Publications by authors named "S M Spivak"

Understanding the intricate dynamics between conscious choice and neural processes is crucial for unraveling the complexity of human decision-making. This study investigates the effects of inhibitory Transcranial Magnetic Stimulation (TMS) on choice bias, shedding light on the malleability of cognitive-motor functions involved in decisions. While reaction times remained unaffected, inhibitory TMS to either the left or right motor cortex led to a significant bias in screen side preference during a choice task.

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Article Synopsis
  • The study examined the completion rates of telepsychiatry versus in-person psychiatric appointments for patients with depression over five years in an academic health system.
  • Results indicated that telepsychiatry became the primary method for psychiatric care during the COVID-19 pandemic, with completion rates for telepsychiatry appointments being significantly higher than for in-person visits.
  • The authors concluded that maintaining telepsychiatry services post-pandemic could enhance efficiency and patient care outcomes in the psychiatric field.
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To determine whether use of medications with potential depressive symptom side effects is associated with a higher level of depressive symptoms in adults with antidepressant-treated major depressive disorder (MDD). The study was based on the 2013-2014, 2015-2016, and 2017-2018 National Health and Nutrition Examination Survey (NHANES)-a nationally representative cross-sectional survey of the US general population. In 885 adult participants from these NHANES cycles who reported receiving antidepressants for treatment of MDD, the association between the number of medications with potential depressive symptom side effects and the level of depressive symptoms was assessed.

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This study assessed trends in provision of trauma-specific services, defined as dedicated programming for persons with a history of trauma, in US Substance Use Disorder (SUD) and other Mental Health (MH) facilities. Facility level data from the National Survey of Substance Abuse Treatment Services and the National Mental Health Services Survey (2015-2019) were used to examine trends in provision of trauma specific-services. Trauma specific service provision trended up significantly between 2015 and 2019.

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Objective: This study examined demographic and diagnostic characteristics associated with self-reported recovery in patients with serious mental illness.

Methods: Patient demographics and diagnoses were obtained from a retrospective review of charts from 981 patients attending a community psychiatry outpatient program between January 2015 and December 2016. All patients completed the Recovery Assessment Scale-Revised (RAS-R), a self-report recovery questionnaire consisting of 5 subscales, approximately every 6 months.

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