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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 2018 Yale University

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 ...


Parental Gender Beliefs And Attitudes Involving Child’S Toy Play, Madeline Drives, Amelia Dubose, Melanie Gillespie, Taylor Maddox 2018 Georgia College and State University

Parental Gender Beliefs And Attitudes Involving Child’S Toy Play, Madeline Drives, Amelia Dubose, Melanie Gillespie, Taylor Maddox

Georgia Undergraduate Research Conference (GURC)

Parental Gender Beliefs and Attitudes Involving Child’s Toy Play

From birth, children acquire the first set of social and emotional skills from parents. Despite children are born with sex differences, their gender identities stem from early years of socialization. Development of gender identities has been a topic of interests over the years, with many findings suggesting parental gender beliefs play a huge role in forming our gender identities. A study showed the crucial roles parents play in gender development through involvement in organizing activities, providing or limiting access to specific toys, and providing feedback on children’s interests and ...


Ethical Implications Of Treatment For Gender Dysphoria In Youth, Kelsey Hayes 2018 College of Our Lady of the Elms

Ethical Implications Of Treatment For Gender Dysphoria In Youth, Kelsey Hayes

Online Journal of Health Ethics

This manuscript explores ethical implications on treatment for youth with diagnosed gender dysphoria. The ethical considerations outlined and analyzed in this essay involve illuminating an understanding of whether the administration of pubertal suppression with GnRH agonists, and cross-sex hormones to children with gender dysphoria is morally justified as treatment to manage their psychological distress, or if safer more understood alternatives exist. This essay emphasizes that as health care professionals we must ensure youth with gender dysphoria receive adequate medical treatment and care however, this essay concludes through extensive literature review, that the use of inconclusive and under researched methods to ...


Harmful And Helpful Therapy Practices With Consensually Non-Monogamous Clients: Toward An Inclusive Framework, Heath A. Schechinger, John Kitchener Sakaluk, Amy C. Moors 2018 University of California, Berkeley

Harmful And Helpful Therapy Practices With Consensually Non-Monogamous Clients: Toward An Inclusive Framework, Heath A. Schechinger, John Kitchener Sakaluk, Amy C. Moors

Psychology Faculty Articles and Research

Drawing on minority stress perspectives, we investigated the therapy experiences of individuals in consensually nonmonogamous (CNM) relationships. Method: We recruited a community sample of 249 individuals engaged in CNM relationships across the U.S. and Canada. Confirmatory factor analysis structural equation modeling was used to analyze client perceptions of therapist practices in a number of exemplary practices (affirming of CNM) or inappropriate practices (biased, inadequate, or not affirming of CNM), and their associations with evaluations of therapy. Open-end responses about what clients found very helpful and very unhelpful were also analyzed. Results: Exemplary and inappropriate practices constituted separate but related ...


Involuntary Termination From Substance Use Disorder Treatment: Unknown Phantoms, Red Flags, And Unexplained Medical Data, Izaak L. Williams CSAC 2018 University of Hawaii System

Involuntary Termination From Substance Use Disorder Treatment: Unknown Phantoms, Red Flags, And Unexplained Medical Data, Izaak L. Williams Csac

Journal of Human Services: Training, Research, and Practice

In the United States, all treatment programs receiving public funds are required by law to regularly submit admission and discharge data, inclusive of the forced/involuntary termination or administrative discharge of clients, to their local state authorities. In some states, this requirement even extends to programs not receiving public funds. The aim of collecting discharge data—collected under the auspices of the Substance Abuse and Mental Health Services Association [SAMHSA]—is to assist state and county authorities, funders, and accreditors to monitor recovery-focused program performance. However, investigation here undertaken shows that published discharge data from many state treatment settings are ...


Searching For Wisdom: A Phenomenological Investigation Of Womens' Perspectives Following Participation In An Ovarian Cancer Supportive Care Group, Helen Butlin 2018 The University of Western Ontario

Searching For Wisdom: A Phenomenological Investigation Of Womens' Perspectives Following Participation In An Ovarian Cancer Supportive Care Group, Helen Butlin

Electronic Thesis and Dissertation Repository

This study used a novel methodology of hermeneutic-poetic-phenomenology to explore perspectives of women living with ovarian cancer. Each had participated in a supportive care group process Soul-Medicine prior to volunteering. Three women, Beth, Carrie, and Denise contributed to this study. The methodology was grounded in Gaston Bachelard’s philosophy of poetic-phenomenology. Data was analyzed with attention to image-centred knowledge; material imagination; reverie; and horizons of hope to elucidate their implicated aspects of wisdom and the ways participant’s formed their personal wisdom integrating feminist theories of embodiment and bioethics.

Findings are framed through three images of a uniquely formed inner ...


Inviting Hallucinatory Percepts During Speech-Listening To Detect Cognitive Changes In Early Psychosis, Ana-Bianca Popa 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 ...


Engle-Friedman Studies Sleep And Sleep Deprivation, Aldemaro Romero Jr. 2018 City University of New York (CUNY)

Engle-Friedman Studies Sleep And Sleep Deprivation, Aldemaro Romero Jr.

Publications and Research

“Clinical psychology is about helping people with specific issues. I have worked on insomnia. Probably the most effective treatments for insomnia are non-drug related. I have worked with behavioral methods, and they have now become a standard clinical practice.” That is how Dr. Mindy Engle-Friedman explains what her work is all about.


Development And Validation Of A Weight Literacy Scale In English And Spanish, Monica L. Wang, Tariana V. Little, Christine F. Frisard, Amy Borg, Stephenie C. Lemon, Milagros C. Rosal 2018 Boston University

Development And Validation Of A Weight Literacy Scale In English And Spanish, Monica L. Wang, Tariana V. Little, Christine F. Frisard, Amy Borg, Stephenie C. Lemon, Milagros C. Rosal

Open Access Articles

OBJECTIVES: To develop and validate a Weight Literacy Scale in English and Spanish for adults.

METHODS: The two-phase study utilized quantitative and qualitative methods. Phase 1 of the study consisted of developing an initial survey (English and Spanish versions) assessing weight literacy based on a review of the literature; conducting semi-structured interviews with content experts (N = 9) to refine survey items; and conducting in-person cognitive interviews with 20 study participants (N = 10 English-speaking and N = 10 Spanish-speaking adults) for survey pre-testing. Survey items were modified based on Phase 1 findings. Phase 2 consisted of a psychometric study of the Weight ...


Meeting The Intergenerational Needs Of Families Where A Parent Has A Mental Illness, Melinda Goodyear, Myfanwy McDonald, Henry von Doussa, Rose Cuff, Beth Dunlop 2018 School of Rural Health, Monash University and the Parenting Research Centre

Meeting The Intergenerational Needs Of Families Where A Parent Has A Mental Illness, Melinda Goodyear, Myfanwy Mcdonald, Henry Von Doussa, Rose Cuff, Beth Dunlop

Journal of Parent and Family Mental Health

Parental mental illness can have significant psychological, social and economic impacts on families. Because of the potential impact of a parent’s mental illness on children, it can also have an “intergenerational” impact. For example, children may develop a heightened awareness of their parent’s symptoms, become burdened with caring responsibilities and may even develop their own mental health conditions though a mix of genetic and environmental influences. It is important for services to address the intergenerational impacts of parental mental illness. This issue brief is about one program in Australia that may be able to meet the intergenerational needs ...


Self-Reported Nutritional Status, Executive Functions, And Cognitive Flexibility In Adults, Siamak Khodarahimi 2018 Eghlid Branch, Islamic Azad University, Iran

Self-Reported Nutritional Status, Executive Functions, And Cognitive Flexibility In Adults, Siamak Khodarahimi

Journal of Mind and Medical Sciences

Objectives. The purpose of this study was to investigate the relationship between nutrition status, executive cognitive functions, and cognitive flexibility; and to analyze the role of gender, age, and nutrition status in the prediction of executive cognitive functions and cognitive flexibility in a sample of Iranian adults. Background. This study is based on the hierarchy of needs, health beliefs, developmental, cognitive and psychophysiological conceptualizations of nutrition and their plausible influences on human cognitive functions and cognitive flexibility.

Materials and Methods. The randomly selected sample consisted of 200 adult participants (M=99 and F=101) from Eghlid City, the north of ...


Metaanalysis Of The Relationship Between Violent Video Game Play And Physical Aggression Over Time, Anna T. Prescott, James Sargent, Jay G. Hull 2018 Dartmouth College

Metaanalysis Of The Relationship Between Violent Video Game Play And Physical Aggression Over Time, Anna T. Prescott, James Sargent, Jay G. Hull

Open Dartmouth: Faculty Open Access Articles

To clarify and quantify the influence of video game violence (VGV) on aggressive behavior, we conducted a metaanalysis of all prospective studies to date that assessed the relation between exposure to VGV and subsequent overt physical aggression. The search strategy identified 24 studies with over 17,000 participants and time lags ranging from 3 months to 4 years. The samples comprised various nationalities and ethnicities with mean ages from 9 to 19 years. For each study we obtained the standardized regression coefficient for the prospective effect of VGV on subsequent aggression, controlling for baseline aggression. VGV was related to aggression ...


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 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 2018 University of Toronto

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, Blake J. Arthurs 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.


Susceptibility Of Mental Disorders: Examining The Comorbidity Of Seasonal Affective Disorder, Nathaniel Wasden 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 ...


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 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 ...


Can Mindfulness Address Maladaptive Eating Behaviors? Why Traditional Diet Plans Fail And How New Mechanistic Insights May Lead To Novel Interventions, Judson A. Brewer, Andrea Ruf, Ariel Beccia, Gloria I. Essien, Leonard M. Finn, Remko van Lutterveld, Ashley E. Mason 2018 University of Massachusetts Medical School

Can Mindfulness Address Maladaptive Eating Behaviors? Why Traditional Diet Plans Fail And How New Mechanistic Insights May Lead To Novel Interventions, Judson A. Brewer, Andrea Ruf, Ariel Beccia, Gloria I. Essien, Leonard M. Finn, Remko Van Lutterveld, Ashley E. Mason

Open Access Articles

Emotional and other maladaptive eating behaviors develop in response to a diversity of triggers, from psychological stress to the endless external cues in our modern food environment. While the standard approach to food- and weight-related concerns has been weight-loss through dietary restriction, these interventions have produced little long-term benefit, and may be counterproductive. A growing understanding of the behavioral and neurobiological mechanisms that underpin habit formation may explain why this approach has largely failed, and pave the way for a new generation of non-pharmacologic interventions. Here, we first review how modern food environments interact with human biology to promote reward-related ...


"Born Out Of Fear": A Grounded Theory Study Of The Stigma Of Bipolar Disorder For New Mothers, Walker Ladd Ph.D. 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 ...


Conflicts, Concerns And Family Circumstances In Custodial Grandmothers Over 8 Years, Cristina Noriega, Carol Musil, Jaclene Zauszniewski, Camille Warner 2018 Department of Psychology and Pedagogy, School of Medicine, CEU San Pablo University

Conflicts, Concerns And Family Circumstances In Custodial Grandmothers Over 8 Years, Cristina Noriega, Carol Musil, Jaclene Zauszniewski, Camille Warner

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Although many grandmothers raising grandchildren experience transitions in their roles as family strains and circumstances change, little longitudinal data has been examined. This qualitative study assessed the relationships between custodial grandmothers’ appraisals of their family conflicts and concerns and family circumstances across eight years. Participants were thirty-five Ohio grandmothers who were raising their grandchildren in 2006-2007 and provided additional self-report survey data in 2008-2009 and 2014-2015. Data were gathered from open-ended questions that were analyzed through conventional content analysis. The reported concerns were financial and emotional difficulties, grandchildren outcomes, mental and physical health of the grandchild and other family members ...


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