碍对成年期抑郁症状的影响。
PCN reports : psychiatry and clinical neurosciences Pub Date : 2024-06-24 eCollection Date: 2024-06-01 DOI: 10.1002/pcn5.220
Shinichi Akiyama, Miki Ono, Yoshitaka Ishii, Masayuki Kikkawa, Shunichiro Ito, Mina Honyashiki, Yu Tamada, Hironori Takeuchi, Takeshi Inoue, Jiro Masuya
{"title":"Effects of childhood experiences of parental attitude, depressive rumination, and sleep disturbances on adulthood depressive symptoms.","authors":"Shinichi Akiyama, Miki Ono, Yoshitaka Ishii, Masayuki Kikkawa, Shunichiro Ito, Mina Honyashiki, Yu Tamada, Hironori Takeuchi, Takeshi Inoue, Jiro Masuya","doi":"10.1002/pcn5.220","DOIUrl":"10.1002/pcn5.220","url":null,"abstract":"<p><strong>Aim: </strong>Various factors are thought to be involved in the development of depression, but the mechanisms are not yet clear. Although several reports have demonstrated that parental attitude experienced in childhood, depressive rumination, and sleep disturbances each influence depressive symptoms, and the association between two of these four variables, to our knowledge, no reports to date have investigated the association among the four variables.</p><p><strong>Methods: </strong>A questionnaire survey was administered to 576 adults who agreed to participate in this study between April 2017 and April 2018. Questionnaires assessed parental attitudes experienced in childhood, depressive rumination, sleep disturbances, and depressive symptoms in adulthood. The associations among the four variables were tested by structural equation modeling.</p><p><strong>Results: </strong>Regarding the direct effects, the parental attitude of \"care\" had a negative influence on depressive rumination and depressive symptoms, whereas \"overprotection\" had a positive influence on depressive rumination. Depressive rumination had a positive influence on sleep disturbance and depressive symptoms, whereas sleep disturbances had a positive influence on depressive symptoms. Regarding indirect effects, depressive rumination mediated the association between parental attitudes and sleep disturbances or depressive symptoms. Furthermore, sleep disturbances mediated the association between depressive rumination and depressive symptoms. Care and overprotection showed opposite effects. The goodness of fit of this model was high.</p><p><strong>Conclusion: </strong>The results of this study demonstrated that there were associations among the four variables. Clinical assessment and intervention of depressive rumination and sleep disturbances that are closely associated with previous parental attitudes may lead to an improvement of depressive symptoms.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"3 2","pages":"e220"},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11196181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447732","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: 0
Differential diagnosis and prognosis of delayed neuropsychiatric sequelae after acute carbon monoxide poisoning in a patient with schizophrenia: A case report. 一名精神分裂症患者急性一氧化碳中毒后迟发性神经精神后遗症的鉴别诊断和预后:病例报告。
PCN reports : psychiatry and clinical neurosciences Pub Date : 2024-06-22 eCollection Date: 2024-06-01 DOI: 10.1002/pcn5.218
Yuto Satake, Yoshimasa Mamiya, Shizuka Kano, Katsuhiko Akizuki, Mamoru Hashimoto, Manabu Ikeda
{"title":"Differential diagnosis and prognosis of delayed neuropsychiatric sequelae after acute carbon monoxide poisoning in a patient with schizophrenia: A case report.","authors":"Yuto Satake, Yoshimasa Mamiya, Shizuka Kano, Katsuhiko Akizuki, Mamoru Hashimoto, Manabu Ikeda","doi":"10.1002/pcn5.218","DOIUrl":"10.1002/pcn5.218","url":null,"abstract":"<p><strong>Background: </strong>Delayed neuropsychiatric sequelae (DNS) is a syndrome that appears days to weeks after acute carbon monoxide (CO) poisoning. DNS shows various neuropsychiatric symptoms, such as mental deterioration and parkinsonism.</p><p><strong>Case presentation: </strong>Our case was a 37-year-old male with schizophrenia. He attempted suicide by CO poisoning and was brought to our emergency department (Day 0). He was ventilated with normobaric oxygen therapy for 3 days and moved to the psychiatric ward with clear consciousness. We restarted antipsychotics, and he gradually presented akinesia and rigidity. Additionally, around Day 32, he showed disorganized behaviors, mental deterioration, incontinence, and gait disturbance. Brain magnetic resonance imaging (MRI) showed slightly abnormal findings on Day 35. Although we suspected DNS on the clinical course and the MRI findings, catatonia and side-effects of antipsychotics were also considered. Finally, electroencephalography (EEG) on Day 38 with apparent abnormalities, including diffuse slow waves, resulted in our diagnosis of DNS, and he underwent hyperbaric oxygen therapy. His condition was dramatically improved, and his diffuse slow waves on EEG disappeared on Day 83. We also followed his clinical presentations and brain MRI until 33 months. Throughout the whole follow-up, his cognition, movement, and psychiatric symptoms remained stable. However, his brain MRI showed progressive atrophy in bilateral frontal lobes and increasing white matter lesions throughout the whole course.</p><p><strong>Conclusion: </strong>EEG, as well as brain MRI, may be crucial in the differential diagnosis of DNS in patients with complex conditions involving medications and severe mental illnesses.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"3 2","pages":"e218"},"PeriodicalIF":0.0,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11193684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443887","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: 0
Exacerbation of restless legs syndrome following amygdalohippocampectomy: A case report. 杏仁核切除术后不宁腿综合征加重:病例报告。
PCN reports : psychiatry and clinical neurosciences Pub Date : 2024-06-19 eCollection Date: 2024-06-01 DOI: 10.1002/pcn5.213
Sachiko Eguchi, Saeko Yokotsuka-Ishida, Yusuke Arai, Daimei Sasayama, Takugo Maeda, Kohei Kanaya, Tetsuhiro Fukuyama, Kensuke Nomura, Shinsuke Washizuka
{"title":"Exacerbation of restless legs syndrome following amygdalohippocampectomy: A case report.","authors":"Sachiko Eguchi, Saeko Yokotsuka-Ishida, Yusuke Arai, Daimei Sasayama, Takugo Maeda, Kohei Kanaya, Tetsuhiro Fukuyama, Kensuke Nomura, Shinsuke Washizuka","doi":"10.1002/pcn5.213","DOIUrl":"10.1002/pcn5.213","url":null,"abstract":"<p><strong>Background: </strong>Restless legs syndrome (RLS) is a neurological sensorimotor disorder characterized by an uncontrollable urge to move the legs. In the perioperative period, patients with RLS may experience an acute exacerbation of symptoms. Although studies on the exacerbation of RLS after brain surgery are limited, we present a case wherein symptoms worsened following left amygdalohippocampectomy.</p><p><strong>Case presentation: </strong>A 58-year-old woman diagnosed with mesiotemporal lobe epilepsy accompanied by left hippocampal sclerosis underwent a left amygdalohippocampectomy. The patient reported uncomfortable sensations in the lower limbs preoperatively. However, the urge to move her legs was manageable and not distinctly diagnosed with RLS. The symptoms began to deteriorate on the fifth postoperative day primarily affecting the legs and back, with a notable emphasis on the right side. Pramipexole treatment effectively ameliorated these symptoms.</p><p><strong>Conclusion: </strong>No reports are available highlighting the exacerbation of RLS after amygdalohippocampectomy. Perioperative factors, such as anesthesia and iron deficiency due to hemorrhage, have been proposed as aggravating factors for RLS; however, the asymmetry of RLS, particularly the atypical right-sided exacerbation in this case, makes it unlikely that this was the primary cause. A negative correlation between opioid receptor availability in the amygdala and RLS severity has been reported, suggesting that amygdalohippocampectomy contributes to the exacerbation of RLS symptoms. This case provides valuable insights into the possible involvement of the amygdala in the pathophysiology of RLS and practical considerations for the clinical management of the condition.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"3 2","pages":"e213"},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11186739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433539","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: 0
Development of the trainer skill evaluation scale for metacognitive training. 开发用于元认知培训的培训师技能评估量表。
PCN reports : psychiatry and clinical neurosciences Pub Date : 2024-06-19 eCollection Date: 2024-06-01 DOI: 10.1002/pcn5.215
Masahito Hosono, Takuma Ishigaki, Naoya Ikeda, Ryotaro Ishikawa, Yuki Nishiguchi, Katsuyoshi Mizukami
{"title":"Development of the trainer skill evaluation scale for metacognitive training.","authors":"Masahito Hosono, Takuma Ishigaki, Naoya Ikeda, Ryotaro Ishikawa, Yuki Nishiguchi, Katsuyoshi Mizukami","doi":"10.1002/pcn5.215","DOIUrl":"10.1002/pcn5.215","url":null,"abstract":"<p><strong>Aim: </strong>The purpose of this study is manifold: to develop a trainer skill rating scale for metacognitive training (MCT), to determine the difficulty level of the behavioral checklist, and to examine the reliability and validity of the MCT Trainer Skills Rating Scale.</p><p><strong>Method: </strong>In Study 1, an MCT trainer skill behavior checklist was developed with expert staff members, and a questionnaire was administered to MCT trainers. Item categorization was identical to that used in previous studies. In Study 2, a video was used to conduct the survey. All subjects were given a 1-hour training session, instructed on evaluating the MCT Trainer Skills Rating Scale, and asked to rate their trainer skills on a mock video designed for beginners and a mock video designed for advanced trainers.</p><p><strong>Result: </strong>In Study 1, responses from 49 respondents were obtained. The survey results showed that 72 items were classified similarly to previous studies. In Study 2, two pairs were randomly selected, and weighted kappa coefficients were calculated for the sub-items of the MCT Trainer Skills Rating Scale. High agreement was obtained with <i>K</i> = 0.71 and <i>K</i> = 0.73, indicating high reliability.</p><p><strong>Conclusion: </strong>High reliability was obtained for all eight items of the MCT Trainer Skills Rating Scale created in this study. In addition, the video evaluation scores for the advanced trainer were significantly higher than those for the beginner trainer, suggesting that discriminant validity was confirmed among the criterion-related validity. These results confirm that the scale has both high reliability and validity.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"3 2","pages":"e215"},"PeriodicalIF":0.0,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11186744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433538","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: 0
The effectiveness of an ultra-brief intervention in 1 min for hazardous drinking in a general hospital setting: A quasi-randomized pilot trial. 在综合医院环境中对危险饮酒进行 1 分钟超简短干预的有效性:准随机试点试验。
PCN reports : psychiatry and clinical neurosciences Pub Date : 2024-06-18 eCollection Date: 2024-06-01 DOI: 10.1002/pcn5.216
Yukio Tezuka, Ryuhei So, Takahiro Fukuda
{"title":"The effectiveness of an ultra-brief intervention in 1 min for hazardous drinking in a general hospital setting: A quasi-randomized pilot trial.","authors":"Yukio Tezuka, Ryuhei So, Takahiro Fukuda","doi":"10.1002/pcn5.216","DOIUrl":"10.1002/pcn5.216","url":null,"abstract":"<p><strong>Objective: </strong>We investigated the effectiveness of an ultra-brief intervention (Ultra-BI) for patients with hazardous drinking behaviors admitted to a general hospital.</p><p><strong>Method: </strong>In a quasi-randomized controlled trial at a general hospital in Japan, we assigned participants to intervention or control groups based on the last digit of their patient ID (odd for intervention, even for control). The study included inpatients with Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) scores of ≥5 for men and ≥4 for women. The intervention involved providing advice and feedback within 1 min, accompanied by a leaflet on alcohol-related issues (Ultra-BI). The control group did not receive any intervention. The primary outcome was average weekly alcohol consumption at 3 months postintervention.</p><p><strong>Results: </strong>The study included 68 participants. The intervention group showed a reduction in average weekly alcohol consumption by -69.7 g/week compared to the control group (95% confidence interval [CI] -145.7 to 6.3 g/week, <i>p</i> = 0.07). Post-hoc analysis, adjusting for baseline values, indicated a between-group difference of -78.7 g/week (95% CI -135.2 to -22.2 g/week, <i>p</i> = 0.007).</p><p><strong>Conclusion: </strong>This pilot trial suggests the potential effectiveness of the Ultra-BI in general hospital wards. Further large-scale studies are required to confirm these findings.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"3 2","pages":"e216"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433540","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: 0
Validation and determining an optimal cut-off score of the Infant Behavior Checklist for autism spectrum disorder. 验证婴儿行为检查表并确定自闭症谱系障碍的最佳临界分数。
PCN reports : psychiatry and clinical neurosciences Pub Date : 2024-06-18 eCollection Date: 2024-06-01 DOI: 10.1002/pcn5.212
Toshinobu Takeda, Hirokazu Osada, Yui Tsuji, Hiroshi Kurita
{"title":"Validation and determining an optimal cut-off score of the Infant Behavior Checklist for autism spectrum disorder.","authors":"Toshinobu Takeda, Hirokazu Osada, Yui Tsuji, Hiroshi Kurita","doi":"10.1002/pcn5.212","DOIUrl":"10.1002/pcn5.212","url":null,"abstract":"<p><strong>Aim: </strong>Given the escalating prevalence of autism spectrum disorder (ASD), the persistent paucity of child psychiatrists in Japan, and the need to prepare for unforeseen situations, such as the COVID-19 pandemic, it is essential to establish a reliable screening tool. This study aims to validate the Infant Behavior Checklist (IBC) developed by Japanese experts and determine its appropriate cut-off score.</p><p><strong>Methods: </strong>A total of 354 clinic-referred children, along with their caregivers, participated in this research. Clinical records, including diagnoses established through the sub-structured diagnostic interviews, and the IBC assessments, were subjected to rigorous statistical analysis.</p><p><strong>Results: </strong>Among the 24 items, six failed to reach significance to differentiate ASD from non-ASD cases. The Cronbach's alpha coefficient for the IBC was calculated at 0.77. The IBC total score for ASD cases was significantly higher than that of non-ASD cases. With the chosen cut-off score, the IBC demonstrated an area under the ROC curve of 0.803, along with sensitivity, specificity, positive predictive value, and negative predictive value of 8.03, 0.79, 0.69, 0.34, and 0.94, respectively.</p><p><strong>Conclusion: </strong>The IBC exhibits satisfactory internal consistency and content and discriminant validity. The high sensitivity and other associated indices for the optimal cut-off score of the IBC affirm its validity as a screening instrument for ASD. Nevertheless, further investigations are warranted to ascertain the clinical utility of the IBC.</p>","PeriodicalId":74405,"journal":{"name":"PCN reports : psychiatry and clinical neurosciences","volume":"3 2","pages":"e212"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433765","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: 0
Effects of the Modified version of the Mental Health Supporter Training Program on mental-health-related public stigma among Japanese people: A pretest/posttest study. 修改版心理健康支持者培训计划对日本人中与心理健康有关的公众污名的影响:前测/后测研究。
PCN reports : psychiatry and clinical neurosciences Pub Date : 2024-06-18 eCollection Date: 2024-06-01 DOI: 10.1002/pcn5.219
Mako Iida, Utako Sawada, Kentaro Usuda, Megumi Hazumi, Ikue Umemoto, Naoaki Kuroda, Hironori Kuga, Chiyo Fujii, Daisuke Nishi
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