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Late-Onset Bipolar Disorder: Considerations for Diagnosis and Treatment.
Cureus
May 2023
Department of Psychiatry and Health Behavior, Augusta University Medical College of Georgia, Augusta, USA.
Bipolar I disorder is characterized by the presence of at least one manic episode (DSM-5). Despite a decent percentage of individuals being diagnosed later in life, there currently exist no formal treatment guidelines for late-onset bipolar disorder (LOBD), which remains poorly understood. Typically, manic or manic-like episodes in elderly individuals can be thought of as arising from a secondary, physical cause.
View Article and Find Full Text PDFImpact of modeled field of view in electroconvulsive therapy current flow simulations.
Front Psychiatry
May 2023
Research and Development, Soterix Medical, Woodbridge, NJ, United States.
Background: The field of view (FOV) considered in MRI-guided forward models of electroconvulsive therapy (ECT) are, as expected, limited to the MRI volume collected. Therefore, there is variation in model extent considered across simulation efforts. This study examines the impact of FOV on the induced electric field (E-field) due to two common electrode placements: right unilateral (RUL) and bilateral (BL).
View Article and Find Full Text PDFA holistic perspective to predict yoga tourists' revisit intention: An integration of the TPB and ECM model.
Front Psychol
February 2023
School of International Tourism, Anhui International Studies University, Hefei, Anhui, China.
Introduction: The purpose of this study is to empirically investigate the pattern of visitors' revisiting behavioral intention via the innovational approach of Theory of Planned Behavior (TPB) and the Expectation Confirmation Theory (ECT).
Methods: This research was conducted by data collection with structured questionnaires as its instrument, which was distributed among 420 yoga tourism visitors in two destinations, Mysore and Rishikesh in India. Collected data had been processed by confirmatory factor analysis and structural equation modeling.
Revisiting the effectiveness of repetitive transcranial magnetic stimulation treatment in depression, again.
Aust N Z J Psychiatry
August 2022
Epworth Centre for Innovation in Mental Health, Epworth HealthCare, Camberwell, VIC, Australia.
Following on from the publication of the Royal Australian and New Zealand Journal of Psychiatry Mood Disorder Clinical Practice Guidelines (2020) and criticisms of how these aberrantly addressed repetitive transcranial magnetic stimulation treatment of depression, questions have continued to be raised in the journal about this treatment by a small group of authors, whose views we contend do not reflect the broad acceptance of this treatment nationally and internationally. In fact, the evidence supporting the use of repetitive transcranial magnetic stimulation treatment in depression is unambiguous and substantial, consisting of an extensive series of clinical trials supported by multiple meta-analyses, network meta-analysis and umbrella reviews. Importantly, the use of repetitive transcranial magnetic stimulation treatment in depression has also been subject to a series of health economic analyses.
View Article and Find Full Text PDFRevisiting the role of electroconvulsive therapy in schizophrenia: Where are we now?
Australas Psychiatry
October 2019
The Prince Charles Hospital, Metro North Mental Health, Brisbane, QLD, and; Menzies Health Institute, Griffith University Campus, Nathan, QLD, Australia.
Objective: The purpose of this opinion article is to review the recent evidence base in relation to the role of electroconvulsive therapy (ECT) in the management of patients with schizophrenia. Specifically, we explore the efficacy and safety of ECT. Furthermore, consideration is given to the profile of patients who benefit most from ECT, the role of maintenance ECT and what happens when ECT is not given.
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