Horwitz Elana, Lao Bryan, Robbins-Welty Gregg, Tuck Andrew, Gagliardi Jane
A 31-year-old woman with a nursing background and loin pain-hematuria syndrome undergoes a renal autotransplant. During her recovery and prolonged hospitalization, her care team becomes increasingly concerned about a factitious disorder. With the roll-out of the 21st Century Cures Act Final Rule, which involves direct sharing of medical records with patients in real time, multiple inpatient care teams leave their clinical suspicion out of their progress notes for fear of damaging the therapeutic relationship. This case provides an opportunity to consider implications of the Final Rule policy of “open notes” for patients with sensitive psychiatric diagnoses, highlighting the need for effective communication and collaboration between inpatient teams and realistic approaches to the integration of documentation in patient care. Check for updates during her hospitalization. Factitious disorder is characterized by the falsification of symptoms for internal reward. Loin pain-hematuria syndrome is a rare condition characterized by chronic bilateral or unilateral flank pain and recurrent hematuria, hypothesized to have a psychogenic component [4]. While literature exists on the effects of the Open Notes Rule in the outpatient setting, little attention has been given to the changing dynamic in the inpatient care setting or to the effect on patient care when sensitive psychiatric information is relevant [5-7]. We will highlight the effects of Open Notes on team communication, treatment planning, and clinical outcome in this patient with factitious disorder, as well as potential strategies to address these unique dynamics.
一个31岁的女性护理背景和腰痛血尿综合征接受肾脏自体移植。在她的康复和长期住院期间，她的护理团队越来越担心这是一种人为的障碍。随着《21世纪治愈法案最终规则》(21st Century Cures Act Final Rule)的推出(该规则涉及直接与患者实时共享医疗记录)，多个住院护理团队将他们的临床怀疑从他们的进度记录中删除，因为担心破坏治疗关系。本案例提供了一个机会来考虑对敏感精神病诊断患者“开放笔记”的最终规则政策的含义，强调住院团队之间有效沟通和合作的必要性，以及在患者护理中整合文件的现实方法。查看她住院期间的最新情况。人为障碍的特点是为获得内在奖励而伪造症状。腰痛血尿综合征是一种罕见的疾病，其特征是慢性双侧或单侧腹部疼痛和反复出现的血尿，假设有心理因素。虽然有文献报道开放笔记规则在门诊环境中的影响，但很少有人关注住院护理环境中的变化动态，或者当敏感的精神病学信息相关时对患者护理的影响[5-7]。我们将重点介绍Open Notes对团队沟通、治疗计划和该人为障碍患者临床结果的影响，以及解决这些独特动态的潜在策略。
{"title":"Open Notes and Closed-Loop Communication: A Case of Factitious Disorder in the Age of Transparent Medical Records","authors":"Horwitz Elana, Lao Bryan, Robbins-Welty Gregg, Tuck Andrew, Gagliardi Jane","doi":"10.36959/784/429","DOIUrl":"https://doi.org/10.36959/784/429","url":null,"abstract":"A 31-year-old woman with a nursing background and loin pain-hematuria syndrome undergoes a renal autotransplant. During her recovery and prolonged hospitalization, her care team becomes increasingly concerned about a factitious disorder. With the roll-out of the 21st Century Cures Act Final Rule, which involves direct sharing of medical records with patients in real time, multiple inpatient care teams leave their clinical suspicion out of their progress notes for fear of damaging the therapeutic relationship. This case provides an opportunity to consider implications of the Final Rule policy of “open notes” for patients with sensitive psychiatric diagnoses, highlighting the need for effective communication and collaboration between inpatient teams and realistic approaches to the integration of documentation in patient care. Check for updates during her hospitalization. Factitious disorder is characterized by the falsification of symptoms for internal reward. Loin pain-hematuria syndrome is a rare condition characterized by chronic bilateral or unilateral flank pain and recurrent hematuria, hypothesized to have a psychogenic component [4]. While literature exists on the effects of the Open Notes Rule in the outpatient setting, little attention has been given to the changing dynamic in the inpatient care setting or to the effect on patient care when sensitive psychiatric information is relevant [5-7]. We will highlight the effects of Open Notes on team communication, treatment planning, and clinical outcome in this patient with factitious disorder, as well as potential strategies to address these unique dynamics.","PeriodicalId":165943,"journal":{"name":"Journal of Psychiatry Treatment and Research","volume":"84 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114338511","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}
Linhares Maria Gabrielle Oliveira e Silva, Neves Kelly Rose Tavares, Souza Ana Cristina Holanda de, Aragão Gislei Frota
Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by social skill and communication disability, accompanied by repetitive behavior that interferes with the individual’s verbal and non-verbal communication. An up-growing number of researches have put to evidence that ASD physiopathology is related with metabolic and glutamatergic transmission in the vertebrate brain alterations, which are directly affected by oxidative stress levels. The purpose of the present work was to perform a bibliographic survey about the potential application of N-acetylcysteine (NAC) as an alternative treatment for the behavioral disorders present in autism. As results, we observed that NAC emerges as a potentially prospective treatment in autism as a consequence of its capacity to decrease patient’s irritability when compared to other conventional treatments.
{"title":"N-Acetylcysteine as an Alternative Treatment in Autism Spectrum Disorder (ASD): A Mini-Review","authors":"Linhares Maria Gabrielle Oliveira e Silva, Neves Kelly Rose Tavares, Souza Ana Cristina Holanda de, Aragão Gislei Frota","doi":"10.36959/784/428","DOIUrl":"https://doi.org/10.36959/784/428","url":null,"abstract":"Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by social skill and communication disability, accompanied by repetitive behavior that interferes with the individual’s verbal and non-verbal communication. An up-growing number of researches have put to evidence that ASD physiopathology is related with metabolic and glutamatergic transmission in the vertebrate brain alterations, which are directly affected by oxidative stress levels. The purpose of the present work was to perform a bibliographic survey about the potential application of N-acetylcysteine (NAC) as an alternative treatment for the behavioral disorders present in autism. As results, we observed that NAC emerges as a potentially prospective treatment in autism as a consequence of its capacity to decrease patient’s irritability when compared to other conventional treatments.","PeriodicalId":165943,"journal":{"name":"Journal of Psychiatry Treatment and Research","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132456519","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}
The recurrent nature of Bipolar Disorder (BD) is the main cause of disability associated with the illness. Despite the proliferation of drugs approved for the maintenance phase of BD, the relapse rate is still high. The combination of drugs, especially the potentiation of mood-stabilizers with second generation antipsychotics, may reduce the risk of relapse and rehospitalization. However, studies on the efficacy of specific combinations are scarce.
{"title":"Lithium plus Olanzapine as One of the Most Effective Combinations for Bipolar Disorder. A Case Report and a Concise Review of the Literature","authors":"A. Rodriguez, X. P. D. M. Etxezarraga","doi":"10.36959/784/427","DOIUrl":"https://doi.org/10.36959/784/427","url":null,"abstract":"The recurrent nature of Bipolar Disorder (BD) is the main cause of disability associated with the illness. Despite the proliferation of drugs approved for the maintenance phase of BD, the relapse rate is still high. The combination of drugs, especially the potentiation of mood-stabilizers with second generation antipsychotics, may reduce the risk of relapse and rehospitalization. However, studies on the efficacy of specific combinations are scarce.","PeriodicalId":165943,"journal":{"name":"Journal of Psychiatry Treatment and Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130614816","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}
Ninety-four Veterans self-selected to participate in a 10-week ACT for chronic pain group. Paired samples t-tests were utilized to evaluate changes on the primary measure of pain acceptance whose domain scores are activities engagement and pain willingness and on secondary multidimensional outcomes.
{"title":"The Impact of Acceptance & Commitment Group Therapy on Pain-Related Acceptance in Veterans","authors":"Cosio David","doi":"10.36959/784/426","DOIUrl":"https://doi.org/10.36959/784/426","url":null,"abstract":"Ninety-four Veterans self-selected to participate in a 10-week ACT for chronic pain group. Paired samples t-tests were utilized to evaluate changes on the primary measure of pain acceptance whose domain scores are activities engagement and pain willingness and on secondary multidimensional outcomes.","PeriodicalId":165943,"journal":{"name":"Journal of Psychiatry Treatment and Research","volume":"477 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122728440","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}
Paz-Otero María, Becerra-Fernández Antonio, P. Gilberto, Ly-Pen Domingo
In the last few years, several studies have suggested the presence of high rates of psychopathology in the trans population and those with gender variability. The purpose of this paper has been to investigate the prevalence of psychiatric disorders in gender dysphoric and gender non-conforming people, as well as their relationship to the stigma and discrimination that they often suffer. For this purpose, this review includes 37 studies published in the last five years, which address the prevalence of various psychiatric pathologies while also addressing possible factors related to them. Among all the psychiatric disorders considered, the most frequent are depression, suicidal ideation, and anxiety.
{"title":"A 2020 Review of Mental Health Comorbidity in Gender Dysphoric and Gender Non-Conforming People","authors":"Paz-Otero María, Becerra-Fernández Antonio, P. Gilberto, Ly-Pen Domingo","doi":"10.36959/784/425","DOIUrl":"https://doi.org/10.36959/784/425","url":null,"abstract":"In the last few years, several studies have suggested the presence of high rates of psychopathology in the trans population and those with gender variability. The purpose of this paper has been to investigate the prevalence of psychiatric disorders in gender dysphoric and gender non-conforming people, as well as their relationship to the stigma and discrimination that they often suffer. For this purpose, this review includes 37 studies published in the last five years, which address the prevalence of various psychiatric pathologies while also addressing possible factors related to them. Among all the psychiatric disorders considered, the most frequent are depression, suicidal ideation, and anxiety.","PeriodicalId":165943,"journal":{"name":"Journal of Psychiatry Treatment and Research","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116355586","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}
Introduction: Knowledge about the biological basis of violence in people with severe mental illness is needed to formulate strategies in the management of violence. The aim of this study was to identify and describe the biological factors associated with interpersonal violence in adults with severe mental illness. Methods: This scoping review was written with reference to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist. The literature search was conducted in MEDLINE (via PubMed), PsycINFO, SciELO, ProQuest and Epistemonikos until October 2020. Primary and Secondary studies in English or Spanish were included without restrictions as to date of publication. The information charted during the process included: authors; publication year; country; type of research; study population; biological factors; outcomes and key findings. Results: Twenty-eight articles were included after the selection process. The most widely-studied population was people with schizophrenia. The biological factors studied in the articles are categorized into six groups: Serotonin function, genes, hormones, neuroactive steroids, brain function and anatomy, and immune factors. Several studies showed a relationship between different biological factors and interpersonal violence in people with severe mental illness. Conclusion: This scoping review describes current research, and provides evidence on a biological basis. Nevertheless, further studies are needed to carry out research into biological factors associated with interpersonal violence in people with severe mental illness.
{"title":"A Scoping Review on Biological Factors Associated with Interpersonal Violence in Adults with Severe Mental Illness","authors":"Moreno-Calvete Maria Concepcion","doi":"10.36959/784/424","DOIUrl":"https://doi.org/10.36959/784/424","url":null,"abstract":"Introduction: Knowledge about the biological basis of violence in people with severe mental illness is needed to formulate strategies in the management of violence. The aim of this study was to identify and describe the biological factors associated with interpersonal violence in adults with severe mental illness. Methods: This scoping review was written with reference to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist. The literature search was conducted in MEDLINE (via PubMed), PsycINFO, SciELO, ProQuest and Epistemonikos until October 2020. Primary and Secondary studies in English or Spanish were included without restrictions as to date of publication. The information charted during the process included: authors; publication year; country; type of research; study population; biological factors; outcomes and key findings. Results: Twenty-eight articles were included after the selection process. The most widely-studied population was people with schizophrenia. The biological factors studied in the articles are categorized into six groups: Serotonin function, genes, hormones, neuroactive steroids, brain function and anatomy, and immune factors. Several studies showed a relationship between different biological factors and interpersonal violence in people with severe mental illness. Conclusion: This scoping review describes current research, and provides evidence on a biological basis. Nevertheless, further studies are needed to carry out research into biological factors associated with interpersonal violence in people with severe mental illness.","PeriodicalId":165943,"journal":{"name":"Journal of Psychiatry Treatment and Research","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130136885","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}
Alem Eskeziya Ayenalem, Yitayal Birhanu Wolde, E. Habitamu
{"title":"Patient Attitudes toward the Use of the Electronic Medical Record in an Acute Psychiatric Unit","authors":"Alem Eskeziya Ayenalem, Yitayal Birhanu Wolde, E. Habitamu","doi":"10.36959/784/420","DOIUrl":"https://doi.org/10.36959/784/420","url":null,"abstract":"","PeriodicalId":165943,"journal":{"name":"Journal of Psychiatry Treatment and Research","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126330327","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}
The increasing use of the Electronic medical record (EMR) has been promoted to enhance communication between health care professionals and medical settings. A common criticism, however, has been the EMR's effect upon the doctor-patient relationship and patient satisfaction. Current literature on such effects of the EMR has primarily involved the outpatient setting. This study instead surveys patient attitudes toward the use of the EMR in an acute, inpatient psychiatric setting.
{"title":"Patient Attitudes toward the Use of the Electronic Medical Record in an Acute Psychiatric Unit","authors":"Thomas Wise, K. Sethi, R. Kim, M. Hadjikyriakou","doi":"10.36959/784/419","DOIUrl":"https://doi.org/10.36959/784/419","url":null,"abstract":"The increasing use of the Electronic medical record (EMR) has been promoted to enhance communication between health care professionals and medical settings. A common criticism, however, has been the EMR's effect upon the doctor-patient relationship and patient satisfaction. Current literature on such effects of the EMR has primarily involved the outpatient setting. This study instead surveys patient attitudes toward the use of the EMR in an acute, inpatient psychiatric setting.","PeriodicalId":165943,"journal":{"name":"Journal of Psychiatry Treatment and Research","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133767599","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}
Schmitgen Mike Michael, Wolf Nadine Donata, Mundinger Christina, Horvath Juliane, Sambataro Fabio, Hirjak Dusan, Kubera Katharina Maria, Koenig Julian, Wolf Robert Christian
Objectives: Excessive smartphone use, sometimes also referred to as “smartphone addiction”, has increasingly attracted neuroscientific interest due to its similarities with other behavioral addictions, particularly internet gaming disorder. Little is known so far about the neural mechanisms underlying smartphone addiction. Here, we explored interrelationships between brain structure and function to specify neurobiological correlates of smartphone addiction on a neural system level. Methods: Gray matter volume and intrinsic neural activity was investigated in individuals with smartphone addiction (n = 20) compared to controls (n = 24), using multimodal magnetic resonance imaging and multivariate data fusion techniques, i.e., parallel Independent Component Analysis. Results: The joint analysis of both data modalities explored shared information between gray matter volume and intrinsic neural activity which were not revealed by previous modality-specific approaches. Two amplitude of low frequency fluctuations-based independent neural systems significantly differed between individuals with smartphone addiction and controls. A medial/dorsolateral prefrontal system exhibited lower functional network strength lower in smartphone addiction vs. controls, whereas the opposite pattern was detected in a parietal cortical/cerebellar system. Neural network strength was significantly related to duration of smartphone use and sleep difficulties. Conclusions: We show modality-specific associations of the brain’s resting-state activity with distinct and shared smartphone addiction symptom dimensions. In particular, the data suggest contributions of aberrant prefrontal and parietal neural network strength as a possible signature of deficient executive control in smartphone addiction.
{"title":"Aberrant Intrinsic Neural Networks Strength in Individuals with \"Smartphone Addiction\": An MRI Data Fusion Study","authors":"Schmitgen Mike Michael, Wolf Nadine Donata, Mundinger Christina, Horvath Juliane, Sambataro Fabio, Hirjak Dusan, Kubera Katharina Maria, Koenig Julian, Wolf Robert Christian","doi":"10.36959/784/430","DOIUrl":"https://doi.org/10.36959/784/430","url":null,"abstract":"Objectives: Excessive smartphone use, sometimes also referred to as “smartphone addiction”, has increasingly attracted neuroscientific interest due to its similarities with other behavioral addictions, particularly internet gaming disorder. Little is known so far about the neural mechanisms underlying smartphone addiction. Here, we explored interrelationships between brain structure and function to specify neurobiological correlates of smartphone addiction on a neural system level. Methods: Gray matter volume and intrinsic neural activity was investigated in individuals with smartphone addiction (n = 20) compared to controls (n = 24), using multimodal magnetic resonance imaging and multivariate data fusion techniques, i.e., parallel Independent Component Analysis. Results: The joint analysis of both data modalities explored shared information between gray matter volume and intrinsic neural activity which were not revealed by previous modality-specific approaches. Two amplitude of low frequency fluctuations-based independent neural systems significantly differed between individuals with smartphone addiction and controls. A medial/dorsolateral prefrontal system exhibited lower functional network strength lower in smartphone addiction vs. controls, whereas the opposite pattern was detected in a parietal cortical/cerebellar system. Neural network strength was significantly related to duration of smartphone use and sleep difficulties. Conclusions: We show modality-specific associations of the brain’s resting-state activity with distinct and shared smartphone addiction symptom dimensions. In particular, the data suggest contributions of aberrant prefrontal and parietal neural network strength as a possible signature of deficient executive control in smartphone addiction.","PeriodicalId":165943,"journal":{"name":"Journal of Psychiatry Treatment and Research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115367182","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}
Rodríguez Miguélez, Napal A Marín, Leonor J Fernández, Villar S Riveiro, de Mendiola Etxezarraga S Pérez, C. X Martín Requena
{"title":"The Wilkie's Syndrome which Disguised As Anorexia Nervosa: A Case Report","authors":"Rodríguez Miguélez, Napal A Marín, Leonor J Fernández, Villar S Riveiro, de Mendiola Etxezarraga S Pérez, C. X Martín Requena","doi":"10.36959/784/431","DOIUrl":"https://doi.org/10.36959/784/431","url":null,"abstract":"","PeriodicalId":165943,"journal":{"name":"Journal of Psychiatry Treatment and Research","volume":"705 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132913161","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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