Psychosomatics最新文献

{"title":"Capacity and the COVID-19 Surge","authors":"J.J. Rasimas M.D., Ph.D., F.A.C.L.P., F.A.C.M.T., F.A.C.Psych.","doi":"10.1016/j.psym.2020.06.023","DOIUrl":"10.1016/j.psym.2020.06.023","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":"61 6","pages":"Pages 852-853"},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.06.023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38275513","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}

{"title":"Mania Associated With Supratherapeutic Tacrolimus Levels in a Patient With No Psychiatric History","authors":"Sindhura Vangala M.D., Ganj Beebani M.D., Rachel Thiem M.D., M.P.H., Aimee Dereczyk M.D.","doi":"10.1016/j.psym.2020.05.023","DOIUrl":"10.1016/j.psym.2020.05.023","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":"61 6","pages":"Pages 769-773"},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.05.023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38156153","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}

{"title":"Psychiatric Aspects of Chloroquine and Hydroxychloroquine Treatment in the Wake of Coronavirus Disease-2019: Psychopharmacological Interactions and Neuropsychiatric Sequelae","authors":"Brandon S. Hamm M.D., M.S.,&nbsp;Lisa J. Rosenthal M.D., F.A.C.L.P., D.F.A.P.A.","doi":"10.1016/j.psym.2020.06.022","DOIUrl":"10.1016/j.psym.2020.06.022","url":null,"abstract":"<div><h3>Background</h3><p>Chloroquine and hydroxychloroquine are among several experimental treatments being investigated in the urgent response to the coronavirus disease-2019. With increased use of these medications, physicians need to become knowledgeable of these drugs' neuropsychiatric side effects and interactions with psychiatric medications. <strong>Objective:</strong> Clarify evidence base regarding the psychiatric side effects and psychiatric drug interactions of chloroquine and hydroxychloroquine.</p></div><div><h3>Methods</h3><p>A literature review was performed in PubMed from 1950 to 2020 regarding psychiatric topics and targeted pharmacological properties of chloroquine and hydroxychloroquine.</p></div><div><h3>Results</h3><p>First, chloroquine and hydroxychloroquine may mildly inhibit CYP2D6 metabolism of psychiatric medications, and psychiatric medications that interfere with CYP2D6 or CYP3A4 activity could alter chloroquine and hydroxychloroquine levels. Second, they may prolong the QT interval, warranting caution with concomitant prescription of other QT prolonging agents. Finally, neuropsychiatric side effects are very uncommon but possible and include a potentially prolonged phenomenon of “psychosis after chloroquine.” Hydroxychloroquine has less information available about its neuropsychiatric side effects than chloroquine, with psychosis literature limited to several case reports. Weak evidence suggests a possible association of hydroxychloroquine exposure and increased suicidal ideation. It is not clear whether patients with psychiatric illness are more vulnerable to neuropsychiatric sequela of these medications; however, overdose of these medications by suicidal patients has high risk of mortality.</p></div><div><h3>Conclusion</h3><p>The risk of neuropsychiatric side effects of chloroquine and hydroxychloroquine when used for coronavirus disease-2019 treatment is not known. Best practice may include suicide risk assessment for patients treated with hydroxychloroquine. However, delirium is expected to be a more likely etiology of neuropsychiatric symptoms in critically ill patients treated for coronavirus disease-2019, and adjustment disorder is a much more likely etiology of anxiety and depression symptoms than the side effects of chloroquine or hydroxychloroquine.</p></div>","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":"61 6","pages":"Pages 597-606"},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.06.022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10839863","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}

{"title":"Dermatitis Neglecta, the Cognitive Assessment, and Micronutrients","authors":"Thomas M. Brown M.D.","doi":"10.1016/j.psym.2020.08.006","DOIUrl":"10.1016/j.psym.2020.08.006","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":"61 6","pages":"Pages 723-726"},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.08.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38508303","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}

{"title":"","authors":"Jacqueline Posada M.D.,&nbsp;Catherine Crone M.D.","doi":"10.1016/j.psym.2020.06.017","DOIUrl":"https://doi.org/10.1016/j.psym.2020.06.017","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":"61 6","pages":"Pages 867-868"},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.06.017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136675084","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}

{"title":"Non–N-methyl-D-aspartate Autoimmune Encephalopathy and Catatonia Treated With Electroconvulsive Therapy: A Pediatric Case Series and Treatment Guidelines","authors":"Nicholas A. Mischel M.D., Ph.D. ,&nbsp;GenaLynne C. Mooneyham M.D. M.S. ,&nbsp;Cecilia Lau M.D. ,&nbsp;Heather Van Mater M.D. ,&nbsp;Richard D. Weiner M.D., Ph.D.","doi":"10.1016/j.psym.2019.12.005","DOIUrl":"10.1016/j.psym.2019.12.005","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":"61 6","pages":"Pages 834-839"},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2019.12.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37579201","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}

{"title":"Optimizing Fit: Targeting a Residency Psychiatry Consultation-Liaison Rotation to Various Levels of Training","authors":"Scott R. Beach M.D. ,&nbsp;Daniel Shalev M.D. ,&nbsp;Steven V. Fischel M.D., Ph.D. ,&nbsp;Robert J. Boland M.D. ,&nbsp;Carrie L. Ernst M.D.","doi":"10.1016/j.psym.2020.07.002","DOIUrl":"10.1016/j.psym.2020.07.002","url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.”</p></div><div><h3>Discussion</h3><p>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.</p></div>","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":"61 6","pages":"Pages 645-654"},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38249494","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}

{"title":"An Extreme Presentation of Migraine: Suicidal Ideation as a Migraine Aura","authors":"Nadja F. Bednarczuk M.B.B.S., B.Sc. ,&nbsp;Jeffrey P. Staab M.D., M.S.","doi":"10.1016/j.psym.2020.04.005","DOIUrl":"10.1016/j.psym.2020.04.005","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":"61 6","pages":"Pages 795-798"},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.04.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37944306","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}

{"title":"Coronavirus and Its Implications for Psychiatry: A Rapid Review of the Early Literature","authors":"Maximilliam A. Cabrera B.A. ,&nbsp;Lakshmipriya Karamsetty B.A. ,&nbsp;Scott A. Simpson M.D. M.P.H.","doi":"10.1016/j.psym.2020.05.018","DOIUrl":"10.1016/j.psym.2020.05.018","url":null,"abstract":"<div><h3>Background</h3><p>The coronavirus pandemic has changed health care rapidly and dramatically.</p></div><div><h3>Objective</h3><p>To provide a critical synthesis of the scientific literature on the pandemic's implications for psychiatric practice.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":"61 6","pages":"Pages 607-615"},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.05.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38393480","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}

{"title":"","authors":"Nicholas Kontos M.D.","doi":"10.1016/j.psym.2020.01.010","DOIUrl":"10.1016/j.psym.2020.01.010","url":null,"abstract":"","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":"61 6","pages":"Pages 869-870"},"PeriodicalIF":3.4,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.01.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49441291","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}