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Physical Violence and Aggression in Parkinson's Disease: A Systematic Review 帕金森病患者的肢体暴力和攻击行为系统综述。
IF 2.7 4区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-01 DOI: 10.1016/j.jaclp.2024.01.007

Background

Physical violence and aggression (PVA), defined as behaviors with the potential to cause bodily injury, are unfortunate risks in the management of all-cause neurodegenerative dementias. While dementia in Parkinson's disease (PD) may not be evident for many years after clinical onset, neuropsychiatric disturbances occur at all stages of the disease. At issue is whether PVA in PD is associated with clinical factors that can be targets for prevention and management in the absence of a prevailing dementia syndrome.

Objective

This systematic review examined the extent to which PVA in PD without dementia is a clinically significant concern and whether it is associated with factors that could warrant proactive management.

Methods

A systematic search of 9 electronic databases used MeSH headings and equivalent terms for PD, aggression, and violence. Eligible manuscripts were original articles that were published in peer-reviewed journals and reported on adults with PD in the awake state with PVA as possible outcomes. Extracted data included study design, PD ascertainment methods and characteristics, PVA assessment methods, subject demographics, psychiatric and medical comorbidities, and pertinent results. Inciting and confounding factors were extracted from case reports. Quality assessment tools were applied in accordance with the study design (e.g., observational, qualitative, or case report).

Results

The search identified 10 manuscripts: 2 observational quantitative studies (total n with PD = 545), 1 qualitative study (n with PD = 20), and 7 case reports (n = 7). The observational studies suggested that PVA is less common than other neuropsychiatric disturbances, but heterogeneous methods and quality concerns prevented further conclusions. In the case reports, all patients were male, and most were early onset. In 6 of the reports, PVA occurred in the context of bilateral subthalamic nucleus deep brain stimulation.

Conclusions

PVA, while relatively rare in PD, can be a significant management issue that is associated with select premorbid characteristics and antiparkinsonian motor treatments. As PVA may be under-reported, further understanding of its frequency, causes, risk factors, and outcomes would benefit from its systematic assessment, ideally using self-report and informant-based questionnaires.

背景:肢体暴力和攻击行为(PVA)是指可能造成身体伤害的行为,是治疗全因性神经退行性痴呆症的不幸风险。帕金森病(Parkinson's disease,PD)的痴呆症可能在临床发病多年后才显现出来,而神经精神障碍则发生在疾病的各个阶段。目前的问题是,帕金森病中的PVA是否与临床因素有关,而这些因素在没有普遍痴呆综合征的情况下是否可以作为预防和管理的目标:本系统综述研究了无痴呆症的 PD 患者的 PVA 在多大程度上具有临床意义,以及它是否与需要积极管理的因素有关:对 9 个电子数据库进行了系统性检索,使用了 MeSH 标题和与 PD、攻击性和暴力相关的术语。符合条件的稿件是发表在同行评议期刊上的原创文章,这些文章报道了在清醒状态下患有帕金森氏症的成人的情况,PVA是可能的结果。提取的数据包括研究设计、PD确定方法和特征、PVA评估方法、受试者人口统计学特征、精神和医疗合并症以及相关结果。从病例报告中提取了诱发因素和混杂因素。根据研究设计(如观察性、定性或病例报告)使用质量评估工具:搜索共发现 10 篇手稿:2 项观察性定量研究(PD=545)、1 项定性研究(PD=20)和 7 项病例报告(N=7)。观察性研究表明,与其他神经精神障碍相比,PVA 的发病率较低,但由于研究方法不尽相同和质量问题,无法得出进一步的结论。在病例报告中,所有患者均为男性,且大多数患者发病较早。在六份报告中,PVA发生在双侧丘脑下核深部脑刺激(STN-DBS)的情况下:PVA虽然在帕金森病中相对罕见,但可能是一个重要的管理问题,与特定的病前特征和抗帕金森病运动疗法有关。由于 PVA 的报告可能不足,对其频率、原因、风险因素和结果的进一步了解将得益于对其进行系统评估,最好使用自我报告和基于信息的问卷调查。
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引用次数: 0
Toward Globalization of Consultation-Liaison Psychiatry as a Clinical Model 将会诊-联络精神病学作为一种临床模式推向全球化。
IF 2.7 4区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-01 DOI: 10.1016/j.jaclp.2024.07.003
Hochang Benjamin Lee M.D., F.A.C.L.P.
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引用次数: 0
Dextroamphetamine as Adjunctive Pharmacotherapy for Aggression Secondary to Korsakoff Syndrome: A Case Report 右旋安非他明辅助药物治疗继发于科萨科夫综合征的攻击行为:病例报告。
IF 2.7 4区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-01 DOI: 10.1016/j.jaclp.2024.02.006
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引用次数: 0
C-L Case Conference: Assessment of Dispositional Capacity in Medically Complex Patients C-L 病例会议:评估病情复杂患者的处置能力。
IF 2.7 4区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-01 DOI: 10.1016/j.jaclp.2024.03.006

We present the case of a 76-year-old male with mild cognitive impairment and delirium who was referred to consultation-liaison psychiatry for an assessment of capacity to choose discharge. Cases involving “dispositional capacity” are complex and increasingly frequent, with momentous consequences for patients and their families, but are rarely discussed in the literature. In this article, experts in functional assessment, cognition, and ethics provide guidance for this commonly encountered clinical scenario based on their experience and available literature. We review the content and formulation of occupational and physical therapy assessments and their utility to the consultation-liaison psychiatrist. We also examine the relationship of cognitive impairment to decisional capacity and offer suggestions on a structured approach to evaluation. Finally, we discuss the ethical and systemic considerations of dispositional capacity and explore potential pitfalls that can lead to interprofessional conflict and missed opportunities in patient care.

我们介绍了一名 76 岁男性患者的病例,他患有轻度认知障碍和谵妄,被转诊至精神科会诊中心,要求对其选择出院的能力进行评估。涉及 "处置能力 "的病例非常复杂,而且越来越频繁,对患者及其家属造成了重大影响,但文献中却很少讨论。在这篇文章中,功能评估、认知和伦理学方面的专家根据他们的经验和现有文献,为这种常见的临床情况提供了指导。我们回顾了职业和物理治疗评估的内容和表述,以及它们对 CL 精神科医生的作用。我们还研究了认知障碍与决策能力之间的关系,并就结构化评估方法提出了建议。最后,我们讨论了处置能力的伦理和系统考虑因素,并探讨了可能导致跨专业冲突和错失患者护理机会的潜在隐患。
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引用次数: 0
Medical and Psychiatric Characteristics of Patients Hospitalized for Severe Restrictive Eating Disorders: Analysis of 545 Consecutive Patients with Severe Anorexia Nervosa or Avoidant/Restrictive Food Intake Disorder 因严重限制性进食障碍而住院的患者的医学和精神特征。
IF 2.7 4区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-01 DOI: 10.1016/j.jaclp.2024.02.001

Background

People with severe eating and feeding disorders regularly require hospitalization due to complications inherent to their disease, though formal training regarding this care is limited.

Methods

This retrospective study included 545 patients with severe anorexia nervosa (AN) or avoidant restrictive food intake disorder hospitalized in a medical stabilization unit between 2018 and 2021. Biometrics were obtained throughout hospitalization. Nutrition was increased until patients were gaining 0.2 kg/day.

Results

Average admission body mass index was 13 kg/m2 with diagnoses of 46% AN-R (restricting), 39% AN-BP (binge-purge), and 15% avoidant restrictive food intake disorder. Average daily Kcals by discharge were 3343 for females and 3962 for males; 26% required nasogastric feeding. Hypoglycemia was common until day 7, correlated with elevated liver function tests and low prealbumin. Liver function tests were abnormal in 31% of patients. Refeeding hypophosphatemia developed in 26% of patients starting day 2 and was associated with lower body mass index. Hypokalemia appeared on admission among 39%, twice as common in patients diagnosed with AN-BP. Initial electrocardiograms were abnormal in 50% of patients, usually sinus bradycardia. Average QTc was normal, but only 14% prolonged. Bone density testing revealed 70% osteoporosis. History of suicide attempts were present in 19%, while 76% and 50% presented with anxiety and depressive disorders, respectively.

Conclusions

Given the inextricability of medical complications from severe eating and feeding disorders, familiarity among consult-liaison psychiatrists with the prevalence of frequently observed abnormal findings can inform consultation, prevent adverse events, prevent unnecessary intervention, and facilitate weight restoration and medical stabilization.

背景:严重进食和进食障碍患者因其疾病固有的并发症经常需要住院治疗,但有关这种护理的正规培训却很有限:这项回顾性研究纳入了2018年至2021年期间在医疗稳定病房住院的545名严重神经性厌食症(AN)或回避性限制性食物摄入障碍(ARFID)患者。住院期间全程采集生物计量学数据。增加营养,直到患者每天增加 0.2 千克:入院时平均体重指数(BMI)为 13 kg/m2,诊断结果为:46% AN-R(限制型)、39% AN-BP(暴饮暴食型)和 15% ARFID。出院时,女性的日均热量为 3,343 千卡,男性为 3,962 千卡;26% 的患者需要鼻饲。低血糖在第 7 天之前很常见,与肝功能检测(LFT)升高和低白蛋白有关。31% 的患者 LFT 异常。从第 2 天开始,26% 的患者出现再喂养性低磷血症,并与较低的体重指数有关。39%的患者在入院时出现低钾血症,是确诊为 AN-BP 患者的两倍。50%的患者初始心电图异常,通常为窦性心动过缓。平均 QTc 正常,只有 14% 的患者 QTc 延长。骨密度检测显示,70%的患者患有骨质疏松症。19%的患者有自杀企图,76%和50%的患者分别患有焦虑症和抑郁症:鉴于严重进食和喂养障碍的医疗并发症是不可分割的,CL 精神科医生熟悉经常观察到的异常结果的发生率可以为咨询提供参考,防止不良事件和不必要的干预,促进体重恢复和医疗稳定。
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引用次数: 0
Potential Application of Ketamine in Pain and Withdrawal in Patients With Opioid Use Disorder 为会诊联络精神科医生提供氯胺酮:应用于阿片类药物使用障碍。
IF 2.7 4区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-01 DOI: 10.1016/j.jaclp.2024.04.004
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引用次数: 0
The Frequency and Impact of Adverse Childhood Experiences on Mood, Alcohol Relapse, and Outcomes in Liver Transplantation: A Retrospective Cohort Study. 童年不良经历的频率及其对肝移植患者的情绪、酒精复发和预后的影响:一项回顾性队列研究
IF 2.7 4区 心理学 Q2 PSYCHIATRY Pub Date : 2024-06-26 DOI: 10.1016/j.jaclp.2024.06.006
David C Fipps, Tyler Nguyen, Rachel Meyer, Byron Smith, Richard Roden, Matthew M Clark, Kymberly D Watt, Sheila G Jowsey-Gregoire

Background: Adverse childhood experiences (ACEs) are associated with the development of negative health behaviors and medical illnesses. ACE's association with poor health outcomes has been well documented in the general population; however, this relationship remains less clear in liver transplant (LT) recipients.

Objective: The aims of this study were to determine the prevalence of ACE and the influence of ACE on LT outcomes.

Methods: A retrospective electronic medical record review of all LT recipients over 11 years at an academic LT center. Demographic, diagnostic, and disease characteristics were extracted and compared for a history of ACE. Associations between a history of ACE and extracted variables were statistically tested using Student's t-test, chi-square tests, or Fisher's exact test, where appropriate. Graft and patient survival were tested using log-rank tests.

Results: Of the 1172 LT recipients, 24.1% endorsed a history of ACE. Females (P = 0.017) and recipients with lower levels of education (P < 0.001) had a higher frequency of ACE. Those with a history of ACE had a higher prevalence of hepatitis C virus (P < 0.001) and higher pretransplant body mass index (P < 0.001). Recipients with a history of ACE had higher prevalence of mood (P < 0.001), anxiety (P < 0.001), post traumatic stress disorder (P < 0.001), alcohol use (P < 0.001), and cannabis use (P < 0.001) disorders, as well as higher Patient Health Questionnaire-9 (P < 0.001) and General Anxiety Disorder-7 (P < 0.001) scores pre- and post-transplant. Those with ACE had a higher incidence of recorded relapses to alcohol by 3 years post-transplant (P = 0.027). Mean lab values, graft survival, and patient survival were not significantly different between those with and without a history of ACE except for total bilirubin at 6 months (P = 0.021).

Conclusions: One-quarter of LT recipients have experienced ACE. ACE was associated with a history of psychiatric diagnoses, substance use disorders, elevated Patient Health Questionnaire-9 and General Anxiety Disorder-7 scores, and a higher prevalence of relapse to alcohol use after transplant. This population may benefit from increased/improved access to appropriate mental health and substance use services and support in the peri- and post-transplant period.

简介童年不良经历(ACE)与不良健康行为和医疗疾病的发生有关。在普通人群中,ACE与不良健康后果的关系已得到充分证实;但在肝移植(LT)受者中,这种关系仍不太明确。因此,本研究旨在确定ACE的患病率以及ACE对LT预后的影响:方法:对一家学术性肝移植中心11年来的所有LT受者的电子病历进行回顾性分析。方法:对一家学术性肝移植中心11年来的所有LT受者的电子病历进行回顾性分析,提取人口统计学特征、诊断特征和疾病特征,并对ACE病史进行比较。采用学生 t 检验、卡方检验或费雪精确检验对 ACE 病史与所提取变量之间的相关性进行统计检验。使用对数秩检验对移植物和患者的存活率进行检验:在1172名LT受者中,24.1%的受者有ACE病史。女性(p = 0.017)和受教育程度较低(p < 0.001)的受者出现 ACE 的频率较高。有 ACE 病史的受者感染 HCV 的几率更高(p < 0.001),移植前的体重指数更高(结论:四分之一的 LT 受者有 ACE 病史:四分之一的LT受者经历过ACE。ACE与精神病诊断史、药物使用障碍、PHQ-9和GAD-7评分升高以及移植后酗酒复发率较高有关。在移植前和移植后,增加/改善获得适当的心理健康和药物使用服务和支持的途径可能会使这一人群受益。
{"title":"The Frequency and Impact of Adverse Childhood Experiences on Mood, Alcohol Relapse, and Outcomes in Liver Transplantation: A Retrospective Cohort Study.","authors":"David C Fipps, Tyler Nguyen, Rachel Meyer, Byron Smith, Richard Roden, Matthew M Clark, Kymberly D Watt, Sheila G Jowsey-Gregoire","doi":"10.1016/j.jaclp.2024.06.006","DOIUrl":"10.1016/j.jaclp.2024.06.006","url":null,"abstract":"<p><strong>Background: </strong>Adverse childhood experiences (ACEs) are associated with the development of negative health behaviors and medical illnesses. ACE's association with poor health outcomes has been well documented in the general population; however, this relationship remains less clear in liver transplant (LT) recipients.</p><p><strong>Objective: </strong>The aims of this study were to determine the prevalence of ACE and the influence of ACE on LT outcomes.</p><p><strong>Methods: </strong>A retrospective electronic medical record review of all LT recipients over 11 years at an academic LT center. Demographic, diagnostic, and disease characteristics were extracted and compared for a history of ACE. Associations between a history of ACE and extracted variables were statistically tested using Student's t-test, chi-square tests, or Fisher's exact test, where appropriate. Graft and patient survival were tested using log-rank tests.</p><p><strong>Results: </strong>Of the 1172 LT recipients, 24.1% endorsed a history of ACE. Females (P = 0.017) and recipients with lower levels of education (P < 0.001) had a higher frequency of ACE. Those with a history of ACE had a higher prevalence of hepatitis C virus (P < 0.001) and higher pretransplant body mass index (P < 0.001). Recipients with a history of ACE had higher prevalence of mood (P < 0.001), anxiety (P < 0.001), post traumatic stress disorder (P < 0.001), alcohol use (P < 0.001), and cannabis use (P < 0.001) disorders, as well as higher Patient Health Questionnaire-9 (P < 0.001) and General Anxiety Disorder-7 (P < 0.001) scores pre- and post-transplant. Those with ACE had a higher incidence of recorded relapses to alcohol by 3 years post-transplant (P = 0.027). Mean lab values, graft survival, and patient survival were not significantly different between those with and without a history of ACE except for total bilirubin at 6 months (P = 0.021).</p><p><strong>Conclusions: </strong>One-quarter of LT recipients have experienced ACE. ACE was associated with a history of psychiatric diagnoses, substance use disorders, elevated Patient Health Questionnaire-9 and General Anxiety Disorder-7 scores, and a higher prevalence of relapse to alcohol use after transplant. This population may benefit from increased/improved access to appropriate mental health and substance use services and support in the peri- and post-transplant period.</p>","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preteen Suicide Risk Screening in the Pediatric Outpatient Setting: A Clinical Pathway. 儿科门诊中的青少年自杀风险筛查:临床路径。
IF 2.7 4区 心理学 Q2 PSYCHIATRY Pub Date : 2024-06-21 DOI: 10.1016/j.jaclp.2024.06.003
Laura Hennefield, Ellen-Ge Denton, Peggy G Chen, Arielle H Sheftall, Lynsay Ayer

We are in a youth mental health crisis with unprecedented and staggeringly high rates of suicidal ideations and suicide behaviors in preteens. In the United States, 14.5% of children aged 9-10 have experienced suicidal thoughts and behaviors, including 1.3% with a suicide attempt. American Academy of Pediatrics guidelines call for universal suicide risk screening of youth aged 12 years and older during preventative health care visits and screening in preteens aged 8-11 years when clinically indicated. However, what constitutes a clinical indication at 8-11 years can be difficult to systematically detect, and pediatric practitioners may not be equipped with necessary age-specific assessment tools. This is compounded by the lack of emphasis on preteen suicide risk screening (and focus on adolescents), which leaves practitioners without age-appropriate resources to make clinical determinations for at-risk preteens. The objective of this project was to develop an evidence-informed suicide risk screening pathway for pediatric practitioners to implement with preteen patients in outpatient settings. Suicide risk assessment in younger children (<8 years) is also briefly addressed. We convened a group of researchers and practitioners with expertise in preadolescent suicide, pediatric medicine, behavioral health screening integration with primary care, and child development. They reviewed the empirical literature and existing practice guidelines to iterate on a multi-informant clinical suicide risk screening pathway for preteens that includes both caregivers and preteens in the screening process. We also developed tools and accompanying guidelines for a preteen suicide risk screening workflow and risk determination to aid practitioners in deciding who, when, and how to screen. Finally, we provide scripts for introducing suicide risk screening to caregivers and preteens and to discuss screening findings.

我们正处于一场青少年心理健康危机之中,青少年自杀念头和自杀行为的发生率之高前所未有,令人震惊。在美国,14.5% 的 9-10 岁儿童有过自杀念头和行为,其中 1.3% 有过自杀企图。美国儿科学会的指导方针要求在预防性保健就诊时对 12 岁以上的青少年进行普遍的自杀风险筛查,并在有临床指征时对 8-11 岁的学龄前儿童进行筛查。然而,什么是 8-11 岁的临床指征可能很难系统地检测,儿科医生可能也没有配备必要的特定年龄评估工具。此外,由于缺乏对学龄前儿童自杀风险筛查的重视(而将重点放在青少年身上),这使得从业人员在对高危学龄前儿童进行临床判断时缺乏与年龄相适应的资源。因此,本项目的目的是为儿科从业人员开发一种有实证依据的自杀风险筛查途径,以便在门诊环境中对青少年患者实施筛查。低龄儿童自杀风险评估
{"title":"Preteen Suicide Risk Screening in the Pediatric Outpatient Setting: A Clinical Pathway.","authors":"Laura Hennefield, Ellen-Ge Denton, Peggy G Chen, Arielle H Sheftall, Lynsay Ayer","doi":"10.1016/j.jaclp.2024.06.003","DOIUrl":"10.1016/j.jaclp.2024.06.003","url":null,"abstract":"<p><p>We are in a youth mental health crisis with unprecedented and staggeringly high rates of suicidal ideations and suicide behaviors in preteens. In the United States, 14.5% of children aged 9-10 have experienced suicidal thoughts and behaviors, including 1.3% with a suicide attempt. American Academy of Pediatrics guidelines call for universal suicide risk screening of youth aged 12 years and older during preventative health care visits and screening in preteens aged 8-11 years when clinically indicated. However, what constitutes a clinical indication at 8-11 years can be difficult to systematically detect, and pediatric practitioners may not be equipped with necessary age-specific assessment tools. This is compounded by the lack of emphasis on preteen suicide risk screening (and focus on adolescents), which leaves practitioners without age-appropriate resources to make clinical determinations for at-risk preteens. The objective of this project was to develop an evidence-informed suicide risk screening pathway for pediatric practitioners to implement with preteen patients in outpatient settings. Suicide risk assessment in younger children (<8 years) is also briefly addressed. We convened a group of researchers and practitioners with expertise in preadolescent suicide, pediatric medicine, behavioral health screening integration with primary care, and child development. They reviewed the empirical literature and existing practice guidelines to iterate on a multi-informant clinical suicide risk screening pathway for preteens that includes both caregivers and preteens in the screening process. We also developed tools and accompanying guidelines for a preteen suicide risk screening workflow and risk determination to aid practitioners in deciding who, when, and how to screen. Finally, we provide scripts for introducing suicide risk screening to caregivers and preteens and to discuss screening findings.</p>","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Behavioral Health Nursing Consultation: An Innovative Approach to Mental Healthcare for Hospitalized Youth. 儿科行为健康护理咨询:为住院青少年提供心理保健的创新方法。
IF 2.7 4区 心理学 Q2 PSYCHIATRY Pub Date : 2024-06-14 DOI: 10.1016/j.jaclp.2024.06.002
Claire Fanning, Renee Grooters, Nasuh Malas
{"title":"Pediatric Behavioral Health Nursing Consultation: An Innovative Approach to Mental Healthcare for Hospitalized Youth.","authors":"Claire Fanning, Renee Grooters, Nasuh Malas","doi":"10.1016/j.jaclp.2024.06.002","DOIUrl":"10.1016/j.jaclp.2024.06.002","url":null,"abstract":"","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of the COVID-19 Pandemic on the Mental Health of Patients Presenting to the Child and Adolescent Psychiatric Consultation-Liaison Service in a Large Urban Hospital. COVID-19 大流行对一家大型城市医院儿童和青少年精神科咨询联络服务处就诊患者心理健康的影响。
IF 2.3 4区 心理学 Q2 Psychology Pub Date : 2024-05-15 DOI: 10.1016/j.jaclp.2024.05.002
Jane Miles, Jessica M Jones, Kennedy M Balzen
{"title":"Impact of the COVID-19 Pandemic on the Mental Health of Patients Presenting to the Child and Adolescent Psychiatric Consultation-Liaison Service in a Large Urban Hospital.","authors":"Jane Miles, Jessica M Jones, Kennedy M Balzen","doi":"10.1016/j.jaclp.2024.05.002","DOIUrl":"https://doi.org/10.1016/j.jaclp.2024.05.002","url":null,"abstract":"","PeriodicalId":52388,"journal":{"name":"Journal of the Academy of Consultation-Liaison Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of the Academy of Consultation-Liaison Psychiatry
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