Preliminary adaptation of cognitive behavioral therapy for major depression in the Bangladeshi context: a pilot study
Cultural values and standard social rules of communities strongly influence any psychological therapy. Being developed and modified in the Western world, cognitive behavior therapy (CBT) is not anyway different from such influences. In this study, CBT was adapted in Bengali to determine the functional feasibility of the psychological intervention for people with depression in Bangladesh. This is the first pilot study of an adapted CBT manual for psychological intervention for working with depressive clients in Bangladesh. There were three phases of the study. In the first two phases, the standard protocols of CBT were adapted for the Bangladeshi community, as practiced by mainstream practitioners and mental health professionals around the world. The information gathered during the first phase of the standard protocols of CBT was written in Bengali as the first draft. In the second phase, the CBT manual was judged by seven senior clinical psychologists in Bangladesh who were trained in CBT by British clinical psychologists and later provided training to fellow mental health professionals. After the judges' evaluation, their comments and suggestions were synthesized and the first draft of the adapted intervention was finalized. In the third phase, to evaluate the functional feasibility of the Bengali CBT-based manual, five patients diagnosed with major depression by psychiatrists were tested. Four valid and reliable psychometric measurements were used to measure symptoms of depression and comorbid symptoms of anxiety, psychological distress, and suicidal risk. Assessments were completed at 2 time points (pretest and posttest) via scales. The intervention was delivered within 6 to 10 sessions, and improvements were monitored over the scores of all the questionnaires. The possibilities of Bengali CBTs to reduce depression and appear to be promising treatment options for depression are discussed in this paper.
Putting measurement-based care into action: a multi-method study of the benefits of integrating routine client feedback in coordinated specialty care programs for early psychosis
Measurement-based care (MBC) is an effective tool in the delivery of evidence-based practices (EBPs). MBC utilizes feedback loops to share information and drive changes throughout a learning healthcare system. Few studies have demonstrated this practice in team-based care for young people with early psychosis. This paper describes the development of a personalized feedback report derived from routine assessments that is shared with clients and clinicians as part of a MBC process.
Theta power reduction and theta-gamma coupling desynchronization are associated with working memory interference and anxiety symptoms in panic disorder: a retrospective study
Theta-gamma coupling (TGC) describes the modulation of gamma oscillations by the theta phasic activity, which is crucial for processes such as the ordering of information during working memory (WM) performance. The mental arithmetic (MA), which involves performing calculations with numbers, is a crucial tool for evaluating and understanding the sensory processing and management abilities of WM. Evaluating TGC may provide greater insight into the neural mechanisms mediating WM deficits in panic disorder (PD).
Mental health professionals' beliefs and attitudes towards compulsory admission in Athens: a token of social stigma or good faith in psychiatry?-a cross-sectional study
Mental health professionals' (MHPs) attitudes towards involuntary admissions have not received adequate attention in efforts to curb their rates. Thus, the present study set out to (i) explore MHP attitudes regarding involuntary hospitalisation, (ii) describe their perceived dangerousness of people with severe mental illness (SMI) and their trust in psychiatry, (iii) identify the predictors of attitudes towards compulsory admissions and (iv) gauge the contribution of perceived dangerousness versus trust in psychiatry to explaining them.
What is it all about? An explorative study of patients' experiences with medication free treatment
As a response to the political decision by the Norwegian Ministry of Health and Care Services to establish some kind of "medication free treatment" for patients with severe mental illness throughout the country, a 6-bed ward unit dedicated to offer such treatment was in 2017 established in Tromsø, Norway by the North Norway Health Care Region. The aim of the present study was to explore the experiences of patients admitted to this ward unit.
Comparing the experiences of cancer survivors living with sleep disturbances between differing levels of psychological distress: a qualitative study
Psychological distress often co-occurs with sleep disturbances; but the specific mechanisms linking the two remain unclear. A qualitative study explored perceptions and factors associated with sleep disturbances in cancer survivors between patients with varying levels of psychological distress.
A structural equation modelling to explore the determinants of mental health disorders among reproductive-aged women in Nepal: a nation-wide cross-sectional survey
Similar to other countries, reproductive-age women in Nepal frequently encounter diverse mental disorders, yet they receive inadequate screening and attention. This research seeks to address this gap by conducting a comprehensive examination of the prevalence and factors associated with mental disorders of reproductive-age women in Nepal.
Prevalence of neurocognitive deficits in patients with first-episode schizophrenia in an African sample and its relationship with dimensions of psychopathology and psychosocial outcome
Current evidence supports the idea that neurocognitive deficits (NCD) constitute a core dimension of schizophrenia. Studies on longitudinal changes in neurocognition among neuroleptic-naive first-episode schizophrenia (FES) from Africa are uncommon. We aimed to highlight the prevalence of, and changes in NCD among FES on naturalistic treatment follow-up for 8 weeks, and the relationship with psychopathological and psychosocial outcomes.
How individuals with psychosis develop and maintain resilience to suicidal experiences through psychological therapy: a qualitative study
Almost half of people with psychosis have suicidal experiences. There is limited understanding of the processes underpinning psychological resilience to psychotic and suicidal experiences especially in people who have engaged with psychological talking therapies. Hence, the current study aimed to redress this gap by examining the perspectives of clients who had recent lived-experiences of psychosis, suicidality, and psychological therapy.
Using machine learning to predict the probability of incident 2-year depression in older adults with chronic diseases: a retrospective cohort study
Older adults with chronic diseases are at higher risk of depressive symptoms than those without. For the onset of depressive symptoms, the prediction ability of changes in common risk factors over a 2-year follow-up period is unclear in the Chinese older population. This study aimed to build risk prediction models (RPMs) to estimate the probability of incident 2-year depression using data from the China Health and Retirement Longitudinal Study (CHARLS).
Relationships between empathy, executive functions, and internalizing and externalizing symptoms in early adolescents
Previous studies have shown associations between internalizing and externalizing symptoms, executive functions, and empathy. However, the mechanisms that affect this relationship remain unclear. This study employed regression analysis to explore the relationships between empathy, executive functions, and internalizing and externalizing symptoms.
Estimating the link between service-user patient safety perceptions, incidents and subsequent contagion in acute mental health wards
Safety incidents are common in adult acute inpatient mental health services, and detrimental to all. Incidents spread via social contagion within the ward, but social contagion is difficult to quantify. Better measures of social contagion could support a milieu in which safety incidents are less likely to be prolonged, spread, or repeated, with widespread benefits. The WardSonar project, based in the United Kingdom (UK), developed and evaluated a prototype digital safety monitoring tool to collect real-time information from patients on acute adult mental health wards, about their perceptions of ward safety. A prototype Wardsonar tool was developed from a collaborative, co-design approach, and implemented in real-world hospital settings. The current study aimed to understand whether the tool can help to predict incidents, by examining (i) the feasibility of capturing real-time feedback from patients about safety and (ii) how the resulting data related to quality and safety metrics. This study was registered as ISRCTN14470430 on 10/January/2022.
Seasonal variation in suicide: age group and summer effects in the United States (2015-2020)
Suicide is a global public health concern that affects more than 700,000 people globally every year. Seasonal variation in suicide rates is a phenomenon that has been well-documented, but recent data on the seasonality of suicide within specific age groups and sex in the United States remains less well understood.
Perspectives of people with schizophrenia on clinical outcome scales and patient-reported outcome measures: a qualitative study
Over the past half-century, numerous scales have been designed to quantify outcomes in people with severe mental health disorders. However, little is known about the views of people diagnosed with schizophrenia on individual outcome scales, particularly outside of European countries.
The relationship between dyadic coping and post-traumatic growth in breast cancer patients and spouses: based on potential profile analysis
The disease impact of breast cancer is to view the couple as a whole, breast cancer is a disease shared by the couple. Cancer coping has evolved from an individual perspective to a dyadic coping perspective for couples. The purpose of this study was to identify and describe the dyadic coping categories of couples with breast cancer and to analyze the relationship between dyadic coping categories and post-traumatic growth (PTG) in couples with breast cancer.
Network integration and segregation changes in schizophrenia: impact of electroconvulsive therapy
Studies have confirmed brain network topology disruption in schizophrenia (SZ). Electroconvulsive therapy (ECT) rapidly improves acute psychiatric symptoms, yet the exact mechanism by which it impacts brain network topology in SZ patients remains unclear. This study aims to explore topological changes in SZ patients' whole-brain functional networks during ECT, ultimately elucidating implicated neurological mechanisms.
Management of obesity with semaglutide or metformin in patients with antipsychotic-induced weight gain (MOSA): a non-randomised open-label pilot study
Antipsychotic-induced weight gain (AIWG) represents a significant clinical challenge for both patients and clinicians, requiring appropriate interventions to prevent or reverse weight gain in patients using antipsychotics. Glucagon-like peptide 1 (GLP-1) agonists represent a novel approach to the management of obesity that has recently attracted considerable attention. Semaglutide (a GLP-1 agonist) has been demonstrated to result in notable weight loss. The present study investigates whether semaglutide is equally effective in achieving weight loss in patients with AIWG.
Deficits in prosodic speech-in-noise recognition in schizophrenia patients and its association with psychiatric symptoms
Uncertainty in speech perception and emotional disturbances are intertwined with psychiatric symptoms. How prosody embedded in target speech affects speech-in-noise recognition (SR) and is related to psychiatric symptoms in patients with schizophrenia (SCHs) remains unclear. This study aimed to examine the neural substrates of prosodic SR deficits and their associations with psychiatric symptom dimensions in patients with schizophrenia.
Self-harm hospitalizations and neighbourhood level material and social deprivation in Canada: an ecological study
Socio-economic status is associated with self-harm at the individual and area level. In Canada, there is limited evidence on the relationship between area-level markers of socio-economic status and self-harm. The objective of this study was to assess the impact of small area-level material and social deprivation on rates of hospitalization due to self-harm.
Exploring the connectivity of dorsolateral prefrontal cortex and the modulatory impact of transcranial magnetic stimulation in adolescents with depression: a focus on pain-related cognitive processing
Abnormal cognitive response to pain is consistently associated with deleterious outcomes among adolescents with depression. Highly relevant to both pain and cognition, dorsolateral prefrontal cortex (DLPFC) is important to understanding pain cognition. Our study aimed to characterize the circuit of DLPFC and the efficacy of transcranial magnetic stimulation (TMS) over DLPFC on pain cognition in adolescents with depression.
Screen time trajectories and psychosocial well-being among Chinese adolescents: a longitudinal study
While the association between screen time (ST) and psychosocial well-being has been extensively examined, limited studies have investigated the dynamic patterns of ST, and their impact on subsequent psychosocial well-being among adolescents. Therefore, this longitudinal study aimed to examine the association between ST trajectories and the subsequent psychosocial well-being among Chinese adolescents.