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Mashup Score: 0
In my editorial in the previous issue of Psychiatric News, I discussed the risk of socio-cultural factors affecting the integrity of psychedelic clinical trials (PCTs). In light of these substances’ cultural significance, history, and powerful effects (including observable changes in consciousness), rigorous clinical trial design—with randomization, blinding, and control requirements above those typical of nonpsychedelic psychotropic clinical trials—is required. A high level of stringency for psychedelic
Source: psychnews.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 16Relationship Between Hemorrhage Type and Development of Emotional and Behavioral Dyscontrol After Hemorrhagic Stroke - 1 day(s) ago
Objective: Emotional and behavioral dyscontrol (EBD), a neuropsychiatric complication of stroke, leads to patient and caregiver distress and challenges to rehabilitation. Studies of neuropsychiatric sequelae in stroke are heavily weighted toward ischemic stroke. This study was designed to compare risk of EBD following intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH) and to identify risk factors for EBD following hemorrhagic stroke. Methods: The authors conducted a prospective cohort study of patients hospitalized for nontraumatic hemorrhagic stroke between 2015 and 2021. Patients or legally authorized representatives completed the Quality of Life in Neurological Disorders (Neuro-QOL) EBD short-form inventory 3 months after hospitalization. Univariable and multivariable analyses identified risk factors for EBD after hemorrhagic stroke. Results: The incidence of EBD was 21% (N=15 of 72 patients) at 3 months after hemorrhagic stroke. Patients with ICH were more likely to d
Source: neuro.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 4
Winners of this prestigious award have demonstrated innovative services; a focus on quality improvement; effective use of psychiatrists, peer specialists, and other staff; and involvement of consum…
Source: psychnews.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 1A Journey Toward Radical Recovery - 1 day(s) ago
I wrote this snippet (taken from a longer manifesto) during a particularly serious psychotic episode about 8 years ago. My physician had told me to write down everything that was going on in my head, so I did. That’s a little sample of what came out. Scary? Maybe. Poetic and fascinating? Definitely. Welcome to my head. At that time, I had been working in the mental health field for about 10 years. I was working in a decision support center that used CommonGround, a Web-based app to facilitate shared
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 1Collaborative Care for Depression and Anxiety: Racial-Ethnic Differences in Treatment Engagement and Outcomes - 1 day(s) ago
Objective: This study aimed to examine racial-ethnic differences in engagement with and clinical outcomes of a collaborative care model (CoCM) implemented in primary care outpatient clinics in an urban academic medical center. Methods: Adult patients (N=4,911) who screened positive for symptoms of depression, anxiety, or both on the Patient Health Questionnaire–9 or the Generalized Anxiety Disorder–7 scale and who identified as non-Hispanic Black, Hispanic, or non-Hispanic White were offered participation in a CoCM implementation. The primary outcome was treatment engagement, defined as receipt of any follow-up visit, minimally adequate 4-week follow-up (at least one visit), and minimally adequate 16-week follow-up (at least three visits) after initial assessment. Secondary outcomes were response and remission of depression or anxiety. Results: After adjustment of analyses for sociodemographic covariates, Black and Hispanic participants were significantly less likely than White partici
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 3Access to Psychiatric and Education Services During Incarceration in the United States - 1 day(s) ago
Objective: Individuals with psychiatric disorders are incarcerated at disproportionately high rates and often have low educational attainment. Access to psychiatric and education services within prisons has been described as inadequate, but recent data are lacking. The authors sought to assess the association of psychiatric disorders with both educational attainment before incarceration and access to psychiatric and education services during incarceration. Methods: Data were from the 2016 Survey of Prison Inmates, a national survey of adults incarcerated in U.S. state and federal prisons (N=24,848). Multinomial regression was used to identify associations of educational attainment before incarceration with psychiatric disorders and sociodemographic factors. Multivariable logistic regression models were used to assess associations of psychiatric disorders with access to psychiatric and education services during incarceration and with sociodemographic factors. Results: Before incarcerati
Source: ps.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 0
PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This al l-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the
Source: ajp.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 7
Tweet: The authors discuss harm reduction strategies and associated outcome metrics in relation to the ongoing opioid crisis.
Source: ajp.psychiatryonline.orgCategories: General Medicine News, PsychiatryTweet
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Mashup Score: 3Collaborative Care for Injured Older Adults - 1 day(s) ago
This randomized clinical trial evaluates the use of a novel collaborative care intervention in biopsychosocial function of older patients following recent injury.
Source: jamanetwork.comCategories: General Medicine News, PsychiatryTweet-
A collaborative care intervention did not influence QOL, depressive & anxiety symptoms, or physical function of older adults w/ injury at 12 mos. It may improve the psychological health of patients w/ symptoms of anxiety or depression at time of admission. https://t.co/KYEVFlRtGD https://t.co/MGT5SXXYZB
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Mashup Score: 245
This meta-analysis examines data about mental health conditions in Australia to gauge associations with childhood maltreatment after accounting for genetic and environmental confounding.
Source: jamanetwork.comCategories: General Medicine News, PsychiatryTweet-
Controlling for genetic and environmental confounding, study revealed 21-41% of mental health conditions in Australia are attributable to child maltreatment. Over 1.8 million cases & 184,000 DALYs could be prevented if child maltreatment was eliminated. https://t.co/9zJGJ4ky85 https://t.co/kKZm9IcKXb
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EDITOR'S DESK | In this follow-up editorial, I will review some of the major challenges specific to #psychedelic clinical trials (PCTs) in the domains of randomization, blinding, and control interventions and propose specific solutions. https://t.co/maTpftBroX @APAPsychiatric https://t.co/RHkL0TxDQI