Psychiatry research
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Psychiatry research · Dec 2014
The film festival “AUSNAHME|ZUSTAND” (State of Emergency)--do feature films and documentaries on mental health reduce stigma and influence help-seeking attitudes?
The study aims at evaluating the impact of the Germany-wide film festival “AUSNAHME|ZUSTAND” on social distance and help-seeking attitudes of the adolescent audience. The festival, on the subject of mental health, was staged for the second time, aiming to give a podium to the topic mental health and to inform and entertain an adolescent audience that has not been in close contact with the subject before. A pre-post test was carried out to look for the effect of feature films and documentaries on social distance of the audience towards people with mental illness and on the change in help-seeking attitudes. ⋯ One film increased social distance, and two films did not affect either outcome. Age, gender, and knowing someone with mental health problems also turned out to be decisive factors influencing the development of social distance and help-seeking attitudes. Feature films or documentaries about mental illness can reduce social distance or influence help-seeking attitudes, but effects strongly depend on the particular film.
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Psychiatry research · Dec 2014
MMSE items that predict incident delirium and hypoactive subtype in older medical inpatients.
Because hypoactive delirium is especially under-recognized, we analyzed which Mini-Mental State Examination (MMSE) items predicted incident delirium and its hypoactive motor presentation. Over a 1-year period, older medical inpatients (n=291) were consecutively screened on admission with the Confusion Assessment Method-Spanish (CAM-S) to exclude prevalent delirium. Nondelirious patients were evaluated the same day with the MMSE, followed by daily ratings with the CAM-S. ⋯ Simple bedside evaluation of cognitive function in nondelirious patients revealed deficits that detected patients at risk for developing incident delirium at follow-up (especially hypoactive or mixed). We recommend patients with orientation deficits be monitored closely for emergence of delirium. A separate evaluation for possible dementia or other causes of cognitive impairment at admission should be considered too.
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Psychiatry research · Dec 2014
Proton magnetic resonance spectroscopy in obsessive-compulsive disorder: evidence for reduced neuronal integrity in the anterior cingulate.
Neuroimaging studies have suggested that dysfunction of the cortico-striatal-thalamo-cortical (CSTC) circuit is a key pathophysiologic feature of obsessive-compulsive disorder (OCD). Several studies using proton magnetic resonance spectroscopy ((1)H MRS) have found abnormal neural metabolite concentrations among OCD patients. The aim of this study was to investigate the metabolic integrity of the anterior cingulate, caudate and putamen in OCD. ⋯ There was a tendency for levels of NAA/Cr to be lower in the caudate and the putamen in patients with OCD compared with healthy controls. NAA/Cr ratios were negatively correlated with the total scores on the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) in the anterior cingulate in patients with OCD. Our results support the significance and biochemical involvement of the anterior cingulate cortex (ACC) in the pathophysiology of OCD.
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Psychiatry research · Dec 2014
Randomized Controlled TrialPost-traumatic psychological changes among survivors of the Lushan earthquake living in the most affected areas.
The primary objective of our study was to investigate both the negative and positive psychological changes following the Lushan earthquake, and to explore the factors associated with psychological changes. Multi-stage random sampling was used to select respondents from Lushan County, Sichuan Province, China. A simplified Chinese version of the short form of Changes in Outlook Questionnaire (CiOQ-S) was used to assess psychological changes in earthquake survivors. ⋯ The factors associated with positive psychological changes included ethnic minority, high level of education, high household income, not injured in the earthquake, not trapped during the earthquake, and having experienced the Wenchuan earthquake. The factors associated with negative psychological changes included female gender, ethnic minority, low household income, history of diseases, injured during the earthquake, and trapped during the earthquake. The current analysis helps expand our knowledge of the negative and positive psychological changes that may occur following an earthquake experience.
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Psychiatry research · Dec 2014
Randomized Controlled TrialOrienting and maintenance of attention to threatening facial expressions in anxiety--an eye movement study.
Cognitive models posit that anxiety disorders stem in part from underlying attentional biases to threat. Consistent with this, studies have found that the attentional bias to threat-related stimuli is greater in high vs. low anxious individuals. Nevertheless, it is not clear if similar biases exist for different threatening emotions or for any facial emotional stimulus. ⋯ Our results for attentional maintenance were not consistent. The results of the present study suggest that attentional processes may be more emotion-specific than previously believed. Our results suggest that attentional processes for different threatening emotions may not be the same and that attentional processes for some negative and some positive emotions may be similar.