Showing papers in "International Journal of Psychiatry in Medicine in 2021"
TL;DR: The prevalence of depression and anxiety is moderately high whereas pooled prevalence of stress was found to be very high in Chinese people during this Covid-19 crisis.
Abstract: BackgroundThe novel coronavirus disease which is believed to have initially originated in Wuhan city of China at the end of 2019 was declared as pandemic by March 2020 by WHO. This pandemic signifi...
106 citations
TL;DR: The coronavirus has spread around the world, causing an ongoing pandemic as mentioned in this paper, and after the lockdown and quarantine protocols, an evaluation of the population's current emotional state was made.
Abstract: ObjectiveThe coronavirus has spread around the world, causing an ongoing pandemic. After the lockdown and quarantine protocols, an evaluation of the population's current emotional state was made th...
41 citations
TL;DR: Understanding the factors that increase the risk of NPMADs during the pandemic could help prevent mental disorders during a possible future pandemic.
Abstract: ObjectiveThe coronavirus disease 2019 (COVID-19) appears to be the largest pandemic of our times. The aim was to recognize the risk factors for nonpsychotic postpartum mood and anxiety disorders (N...
26 citations
TL;DR: Patients’ acceptance of their illnesses is significantly associated with the occurrence of anxiety and quality of life, and health practitioners should help patients accept their illnesses and the administration of regular hemodialysis.
Abstract: ObjectiveRoutine dialysis is stressful. It has the possibility of leading to depression and anxiety and also reducing patients’ quality of life. Despite these significant consequences, these comorb...
22 citations
TL;DR: Societal lockdown measures secondary to the COVID-19 pandemic have had a significant effect on the mental health of patients, and an increased incidence and severity of deliberate self-harm injuries presenting to the ED is detected.
Abstract: ObjectiveThe World Health Organization declared COVID-19 a pandemic on 11th March 2020. The UK government introduced strict social distancing measures on 23rd March 2020, with the country put into ...
21 citations
TL;DR: In this article, the authors evaluated the relationship between perceived social support, coping strategies, anxiety, and depression symptoms among hospitalized COVID-19 patients by comparing them with a ma...
Abstract: ObjectiveWe aimed to evaluate the relationship between perceived social support, coping strategies, anxiety, and depression symptoms among hospitalized COVID-19 patients by comparing them with a ma...
16 citations
TL;DR: The COVID-19 pandemic has affected various facets of health, including mental health as discussed by the authors, and the impact on migrants' mental health has still been investigated during the crisis.
Abstract: BackgroundThe COVID-19 pandemic has affected various facets of health. While mental health became a major concern during the COVID-19 outbreak, the impact on the migrants’ mental health has still b...
14 citations
TL;DR: In the current sample of Chinese health-care clinicians, burnout and compassion satisfaction mediated the effect of anxiety upon depression and secondary traumatic stress mediated theeffect of depression upon anxiety.
Abstract: ObjectiveBuilding upon the tripartite model of anxiety and depression, the current study aims to examine mechanisms of comorbidity between anxiety and depression using the ProQOL (Professional Qual...
9 citations
TL;DR: The mechanism by which clozapine leads to Delirium is discussed, various factors which could possibly lead to delirium are revisited, and the different management strategies available for management of psychiatric illness for a patient previously stabilized on clozAPine are discussed.
Abstract: Treatment resistant schizophrenia (TRS) is often encountered in clinical practice. Clozapine remains the drug of choice in the management of TRS. Several studies have shown that clozapine is the most effective antipsychotic medication to date for TRS. But it is also well known that it has multiple side effects. Some side effects are transient and relatively benign, while other adverse effects are menacing, serious and life-threatening. Delirium may occur with clozapine and is a therapeutic challenge as there is always a risk of precipitating delirium on clozapine rechallenge. Limited management strategies are available as alternatives for the management of psychiatric illness stabilized on clozapine. In this case report, we describe an older adult patient who developed delirium on clozapine. The aims of this case report are to discuss the mechanism by which clozapine leads to delirium, revisit various factors which could possibly lead to delirium, and discuss the different management strategies available for management of psychiatric illness for a patient previously stabilized on clozapine.
8 citations
TL;DR: In this paper, lower back pain induced by lumbar disc degeneration or herniation exerts a great impact on patients' daily lives and depression and anxiety often exist among patients with lower back...
Abstract: ObjectiveChronic lower back pain induced by lumbar disc degeneration or herniation exerts a great impact on patients’ daily lives. Depression and anxiety often exist among patients with lower back ...
8 citations
TL;DR: The results of this study provide an argument for tailoring education to specifically address the barriers primary care prescribers perceive and promote the utilization of active, hands-on learning approaches to ultimately promote uptake of MOUD prescribing in the primary care setting in South Carolina.
Abstract: ObjectiveUtilization of medications for opioid use disorder (MOUD) has not been widely adopted by primary care providers. This study sought to identify interprofessional barriers and facilitators f...
TL;DR: Prostate cancer patients showed low levels of mental distress, depression and anxiety with no difference in terms of disease stage and treatment modality, therefore, careful psychosocial screening of all patients is essential to identify those in need for support.
Abstract: ObjectiveProstate cancer is the most common cancer in German men and associated with various physical and psychosocial problems. This study investigated the association between mental distress and ...
TL;DR: Bipolar disorder, schizophrenia, major depressive disorder, metabolic abnormalities, anti NMDAR encephalitis were the most frequent causes of catatonia in medically ill patients.
Abstract: ObjectiveCatatonia is a disorder characterized by psychomotor symptoms The etiology, symptomatology, response and outcome of catatonia in the medically ill has not been vigorously studied Those w
TL;DR: In this paper, during the COVID-19 pandemic, excessive workload, a rapidly changing workplace environment, the danger of carrying the virus and transmitting the disease to their families, relatives and co-workers was discussed.
Abstract: ObjectivesDuring the COVID-19 pandemic, excessive workload, a rapidly changing workplace environment, the danger of carrying the virus and transmitting the disease to their families, relatives and ...
TL;DR: The degree to which patients’ perceive their primary care physician as understanding, reliable, and dedicated, is associated with a reduction in suicidal behaviors.
Abstract: ObjectiveThe purpose of the current study is to examine the relationship between the quality of the Patient-Doctor Relationship and suicidality among patients seeking mental health care; specifical...
TL;DR: In this paper, a systematic analysis was performed of the medical specialization academic programs of 20 different countries to establish which medical specialties take into account mental health issues in their academic programs.
Abstract: MethodsA systematic analysis was performed of the medical specialization academic programs of 20 different countries to establish which medical specialties take into account mental health issues in...
TL;DR: For younger doctors, participation in a Balint group for at least 1.5 years can help them build their professional identity by means of a deeper understanding of doctor-patient relationships.
Abstract: ObjectiveAlthough wide-spread and appreciated, the benefit of Balint group work has been difficult to determine. Qualitative studies provide new angles for research. The aim of this study is to exp...
TL;DR: Psychological factors played the largest role in suicide deaths compared to social isolation and physical illness, and Multivariate analyses suggested that hopelessness fully mediated the effects of social isolation, negative health attitudes, and depression on suicide.
Abstract: ObjectiveThe present study aimed to understand how key risk factors of older adult suicide interact to ultimately lead to death by suicide using data collected post-mortem.MethodA psychological aut...
TL;DR: A growing number of people in the United States are identifying as LGBTQ+. Therefore, it is more important than ever that clinicians are trained to be knowledgeable, inclusive, and tolerant as discussed by the authors.
Abstract: Research shows that a growing number of people in the United States are identifying as LGBTQ+. Therefore, it is more important than ever that clinicians are trained to be knowledgeable, inclusive, ...
TL;DR: The results show that a large proportion of individuals who attend public health services in a Mexican population present pain, and it is identified that pain could be associated with alexithymia, in particular with a difficulty in describing and identifying feelings.
Abstract: IntroductionAlexithymia is the difficulty in identifying and describing feelings. Several studies have suggested that chronic pain can be linked to alexithymia. The aims of this study were to deter...
TL;DR: In this paper, the authors provide a summary of evidence for coaching interventions, along with evidence supporting an expansion to these approaches in clinical efficiency in outpatient settings based on the connection between workflow and engagement in meaningful medical practice.
Abstract: Burnout is widespread among primary care physicians (PCPs). Several key drivers of burnout in this specialty that have been increasingly recognized are the growing complexity and work demands placed on PCPs by outpatient clinical work environments. These high demands, from the perspective of the physician, detract from other valued tasks which provide meaning in daily work such as relationship-building and fellowship with the medical team. Given these trends, we believe that a viable means to address burnout can be found in utilizing a performance coaching approach to equip resident physicians for the practical and emotional demands of the primary care work environment into which they are entering. Specifically, we recommend a focus on clinical efficiency as an area for coaching development due to its potential impact on resident physician well-being. In this brief review article, we provide a summary of evidence for coaching interventions, along with evidence supporting an expansion to these approaches in clinical efficiency in outpatient settings based on the connection between workflow and engagement in meaningful medical practice. Lastly, we outline a prospective coaching approach which targets common sources of clinic inefficiency for resident practitioners.
TL;DR: In this article, the authors provided a framework for reviewing medications or herbal formulation, as well as other therapies, which have evidence in the treatment of depression, including St John's Wort, Omega-3 Fatty Acids, S-adenosyl-L-methionine, and crocus sativus (saffron) for mild-to-moderate depression.
Abstract: Depression is one of the most common mental health disorders and currently affects over 17 million Americans. Up to two-thirds of patients with depression in the United States will seek complementary and alternative or integrative medical treatments and thus medical providers who treat depression should understand that many integrative medical treatments have evidence of efficacy either as monotherapies or as add-on adjuncts to other treatments. This review references guidelines from the Canadian Network for Mood and Anxiety Treatments and Michigan Medicine, along with an updated literature review, to provide a framework for reviewing medications or herbal formulation, as well as other therapies, which have evidence in the treatment of depression. In general, St. John's Wort, Omega-3 Fatty Acids, S-adenosyl-L-methionine, and crocus sativus (saffron) have the highest levels of evidence in the treatment of mild-to-moderate depression. Acetyl-l-carnitine, l-methylfolate, DHEA, and lavender have a moderate level of evidence in treating depression, whereas Vitamin D, one of the most common supplements in the United States, does not have evidence in treating depression. Of the non-medication-based therapies, exercise, light therapy, yoga, acupuncture, and probiotics have evidence in the treatment of depression, whereas a full review of dietary modifications for depression was out of scope for this article.
TL;DR: The antidepressant medication fluoxetine at 90mg dosed weekly was shown to be as effective and safe as standard formulation fluoxETine 20 mg dosed daily in patients with major depressive disorder.
Abstract: ObjectiveThe antidepressant medication fluoxetine at 90 mg dosed weekly is as effective and safe as standard formulation fluoxetine 20 mg dosed daily in patients with major depressive disorder. Wee...
TL;DR: In this paper, the authors address the need to empirically develop effective mental health interventions for youth from ethnic/racial minority and low-income neighborhoods, using stage model evaluation using stage models.
Abstract: The current study addresses the need to empirically develop effective mental health interventions for youth from ethnic/racial minority and low-income neighborhoods. Using Stage Model evaluation me...
TL;DR: In this article, the authors investigate the prevalence of stress and poor sleeping quality among medical students in medical education and propose a method to improve the sleep quality of medical students, which is considered one of the most stressful educational fields.
Abstract: ObjectiveMedicine is considered one if not the most stressful educational field. Thus, the aim of this study is to investigate the prevalence of stress and poor sleeping quality among medical stude...
TL;DR: It is essential that all practitioners are prepared to actively monitor for EPS, followed by its rapid diagnosis and treatment, because the symptoms can be highly distressing, and in some cases, life threatening.
Abstract: ObjectiveMany patients with bipolar disorder are treated exclusively in primary care settings, and the use of atypical antipsychotics as primary treatment for bipolar depression is increasing. Extr...
TL;DR: In this paper, the authors discuss the effectiveness of universal screening and interventions with patients who are at risk for suicide in the United States, and present mixed results about the effectiveness and effectiveness of these interventions.
Abstract: Suicide is significant public health concern within the United States. Research results are mixed about the effectiveness of universal screening and interventions with patients who are at-risk for ...
TL;DR: In this article, the authors report that heart failure is one of the leading causes of hospitalization in the United States accounting for ≈800,000 hospital discharges and $11 billion in annual costs.
Abstract: ObjectiveHeart Failure (HF) is one of the leading causes of hospitalization in the United States accounting for ≈800,000 hospital discharges and $11 billion in annual costs. Delirium occurs in appr...
TL;DR: In this article, the authors studied the effect of chronic pain on functioning and results in the disruption of one's assumed life trajectory, potentially altering their self-perceived identity, and found that chronic pain has a significant impact on functioning.
Abstract: ObjectiveChronic pain has a significant impact on functioning and results in the disruption of one’s assumed life trajectory, potentially altering their self-perceived identity. The present researc...
TL;DR: It is suggested that black cohosh must be used cautiously in the patients with history of unipolar depression or bipolar disorder, probably due to its psychopharmacological activities on serotonergic and dopaminergic receptors.
Abstract: Black cohosh (actaea racemosa, cimicifuga racemosa) a popular complementary medicine, is commonly prescribed as an alternative drug to hormone replacement therapy for the treatment of menopause symptoms and menstrual pain. Studies on the black cohosh's psychological effects are generally focused on the perimenopausal depression and anxiety; and, its effects have been considered to be affiliated with its serotonergic and dopaminergic activities. We report a patient presenting with acute onset mania associated with black cohosh use, probably due to its psychopharmacological activities on serotonergic and dopaminergic receptors. We suggest that black cohosh must be used cautiously in the patients with history of unipolar depression or bipolar disorder.