As A Pediatrician, I Don’T Know The Second, Third, Or Fourth Thing To Do: A Qualitative Study Of Pediatric Residents’ Training And Experiences In Behavioral Health, 2018 Geisinger Health System, Danville, PA
As A Pediatrician, I Don’T Know The Second, Third, Or Fourth Thing To Do: A Qualitative Study Of Pediatric Residents’ Training And Experiences In Behavioral Health, Rachel Petts Phd, Jeffrey D. Shahidullah Phd, Paul W. Kettlewell Phd, Kathryn A. Dehart Md, Kris Rooney Md, Ilene G. Ladd Ms, Tyler Bogaczyk Bs, Sharon L. Larson Phd
International Journal of Health Sciences Education
Despite a mandated 1-month rotation in developmental-behavioral pediatrics (DBP), pediatric residents report inadequate training in behavioral health care. As a first step in much needed curriculum development in this area, this study sought to assess learner experiences regarding the management of behavioral health problems during residency. Four focus groups were conducted for residents in years 1-3 of training in 2 residency programs in a northeastern state. Transcripts were analyzed and coded by researchers through qualitative classical content analysis. The exploratory analysis revealed 9 key themes: time requirements, rapport building, resources and referrals for behavioral health, psychiatric medications, diagnosis vs. treatment ...
Songbook And Activities: Popular Black Music Popular Songs From The 70’S To Present Day, 2018 North Georgia College and State University
Songbook And Activities: Popular Black Music Popular Songs From The 70’S To Present Day, Akeira Hill
Music Therapy Theses
Songbook and Activities: Popular Black music Popular Songs from the 70’s to present day
Conceptual Disorganization And Redistribution Of Resting State Cortical Hubs In Drug-Naive First Episode Psychosis: A 7t Functional Magnetic Resonance Imaging Study, 2018 The University of Western Ontario
Conceptual Disorganization And Redistribution Of Resting State Cortical Hubs In Drug-Naive First Episode Psychosis: A 7t Functional Magnetic Resonance Imaging Study, Avyarthana Dey
Electronic Thesis and Dissertation Repository
Network level dysconnectivity has been studied in positive and negative symptoms of schizophrenia. Conceptual disorganization (CD) is a symptom which predicts impaired real-world functioning. Systematic reviews have reported aberrant connectivity in formal thought disorder, a construct related to CD. However, no studies have investigated whole-brain functional correlates of CD in psychosis. We sought to investigate brain regions explaining the severity of CD in patients with first-episode psychosis (FEPs) compared with healthy controls (HCs). We computed whole-brain binarized degree centrality maps of 31 FEPs, 25 HCs and characterized the patterns of network connectivity in the two groups. In FEPs, we related ...
Treating Comorbid Ptsd And Bpd: A Dialectical Approach, 2018 Brigham Young University
Treating Comorbid Ptsd And Bpd: A Dialectical Approach, Meredith Pescatello
Intuition: The BYU Undergraduate Journal in Psychology
According to the Biosocial Developmental Model for Borderline Personality Disorder (BPD), individuals with a biological vulnerability (i.e., heightened emotional sensitivity and impulsive tendencies), plus an invalidating environment may develop BPD (Crowell, Beauchaine, & Linehan, 2009). Individuals with BPD are especially difficult to treat, because of their “extreme emotional, behavioral, and cognitive dysregulation” (Crowell, Beauchaine, & Linehan, 2009). Though challenging to treat, BPD can be successfully treated using Dialectical Behavior Therapy (DBT) (Linehan, 1993; Linehan 2015). Similarly, Posttraumatic Stress Disorder (PTSD) is complex and often burnout inducing to treat, because of the intensity of the emotional content related to traumatic events and high symptom severity including flashbacks, dissociation, and nightmares (Foa, 1993). PTSD can be adequately treated using exposure-based interventions, such as prolonged exposure (Foa, Chrestman, & Gilboa-Schechtman, 2009). However, when BPD is comorbid with PTSD, symptom severity is often heightened to ...
The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, 2018 University of New Mexico
The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy
Shared Knowledge Conference
Based on a review of research and best practices in mental health awareness and skills, this inquiry project argues for state legislative policies that would require mental health awareness and skills in the K-12 curriculum. Mental health affects individual accomplishments in every stage of people’s lives beginning in early childhood and throughout the life cycle. Prevention and treatment of mental illness plays a key role in the ability of an individual to cope with loss and develop resiliency and perseverance in challenging times and to make better decisions that improve the individual’s life and the lives of those ...
Dual Use Of A Patient Portal And Clinical Video Telehealth By Veterans With Mental Health Diagnoses: Retrospective, Cross-Sectional Analysis, Erica A. Abel, Stephanie L. Shimada, Karen Wang, Christine Ramsey, Melissa Skanderson, Joseph Erdos, Linda Godleski, Thomas K. Houston, Cynthia A. Brandt
Open Access Articles
BACKGROUND: Access to mental health care is challenging. The Veterans Health Administration (VHA) has been addressing these challenges through technological innovations including the implementation of Clinical Video Telehealth, two-way interactive and synchronous videoconferencing between a provider and a patient, and an electronic patient portal and personal health record, My HealtheVet.
OBJECTIVE: This study aimed to describe early adoption and use of My HealtheVet and Clinical Video Telehealth among VHA users with mental health diagnoses.
METHODS: We conducted a retrospective, cross-sectional analysis of early My HealtheVet adoption and Clinical Video Telehealth engagement among veterans with one or more mental health diagnoses ...
Inviting Hallucinatory Percepts During Speech-Listening To Detect Cognitive Changes In Early Psychosis, 2018 The University of Western Ontario
Inviting Hallucinatory Percepts During Speech-Listening To Detect Cognitive Changes In Early Psychosis, Ana-Bianca Popa
Electronic Thesis and Dissertation Repository
Treatment outcomes for people with schizophrenia are more favourable if treatment starts early in the course of the disorder. Current detection methods lack specificity and do not make use of cognitive markers. We presented individuals experiencing a first episode of psychosis (FEP) and matched control participants with acoustically degraded meaningful and matched nonsense sentences to examine the degree to which people reported words that were not actually presented. Intrusion errors were counted when reported words were unrelated to words in the original sentence. Intelligibility (measured as words reported correctly) did not differ between groups but intrusion errors were more frequent ...
Disrupted Asymmetry Of Inter- And Intra-Hemispheric Functional Connectivity In Patients With Drug-Naive, First-Episode Schizophrenia And Their Unaffected Siblings, 2018 The Second Xiangya Hospital of Central South University
Disrupted Asymmetry Of Inter- And Intra-Hemispheric Functional Connectivity In Patients With Drug-Naive, First-Episode Schizophrenia And Their Unaffected Siblings, Furong Zhu, Feng Liu, Wenbin Guo, Jindong Chen, Qinji Su, Zhikun Zhang, Huabing Li, Xiaoduo Fan, Jingping Zhao
Open Access Articles
BACKGROUND: Lack of normal asymmetry in the brain has been reported in patients with schizophrenia. However, it remains unclear whether disrupted asymmetry originates from inter-hemispheric functional connectivity (FC) and/or intra-hemispheric FC in this patient population.
METHODS: Forty-four patients with drug-naive, first-episode schizophrenia, 42 unaffected siblings, and 44 healthy controls underwent resting-state functional magnetic resonance imaging (fMRI) scan. The parameter of asymmetry (PAS) and support vector machine (SVM) were used to analyze the data. Patients were treated with olanzapine for 8 weeks.
FINDINGS: Compared with healthy controls, patients showed lower PAS scores in the left middle temporal gyrus (MTG)/inferior ...
Resting State Functional Connectivity In Patients With Remitted Psychotic Depression: A Multi-Centre Stop-Pd Study, Nicholas H. Neufeld, Benoit H. Mulsant, Erin W. Dickie, Barnett S. Meyers, George S. Alexopoulos, Anthony J. Rothschild, Ellen M. Whyte, Matthew J. Hoptman, Arash Nazeri, Jonathan Downar, Alastair J. Flint, Aristotle N. Voineskos
Open Access Articles
BACKGROUND: There is paucity of neurobiological knowledge about major depressive disorder with psychotic features ("psychotic depression"). This study addresses this knowledge gap by using resting state functional magnetic resonance imaging (R-fMRI) to compare functional connectivity in patients with psychotic depression and healthy controls.
METHODS: We scanned patients who participated in a randomized controlled trial as well as healthy controls. All patients achieved remission from depressive and psychotic symptoms with sertraline and olanzapine. We employed Independent Component Analysis in independent samples to isolate the default mode network (DMN) and compared patients and controls.
FINDINGS: The Toronto sample included 28 patients (mean ...
Ssri Maintenance Therapy Reduces Rate Of Recurrence For Elderly Patients With First Episode Of Major Depression, 2018 Wayne State University
Ssri Maintenance Therapy Reduces Rate Of Recurrence For Elderly Patients With First Episode Of Major Depression, Blake J. Arthurs
Clinical Research in Practice: The Journal of Team Hippocrates
A critical appraisal and clinical application of Reynolds CF 3rd, Dew MA, Pollock BG, et al. Maintenance treatment of major depression in old age. N Engl J Med. 2006 Mar 16;354(11):1130-8. doi: 10.1056/NEJMoa052619. Based on the appraisal, long term SSRI maintenance therapy is recommended for elderly patients suffering from first episode of major depression.
Harmonization Of Delirium Severity Instruments: A Comparison Of The Drs-R-98, Mdas, And Cam-S Using Item Response Theory, 2018 Johns Hopkins University
Harmonization Of Delirium Severity Instruments: A Comparison Of The Drs-R-98, Mdas, And Cam-S Using Item Response Theory, Alden L. Gross, Doug Tommet, Madeline D'Aquila, Eva Schmitt, Edward R. Marcantonio, Benjamin Helfand, Sharon K. Inouye, Richard N. Jones
Open Access Articles
BACKGROUND: This study aimed to describe the level of agreement of three commonly used delirium instruments: the Delirium Rating Scale-Revised-98 (DRS-R-98), Memorial Delirium Assessment Scale (MDAS), and Confusion Assessment Method-Severity (CAM-S).
METHODS: We used data from a prospective clinical research study, in which a team of trained lay interviewers administered each instrument along with supporting interview and cognitive assessments in the same group of patients daily while in the hospital (N = 352). We used item response theory methods to co-calibrate the instruments.
RESULTS: The latent traits underlying the three measures, capturing the severity of a delirium assessment, had a high ...
Susceptibility Of Mental Disorders: Examining The Comorbidity Of Seasonal Affective Disorder, 2018 Brigham Young University
Susceptibility Of Mental Disorders: Examining The Comorbidity Of Seasonal Affective Disorder, Nathaniel Wasden
All Student Publications
This literature review examines the symptoms, theorized causes, and comorbidity of seasonal affective disorder (SAD). Although causes of SAD remain unknown, researchers have observed a common pattern of vitamin D deficiency among patients with SAD. The importance of vitamin D in regulating serotonergic activity has been well documented, including the positive correlation between decreased serotonin levels and increased depressive symptoms. For more than 30 years, researchers have hypothesized that decreased serotonin activity is linked to symptoms of SAD. Furthermore, patients with other mental disorders, including depression, bipolarity, obsessive-compulsive disorder, etc. are likely to experience aggravation of symptoms during peak SAD ...
"Born Out Of Fear": A Grounded Theory Study Of The Stigma Of Bipolar Disorder For New Mothers, 2018 University of Phoenix
"Born Out Of Fear": A Grounded Theory Study Of The Stigma Of Bipolar Disorder For New Mothers, Walker Ladd Ph.D.
The Qualitative Report
Childbirth is an established trigger for the onset of bipolar disorders (BD) in the postpartum period, causing significant pathology and disability. Research has shown that the stigma of mental illness for new mothers is a powerful obstacle to care, preventing women from accessing critical treatment and social support. However, the majority of research has examined the relationship between the stigma and postpartum depression, leaving a gap in knowledge regarding stigma and postpartum bipolar disorder. The problem addressed in this grounded theory study was the lack of knowledge regarding the stigma of a diagnosis of bipolar disorder (BD) in the first ...
Kinship Diversion In The District Of Columbia: A Review Of Local Practice To Inform National Policy, 2018 DC KinCare Alliance
Kinship Diversion In The District Of Columbia: A Review Of Local Practice To Inform National Policy, Marla P. Spindel, Beth A. Stekler, Stephanie Ridgway Mcclellan
GrandFamilies: The Contemporary Journal of Research, Practice and Policy
This article addresses a practice commonly known in the child welfare community as “kinship diversion,” where a child welfare agency informally places children with relatives as an alternative to foster care. While evidence predominantly shows that abused and neglected children have better outcomes when they are placed with relatives when they cannot remain safely at home, serious concerns about these children’s safety and well-being arise when the placement with relatives is informal. Indeed, it is often not understood that these same relatives can be approved as foster parents and can receive essential financial assistance and supportive services to help ...
Protocol For The Rose Sustainment (Roses) Study, A Sequential Multiple Assignment Randomized Trial To Determine The Minimum Necessary Intervention To Maintain A Postpartum Depression Prevention Program In Prenatal Clinics Serving Low-Income Women, 2018 Michigan State University
Protocol For The Rose Sustainment (Roses) Study, A Sequential Multiple Assignment Randomized Trial To Determine The Minimum Necessary Intervention To Maintain A Postpartum Depression Prevention Program In Prenatal Clinics Serving Low-Income Women, Jennifer E. Johnson, Shannon Wiltsey-Stirman, Alla Sikorskii, Ted Miller, Amanda King, Jennifer L. Blume, Xuan Pham, Tiffany A. Moore Simas, Ellen Poleshuck, Rebecca Weinberg, Caron Zlotnick
Open Access Articles
BACKGROUND: More research on sustainment of interventions is needed, especially return on investment (ROI) studies to determine cost-benefit trade-offs for effort required to sustain and how much is gained when effective programs are sustained. The ROSE sustainment (ROSES) study uses a sequential multiple assignment randomized (SMART) design to evaluate the effectiveness and cost-effectiveness of a stepwise approach to sustainment of the ROSE postpartum depression prevention program in 90 outpatient clinics providing prenatal care to pregnant women on public assistance. Postpartum depression (PPD) is common and can have lasting consequences. Outpatient clinics offering prenatal care are an opportune place to provide ...
The Effect Of Exercise On Symptoms Of Depression In Adults Diagnosed With Clinical Depression: An Integrative Literature Review, Tibil Felix
Grace Peterson Nursing Research Colloquium
Background: While many healthcare providers are currently looking for alternative methods such as exercise to treat depression, there are limited studies to report how exercise effects symptoms of depression in adults diagnosed with clinical depression and whether an ideal exercise prescription exists.
Objective: The purpose of this integrative literature review was to evaluate the effect of exercise on adults with clinical depression.
Method: An integrative literature review was used. The tidal model of mental health as proposed by Dr. Phil Barker and Poppy Buchanan-Barker was used as a basis for this review. The keywords “clinical depression, exercise, adults, depression treatments ...
The Efficacy Of Equine Assisted Therapy In The Treatment Of Autism Spectrum Disorders, 2018 University of Maine
The Efficacy Of Equine Assisted Therapy In The Treatment Of Autism Spectrum Disorders, Amy Hofmann
Electronic Theses and Dissertations
This study examines the effects of equine-assisted psychotherapies in children with an autism spectrum disorder. The CARS-2 and Children’s Sleep Habits Questionnaire parent-report questionnaires were used for evaluation, as well open-ended questions. A single researcher contacted and visited many PATH-certified centers in the United States. Facilities that participated were all located in the Mid-Atlantic to Northeast region. There were 16 participants, from 11 different farms, that completed both the initial and follow-up questionnaires which were given 7 weeks apart. A $25 Amazon gift card was used as an incentive to increase participation. Participating facilities also completed a questionnaire.
Relationship Between Theory Of Mind, Emotion Recognition, And Social Synchrony In Adolescents With And Without Autism, Paula Fitzpatrick, Jean A. Frazier, David E. Cochran, Teresa V. Mitchell, Caitlin Coleman, R. C. Schmidt
Open Access Articles
Difficulty in social communication and interaction is a primary diagnostic feature of ASD. Research has found that adolescents with ASD display various impairments in social behavior such as theory of mind (ToM), emotion recognition, and social synchrony. However, not much is known about the relationships among these dimensions of social behavior. Adolescents with and without ASD participated in the study. ToM ability was measured by viewing social animations of geometric shapes, recognition of facial emotions was measured by viewing pictures of faces, and synchrony ability was measured with a spontaneously arising interpersonal movement task completed with a caregiver and an ...
Depression, Anxiety, Post-Traumatic Stress Disorder And A History Of Pervasive Gender-Based Violence Among Women Asylum Seekers Who Have Undergone Female Genital Mutilation/Cutting: A Retrospective Case Review, 2018 Icahn School of Medicine
Depression, Anxiety, Post-Traumatic Stress Disorder And A History Of Pervasive Gender-Based Violence Among Women Asylum Seekers Who Have Undergone Female Genital Mutilation/Cutting: A Retrospective Case Review, Hazel Lever, Deborah Ottenheimer, Jimmitti Teysir, Elizabeth Singer, Holly G. Atkinson
Publications and Research
We sought to evaluate the frequency of anxiety, depression, PTSD, and any experiences of violence in women who had undergone Female Genital Mutilation/Cutting (FGM/C) and were seeking asylum in the United States. We undertook a retrospective qualitative descriptive study of FGM/C cases seen in an asylum clinic over a 2-year period. Standardized questionnaires provided quantitative scores for anxiety, depression and PTSD. Clients’ personal and physician medical affidavits were analyzed for experiences of violence. Of the 13 cases, anxiety and depression were exhibited by 92 and 100% of women, while all seven women screened for PTSD had symptoms ...
An Investigation Of The Neurobiology Of Psychogenic Non-Epileptic Seizures, 2018 The Royal College of Surgeons in Ireland
An Investigation Of The Neurobiology Of Psychogenic Non-Epileptic Seizures, Finian O'Brien
Background: Psychogenic non-epileptic seizures (PNES) are paroxysmal episodes of seizure-like behaviour that superficially resemble epileptic events, but lack EEG correlates of epilepsy. Diagnosis is often delayed and the condition is associated with significant impairments of general functioning. At the time that this project was commenced, there were few neuropsychological studies of PNES and the neural correlates of this condition were unknown.
Aims: This project aimed to firstly, examine the prevalence and management of PNES in an Irish epilepsy monitoring unit (EMU) and secondly to examine neuropsychiatric, neuropsychological, structural and functional neuroimaging correlates of adults with PNES.
Methods: Standardised assessments and ...