Abstract: Objective: Traumatic Brain Injury (TBI) of a parent causes significant changes in their family life and parent-children relationships. However, the number of children affected by parental TBI and the long-term consequences for these children remains unknown. We estimated the prevalence of children affected by parental TBI and investigated whether these children had greater use of psychiatric services than their peers.Methods: This a retrospective population-based register study
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Abstract: There is a growing body of case reports of catatonic symptoms after organ transplantations. A considerable number of these cases might be attributed to neurotoxicity induced by immunosuppressive medications. However, the etiology of other cases remains unclear
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Abstract: Objective: The prevalence of depression in multiple sclerosis (MS) is known to be elevated, but nearly all available studies have estimated period prevalence. The objective of this study was to estimate the point prevalence of depression in a representative community sample using the Patient Health Questionnaire, Brief (PHQ-9).Methods: The data source for this study was the Survey of Living with Neurological Conditions in Canada, which was derived from a representative sample of household residents.Results: The sample included 630 respondents with MS. With application of the standard PHQ-9 cut-point (10+) the prevalence of depression was 26.0% (95% CI 18.9 – 33.0%).
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The recently published article, “Advancing the adoption, integration and testing of technological advancements within existing care systems,” explored the need to better understand both the causes and strategies for overcoming barriers to uptake of health information technology (HIT) in mental health settings. The authors suggest that observational studies could help to better elucidate the barriers to adoption of HIT that are unique or disproportionate in mental health populations. They also feel that implementation science studies are needed to better identify strategies for addressing these barriers and optimizing uptake of mental health HIT interventions .
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Abstract: We report herein a female patient presenting with delayed anoxic encephalopathy after carbon monoxide (CO) intoxication. Five months after she attempted suicide in her car using burning charcoal, she showed manic symptoms including aggressive behaviors, irritability, decreased total sleep time, increased energy and sexual interest, and hyperactivity, as well as illusions and visual hallucinations related to bugs, certain animals, monsters and her ex-husband.
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Abstract: This report presents the successful use of low-dose mirtazapine in the treatment of major depression that developed following severe nausea and vomiting symptoms during the early gestational weeks in two cases. The psychiatric diagnosis was determined with the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Assessments were performed with the Clinical Global Impression — Improvement Scale and the 17-item Hamilton Rating Scale for Depression
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Abstract: Background: There is lack of information of the hospital costs related to depression. Here, we compare the costs associated with general hospital admissions over 2 years between older men with and without a documented past history of depression.Methods: A community-based cohort of older men living in Perth, Western Australia, was assessed at baseline between 2001 and 2004 and followed up for 2 years by prospective data linkage. The participants were selected randomly from the Australia electoral roll
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Assisted suicide is legal in a number of countries and US states . No jurisdiction currently holds a policy of mandatory psychiatric review (MPR) for all applicants requesting assisted suicide.
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The mental health evaluation of the patient requesting physician-assisted death (PAD) has two goals, often written into laws that permit PAD. One goal is to ensure that the patient does not have a potentially treatable mental disorder influencing the decision to hasten death. Most discussions of relevant mental disorders point to the roles of anxiety and depression, particularly major depressive disorder, in which possibly treatable and reversible hopelessness, sadness and anhedonia may impact views about suicide
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This article has been withdrawn at the request of the Author and Editor. The Publisher apologizes for any inconvenience this may cause.
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Abstract: Objectives: To determine nationally representative estimates of the prevalence of depressive symptoms and factors associated with treatment among those with moderate to severe symptoms.Methods: A cross-sectional, retrospective analysis of adults age≥18 in the 2005–2010 NHANES data who responded to the Patient Health Questionnaire (PHQ-9) was conducted (n=13,320). Depressive symptoms and severity were defined by PHQ-9 scores. Depression treatment was defined as receiving either antidepressants or seeing a mental health professional.
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In this issue of General Hospital Psychiatry, we continue with a new dimension that we have added to the journal ― point and counterpoint editorials on two topics: (1) prescription of marijuana for chronic benign pain, and (2) should a psychiatric consultation be required for all patients requesting physician assisted suicide? There are many controversial areas of clinical practice, and having experts with opposing views on the subject describe their perspectives in a scholarly way can enhance understanding of differing viewpoints.
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The term “chronic benign pain” contains a contradiction in terms. If chronic pain is debilitating enough to compel patients to seek medical relief, then it is hardly benign. Chronic “idiopathic” pain is an equally problematic term
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Abstract: Objective: Bodily distress syndrome (BDS) was recently introduced as an empirically based, unifying diagnosis for so-called medically unexplained symptoms and syndromes. BDS relies on a specific symptom pattern rather than on a lack of objective findings, which may increase the risk of overlooking physical disease. We investigated whether physical disease was missed in the first patients diagnosed with BDS.Method: The study was a register-based follow-up study of 120 patients diagnosed with BDS at a University Clinic from 2005 to 2007.
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Abstract: Objective: Since the early reports associating extrapyramidal side effects (EPS) to serotonin reuptake inhibitors (SSRI), SSRIs have been pointed as more common offenders among antidepressants in producing EPS. The induction of EPS by SSRIs has been thought to be a consequence of serotonergically mediated inhibition of the dopaminergic system.
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Abstract: Literature evidence suggests that onset of obsessive–compulsive disorder (OCD) at a later age is usually associated with brain lesions. However, none of previous reports suggest an association between arachnoid cyst and OCD. In this report, we present a case of OCD, starting at the age of 40 years, in which the obsessive symptoms were characteristically associated with fluctuating insight
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Eighteen states and the District of Columbia have legalized possession and use of medical marijuana. Registries from these state-approved programs suggest that up to 94% of participating patients are registered for severe or chronic pain .
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Abstract: Aims: The aims were to examine the effects of psychotherapy on depressive and anxiety symptoms, the occurrence of suicidal ideations and diurnal cortisol patterns in patients with adjustment disorder (AD) with depressed mood.Methods: Participants recruited from an outpatient department of psychiatry at a general hospital were randomly assigned to one of two groups: 34 in psychotherapy group and 37 in control group. The control group consisted of one-session psychoeducation. Psychotherapy included the eight-weekly body–mind–spirit (BMS) group psychotherapy.
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Abstract: Prolactinomas, the most common type of pituitary tumor, can induce hyperprolactinemia and cause some psychiatric symptoms, such as anxiety, depression and even psychotic symptoms . However, in previous case reports, no information about estrogen levels was mentioned. Here, we present a 48-year-old female patient who had a recurrent episode of major depressive disorder (MDD) and amenorrhea.
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Abstract: Objective: This study investigated the determinants of a hopeful attitude among family caregivers involved with palliative care.Method: We investigated a broad range of factors for the patient–family dyad in a palliative care setting using a cross-sectional design. The patients’ sociodemographic, clinical and psychological factors were evaluated, as well as caregiver-related sociodemographic and psychological factors, including depressive symptoms, burden, coping style and religiosity. Caregivers were divided into two groups based on a hopeful or nonhopeful attitude and assessed using the abbreviated version of the seven-item Beck Hopelessness Scale (BHS-7).Results: Of 304 analyzed dyads, 210 (69.1%) caregivers showed a hopeful attitude, with a BHS-7 score of 0.
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Abstract: Objective: The aim of this study was to examine the current prevalence of major depression and anxiety disorders in patients with euthyroid Hashimoto’s thyroiditis (HT) and euthyroid goiter.Method: The study sample was formed by consecutive 51 and 45 patients who were admitted to the endocrinology outpatient clinic and diagnosed with euthyroid HT and endemic/nonendemic goiter, respectively, and 68 healthy controls. Current diagnoses of psychiatric disorders were determined using the Structured Clinical Interview for DSM-IV. Beck Depression Inventory and Beck Anxiety Inventory were applied to the participants.Results: There was a statistically significant difference among the three groups in terms of major depression (P=.001), any mood or anxiety disorder (P=.000), any depressive disorder (P=.020), any anxiety disorder (P=.016) and obsessive–compulsive disorder (OCD) (P=.013)
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Abstract: Hashimoto’s thyroiditis (HT) is an autoimmune thyroiditis that occurs frequently in middle-aged women. To date, there is no formally reported association between acute mania and hypothyroidism due to HT. We report a case of acute mania associated with hypothyroidism resulting from HT
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Abstract: Objective: To assess the feasibility and acceptability of routine web-based screening in general hospital settings, and describe the level of common mental disorder.Method: A service development platform to integrate mental and physical healthcare was implemented in 6 specialties (rheumatology, limb reconstruction, hepatitis C, psoriasis, adult congenital heart disease (ACHD), chronic pain) across 3 general hospitals in London, UK. Under service conditions, patients completed a web-based questionnaire comprising mental and physical patient-reported outcome measures, whilst waiting for their appointment.
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Abstract: Objective: Amisulpride is a second generation antipsychotic agent indicated for the treatment of schizophrenia and other major psychotic illnesses. Amisulpride-induced bradycardia is a rare condition of unknown etiology and mechanism.
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Abstract: Olanzapine, a second-generation antipsychotic, is used for management in a number of psychiatric illnesses. Here we report two cases of olanzapine-induced facial edema which resolved spontaneously on stopping the drug.
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