Mental Disorders Commons^™

Post-Traumatic Stress Disorder: A Look Into The Cause, Gender Differences, And Treatment, Barbara Wallen

McNair Poster Presentations

Posttraumatic stress disorder, better known as PTSD came to light during the Vietnam Era. Throughout history, this stress disorder has been called various things in the 150 years since it was first recognized. However, each new word had several characteristics in common, such as re-experiencing, numbing and physiological arousal.

The process of Darwinian “natural selection” corroborated the evolution of people with highly developed stress responses. Those pre-historic people with the most useful “fight or flight” reflexes became our ancestors. An example of this is that during the 19^th Century, PTSD was called “Railway Spine” and was associated with what …

Dynamic Informed Consent Processes Vital For Treatment With Antidepressants, Abilash A. Gopal, Lisa Cosgrove, Itay Shuv-Ami, Emily E. Wheeler, Melissa J. Yerganian, Harold J. Bursztajn

Counseling, School Psychology & Sport Faculty Publication Series

Advances in technology and transparency have greatly accelerated the ability of clinicians to remain current with regards to being informed and informing patients about the risk/benefit ratio when considering antidepressant medication. In spite of this, the current climate of pharmaceutical industry influence on medical practice does much to hinder informed consent processes. Recent findings of previously unknown and potentially dangerous adverse effects of the second- and third-generation classes of antidepressants underscore the importance of enhancing the practice of informed consent. After considering the concept of informed consent as it has evolved over time, the authors summarize some of the newer …

Post-Traumatic Stress Disorder, Nicole Smith

A with Honors Projects

This research paper examines post-traumatic stress disorder and its effects, symptoms and cures.

Is Asenapine More Effective Than Other Interventions In The Treatment Of Adult Patients With Bipolar I Disorder?, Mary H. Tsakiris

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not Asenapine is more effective than other interventions in the treatment of adult patients with bipolar I disorder.

STUDY DESIGN: Review of three English language primary randomized controlled trial studies published from 2009-2010.

DATA SOURCES: Three randomized controlled trials studying the effectiveness of Asenapine in the treatment of mania in adult patients with bipolar I disorder in comparison to other interventions.

OUTCOME MEASURED: Outcomes measured were reduction in severity of manic symptoms and tolerability of the medication. The severity of manic symptoms was measured using the Young …

Is Rivastigmine Effective In The Treatment Of Alzheimer’S Disease?, Beena Patel

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not rivastigmine is effective for the treatment of Alzheimer’s Disease.

STUDY DESIGN: Review of two trials in the English language published in 2007 and 2010, and an open-label, singlearm, multi-center study from 2008.

DATA SOURCES: Randomized, double-blind, placebo-controlled trials comparing rivastigmine to a visually-matched capsule (placebo) was found using PubMed and Cochrane databases.

OUTCOMES MEASURED: Overall global performance using the Alzheimer’s Disease Assessment Scale (ADAS-cog), ability to perform activities of daily living, cognitive function using the mini mental status exam (MMSE), and neuropsychiatric symptoms using BEHAVE-AD.

RESULTS: …

Many Forms Of Madness: A Family’S Struggle With Mental Illness And The Mental Health System, Brice Balmer

Consensus

Title: Many forms of madness : a family's struggle with mental illness and the mental health system Author: Rosemary Radford Ruether; David Ruether Publisher: Minneapolis, Minn.: Fortress Press, 2010. ISBN: 9780800696511

An Overview Of Avoidant Personality Disorder, Kristin Dehrkoop

All Graduate Theses, Dissertations, and Other Capstone Projects

Avoidant Personality Disorder presents very similarly to other disorders in the Diagnostic and Statistical Manual (DSM-IV). What separates Avoidant Personality Disorder (APD) to other disorders that present similarly?

Using The Scrambled Sentences Test To Examine Relationships Between Cognitive Bias, Thought Suppression And Borderline Personality Features, Paul Jefferson Geiger

Theses and Dissertations--Psychology

Cognitive bias and thought suppression are two maladaptive patterns of thinking that have been associated with borderline personality disorder (BPD). Negative cognitive biases related to BPD include thoughts that they are bad, powerless, or vulnerable and that the world is dangerous. Thought suppression is a maladaptive emotion regulation strategy where unwanted thoughts are intentionally pushed out of one’s consciousness. However, previous research has connected thought suppression and cognitive biases to BPD only via self-report measures. The present study examined whether a laboratory task meant to measure cognitive bias and thought suppression (Scrambled Sentences Test) would predict BPD features over and …

Genome-Wide Association Analysis Of Major Depressive Disorder And Its Related Phenotypes., Nagesh Ramarao Aragam

Electronic Theses and Dissertations

Major Depressive Disorder (MDD) is a complex and chronic disease that ranks fourth as cause of disability worldwide. Thirteen to 14 million adults in the U.S. are believed to have MDD and an estimated 75% attempt suicide making MDD a major public health problem. Recently several genome-wide association (GWA) studies of MDD have been reported; however, few GWA studies focus on the analysis for MDD related phenotypes such as neuroticism and age at onset of MDD. The purpose of this study is to determine risk factors for MDD, identify genome-wide genetic variants affecting neuroticism and age at onset as quantitative …

Smoking Cessation Outcomes Among Individuals With Substance Use And/Or Psychiatric Disorders, Milan Khara, Chizimuzo T.C. Okoli

Nursing Faculty Publications

Objectives: The population of individuals with substance use (SUD) and/or psychiatric disorders (PD) has a high prevalence of smoking and a consequent increase in tobacco-related morbidity and mortality when compared to the general population. The aim of this study is to examine the outcomes of a program in a real-life setting which takes a tailored approach to smoking cessation among individuals with SUD and/or PD.

Methods: A retrospective chart review of tailored tobacco dependence treatment was performed on individuals with histories of SUD and/or PD attending a Tobacco Dependence Clinic (TDC) program in Vancouver, British Columbia, Canada. Participants of the …

Horticulture Group Therapy With Mentally Ill Older Adults, Kristen J. Hill

Loma Linda University Electronic Theses, Dissertations & Projects

With a greatly increasing number of older adults due to advances in medical care, aU baby boomers in the United States will be 65 or older by 2029. As the number of older adults grows, so does the number of those with severe mental illness. Treatments are needed to address older adults with severe mental illness that include the negative side effects of medications. Due to the nature of severe mental illness, lower levels of required cognitive processing allows for those admitted to inpatient psychiatric settings to participate, including those with dementia. Horticulture therapy has proven useful to address severe …

Evidence Based Treatment Of Schizophrenia: Do We Know Enough, Faheem Khan, Haider A Naqvi

Department of Psychiatry

No abstract provided.

The Hormonal Correlates Of Stress And Posttraumatic Stress Disorder Symptoms In Female Veterans, Meghan Pierce

UNLV Theses, Dissertations, Professional Papers, and Capstones

With the increase of female veterans serving in the military, a better understanding of posttraumatic stress disorder is needed to provide comprehensive treatment. This study examines salivary cortisol in female veterans with PTSD, female veterans without PTSD, civilian females with PTSD and healthy controls. The Posttraumatic Stress and Beck Depression Inventory-II were used to assess posttraumatic stress and depressive symptoms. Saliva samples were collected at bedtime and awakening, as well as in response to the Trier Social Stress Test. Significant results were not found for diurnal cortisol levels [ F (3, 11)= .979, p < .05] or stress cortisol levels (F (3,12) = 1.140, p >.05). …

Clark County Mental Health Court: An Outcomes-Based Evaluation Model Of Residential And Treatment Programs Beyond Recidivism, Mark J. Nichols

Graduate Research Symposium (2010 - 2017)

The number of America’s mental health courts has grown significantly over the course of the past 15 years. Mental health courts can be seen as a form of therapeutic jurisprudence where the court implements therapeutic interventions, case management and treatment (Palermo, 2010). A mental health court was established in Clark County during 2003. Its mission is to promote engagement in treatment, improve quality of life, decrease recidivism, and increase community safety and awareness (Glass, 2008).

The focus of the evaluation of the Clark County Mental Health Court, limited to performance measures related to the decreased recidivism by its clients and …

Psychological Behaviorism Theory Of Bipolar Disorder, Helmut P.R. Riedel, Elaine M. Heiby, Stephen Kopetskie

The Psychological Record

This review addresses the etiology of bipolar disorder and
presents the literature within a psychological behaviorism
framework (Staats, 1996; Staats & Heiby, 1985). The proposed
theory attempts to provide an integrative developmental approach
that is grounded in established behavioral principles. The bipolar
theory posits 15 hypotheses based on past and concurrent
biological and situational factors as well as their interactions with
an individual's basic behavioral repertoires. Implications for
subclassification and treatment research are noted.

Ethnicity And Cultural Issues, John E. Zeber, Jodi M. Gonzalez, Richard Van Dorn, Alejandro Interian

Mental Health Law & Policy Faculty Publications

No abstract provided.

Depression Care Management: Can Employers Purchase Improved Outcomes?, Kathryn Rost, Donna Marshall, Benjamin Shearer, Allen J. Dietrich

Mental Health Law & Policy Faculty Publications

Fourteen vendors are currently selling depression care management products to US employers after randomized trials demonstrate improved work outcomes. The research team interviewed 10 (71.4%) of these vendors to compare their products to four key components of interventions demonstrated to improve work outcomes. Five of 10 depression products incorporate all four key components, three of which are sold by health maintenance organizations (HMOs); however, HMOs did not deliver these components at the recommended intensity and/or duration. Only one product delivered by a disease management company delivered all four components of care at the recommended intensity and duration. This “voltage drop,” …

Conflicts Of Interest In Clinical Practice Guidelines, Lisa Cosgrove, Allen F. Shaughnessy

Counseling, School Psychology & Sport Faculty Publication Series

Clinical practice guidelines are used increasingly across medical specialties and settings, making evaluation of their utility and validity a critical public health issue. In this paper, we describe some of the challenges that specialty organizations face as they try to ensure that their guidelines are trustworthy and useful. We examine the practice guidelines for Major Depressive Disorder recently published by the American Psychiatric Association (APA), identify five sources of potential bias that may affect the guideline development process and offer suggestions based on our review. For example, even for mild depression, this guideline privileges pharmacotherapy over other interventions, despite questions …

What Is The Safety And Efficacy Of Tarenflurbil (R-Flurbiprofen) In Mild To Moderate Alzheimer’S Disease?, Lauren Viscount

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this systematic review is to determine what is the safety and efficacy of Tarenflurbil (R-flubiprofen) in mild to moderate Alzheimer’s Disease.

Does Beta Amyloid Immunization Reduce Amyloid Plaques And Preserve Cognitive Function In Patients With Alzheimer’S Disease?, Andrea Sasin

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this systematic review is to examine the efficacy of beta amyloid immunization in reducing amyloid plaques and preserving cognitive function in patients with Alzheimer’s disease (AD).