Psychiatry Commons^™

Prefrontal Corticotropin-Releasing Factor (Crf) Neurons Act Locally To Modulate Frontostriatal Cognition And Circuit Function., Sofiya Hupalo, Andrea J Martin, Rebecca K Green, David M Devilbiss, Craig W Berridge

Rowan-Virtua School of Osteopathic Medicine Departmental Research

The PFC and extended frontostriatal circuitry support higher cognitive processes that guide goal-directed behavior. PFC-dependent cognitive dysfunction is a core feature of multiple psychiatric disorders. Unfortunately, a major limiting factor in the development of treatments for PFC cognitive dysfunction is our limited understanding of the neural mechanisms underlying PFC-dependent cognition. We recently demonstrated that activation of corticotropin-releasing factor (CRF) receptors in the caudal dorsomedial PFC (dmPFC) impairs higher cognitive function, as measured in a working memory task. Currently, there remains much unknown about CRF-dependent regulation of cognition, including the source of CRF for cognition-modulating receptors and the output pathways modulated …

Medical Marijuana-Induced Tacrolimus Toxicity., Daniel Moadel, Keira Chism

Department of Psychiatry and Human Behavior Faculty Papers

As both recreational and therapeutic marijuana use increases in the US, more attention is being paid to its direct medical and psychoactive effects. One crucial dimension is the potential for marijuana or marijuana-derived therapies to interact with other prescribed medications. Tacrolimus is an immunosuppressant medication prescribed to prevent rejection in patients receiving solid organ and bone marrow transplants. Clinically, it is characterized by a narrow therapeutic index and multiple drug-drug interactions. Constituents in marijuana are known to inhibit cytochrome P-450 3A, which is normally responsible for metabolizing tacrolimus, leading to the potential for a dangerous interaction. Though this phenomenon has …

Implementation Of Psychological Interview And Testing In A Large Sperm Bank, Catherine Sham, Andrea Braverman, Robert Mora, Makenzie Perdue, Jaime Shamonki

Phase 1

Introduction: Historically, sperm donor applicants have been medically but not psychologically evaluated by mental health professionals (MHPs). As social norms and legislation shift toward non-anonymous donation, psychological assessments can provide opportunities to exclude unqualified donors and allow donors to consider the long-term implications of donating.

Objective: To determine the effectiveness of psychological screening in identifying unqualified sperm donors, and to evaluate psychological reasons for disqualification through clinical interview and testing.

Methods: A retrospective chart review of 229 potential donors who passed initial qualification at a major sperm bank from February 2017 to February 2018. All potential donors were evaluated by …

Depressive Symptoms In People With Vision Impairment: A Cross-Sectional Study To Identify Who Is Most At Risk, Claire Nollett, Barbara Ryan, Nathan Bray, Catey Bunce, Robin J. Casten, Rhiannon Tudor Edwards, David Gillespie, Daniel J. Smith, Miles Stanford, Tom H. Margrain

Department of Psychiatry and Human Behavior Faculty Papers

Objective To identify the risk factors for significant depressive symptoms in people with visual impairment in England and Wales to provide information on who is most at risk and to whom support services could be targeted in future. Design A cross-sectional study using baseline data from a pragmatic randomised controlled trial. Setting and participants 990 participants aged 18 or over attending 1 of 14 low-vision rehabilitation primary care optometry-based clinics in South Wales or two hospital clinics in London. Outcome measure A score of ≥6 on the Geriatric Depression Scale-15 was classed as clinically significant depressive symptoms. Results In a …

Social And Functional Outcomes With Two Doses Of Aripiprazole Lauroxil Vs Placebo In Patients With Schizophrenia: A Post-Hoc Analysis Of A 12-Week Phase 3 Efficacy Study, C. U. Correll, A. D. Stanford, A. Claxton, Y. Du, P. J. Weiden

Journal Articles

No abstract provided.

Relationship Between The Timing Of Relapse And Plasma Drug Levels Following Discontinuation Of Cariprazine Treatment In Patients With Schizophrenia: Indirect Comparison With Other Second-Generation Antipsychotics After Treatment Discontinuation, C. U. Correll, R. Jain, J. M. Meyer, A. Periclou, T. Carrothers, A. Barabassy, M. Patel, W. Earley

Journal Articles

No abstract provided.

Efficacy And Safety Of Blonanserin Transdermal Patch In Patients With Schizophrenia: A 6-Week Randomized, Double-Blind, Placebo-Controlled, Multicenter Study, N. Iwata, J. Ishigooka, W. H. Kim, B. H. Yoon, S. K. Lin, A. H. Sulaiman, R. Cosca, L. Wang, C. U. Correll, J. M. Kane, +7 Additional Authors

Journal Articles

© 2019 The Authors Background: Blonanserin is a second-generation antipsychotic used for the treatment of schizophrenia. This study determined the efficacy, safety and pharmacokinetics of a blonanserin transdermal patch in patients with acutely exacerbated schizophrenia. Methods: This double-blind, multicenter, phase 3 study consisted of a 1-week observation period during which patients were treated with two patches of placebo, followed by a 6-week double-blind period where patients were randomized (1:1:1) to receive once-daily blonanserin 40 mg, blonanserin 80 mg, or placebo patches. The primary endpoint was the change from baseline in the total Positive and Negative Symptom Scale (PANSS) score. Safety …

Brain Changes Induced By Electroconvulsive Therapy Are Broadly Distributed, O. T. Ousdal, M. Argyelan, K. L. Narr, C. Abbott, B. Wade, M. Vandenbulcke, M. Urretavizcaya, T. Kishimoto, G. Petrides, P. Sienaert, +35 Additional Authors

Journal Articles

© 2019 Society of Biological Psychiatry Background: Electroconvulsive therapy (ECT) is associated with volumetric enlargements of corticolimbic brain regions. However, the pattern of whole-brain structural alterations following ECT remains unresolved. Here, we examined the longitudinal effects of ECT on global and local variations in gray matter, white matter, and ventricle volumes in patients with major depressive disorder as well as predictors of ECT-related clinical response. Methods: Longitudinal magnetic resonance imaging and clinical data from the Global ECT-MRI Research Collaboration (GEMRIC) were used to investigate changes in white matter, gray matter, and ventricle volumes before and after ECT in 328 patients …

Cortical Abnormalities In Youth At Clinical High-Risk For Psychosis: Findings From The Napls2 Cohort, Y. Chung, D. Alswede, J. Addington, C. E. Bearden, K. Cadenhead, B. Cornblatt, D. H. Mathalon, T. Mcglashan, D. Perkins, T. D. Cannon, +6 Additional Authors

Journal Articles

No abstract provided.

Structural Brain Characteristics In Treatment-Resistant Depression: Review Of Magnetic Resonance Imaging Studies, M. P. Klok, P. F. Van Eijndhoven, M. Argyelan, A. H. Schene, I. Tendolkar

Journal Articles

No abstract provided.

Association Between Decreased Serum Tbil Concentration And Immediate Memory Impairment In Schizophrenia Patients, X. L. Yin, Q. F. Jia, G. Y. Zhang, J. P. Zhang, T. Shirao, C. X. Jiang, X. Y. Yin, Y. S. Liu, P. Chen, L. Hui, +4 Additional Authors

Journal Articles

© 2019, The Author(s). Cognitive impairment is a core feature of schizophrenia (SCH). In addition to the toxic effect of Bilirubin (BIL), it has antioxidant properties that were associated with the psychopathology and cognitive impairment of psychiatric disorders. The aim of this study was to examine the correlation of serum total BIL (TBIL) concentration with cognitive impairment in SCH patients. We recruited 34 SCH patients and 119 healthy controls (HCs) in this case-control design. Cognition was assessed using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Serum TBIL concentration was measured using the immunoturbidimetric method. Serum TBIL concentration …

Erratum: Best Practices For Evaluation And Treatment Of Agitated Children And Adolescents (Beta) In The Emergency Department: Consensus Statement Of The American Association For Emergency Psychiatry (Western Journal Of Emergency Medicine (2019) 20:2 (409-419) Doi: 10.5811/Westjem.2019.1.41344), R. Gerson, N. Malas, V. Feuer, G. H. Silver, R. Prasad, M. M. Mroczkowski

Journal Articles

No abstract provided.

The Impact Of Pharmacological And Non-Pharmacological Interventions To Improve Physical Health Outcomes In People With Schizophrenia: A Meta-Review Of Meta-Analyses Of Randomized Controlled Trials, D. Vancampfort, J. Firth, C. U. Correll, M. Solmi, D. Siskind, M. De Hert, R. Carney, A. Koyanagi, A. F. Carvalho, F. Gaughran, B. Stubbs

Journal Articles

No abstract provided.

Low Incidence Of Neuroleptic Malignant Syndrome Associated With Paliperidone Palmitate Long-Acting Injectable A Database Report And Case Study, J. M. Kane, C. U. Correll, N. Delva, S. Gopal, A. Savitz, M. Mathews

Journal Articles

No abstract provided.

Acute Psychosis Following 1,1-Difluoroethane Inhalation, Clara B. Novotny, Sarah Irvin, Eduardo D. Espiridion

Faculty & Staff Scholarship

Inhalants are often abused due to their ability to acutely induce feelings of euphoria. Difluoroethane is a toxic lipophilic hydrocarbon that crosses the blood-brain barrier and inhibits the central nervous system. Studies have shown the cardiac, renal, and respiratory effects it has when abused; however, our literature review yielded no previous report of acute psychosis after difluoroethane inhalation. In order to prevent poor outcomes by missed diagnosis, we present a case of difluoroethane-induced acute psychosis.

Breadth And Depth Of Working Memory And Executive Function Compromises In Mild Cognitive Impairment And Their Relationships To Frontal Lobe Morphometry And Functional Competence, L. Garcia-Alvarez, J. J. Gomar, A. Sousa, M. P. Garcia-Portilla, T. E. Goldberg

Journal Articles

© 2019 Introduction: The extent of working memory (WM) and executive function (EF) impairment in mild cognitive impairment (MCI) is not well-characterized. Methods: We compared 48 patients with MCI, 124 noncognitively impaired elderly healthy controls, and 57 patients with Alzheimer's disease (AD) on multiple WM/EF measures, frontal lobe integrity indexes, and functioning. Results: Patients with MCI demonstrated worse performance on nearly all WM/EF tests. This profile of impairment was refined in a factor analysis that identified three primary WM/EF constructs: WM storage; speed and controlled visual search; and manipulation of information and problem solving. EF impairments were associated with reductions …

Internet Searches For Medical Symptoms Before Seeking Information On 12-Step Addiction Treatment Programs: A Web-Search Log Analysis, G. Nitzburg, I. Weber, E. Yom-Tov

Journal Articles

© 2019 George Nitzburg, Ingmar Weber, Elad Yom-Tov. Background: Brief intervention is a critical method for identifying patients with problematic substance use in primary care settings and for motivating them to consider treatment options. However, despite considerable evidence of delay discounting in patients with substance use disorders, most brief advice by physicians focuses on the long-term negative medical consequences, which may not be the best way to motivate patients to seek treatment information. Objective: Identification of the specific symptoms that most motivate individuals to seek treatment information may offer insights for further improving brief interventions. To this end, we used …

Objective User Engagement With Mental Health Apps: Systematic Search And Panel-Based Usage Analysis., A. Baumel, F. Muench, S. Edan, J. Kane

Journal Articles

BACKGROUND: Understanding patterns of real-world usage of mental health apps is key to maximizing their potential to increase public self-management of care. Although developer-led studies have published results on the use of mental health apps in real-world settings, no study yet has systematically examined usage patterns of a large sample of mental health apps relying on independently collected data.

OBJECTIVE: Our aim is to present real-world objective data on user engagement with popular mental health apps.

METHODS: A systematic engine search was conducted using Google Play to identify Android apps with 10,000 installs or more targeting anxiety, depression, or emotional …

Pleiotropic Meta-Analysis Of Cognition, Education, And Schizophrenia Differentiates Roles Of Early Neurodevelopmental And Adult Synaptic Pathways, M. Lam, W. D. Hill, J. W. Trampush, J. Yu, E. Knowles, G. Davies, E. Stahl, P. Derosse, A. K. Malhotra, T. Lencz, +58 Additional Authors

Journal Articles

No abstract provided.

Abnormal Involuntary Movement Scale In Tardive Dyskinesia: Minimal Clinically Important Difference, M. Stacy, M. Sajatovic, J. M. Kane, A. J. Cutler, G. S. Liang, C. F. O'Brien, C. U. Correll

Journal Articles

No abstract provided.