Psychosomatics最新文献

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Non–N-methyl-D-aspartate Autoimmune Encephalopathy and Catatonia Treated With Electroconvulsive Therapy: A Pediatric Case Series and Treatment Guidelines 电休克疗法治疗非n -甲基- d -天冬氨酸自身免疫性脑病和紧张症:儿科病例系列和治疗指南

IF 3.4 Q2 Medicine

Psychosomatics

Pub Date : 2020-11-01 DOI: 10.1016/j.psym.2019.12.005

Nicholas A. Mischel M.D., Ph.D. , GenaLynne C. Mooneyham M.D. M.S. , Cecilia Lau M.D. , Heather Van Mater M.D. , Richard D. Weiner M.D., Ph.D.

引用次数: 1

Capacity and the COVID-19 Surge 能力和COVID-19激增

IF 3.4 Q2 Medicine

Psychosomatics

Pub Date : 2020-11-01 DOI: 10.1016/j.psym.2020.06.023

J.J. Rasimas M.D., Ph.D., F.A.C.L.P., F.A.C.M.T., F.A.C.Psych.

引用次数: 1

Dermatitis Neglecta, the Cognitive Assessment, and Micronutrients 忽视性皮炎，认知评估和微量营养素

IF 3.4 Q2 Medicine

Psychosomatics

Pub Date : 2020-11-01 DOI: 10.1016/j.psym.2020.08.006

Thomas M. Brown M.D.

引用次数: 2

Mania Associated With Supratherapeutic Tacrolimus Levels in a Patient With No Psychiatric History 无精神病史患者的狂躁与超治疗性他克莫司水平相关

IF 3.4 Q2 Medicine

Psychosomatics

Pub Date : 2020-11-01 DOI: 10.1016/j.psym.2020.05.023

Sindhura Vangala M.D., Ganj Beebani M.D., Rachel Thiem M.D., M.P.H., Aimee Dereczyk M.D.

引用次数: 2

IF 3.4 Q2 Medicine

Psychosomatics

Pub Date : 2020-11-01 DOI: 10.1016/j.psym.2020.06.017

Jacqueline Posada M.D., Catherine Crone M.D.

引用次数: 0

An Extreme Presentation of Migraine: Suicidal Ideation as a Migraine Aura 偏头痛的一种极端表现:作为偏头痛先兆的自杀意念

IF 3.4 Q2 Medicine

Psychosomatics

Pub Date : 2020-11-01 DOI: 10.1016/j.psym.2020.04.005

Nadja F. Bednarczuk M.B.B.S., B.Sc. , Jeffrey P. Staab M.D., M.S.

引用次数: 0

Increased Risk of Sudden Cardiac Death in Schizophrenia 精神分裂症患者心源性猝死风险增加

IF 3.4 Q2 Medicine

Psychosomatics

Pub Date : 2020-11-01 DOI: 10.1016/j.psym.2020.02.005

Carla A. Scorza Ph.D., Ms Marcia Guimarães-Marques Ph.D., Mariana Nejm Ph.D., Fulvio A. Scorza Ph.D., Josef Finsterer Ph.D., Roberta M. Cysneiros M.D.

引用次数: 2

Coronavirus and Its Implications for Psychiatry: A Rapid Review of the Early Literature 冠状病毒及其对精神病学的影响:早期文献的快速回顾。

IF 3.4 Q2 Medicine

Psychosomatics

Pub Date : 2020-11-01 DOI: 10.1016/j.psym.2020.05.018

Maximilliam A. Cabrera B.A. , Lakshmipriya Karamsetty B.A. , Scott A. Simpson M.D. M.P.H.

Background

The coronavirus pandemic has changed health care rapidly and dramatically.

Objective

To provide a critical synthesis of the scientific literature on the pandemic's implications for psychiatric practice.

Methods

A rapid literature review was undertaken to identify scientific literature linking psychiatric outcomes and practice changes due to coronavirus and the disease it causes (COVID-19). A structured quality assessment was used to assess those articles reporting quantitative data.

Results

Fifty articles were identified for inclusion, but only 12 contained original data. Eleven of those twelve were rated as of weak quality. The literature described psychiatric sequelae of the coronavirus and related public health interventions through cross-sectional surveys among different populations; no studies include diagnostic or functional impairment data. Populations at risk include COVID-19 survivors, health care workers, the elderly, and those with preexisting psychiatric disease. Impacts on psychiatric practice were described, again without data on changes to quality or access of care.

Conclusions

There is a quickly accumulating body of evidence on the psychiatric implications of coronavirus including psychological effects on the general public and at-risk subgroups. Similarly, psychiatric practice has witnessed substantial adaptation to the pandemic. However, there remain significant gaps in scientific knowledge. We suggest opportunities for consultation-liaison psychiatry to improve the understanding of the relationship between coronavirus and psychiatric care.

背景:冠状病毒大流行迅速而巨大地改变了卫生保健。目的:提供关于流行病对精神病学实践影响的科学文献的关键综合。方法:快速查阅文献，找出与冠状病毒及其引起的疾病(COVID-19)有关的精神病学结局和实践变化的科学文献。采用结构化质量评估对报告定量数据的文章进行评估。结果:50篇文章被纳入，但只有12篇文章包含原始数据。12个中有11个被评为质量较差。文献通过对不同人群的横断面调查，描述了冠状病毒的精神后遗症及相关的公共卫生干预措施;没有研究包括诊断或功能损伤数据。高危人群包括COVID-19幸存者、卫生保健工作者、老年人和先前存在精神疾病的人。对精神病学实践的影响进行了描述，同样没有关于护理质量或可及性变化的数据。结论:关于冠状病毒对精神病学的影响，包括对公众和高危亚群体的心理影响，证据正在迅速积累。同样，精神病学的做法也对这一流行病作出了重大调整。然而，在科学知识方面仍然存在重大差距。我们建议提供会诊联络精神病学的机会，以提高对冠状病毒与精神病学护理之间关系的理解。

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引用次数: 34

Optimizing Fit: Targeting a Residency Psychiatry Consultation-Liaison Rotation to Various Levels of Training 优化适合:目标住院医师精神病学咨询联络轮换到不同层次的培训

IF 3.4 Q2 Medicine

Psychosomatics

Pub Date : 2020-11-01 DOI: 10.1016/j.psym.2020.07.002

Scott R. Beach M.D. , Daniel Shalev M.D. , Steven V. Fischel M.D., Ph.D. , Robert J. Boland M.D. , Carrie L. Ernst M.D.

Background

Determining the optimal timing and structure for a core residency rotation in consultation-liaison psychiatry (CLP) remains a key challenge for program directors and rotation leaders. Previous surveys have been conducted regarding these questions, and guidelines from national organizations have been issued, but practices remain varied among institutions.

Methods

We conducted a narrative review of the literature related to the timing of CLP rotations and generated consensus recommendations based on our experience as program directors, rotation leaders, and residents.

Results

Explicit goals of CLP training in residency include identifying and treating psychiatric manifestation of medical illness and communicating effectively with primary teams. Implicit goals of training may includeconflict management, limit setting, and “thinking dirty.”

Discussion

Although CLP rotations earlier in residency often create a better fit within the overarching curriculum and allow for generating early interest in the field, significant amounts of supervision are required, and consultees may look to attendings as the primary consultant. Conversely, while later rotations are sometimes challenging to structure with other outpatient responsibilities, they allow for greater autonomy and may map better onto the informal curriculum. A hybrid model, with training spread across multiple years, is another approach that may mitigate some of the disadvantages of confining consultation-liaison training to a single year. Compelling arguments can be made for placing the core CLP rotation in postgraduate year 2 or 3 or using a hybrid model. Regardless of placement, program directors and rotation leaders should be mindful of tailoring the rotation to the trainees' developmental stage.

背景:确定咨询联络精神病学(CLP)核心住院医师轮转的最佳时间和结构仍然是项目主管和轮转领导面临的关键挑战。以前就这些问题进行了调查，并发布了国家组织的指导方针，但各机构的做法仍然各不相同。方法:我们对与CLP轮转时间相关的文献进行了叙述性回顾，并根据我们作为项目主管、轮转领导和住院医生的经验得出了一致的建议。结果住院医师CLP培训的显性目标包括识别和治疗内科疾病的精神表现以及与基层团队的有效沟通。培训的隐性目标可能包括冲突管理、限制设置和“肮脏思维”。尽管早期的住院医师CLP轮转通常更适合总体课程，并允许对该领域产生早期兴趣，但需要大量的监督，并且咨询者可能会将主治医师视为主要顾问。相反，虽然后来的轮岗有时与其他门诊责任的结构具有挑战性，但它们允许更大的自主权，并可能更好地映射到非正式课程中。另一种方法是混合模式，将培训分散到多年，这可能会减轻将咨询联络培训限制在一年的一些缺点。将核心CLP轮转安排在研究生二年级或三年级，或者使用混合模式，可以提出令人信服的理由。无论实习安排如何，项目主管和轮岗领导都应注意根据受训者的发展阶段调整轮岗安排。

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引用次数: 1

书评

IF 3.4 Q2 Medicine

Psychosomatics

Pub Date : 2020-11-01 DOI: 10.1016/j.psym.2020.01.010

Nicholas Kontos M.D.

引用次数: 0

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