Pub Date : 2020-09-01Epub Date: 2020-06-12DOI: 10.1007/s40501-020-00222-y
Janeese A Brownlow, Katherine E Miller, Philip R Gehrman
Purpose of the review: Sleep disturbances, insomnia and recurrent nightmares in particular, are among the most frequently endorsed symptoms of posttraumatic stress disorder (PTSD). The present review provides a summary of the prevalence estimates and methodological challenges presented by sleep disturbances in PTSD, highlights the recent evidence for empirically supported psychotherapeutic and pharmacological interventions for comorbid sleep disturbances implicated in PTSD, and provides a summary of recent findings on integrated and sequential treatment approaches to ameliorate comorbid sleep disturbances in PTSD.
Recent findings: Insomnia, recurrent nightmares, and other sleep disorders are commonly endorsed among individuals with PTSD; however, several methodological challenges contribute to the varying prevalence estimates. Targeted sleep-focused therapeutic interventions can improve sleep symptoms and mitigate daytime PTSD symptoms. Recently, attention has focused on the role of integrated and sequential approaches, suggesting that comprehensively treating sleep disturbances in PTSD is likely to require novel treatment modalities.
Summary: Evidence is growing on the development, course, and treatment of comorbid sleep disturbances in PTSD. Further, interventions targeting sleep disturbances in PTSD show promise in reducing symptoms. However, longitudinal investigations and additional rigorous controlled trials with diverse populations are needed to identify key features associated with treatment response in order to alleviate symptoms.
{"title":"Treatment of Sleep Comorbidities in Posttraumatic Stress Disorder.","authors":"Janeese A Brownlow, Katherine E Miller, Philip R Gehrman","doi":"10.1007/s40501-020-00222-y","DOIUrl":"https://doi.org/10.1007/s40501-020-00222-y","url":null,"abstract":"<p><strong>Purpose of the review: </strong>Sleep disturbances, insomnia and recurrent nightmares in particular, are among the most frequently endorsed symptoms of posttraumatic stress disorder (PTSD). The present review provides a summary of the prevalence estimates and methodological challenges presented by sleep disturbances in PTSD, highlights the recent evidence for empirically supported psychotherapeutic and pharmacological interventions for comorbid sleep disturbances implicated in PTSD, and provides a summary of recent findings on integrated and sequential treatment approaches to ameliorate comorbid sleep disturbances in PTSD.</p><p><strong>Recent findings: </strong>Insomnia, recurrent nightmares, and other sleep disorders are commonly endorsed among individuals with PTSD; however, several methodological challenges contribute to the varying prevalence estimates. Targeted sleep-focused therapeutic interventions can improve sleep symptoms and mitigate daytime PTSD symptoms. Recently, attention has focused on the role of integrated and sequential approaches, suggesting that comprehensively treating sleep disturbances in PTSD is likely to require novel treatment modalities.</p><p><strong>Summary: </strong>Evidence is growing on the development, course, and treatment of comorbid sleep disturbances in PTSD. Further, interventions targeting sleep disturbances in PTSD show promise in reducing symptoms. However, longitudinal investigations and additional rigorous controlled trials with diverse populations are needed to identify key features associated with treatment response in order to alleviate symptoms.</p>","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40501-020-00222-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25341564","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}
Pub Date : 2020-09-01Epub Date: 2020-07-28DOI: 10.1007/s40501-020-00221-z
Caitlin E Martin, Caroline Shadowen, Bhushan Thakkar, Travis Oakes, Tamas S Gal, F Gerard Moeller
Purpose of review: Opioid-related deaths are a leading cause of mortality during pregnancy through 12 months postpartum. Buprenorphine use during pregnancy is increasing, yet expert opinion on its dosing through the perinatal period is limited. We provide a review of the current clinical literature on buprenorphine dosing during pregnancy through 12 months postpartum. and present data from a retrospective chart review of patients at our institution describing trends in buprenorphine dosing during pregnancy and postpartum. Utilizing this information, we synthesize findings to provide clinical recommendations for providers.
Recent findings: Existing literature during pregnancy reflects how many women increase and split total daily buprenorphine doses as gestational age advances.
Summary: We present data from a retrospective chart review of patients at our institution describing trends in buprenorphine dosing during pregnancy and postpartum. Utilizing this information, we synthesize findings to provide clinical recommendations for providers. Changes in the total daily dose of buprenorphine used across pregnancy and through 12 months postpartum at the individual level do not follow consistent patterns, highlighting substantial individual variability. Altogether, buprenorphine dosing should be individualized through pregnancy and postpartum with frequent evaluations by providers and solicited input from patients.
{"title":"Buprenorphine dosing for the treatment of opioid use disorder through pregnancy and postpartum.","authors":"Caitlin E Martin, Caroline Shadowen, Bhushan Thakkar, Travis Oakes, Tamas S Gal, F Gerard Moeller","doi":"10.1007/s40501-020-00221-z","DOIUrl":"10.1007/s40501-020-00221-z","url":null,"abstract":"<p><strong>Purpose of review: </strong>Opioid-related deaths are a leading cause of mortality during pregnancy through 12 months postpartum. Buprenorphine use during pregnancy is increasing, yet expert opinion on its dosing through the perinatal period is limited. We provide a review of the current clinical literature on buprenorphine dosing during pregnancy through 12 months postpartum. and present data from a retrospective chart review of patients at our institution describing trends in buprenorphine dosing during pregnancy and postpartum. Utilizing this information, we synthesize findings to provide clinical recommendations for providers.</p><p><strong>Recent findings: </strong>Existing literature during pregnancy reflects how many women increase and split total daily buprenorphine doses as gestational age advances.</p><p><strong>Summary: </strong>We present data from a retrospective chart review of patients at our institution describing trends in buprenorphine dosing during pregnancy and postpartum. Utilizing this information, we synthesize findings to provide clinical recommendations for providers. Changes in the total daily dose of buprenorphine used across pregnancy and through 12 months postpartum at the individual level do not follow consistent patterns, highlighting substantial individual variability. Altogether, buprenorphine dosing should be individualized through pregnancy and postpartum with frequent evaluations by providers and solicited input from patients.</p>","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7880143/pdf/nihms-1615513.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25371895","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}
Pub Date : 2020-08-29DOI: 10.1007/s40501-020-00218-8
Jean M. Bennett, Barbara Allison-Bryan
{"title":"Integrating Evidence-Based Guidelines on Pain and Opioids into Medical School Education","authors":"Jean M. Bennett, Barbara Allison-Bryan","doi":"10.1007/s40501-020-00218-8","DOIUrl":"https://doi.org/10.1007/s40501-020-00218-8","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40501-020-00218-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47020152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-28DOI: 10.1007/s40501-020-00227-7
M. Young
{"title":"Prognostic Significance of Personality Disorders in Patients with Major Depressive Disorder","authors":"M. Young","doi":"10.1007/s40501-020-00227-7","DOIUrl":"https://doi.org/10.1007/s40501-020-00227-7","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40501-020-00227-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49201330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-06DOI: 10.1007/s40501-020-00223-x
L. Choi-Kain, S. Masland, E. A. Iliakis, Gabrielle S. Ilagan
{"title":"Longitudinal Course of Borderline Personality Disorder: What Every Clinician Needs to Know","authors":"L. Choi-Kain, S. Masland, E. A. Iliakis, Gabrielle S. Ilagan","doi":"10.1007/s40501-020-00223-x","DOIUrl":"https://doi.org/10.1007/s40501-020-00223-x","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40501-020-00223-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44210873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-19DOI: 10.1007/s40501-020-00225-9
Mandeep K. Kapur, Isheeta Zalpuri, Shelly Tran, Manpreet K. Singh
{"title":"Treating Depression in the Context of Mania or Mania Risk in Youth","authors":"Mandeep K. Kapur, Isheeta Zalpuri, Shelly Tran, Manpreet K. Singh","doi":"10.1007/s40501-020-00225-9","DOIUrl":"https://doi.org/10.1007/s40501-020-00225-9","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40501-020-00225-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48243724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-10DOI: 10.1007/s40501-020-00211-1
Rachel E. Liebman, Kristen M Whitfield, Iris Sijercic, Naomi Ennis, C. Monson
{"title":"Harnessing the Healing Power of Relationships in Trauma Recovery: a Systematic Review of Cognitive-Behavioral Conjoint Therapy for PTSD","authors":"Rachel E. Liebman, Kristen M Whitfield, Iris Sijercic, Naomi Ennis, C. Monson","doi":"10.1007/s40501-020-00211-1","DOIUrl":"https://doi.org/10.1007/s40501-020-00211-1","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40501-020-00211-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46752228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-10DOI: 10.1007/s40501-020-00224-w
William D. Ellison
{"title":"Psychotherapy for Borderline Personality Disorder: Does the Type of Treatment Make a Difference?","authors":"William D. Ellison","doi":"10.1007/s40501-020-00224-w","DOIUrl":"https://doi.org/10.1007/s40501-020-00224-w","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40501-020-00224-w","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48750587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-05DOI: 10.1007/s40501-020-00219-7
K. Ragsdale, Laura E. Watkins, Andrew M. Sherrill, Liza C Zwiebach, B. Rothbaum
{"title":"Advances in PTSD Treatment Delivery: Evidence Base and Future Directions for Intensive Outpatient Programs","authors":"K. Ragsdale, Laura E. Watkins, Andrew M. Sherrill, Liza C Zwiebach, B. Rothbaum","doi":"10.1007/s40501-020-00219-7","DOIUrl":"https://doi.org/10.1007/s40501-020-00219-7","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40501-020-00219-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44009819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-03DOI: 10.1007/s40501-020-00220-0
L. Keyser-Marcus, Courtney M. Holmes, A. Adams, Cheryl Bodamer
{"title":"Simulation Methods as a Tool to Enhance Medical Student Education and Combat Stigma in Addictions","authors":"L. Keyser-Marcus, Courtney M. Holmes, A. Adams, Cheryl Bodamer","doi":"10.1007/s40501-020-00220-0","DOIUrl":"https://doi.org/10.1007/s40501-020-00220-0","url":null,"abstract":"","PeriodicalId":11088,"journal":{"name":"Current Treatment Options in Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s40501-020-00220-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49575684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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