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The aim of this current awareness bulletin is to highlight new articles in forensics, covering: diagnosis of mental disorders (using the ICD-10 categorisation); offences (including violent crime and aggression, homicide, and juvenile offenders); treatment and assessment (including offence-focused treatment, therapeutic modalities, and risk assessment); specific services (prisons, secure units, and women’s services); health policy and management; and ethics and law. Accessing articles Article access can be attained by clicking on the link next to the article. Where full text is not available to access, you can request it through our document supply service. You will need an Athens username to access the full text of some articles. You can self-register at https://openathens.nice.org.uk or ask the Library Service for assistance. If you would like to read an article and where full text not available to access, contact the Library for help ordering the articles. When emailing, please give full details of the article required. Via the Trust intranet: Fill out our online form By email https://connect/library-document-supply-service libraryservice@nottshc.nhs.uk Comments and suggestions If you have comments or suggestions for improving this bulletin, please contact the Library Service: Email: libraryservice@nottshc.nhs.uk Twitter: @NottsHCLib Tel: 0115 952 9486 Direct dial: 0115 969 1300 (ext. 11186) Website: http://www.nottinghamshirehealthcare.nhs.uk/library Intranet: https://connect/library-and-knowledge-services Library and Knowledge Services – Nottinghamshire Healthcare NHS Foundation Trust Staff Library Staff Library Staff Library Duncan Macmillan House Mike Harris Learning & Development Centre Wathwood Hospital Porchester Road Rampton Hospital Gipsy Green Lane Nottingham Retford Wath-Upon-Dearne NG3 6AA Nottinghamshire Rotherham DN22 0PD S63 7TQ Forensic Mental Health Bulletin 2019 Vol 6 No 8 -1-
Index Mental Disorders – Diagnosis Organic, including symptomatic, mental disorders Mental behavioural disorders due to substance use Schizophrenia, Schizotypal, and delusional disorders Mood [affective] disorders Neurotic, stress related and somatoform disorders Behavioural syndromes associated with physiological disturbances and physical factors Disorders of adult personality and behaviour Intellectual disability Disorders of psychological development Behavioural and emotional disorders with onset usually occurring in childhood and adolescence Unspecified mental disorder Offences Homicide Sex Offence Violent Crime and Aggression Treatment (including assessment) Offence focused treatment Physical Health Risk management Self harm and suicide Therapeutic modalities (psychodynamic, cognitive behavioural etc.) Services Prisons Secure Units Women’s Services Health Policy / Management Health Economics Mental Health Practice Recovery – Rehabilitation Forensic Mental Health Bulletin 2019 Vol 6 No 8 -2-
Mental Disorders – Diagnosis Organic, including symptomatic, mental disorders Brooke, J. and Jackson, D. An exploration of the support provided by prison staff, education, health and social care professionals, and prisoners for prisoners with dementia Journal of Forensic Psychiatry & Psychology, 2019 The aim of this study was to gain an understanding of the lived experience of prison staff, education, health and social care professionals and prisoners with a social care role who supported men with dementia in prison. This qualitative exploration highlighted diversity within: education and training received by participants; the development of participant’s roles to support prisoners with dementia; and diversity within the prison regime which impacted on prisoners with dementia and those supporting them. Click here to view abstract: http://dx.doi.org/10.1080/14789949.2019.1638959 Index Mental behavioural disorders due to psychoactive substance use Reid, S. and Bhattacharyya, S. Antipsychotic treatment failure in patients with psychosis and co-morbid cannabis use: A systematic review Psychiatry Research, 2019 280 Whilst the effects of cannabis preceding psychosis onset are well established, an effect post-onset is less clear. This review sought to summarise current evidence regarding the effect of cannabis use on antipsychotic treatment failure among users and non-users with psychosis. Cannabis use was associated with the following deleterious outcomes increased: odds of non-remission, prescription of unique antipsychotic medications, cumulative prescription of Clozapine and poor treatment trajectories. Click here to view abstract: http://dx.doi.org/10.1016/j.psychres.2019.112523 Index Schizophrenia, Schizotypal, and delusional disorders Aceituno, D., et al. Cost-effectiveness of early intervention in psychosis: Systematic review The British Journal of Psychiatry, 2019 215, 1, pp. 388-394 We aimed to review the cost-effectiveness evidence of early intervention in psychosis (EIP) services worldwide. There is consistent evidence that the implementation of EIP services might be a cost-effective alternative across different health systems. Such evidence, nevertheless, derives from heterogeneous and sometimes methodologically flawed studies, reducing the certainty of such statement. More efforts must be done to rigorously assess the value of this intervention, before expanding it among systems where mental health budgets are more constrained. Click here to view abstract: http://dx.doi.org/10.1192/bjp.2018.298 Albert, N. and Weibell, M. A. The outcome of early intervention in first episode psychosis International Review of Psychiatry, 2019 pp. 1-12 The aim of this article is to provide an overview over the most important trials and evidence regarding the outcome of early intervention in first episode psychosis. In conclusion, both elements appear necessary in order to develop an integrated service that can provide the optimal treatment for patients with FEP. Click here to view abstract: http://dx.doi.org/10.1080/09540261.2019.1643703 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -3-
Behan, C., et al. Early intervention in psychosis: health economic evaluation using the net benefit approach in a real-world setting British Journal of Psychiatry, 2019 pp. 1-7 To evaluate the cost-effectiveness of early intervention by estimating the incremental net benefit (INB) of an early-intervention programme, delivered in a real-world setting. INB measures the difference in monetary terms between alternative interventions. Early intervention has a modest INB from the health sector perspective and a large INB from the societal perspective. The perspective chosen is critical when presenting results of an economic evaluation of a complex intervention. Click here to view abstract: http://dx.doi.org/10.1192/bjp.2019.126 Bianco, C. L., et al. Deficits in sexual interest among adults with schizophrenia: Another look at an old problem Psychiatric Services, 2019 This study examined predictors of sexual interest among adults with schizophrenia. The strength of the relationship between sexual self-efficacy and sexual interest warrants development of interventions to address sexuality among people with serious mental illness, at least for those who are interested in developing or maintaining intimate relationships. Click here to view abstract: http://dx.doi.org/10.1176/appi.ps.201800403 Blomqvist, M., et al. Health effects of an individualized lifestyle intervention for people with psychotic disorders in psychiatric outpatient services: A two year follow-up Issues in Mental Health Nursing, 2019 pp. 1-12 People with psychotic disorders experience to a great extent avoidable physical illnesses and early mortality. The aim of the study was to investigate the potential effects for this group of participating in a lifestyle intervention. Changes in biomedical and clinical measurements, self-reported health, symptoms of illness and health behavior were investigated. Multilevel modeling was used to statistically test differences in changes over time. Statistically significant changes were found in physical activity, HbA1c and waist circumference. Click here to view abstract: http://dx.doi.org/10.1080/01612840.2019.1642425 Browne, J., et al. The therapeutic alliance in individual resiliency training for first episode psychosis: Relationship with treatment outcomes and therapy participation Journal of Consulting and Clinical Psychology, 2019 87, 8, pp. 734-744 The therapeutic alliance has long been considered an essential part of treatment. The present study examined the alliance at Session 3, 4, or 5 and its relationship to 2-year treatment outcomes and therapy participation in a sample of clients who received specialized first episode psychosis (FEP) treatment in U.S. clinics. A stronger alliance was related to improved treatment outcomes in FEP. Click here to view abstract: http://dx.doi.org/10.1037/ccp0000418 Chan, S. K. W., et al. A systematic review of long-term outcomes of patients with psychosis who received early intervention services International Review of Psychiatry, 2019 pp. 1-16 This review aims to evaluate the effectiveness of early intervention (EI) services in improving long-term outcomes of patients with psychosis. This review highlights the gap in current EI service provision and suggests possible future directions for service improvement and further research. Click here to view abstract: http://dx.doi.org/10.1080/09540261.2019.1643704 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -4-
Chau, A. K. C., et al. Loneliness and the psychosis continuum: A meta-analysis on positive psychotic experiences and a meta-analysis on negative psychotic experiences International Review of Psychiatry, 2019 This meta-analytic review aimed to examine the respective associations of loneliness with positive and negative psychotic experiences along the psychosis continuum. The associations between loneliness and both positive and negative psychotic experiences were found to be smaller among clinical than non-clinical samples. The above findings provided evidence for the associations between loneliness and the two core dimensions of psychotic experiences along the phenomenological continuum. Click here to view abstract: http://dx.doi.org/10.1080/09540261.2019.1636005 Díaz-Fernández, S., et al. Suicide attempts in people with schizophrenia before and after participating in an intensive case managed community program: A 20-year follow-up Psychiatry Research, 2019 The purpose of this investigation was to assess treatment adherence, reasons for treatment discharge, suicidal behaviour and impact of route of antipsychotics administration in a group of patients with schizophrenia treated in a comprehensive, community-based, intensive case managed program for people with severe mental illness. A combination of intensive case-managed and LAIAP treatment helped to improve compliance and to reduce suicidal behavior compared to standard treatment in patients with severe schizophrenia. Click here to view abstract: http://dx.doi.org/10.1016/j.psychres.2019.112479 Holt, R. I. G., et al. Structured lifestyle education for people with schizophrenia, schizoaffective disorder and first- episode psychosis (STEPWISE): Randomised controlled trial British Journal of Psychiatry, 2019 214, 2, pp. 63-73 We assessed whether STEPWISE, a theory-based, group structured lifestyle education programme could support weight reduction in people with schizophrenia. Participants were successfully recruited and retained, indicating a strong interest in weight interventions; however, the STEPWISE intervention was neither clinically nor cost-effective. Further research is needed to determine how to manage overweight and obesity in people with schizophrenia. Click here to view abstract: http://dx.doi.org/10.1192/bjp.2018.167 Igoumenou, A., et al. Prison vs. Hospital for offenders with psychosis; effects on reoffending Journal of Forensic Psychiatry & Psychology, 2019 In a matched sample of released prisoners and discharged patients with psychosis we investigated whether group participation (prison vs. hospital) affected the likelihood of reoffending as well as time to reoffending. In conclusion, release from prison carries higher risk of a future offending and reduced time to reoffending among offenders with psychosis. Click here to view abstract: http://dx.doi.org/10.1080/14789949.2019.1651381 Kirkpatrick, B., et al. An early developmental marker of deficit versus nondeficit schizophrenia Schizophrenia Bulletin, 2019 The authors tested the hypothesis that those with deficit and nondeficit schizophrenia would differ on palate width. This difference in palate width may reflect a divergence in development between deficit and nondeficit patients that occurs by the early second trimmest and is consistent with the hypothesis that deficit schizophrenia is a separate disease within the syndrome of schizophrenia. Click here to view abstract: http://dx.doi.org/10.1093/schbul/sbz024 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -5-
Kuo, S. S., et al. Establishing a standard emotion processing battery for treatment evaluation in adults with autism spectrum disorder: Evidence supporting the Mayer-Salovey-Caruso Emotion Intelligence Test (MSCEIT) Psychiatry Research, 2019 278, pp. 116-124 This study aimed to establish Mayer-Salovey-Caruso Emotion Intelligence Test's (MSCEIT) factorial, measurement, and structural invariance in community-residing adults with schizophrenia (N = 103) and autism spectrum disorder (ASD) (N = 113) using multigroup confirmatory factor analysis. Both groups operationalize MSCEIT measures similarly, with all measures except for Facilitation and Management showing comparability across groups. To our knowledge, this study is not only the first to establish the measurement and structural invariance of a standard emotion perception battery in adults with ASD, it is also the first to establish its comparability across ASD and schizophrenia. Ultimately, these findings underscore MSCEIT's utility for standardizing treatment evaluation of social cognitive outcomes across the autism-schizophrenia spectrum. Click here to view abstract: http://dx.doi.org/10.1016/j.psychres.2019.05.011 Lavin, R., et al. The relationship between insecure attachment and paranoia in psychosis: A systematic literature review The British Journal of Clinical Psychology, 2019 The aim of the current review was to report the strength and consistency of associations between paranoia and insecure attachment across published studies, and provide systematic appraisal of study quality. The findings support the proposed role of attachment insecurity in the development and maintenance of paranoia in psychosis and highlight the need to address insecure attachment representations in the treatment of paranoia. Click here to view abstract: http://dx.doi.org/10.1111/bjc.12231 López-Díaz, Á., et al. The prognostic role of catatonia, hallucinations, and symptoms of schizophrenia in acute and transient psychosis Acta Psychiatrica Scandinavica, 2019 To examine the prospective temporal stability of acute and transient psychotic disorders (ATPDs) and analyze whether there are clinical, psychopathological, or sociodemographic characteristics that predict ATPD diagnostic stability. A symptom checklist assessing these psychopathological features would enable early identification of those subjects whose initial ATPD diagnosis will remain stable over time. Click here to view abstract: http://dx.doi.org/10.1111/acps.13092 Mullins, N., et al. GWAS of suicide attempt in psychiatric disorders and association with major depression polygenic risk scores The American Journal of Psychiatry, 2019 176, 8, pp. 651-660 More than 90% of people who attempt suicide have a psychiatric diagnosis; however, twin and family studies suggest that the genetic etiology of suicide attempt is partially distinct from that of the psychiatric disorders themselves. The authors present the largest genome-wide association study (GWAS) on suicide attempt, using cohorts of individuals with major depressive disorder, bipolar disorder, and schizophrenia from the Psychiatric Genomics Consortium. This study provides new information on genetic associations and demonstrates that genetic liability for major depression increases risk for suicide attempt across psychiatric disorders. Click here to view abstract: http://dx.doi.org/10.1176/appi.ajp.2019.18080957 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -6-
Puolakka, K. and Pitkänen, A. Effectiveness of psychosocial interventions on quality of life of patients with schizophrenia and related disorders: A systematic review Archives of Psychiatric Nursing, 2019 To identify and synthesize the best available evidence on the effectiveness of family interventions, patient education, social skills training and vocational rehabilitation on the quality of life of patients with schizophrenia and related disorders. More research is needed to determine the effectiveness of psychosocial interventions on the quality of life of patients with schizophrenia. Click here to view abstract: http://dx.doi.org/10.1016/j.apnu.2019.07.001 Smucny, J., et al. Baseline frontoparietal task-related BOLD activity as a predictor of improvement in clinical symptoms at 1-year follow-up in recent-onset psychosis The American Journal of Psychiatry, 2019 The goal of this study was to evaluate the ability of functional MRI (fMRI) measures of cognitive control- related brain circuitry collected at baseline to predict symptomatic response in patients after 1 year. These results suggest that frontoparietal activation during cognitive control performance at baseline significantly predicts subsequent symptomatic improvement during early psychosis speciality care. Click here to view abstract: http://dx.doi.org/10.1176/appi.ajp.2019.18101126 Studerus, E., et al. Development and validation of a dynamic risk prediction model to forecast psychosis onset in patients at clinical high risk Schizophrenia Bulletin, 2019 The aim of this study was to develop and internally validate a dynamic risk prediction model (joint model) and to implement this model in a user-friendly online risk calculator. Our results confirm that extended joint modeling could improve the prediction of psychosis in Clinical High Risk for Psychosis (CHR-P) patients. We implemented the first online risk calculator that can dynamically update psychosis risk prediction. Click here to view abstract: http://dx.doi.org/10.1093/schbul/sbz059 Index Mood [affective] disorders Anderson, K. K., et al. Access and health system impact of an early intervention treatment program for emerging adults with mood and anxiety disorders Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 2019 64, 7, pp. 492-500 Early intervention programs are effective for improving outcomes in first-episode psychosis; however, less is known about their effectiveness for mood and anxiety disorders. We sought to evaluate the impact of an early intervention program for emerging adults with mood and anxiety disorders in the larger health system context, relative to standard care. Our findings suggest that early intervention services for mood and anxiety disorders may be beneficial from a health systems perspective, and further research on the effectiveness of this model of care is warranted. Click here to view abstract: http://dx.doi.org/10.1177/0706743718809347 Charoenngam, N., et al. Patients with rheumatoid arthritis have a higher risk of bipolar disorder: A systematic review and meta-analysis Psychiatry Research, 2019 The current study was conducted with the aim to investigate the relationship between rheumatoid arthritis (RA) and bipolar disorder (BD). The risk of developing BD was significantly higher among patients with RA than individuals without RA with the pooled relative risk of 2.06 (95% CI, 1.34–3.17; I2 86%). Chronic inflammation is a potential mechanism and could be a modifiable risk factor of BD. Click here to view abstract: http://dx.doi.org/10.1016/j.psychres.2019.112484 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -7-
Cheng, P. and Jaffe, P. Examining depression among perpetrators of intimate partner homicide Journal of Interpersonal Violence, 2019 This retrospective study provides a preliminary analysis that distinguished depressed from nondepressed perpetrators of intimate partner homicide (IPH) from a sample of 135 cases analysed by a coroner's homicide death review committee. Consistent with existing literature, the results indicated that depressed perpetrators were significantly older, more like to commit homicide-suicide than homicide only, more like to have prior threats or attempts of suicide, more likely to have been abused or witnessed domestic violence as a child than nondepressed perpetrators and more likely to exhibit sexual jealousy. Click here to view abstract: http://dx.doi.org/10.1177/0886260519867151 de Vries, Y. A., et al. Predicting antidepressant response by monitoring early improvement of individual symptoms of depression: individual patient data meta-analysis British Journal of Psychiatry, 2019 214, 1, pp. 4-10 We aimed to investigate whether early improvement of individual depressive symptoms better predicts response or remission. Examining individual symptoms adds little to the predictive ability of early improvement. Additionally, early non-improvement does not rule out response or remission, particularly after 12 rather than 6 weeks. Therefore, our findings suggest that routinely adapting pharmacological treatment because of limited early improvement would often be premature. Click here to view abstract: https://dx.doi.org/10.1192/bjp.2018.122 Ernst, M., et al. Suicide attempts in chronically depressed individuals: What are the risk factors? Psychiatry Research, 2019 Chronically depressed individuals have a high suicide risk. However, it is an open question whether previously observed risk factors for suicide attempts also apply to chronic depression or whether there are specific risk factors related to chronic-recurrent illness. Our findings corroborate previously observed risk factors (e.g. sexual abuse, personality disorders) and suggest other risk factors which could be especially relevant in chronic depression (e.g. depression severity, interpersonal problems, self-injurious behavior, and overall years of depression). Click here to view abstract: http://dx.doi.org/10.1016/j.psychres.2019.112481 Fabbri, C., et al. Genome-wide association study of treatment-resistance in depression and meta-analysis of three independent samples British Journal of Psychiatry, 2019 214, 1, pp. 36-41 To investigate the genetic predictors of treatment-resistant depression (TRD) using a genome-wide approach to contribute to the development of precision medicine. The identified gene sets are involved in cyclic adenosine monophosphate mediated signal and chromatin silencing, two processes previously implicated in antidepressant action. They represent possible biomarkers to implement personalised antidepressant treatments and targets for new antidepressants. Click here to view abstract: https://dx.doi.org/10.1192/bjp.2018.256 Gibbons, M. B. C., et al. Predictors of treatment attendance in cognitive and dynamic therapies for major depressive disorder delivered in a community mental health setting Journal of Consulting and Clinical Psychology, 2019 87, 8, pp. 745-755 Our goal was to evaluate treatment attendance patterns, including both treatment completion and premature termination from treatment, for 2 evidence-based psychotherapies for major depressive disorder (MDD) delivered in a community mental health setting. Very early termination from services was higher in CT compared with DT. Including techniques to improve engagement in both therapies and matching patients to treatment based on predictors/moderators may be effective ways to optimize treatment engagement. Click here to view abstract: http://dx.doi.org/10.1037/ccp0000414 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -8-
Köhler-Forsberg, O., et al. Effect of antidepressant switching between nortriptyline and escitalopram after a failed first antidepressant treatment among patients with major depressive disorder British Journal of Psychiatry, 2019 215, 2, pp. 494-501 Summary: To compare the switch between the tricyclic antidepressant (TCA) nortriptyline and the selective serotonin reuptake inhibitor (SSRI) escitalopram. These results suggest that switching from a TCA to an SSRI or vice versa after non-response or side-effects to the first antidepressant may be a viable approach to achieve response among patients with major depressive disorder (MDD). Click here to view abstract: http://dx.doi.org/10.1192/bjp.2018.302 Laroy, M., et al. Association between hippocampal volume change and change in memory following electroconvulsive therapy in late-life depression Acta Psychiatrica Scandinavica, 2019 This study investigates whether hippocampal volume change (HVC) following electroconvulsive therapy (ECT) predicts the change in memory performance six months after the end of the ECT treatment. A larger absolute change in right hippocampal volume (HV) during ECT is associated with less improvement in memory performance yp to 6 months post-ECT. Click here to view abstract: http://dx.doi.org/10.1111/acps.13086 Madsen, T., et al. Trajectories of suicidal ideation during 12 weeks of escitalopram or nortriptyline antidepressant treatment among 811 patients with major depressive disorder The Journal of Clinical Psychiatry, 2019 80, 4 Suicidal ideation is a frequent and difficult-to-treat clinical challenge among patients with major depressive disorder (MDD). However, little is known regarding the differential development during antidepressant treatment and whether some patients may suffer from persistent suicidal ideation. Approximately 1 of 5 patients with MDD showed high or fluctuating suicidal ideation despite antidepressant treatment. Studies should investigate whether suicidal ideation may persist for longer periods and more targeted treatment possibilities. Click here to view abstract: http://dx.doi.org/10.4088/JCP.18m12575 McGrogan, C. L., et al. Emotion regulation strategies in mania risk: A systematic review Journal of Clinical Psychology, 2019 Difficulties in emotion regulation may contribute to the development of mania. This review aimed to assess how emotion regulation strategies reported by individuals at risk of mania compare with clinical and nonclinical controls. Findings were limited by overall lack of evidence for individual strategies, lack of consideration of key mediating factors and reliance upon self-report designs. Click here to view abstract: http://dx.doi.org/10.1002/jclp.22841 Moustafa, A. A., et al. Depression following major life transitions in women: A review and theory Psychological Reports, 2019 The authors conducted a systematic literature review of the factors underlying the occurrence of depression following major life transition in some individuals (such as giving birth, menopause, retirement, empty-nest transition, and midlife crisis). This review sows that major common life transitions can cause depression if they are sudden, major, and lead to loss (or change) of life roles (e.g., no longer doing motherly or fatherly chores after children leave family home). Click here to view abstract: http://dx.doi.org/10.1177/0033294119872209 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -9-
Mullins, N., et al. GWAS of suicide attempt in psychiatric disorders and association with major depression polygenic risk scores The American Journal of Psychiatry, 2019 176, 8, pp. 651-660 More than 90% of people who attempt suicide have a psychiatric diagnosis; however, twin and family studies suggest that the genetic etiology of suicide attempt is partially distinct from that of the psychiatric disorders themselves. The authors present the largest genome-wide association study (GWAS) on suicide attempt, using cohorts of individuals with major depressive disorder, bipolar disorder, and schizophrenia from the Psychiatric Genomics Consortium. This study provides new information on genetic associations and demonstrates that genetic liability for major depression increases risk for suicide attempt across psychiatric disorders. Click here to view abstract: http://dx.doi.org/10.1176/appi.ajp.2019.18080957 Paulus, D. J., et al. Trajectory of change in anxiety sensitivity in relation to anxiety, depression, and quality of life among persons living with HIV/AIDS following transdiagnostic cognitive-behavioral therapy Cognitive Behaviour Therapy, 2019 pp. 1-15 The current study sought to examine treatment-related changes in anxiety sensitivity and how the trajectory of change relates to anxiety and depressive symptoms as well as overall quality of life of persons living with HIV/AIDS (PLHIV). Results indicated that reductions in anxiety sensitivity were significantly related to changes in anxiety, depression, and quality of life among PLHIV seeking treatment. Click here to view abstract: http://dx.doi.org/10.1080/16506073.2019.1621929 Strawbridge, R., et al. Augmentation therapies for treatment-resistant depression: systematic review and meta- analysis British Journal of Psychiatry, 2019 214, 1, pp. 42-51 We conducted a systematic review and meta-analysis to search and quantify the evidence of psychological and pharmacological augmentation interventions for treatment-resistant depression (TRD). Despite being used widely in clinical practice, the evidence for augmentation treatments in TRD is sparse. Although pre- post meta-analyses are limited by the absence of direct comparison, this work finds promising evidence across treatment modalities. Click here to view abstract: https://dx.doi.org/10.1192/bjp.2018.233 Sun, Q. and Tan, L. Comparing primary insomnia to the insomnia occurring in major depression and general anxiety disorder Psychiatry Research, 2019 Apart from possibly distinguishing the different clinical causes of insomnia, this article explores the subjective and objective sleep differences amongst primary insomnia, major depression with insomnia and general anxiety disorder with insomnia. Our findings showed that major depression with insomnia increased active REM sleep and severe daytime function, which could alert clinicians to the risk of depression. Major depression with insomnia and primary insomnia may be categorically different. However, general anxiety disorder with insomnia and primary insomnia might be a continuum of a disease rather than be categorically distinct. Click here to view abstract: http://dx.doi.org/10.1016/j.psychres.2019.112514 Szuhany, K. L. and Otto, M. W. Efficacy evaluation of exercise as an augmentation strategy to brief behavioral activation treatment for depression: a randomized pilot trial Cognitive Behaviour Therapy, 2019 pp. 1-14 The purpose of this study was to examine the credibility and exploratory effect size estimates of augmenting behavioral activation (BA) with exercise. Results demonstrated strong credibility and completion rates of BA+exercise comparable to other BA interventions. BA may be a useful strategy for improving depression and increasing exercise. Click here to view abstract: http://dx.doi.org/10.1080/16506073.2019.1641145 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -10-
Vernmark, K., et al. Working alliance as a predictor of change in depression during blended cognitive behaviour therapy Cognitive Behaviour Therapy, 2019 48, 4, pp. 285-299 Blended Cognitive Behaviour Therapy (bCBT) is a new form of treatment, mixing internet-based modules and face-to-face therapist sessions. How participants rate the therapeutic alliance in bCBT has not yet been thoroughly explored, and neither is it clear whether therapist- and patient-rated alliances are predictors of change in depression during treatment. The role of the therapist-rated alliance seems to be of particular importance and should be carefully considered when collecting data in future studies on bCBT. Click here to view abstract: http://dx.doi.org/10.1080/16506073.2018.1533577 Walderhaug, E. P., et al. Relationships between depressive symptoms and panic disorder symptoms during guided internet-delivered cognitive behavior therapy for panic disorder Nordic Journal of Psychiatry, 2019 The current study explore the relationship between the trajectories of primary panic disorder symptoms and secondary depressive symptoms during guided internet-delivered cognitive behaviour therapy for panic disorder. Guided ICBT for panic disorder is effective for both primary panic disorder symptoms and secondary depressive symptoms. Patients with high pre-treatment secondary depressive symptoms may constitute a vulnerable subgroup. A high level of panic disorder symptoms early in treatment seems beneficiary for depressive symptoms outcome. A time-dependent model may be necessary to describe the relationship between PAD symptoms and depressive symptoms during the course of treatment. Click here to view abstract: http://dx.doi.org/10.1080/08039488.2019.1646803 Zimmerman, M., et al. Screening for bipolar disorder and finding borderline personality disorder: A replication and extension Journal of Personality Disorders, 2019 33, 4, pp. 533-543 The authors' group previously reported that patients who screened positive on the Mood Disorders Questionnaire (MDQ), the most frequently studied screening scale for bipolar disorder, were as likely to be diagnosed with borderline personality disorder (BPD) as with bipolar disorder. The results of the present study were consistent with the original report, thereby indicating that the MDQ is not effective in helping distinguish bipolar disorder from BPD. Click here to view abstract: https://dx.doi.org/10.1521/pedi_2018_32_357 Index Neurotic, stress related and somatoform disorders Anderson, K. K., et al. Access and health system impact of an early intervention treatment program for emerging adults with mood and anxiety disorders Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 2019 64, 7, pp. 492-500 Early intervention programs are effective for improving outcomes in first-episode psychosis; however, less is known about their effectiveness for mood and anxiety disorders. We sought to evaluate the impact of an early intervention program for emerging adults with mood and anxiety disorders in the larger health system context, relative to standard care. Our findings suggest that early intervention services for mood and anxiety disorders may be beneficial from a health systems perspective, and further research on the effectiveness of this model of care is warranted. Click here to view abstract: http://dx.doi.org/10.1177/0706743718809347 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -11-
Butler, R. M., et al. Social anxiety among transgender and gender nonconforming individuals: The role of gender- affirming medical interventions Journal of Abnormal Psychology, 2019 128, 1, pp. 25-31 The current study aimed to examine whether gender-affirming medical interventions (GAMIs) are associated with lower social anxiety (SA) among TGNC individuals. Among those expressing interest, utilization of GAMIs is associated with less SA. GAMIs may result in greater conformity to societal expectations regarding binary gender norms, thus decreasing discrimination, rejection, victimization, and nonaffirmation. Increased alignment of physical characteristics and gender identity may increase self- esteem. Click here to view abstract: http://dx.doi.org/10.1037/abn0000399 Cameron, D. H., et al. A comparison of cluster and factor analytic techniques for identifying symptom-based dimensions of obsessive-compulsive disorder Psychiatry Research, 2019 278, pp. 86-96 The purpose of this study was to compare the two most commonly applied statistical techniques used in addressing this question in the same large cohort of individuals with obsessive-compulsive disorder (OCD). Although there was overlap in the models resulting from two statistical approaches, cluster analysis better captured the dimensional nature of OCD by demonstrating the prevalence of symptom categories in each subgroup. Click here to view abstract: http://dx.doi.org/10.1016/j.psychres.2019.05.040 Cogan, C. M., et al. The impact of exposure, relaxation, and rescripting therapy for post-trauma nightmares on suicidal ideation Journal of Clinical Psychology, 2019 This study investigated whether a brief psychotherapy for post-trauma nightmares (exposure, relaxation, and rescripting therapy [ERRT]), reduced suicidal ideation (SI). We hypothesized that: (a) nightmare frequency and severity, post-traumatic stress disorder (PTSD), depression, and sleep quality would be related to SI at pretreatment; (b) SI would decrease from pre- to post-treatment; and (c) the decrease in SI would remain after controlling for change in PTSD and depression. Results suggest brief psychotherapy targeting post-trauma nightmares may decrease SI. More research is necessary to determine what factors contribute to decreases in SI. Click here to view abstract: http://dx.doi.org/10.1002/jclp.22852 Cox, R. C., et al. Insomnia and posttraumatic stress symptoms: Evidence of shared etiology Psychiatry Research, 2019 Posttraumatic stress disorder (PTSD) and insomnia are comorbid clinical conditions that are thought to result from genetic and environmental effects. Though studies have established the heritability of these disorders independently, no study to date has examined the genetic contributions to the relation between insomnia and PTSD symptoms (PTSS). The present study assessed this gap in the literature using a behavioral genetics approach to symptom dimensions. Results indicated a significant association between insomnia symptoms and intrusions and insomnia symptoms and avoidance, and 36-44% of phenotypic variance was accounted for by genetic contributions. These findings highlight a significant role for genetic factors in the mechanisms underlying the comorbidity between insomnia and PTSS. Click here to view abstract: http://dx.doi.org/10.1016/j.psychres.2019.112548 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -12-
Du Mont, J., et al. Factors associated with posttraumatic stress disorder symptomology among women who have experienced sexual assault in Canada Journal of Interpersonal Violence, 2019 The present study used the General Social Survey on Victimization (GSS-V) to examine the association of sociodemographic, health, and assailant characteristics and prior traumatic experiences in the form of physical or sexual dating violence, physical assault, stalking, childhood abuse, and witnessing of violence between parents with PTSD symptomology among sexually assaulted women. The results suggest that PTSD symptoms in the near aftermath of sexual victimization are common, and there are a range of factors that contribute to the likelihood of developing these symptoms. Click here to view abstract: http://dx.doi.org/10.1177/0886260519860084 Jowett, S., et al. Differentiating symptom profiles of ICD-11 PTSD, complex PTSD, and borderline personality disorder: A latent class analysis in a multiply traumatized sample Personality Disorders, 2019 This article aimed to identify groups with distinct profiles of self-reported complex posttraumatic stress disorder (CPTSD) and borderline personality disorder (BPD) symptoms and associated trauma history characteristics. Findings support the construct of a CPTSD diagnosis as a separate entity although BPD features seem to overlap greatly with CPTSD symptoms in this highly traumatized clinical sample. Click here to view abstract: http://dx.doi.org/10.1037/per0000346 Lewis, C., et al. Internet-based cognitive behavioural therapy (i-CBT) for post-traumatic stress disorder (PTSD): systematic review and meta-analysis Acta Psychiatrica Scandinavica, 2019 To determine whether internet-based cognitive behavioural therapy (i-CBT) is an effective treatment for those who meet diagnostic criteria for post-traumatic stress disorder (PTSD). While the review found some beneficial effects of i-CBT for PTSD post-treatment, the quality of the evidence was very low due to the small number of included trials and there was insufficient evidence to support the maintainance of improvement at follow-up of three to six months. Click here to view abstract: http://dx.doi.org/10.1111/acps.13079 Menzies, R. E., et al. The relationship between death anxiety and severity of mental illnesses The British Journal of Clinical Psychology, 2019 In the present study, the relationships between death anxiety and broad markers of psychopathology were explored in 200 treatment-seeking participants with various diagnosed mental disorders. The findings reveal a strong relationship between death anxiety and psychopathology across numerous disorders, further supporting the transdiagnostic role of fears of death. As such, clinical implications revolve around the potential need for innovative treatments which address death fears directly, in order to produce long- term improvements in mental health. Click here to view abstract: http://dx.doi.org/10.1111/bjc.12229 Michopoulos, V., et al. Association of prospective risk for chronic PTSD symptoms with low TNFα and IFNγ concentrations in the immediate aftermath of trauma exposure The American Journal of Psychiatry, 2019 The present study aimed to characterize whether peripheral immune factors measured in blood samples collected in an emergency department immediately after trauma exposure would predict later chronic development of PTSD. Overall, the study findings suggest that assessing the proinflammatory immune response to trauma exposure immediately after trauma exposure, in the emergency department, may help identify individuals most at risk for developing chronic PTSD in the aftermath of trauma. Click here to view abstract: http://dx.doi.org/10.1176/appi.ajp.2019.19010039 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -13-
Mulhall, K., et al. Managing the monster in the mind: a psychoanalytically informed qualitative study exploring the experiences of people diagnosed with obsessive-compulsive disorder Psychoanalytic Psychotherapy, 2019 33, 2, pp. 117-132 This study sought to examine the experiences of individuals living with Obsessive-Compulsive Disorder (OCD), including an exploration of early life experiences and interpersonal patterns. This study located interpersonal experiences within participants' accounts that appeared to connect with the origins and development of their obsessions and compulsions. The role that relationally oriented approaches may have for people presenting with these difficulties are also discussed. Click here to view abstract: https://dx.doi.org/10.1080/02668734.2019.1614087 Paulus, D. J., et al. Trajectory of change in anxiety sensitivity in relation to anxiety, depression, and quality of life among persons living with HIV/AIDS following transdiagnostic cognitive-behavioral therapy Cognitive Behaviour Therapy, 2019 pp. 1-15 The current study sought to examine treatment-related changes in anxiety sensitivity and how the trajectory of change relates to anxiety and depressive symptoms as well as overall quality of life of persons living with HIV/AIDS (PLHIV). Results indicated that reductions in anxiety sensitivity were significantly related to changes in anxiety, depression, and quality of life among PLHIV seeking treatment. Click here to view abstract: http://dx.doi.org/10.1080/16506073.2019.1621929 Piper, A. and Berle, D. The association between trauma experienced during incarceration and ptsd outcomes: A systematic review and meta-analysis Journal of Forensic Psychiatry & Psychology, 2019 The current systematic review and meta-analysis sought to explore the association between Potentially Traumatic Events (PTEs) during incarceration and PTSD, summarise key characteristics of the existing literature and understand the extent to which specific PTEs and participant characteristics are associated with PTSD. The results of this review highlight the detrimental psychological effects of PTEs experienced during incarceration. The associations highlighted underline the need for trauma-informed care and eradications of PTEs within the prison environment. Click here to view abstract: http://dx.doi.org/10.1080/14789949.2019.1639788 Shi, R., et al. A meta-analysis of the relationship between anxiety and attentional control Clinical Psychology Review, 2019 72 Attentional Control Theory (ACT) proposes that attention control (AC) deficits are central to the development of anxiety. This meta-analysis investigated the size and nature of AC deficits in anxious compared to non-anxious participants. The meta-analysis revealed a significant AC deficit for high compared to low anxiety participants. Overall, results supported assumptions of ACT: anxiety produced significant deficits in AC efficiency but not effectiveness; these deficits occurred in inhibition and switching but not updating and studies with high cognitive load conditions found larger anxiety related AC deficits. Click here to view abstract: http://dx.doi.org/10.1016/j.cpr.2019.101754 Stech, E. P., et al. Internet-delivered cognitive behavioral therapy for panic disorder with or without agoraphobia: a systematic review and meta-analysis Cognitive Behaviour Therapy, 2019 pp. 1-24 The current systematic review and meta-analysis examined the efficacy and effectiveness of internet- delivered cognitive behavioral therapy (iCBT) on panic disorder and agoraphobia symptom severity. Within- group effects of iCBT suggest the reduction in panic and agoraphobia symptom severity is maintained at 3- 6 month follow-up. Click here to view abstract: http://dx.doi.org/10.1080/16506073.2019.1628808 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -14-
Sun, Q. and Tan, L. Comparing primary insomnia to the insomnia occurring in major depression and general anxiety disorder Psychiatry Research, 2019 Apart from possibly distinguishing the different clinical causes of insomnia, this article explores the subjective and objective sleep differences amongst primary insomnia, major depression with insomnia and general anxiety disorder with insomnia. Our findings showed that major depression with insomnia increased active REM sleep and severe daytime function, which could alert clinicians to the risk of depression. Major depression with insomnia and primary insomnia may be categorically different. However, general anxiety disorder with insomnia and primary insomnia might be a continuum of a disease rather than be categorically distinct. Click here to view abstract: http://dx.doi.org/10.1016/j.psychres.2019.112514 Ternes, M., et al. The perpetration of violence and the experience of trauma: Exploring predictors of ptsd symptoms in male violent offenders The International Journal of Forensic Mental Health, 2019 This study examined symptoms and predictors of Posttraumatic Stress Disorder (PTSD) in 150 male violent offenders. Hierarchical linear modeling showed that more recent events were associated with a greater number of trauma symptoms and peritraumatic dissociation was positively associated with trauma symptoms. These results support the need for trauma-informed assessment and treatment for offenders. Click here to view abstract: http://dx.doi.org/10.1080/14999013.2019.1643428 Vincent, L. and Norton, P. J. Predictors and consequences of sudden gains in transdiagnostic cognitive-behavioural therapy for anxiety disorders Cognitive Behaviour Therapy, 2019 48, 4, pp. 265-284 This study investigated the association between sudden gains and cognitive change, therapeutic alliance, and/or client engagement in transdiagnostic group cognitive-behavioural therapy for anxiety disorders. Of 58 treatment initiators, 21% (n = 12) exhibited a sudden gain. Consistent with previous research, sudden gainers demonstrated significantly greater pre- to post-treatment symptom improvement than non-sudden gainers. Click here to view abstract: http://dx.doi.org/10.1080/16506073.2018.1513557 Walderhaug, E. P., et al. Relationships between depressive symptoms and panic disorder symptoms during guided internet-delivered cognitive behavior therapy for panic disorder Nordic Journal of Psychiatry, 2019 The current study explore the relationship between the trajectories of primary panic disorder symptoms and secondary depressive symptoms during guided internet-delivered cognitive behaviour therapy for panic disorder. Guided ICBT for panic disorder is effective for both primary panic disorder symptoms and secondary depressive symptoms. Patients with high pre-treatment secondary depressive symptoms may constitute a vulnerable subgroup. A high level of panic disorder symptoms early in treatment seems beneficiary for depressive symptoms outcome. A time-dependent model may be necessary to describe the relationship between PAD symptoms and depressive symptoms during the course of treatment. Click here to view abstract: http://dx.doi.org/10.1080/08039488.2019.1646803 Index Forensic Mental Health Bulletin 2019 Vol 6 No 8 -15-
Behavioural syndromes associated with physiological disturbances and physical factors Cox, R. C., et al. Insomnia and posttraumatic stress symptoms: Evidence of shared etiology Psychiatry Research, 2019 Posttraumatic stress disorder (PTSD) and insomnia are comorbid clinical conditions that are thought to result from genetic and environmental effects. Though studies have established the heritability of these disorders independently, no study to date has examined the genetic contributions to the relation between insomnia and PTSD symptoms (PTSS). The present study assessed this gap in the literature using a behavioral genetics approach to symptom dimensions. Results indicated a significant association between insomnia symptoms and intrusions and insomnia symptoms and avoidance, and 36-44% of phenotypic variance was accounted for by genetic contributions. These findings highlight a significant role for genetic factors in the mechanisms underlying the comorbidity between insomnia and PTSS. Click here to view abstract: http://dx.doi.org/10.1016/j.psychres.2019.112548 Demmler, J. C., et al. Shining the light on eating disorders, incidence, prognosis and profiling of patients in primary and secondary care: national data linkage study British Journal of Psychiatry, 2019 pp. 1-8 The aim of the paper was to examine the burden of eating disorders in the population in terms of incidence, comorbidities and survival. Incidence of diagnosed eating disorders is relatively low in the population but there is a major longer term burden in morbidity and mortality to the individual. Click here to view abstract: http://dx.doi.org/10.1192/bjp.2019.153 Douglas, V. J., et al. The interaction of sociocultural attitudes and gender on disordered eating Journal of Clinical Psychology, 2019 The Tripartite Influence Model posits that social agents emphasize a thin ideal for women and a muscularity ideal for men. There is a gap in the literature of how sociocultural body ideal internalization affects overall disordered eating symptoms in men and specifically drive for muscularity in women. It is important to emphasize, however, that men still exhibited higher rates of disordered eating symptoms when they had increased internalization and women exhibited an increased drive for muscularity when they had higher internalization. Click here to view abstract: http://dx.doi.org/10.1002/jclp.22835 Hedman, A., et al. Bidirectional relationship between eating disorders and autoimmune diseases Journal of Child Psychology and Psychiatry, 2019 60, 7, pp. 803-812 The authors evaluated the strength of associations for the bidirectional relationships between eating disorders (EDs) and autoimmune diseases. The interactions between EDs and autoimmune diseases support the previously reported associations. The bidirectional risk pattern observed in women suggests either a shared mechanism or a third mediating variable contributing to the association of these illnesses. Click here to view abstract: http://dx.doi.org/10.1111/jcpp.12958 Linardon, J., et al. Testing the measurement invariance of the Body Image Acceptance and Action Questionnaire between women with and without binge-eating disorder symptomatology: Further evidence for an abbreviated five-item version Psychological Assessment, 2019 Tests of measurement invariance are needed to understand whether the Body Image Acceptance and Action Questionnaire (BI-AAQ) operates in the same way for binge-eating disorder (BED) and non-BED populations, thereby ensuring meaningful comparison across these groups. The authors tested the measurement invariance of the BI-AAQ in participants with and without clinically significant BED symptomatology. Present findings provide further psychometric support for an abbreviated five-item BI- AAQ. Click here to view abstract: http://dx.doi.org/10.1037/pas0000761 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -16-
Sun, Q. and Tan, L. Comparing primary insomnia to the insomnia occurring in major depression and general anxiety disorder Psychiatry Research, 2019 Apart from possibly distinguishing the different clinical causes of insomnia, this article explores the subjective and objective sleep differences amongst primary insomnia, major depression with insomnia and general anxiety disorder with insomnia. Our findings showed that major depression with insomnia increased active REM sleep and severe daytime function, which could alert clinicians to the risk of depression. Major depression with insomnia and primary insomnia may be categorically different. However, general anxiety disorder with insomnia and primary insomnia might be a continuum of a disease rather than be categorically distinct. Click here to view abstract: http://dx.doi.org/10.1016/j.psychres.2019.112514 Surman, C. B. H., et al. Post-hoc analyses of the effects of baseline sleep quality on SHP465 mixed amphetamine salts extended-release treatment response in adults with attention-deficit/hyperactivity disorder CNS Drugs, 2019 33, 7, pp. 695-706 The presence of sleep problems at the time of presentation for ADHD treatment could impact the level of improvement in ADHD symptoms or executive function occurring with ADHD pharmacotherapy. Therefore, we examined the influence of baseline sleep quality on the effects of SHP465 mixed amphetamine salts (MAS) extended-release. Improvements in ADHD symptoms and executive function occurred with dose- optimized SHP465 MAS, regardless of baseline impairment in some aspects of sleep in adults with ADHD, with no significant differences observed as a function of sleep impairment. Click here to view abstract: http://dx.doi.org/10.1007/s40263-019-00645-z Túry, F., et al. Compulsory treatment in eating disorders: Control, provocation, and the coercion paradox Journal of Clinical Psychology, 2019 75, 8, pp. 1444-1454 This paper discusses the major practical and ethical considerations surrounding the controversy of professional acceptance of involuntary treatment of anorexia. Click here to view abstract: http://dx.doi.org/10.1002/jclp.22783 Index Disorders of adult personality and behaviour Banks, J., et al. Prevalence of gambling disorder among prisoners: A systematic review International Journal of Offender Therapy and Comparative Criminology, 2019 This article presents the first systematic review of studies on the prevalence of gambling disorder among prisoners across international jurisdictions. The review indicates that the institution of problem gambling treatment programmes in carceral settings is necessary, to aid community re-entry and reduce the likelihood of re-offending. Click here to view abstract: http://dx.doi.org/10.1177/0306624X19862430 Borkum, D. B., et al. Predictors of slower time-to-cessation of individual therapy for borderline patients over 16 years of prospective follow-up Journal of Personality Disorders, 2019 33, 1, pp. 135-144 The current study assesses time-to-cessation of individual therapy for patients with borderline personality disorder (BPD) and comparison subjects with other personality disorders (OPD) after 16 years of prospective follow-up. The results of this study suggest that prediction of slower time-to-cessation of individual therapy is multifactorial in nature, involving factors related to demographics, childhood adversity, comorbidity, individual competence, and temperament. Click here to view abstract: http://dx.doi.org/10.1521/pedi_2018_32_335 Forensic Mental Health Bulletin 2019 Vol 6 No 8 -17-
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