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Advances in Psychiatric Treatment current issue

Mindreadings [From the Editor]
Bouch, J.
Letter from America: acute in-patient psychiatry bed shortages [Editorials]
Sharfstein, S. S. The number of in-patient beds for psychiatric treatment in America has declined dramatically over the past 40 years. Public and private policies have encouraged an extremely short-term, crisis-stabilisation model of treatment. This is true on both general and subspecialty units. As a result, readmissions have increased, emergency rooms are crowded, and many patients end up homeless or incarcerated in the criminal justice system. These changes have created a public health crisis in America, and are the greatest challenges that American psychiatry faces today.
The role of the medical director in mental health [Articles]
Deuchar, N., Atkinson, E. This article sets out the history of medical directorship, outlines the authors’ view of the current contribution that medical directors can and should be making to the mental health arena and looks forward to the possibilities of this evolving role. The focus of the article is mainly on English policy and healthcare structures, recognising that these vary in the other jurisdictions of the UK. However, certain principles should be of wider interest and application.

Am J Psychiatry current issue

In This Issue [In This Issue]

Postpartum Mood Disorders: Genetic Progress and Treatment Paradigms [Editorials]
Hatters Friedman, S.
Closing the Gap Between Guidelines for Bipolar Disorder Treatment and Clinical Practice [Editorials]
Giese, A. A.

Archives of General Psychiatry current issue

About This Journal [About This Journal]

This Month in Archives of General Psychiatry [This Month in Archives of General Psychiatry]

Cattleya Orchid and Three Brazilian Hummingbirds [Art and Images in Psychiatry]
Harris, J. C.

Acad Psychiatry current issue

Editorial Leadership of Academic Psychiatry [EDITORIALS]

Academic Psychiatry, twenty years ago. . . [EDITORIALS]

Psychopharmacology Curriculum Field Test [RESEARCH ARTICLES]
Zisook, S., Balon, R., Benjamin, S., Beresin, E., Goldberg, D. A., Jibson, M. D., Thrall, G. OBJECTIVE: As part of an effort to improve psychopharmacology training in psychiatric residency programs, a committee of residency training directors and associate directors adapted an introductory schizophrenia presentation from the American Society of Clinical Psychopharmacology’s Model Psychopharmacology Curriculum to develop a multimodal, interactive training module. This article describes the module, its development, and the results of a field trial to test its feasibility and usefulness. METHODS: Nineteen residency programs volunteered to use the module during the first half of the 2007–2008 academic year. Evaluation consisted of a structured phone interview with the training director or teaching faculty of participating programs during February and early March 2008, asking whether and how they used the curriculum, which components they found most useful, and how it was received by faculty and residents. RESULTS: Of the 19 programs, 14 used the module and 13 participated in the evaluation. The most commonly used components were the pre- and postmodule questions, video-enhanced presentation, standard presentation, problem- or team-based teaching module, and other problem-based teaching modules. No two programs used the module in the same fashion, but it was well received by instructors and residents regardless of use. CONCLUSION: The results of this field trial suggest that a dynamic, adult-centered curriculum that is exciting, innovative, and informative enough for a wide variety of programs can be developed; however, the development and programmatic barriers require considerable time and effort to overcome.

pubmed: 0924-9338

(11)C-PIB PET in subjective cognitive impairment.
Rodda J, Okello A, Edison P, Dannhauser T, Brooks DJ, Walker Z Related Articles (11)C-PIB PET in subjective cognitive impairment. Eur Psychiatry. 2009 Nov 17; Authors: Rodda J, Okello A, Edison P, Dannhauser T, Brooks DJ, Walker Z People with Subjective Cognitive Impairment (SCI) may be at increased risk of dementia. In this study we examined amyloid load in 5 SCI subjects and 14 controls using PIB PET scanning. One SCI subject had significantly increased PIB retention in the cortical areas of interest. Larger, longitudinal studies are indicated. PMID: 19926266 [PubMed - as supplied by publisher]
Attentional networks in euthymic patients with unipolar depression.
Preiss M, Kramska L, Dockalova E, Holubova M, Kucerova H Related Articles Attentional networks in euthymic patients with unipolar depression. Eur Psychiatry. 2009 Nov 17; Authors: Preiss M, Kramska L, Dockalova E, Holubova M, Kucerova H BACKGROUND: The capacity to focus and concentrate or to direct attention supports many aspects of cognitive functioning including short-term memory and higher-level cognitive functions. The purpose was to assess attentional networks in euthymic patients with unipolar depression using the Attentional Network Test (ANT). MATERIALS AND METHODS: We investigated performance of attention by virtue of ANT during remission from unipolar depressive disorder and tested a hypothesis that there are no differences between outpatient group (euthymic patients, N=32) and matched controls in attentional variables, the relationship of attentional networks and everyday cognitive failures. RESULTS: No differences between the groups in attentional networks were found and no relationship between attentional networks and cognitive failures was found. LIMITATIONS: One assessment during remission could be insufficient to recognize long-term pattern of cognitive functions. CONCLUSIONS: These data show non-impaired attentional networks possibly explained by sufficient level of remission and ameliorated influence of high education on cognition. PMID: 19926265 [PubMed - as supplied by publisher]
Study of the psychometric qualities of the Brief Social Phobia Scale (BSPS) in Brazilian university students.
Osório FL, Crippa JA, Loureiro SR Related Articles Study of the psychometric qualities of the Brief Social Phobia Scale (BSPS) in Brazilian university students. Eur Psychiatry. 2009 Nov 17; Authors: Osório FL, Crippa JA, Loureiro SR PURPOSE: To perform a psychometric analysis of the Brazilian version of the Brief Social Phobia Scale (BSPS). MATERIALS AND METHODS: Hundred and seventy-eight university students of both genders aged on average 21.2 years and identified as Social Anxiety Disorder (SAD) cases and non-cases was studied, with the structured clinical interview for DSM-IV being used as a parameter. The different instruments were applied in an individual manner in the presence of a rater and of an observer. RESULTS: The BSPS showed adequate internal consistency (0.48-0.88) and concurrent and divergent validity with the Beck Anxiety Inventory (BAI) (0.21-0.62), Social Phobia Inventory (0.24-0.82) and Self Statements During Public Speaking Scale (SSPS) (0.23-0.31). Discriminative validity revealed a sensitivity of 0.88-0.90 and a specificity of 0.81(0.83 for cut-off notes of 18/19. Factorial analysis demonstrated the presence of six factors that jointly explained 71.79% of data variance. Construct validity indicated some limits of the scale regarding the diagnosis of SAD. Inter-rater reliability was strong (0.86-1.00, p<0.001). CONCLUSIONS: The BSPS is adequate for use with university students, although further studies in different cultures, samples and contexts are still necessary. PMID: 19926264 [PubMed - as supplied by publisher]

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