829 results match your criteria: "Douglas Hospital Research Centre.[Affiliation]"

Profiles of physician follow-up care, correlates and outcomes among patients affected by an incident mental disorder.

BMC Prim Care

January 2025

Département de psychiatrie, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Université de Montréal, Montreal, QC, Canada.

Objectives: This study identified profiles of outpatient physician follow-up care and other practice features, mostly after detection of incident mental disorders (MD), and associated these profiles with patient characteristics and subsequent adverse outcomes.

Methods: A cohort of 170,957 patients age 12 + with a new or recurrent MD detected in 2019-20 was investigated based on data from the Quebec Integrated Chronic Disease Surveillance System. Latent class analysis was performed to identify follow-up care profiles, mostly within one year of MD detection.

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Evidence from neurophysiological and genetic studies demonstrates that activity sparsity-the proportion of neurons that are active at a given time in a population-systematically varies across the canonical trisynaptic circuit of the hippocampus. Recent work has also shown that sparsity varies across the hippocampal dorsoventral (long) axis, wherein activity is sparser in ventral than dorsal regions. While the hippocampus has a critical role in long-term memory (LTM), whether sparsity across the trisynaptic circuit and hippocampal long axis is task-dependent or invariant remains unknown.

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Background: Early life stress (ELS) refers to exposure to negative childhood experiences, such as neglect, disaster, and physical, mental, or emotional abuse. ELS can permanently alter the brain, leading to cognitive impairment, increased sensitivity to future stressors, and mental health risks. The prefrontal cortex (PFC) is a key brain region implicated in the effects of ELS.

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Identifying representational structure in CA1 to benchmark theoretical models of cognitive mapping.

Neuron

November 2024

Department of Psychiatry, Douglas Hospital Research Centre, McGill University, Montreal, QC, Canada; Integrated Program in Neuroscience, McGill University, Montreal, QC, Canada. Electronic address:

Decades of theoretical and empirical work have suggested the hippocampus instantiates some form of a cognitive map. Yet, tests of competing theories have been limited in scope and largely qualitative in nature. Here, we develop a novel framework to benchmark model predictions against observed neuronal population dynamics as animals navigate a series of geometrically distinct environments.

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A detailed look at striatal acetylcholine, dopamine, and their interactions.

Proc Natl Acad Sci U S A

November 2024

Department of Psychiatry, Douglas Hospital Research Centre, McGill University, Montreal, QC H4H 1R3, Canada.

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Maternal Depressive Symptoms and Risk for Childhood Depression: Role of Executive Functions.

J Am Acad Child Adolesc Psychiatry

October 2024

Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Institute for Human Development and Potential, Agency for Science, Technology and Research (A∗STAR), Singapore, Singapore; National University Hospital, Singapore, Singapore. Electronic address:

Objective: Offspring of mothers with depression are at increased risk for executive function (EF) deficits and later depressive symptoms, but limited studies have examined EF as an intermediary pathway. This study examined the role of EF in mediating the association between maternal and child depressive symptoms.

Method: Data were from a longitudinal birth cohort comprising 739 participants followed from the antenatal period for 12 years.

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Problem: Women pregnant during the COVID-19 pandemic may be at risk of elevated postpartum mental health problems.

Background: Social support protects maternal mental health during a pandemic. It is possible that formal supports, such as continuity maternity models of care, may also support maternal wellbeing.

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Human primary visual cortex (V1) responds more strongly, or resonates, when exposed to ∼10, ∼15-20, and ∼40-50 Hz rhythmic flickering light. Full-field flicker also evokes the perception of hallucinatory geometric patterns, which mathematical models explain as standing-wave formations emerging from periodic forcing at resonant frequencies of the simulated neural network. However, empirical evidence for such flicker-induced standing waves in the visual cortex was missing.

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Optogenetic silencing of medial septal GABAergic neurons disrupts grid cell spatial and temporal coding in the medial entorhinal cortex.

Cell Rep

August 2024

Department of Psychiatry, Douglas Hospital Research Centre, McGill University, Montreal QC, Canada; Integrated Program in Neuroscience, McGill University, Montreal, QC, Canada. Electronic address:

The hippocampus and medial entorhinal cortex (MEC) form a cognitive map that facilitates spatial navigation. As part of this map, MEC grid cells fire in a repeating hexagonal pattern across an environment. This grid pattern relies on inputs from the medial septum (MS).

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Despite experiencing exacerbation of mental health issues, post-secondary students may not seek help due to perceived stigma, overreliance on the self, or preference for nonprofessional supports - including peer support. This study aimed to understand peer support workers' (PSWs) perspectives regarding providing support for mental health concerns in post-secondary institutions. 41 PSWs were recruited from two post-secondary institutions.

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Emergency Department Use among Patients with Mental Health Problems: Profiles, Correlates, and Outcomes.

Int J Environ Res Public Health

June 2024

Douglas Hospital Research Centre, Douglas Mental Health University Institute, 6875 LaSalle Blvd., Montreal, QC H4H 1R3, Canada.

Patients with mental health (MH) problems are known to use emergency departments (EDs) frequently. This study identified profiles of ED users and associated these profiles with patient characteristics and outpatient service use, and with subsequent adverse outcomes. A 5-year cohort of 11,682 ED users was investigated (2012-2017), using Quebec (Canada) administrative databases.

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As a crucial player in excitatory synaptic transmission, AMPA receptors (AMPARs) contribute to the formation, regulation, and expression of social behaviors. AMPAR modifications have been associated with naturalistic social behaviors, such as aggression, sociability, and social memory, but are also noted in brain diseases featuring impaired social behavior. Understanding the role of AMPARs in social behaviors is timely to reveal therapeutic targets for treating social impairment in disorders, such as autism spectrum disorder and schizophrenia.

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Rationale: Though it is crucial to contribute to patient recovery through access, diversity, continuity and regularity of outpatient care, still today most of these are deemed nonoptimal. Identifying patient profiles based on outpatient service use and quality of care indicators might help formulate more personalized interventions and reduce adverse outcomes.

Aims And Objectives: This study aimed to identify profiles of individuals with mental disorders (MDs) patterned after their outpatient care use and quality of care received, and to link those profiles to individual characteristics and subsequent outcomes.

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Dysbindin-1, a protein encoded by the schizophrenia susceptibility gene DTNBP1, is reduced in the hippocampus of schizophrenia patients. It is expressed in various cellular populations of the brain and implicated in dopaminergic and glutamatergic transmission. To investigate the impact of reduced dysbindin-1 in excitatory cells on hippocampal-associated behaviors and synaptic transmission, we developed a conditional knockout mouse model with deletion of dysbindin-1 gene in CaMKIIα expressing cells.

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Article Synopsis
  • * Two systematic reviews examined the relationship between brain structure, puberty, and mental health outcomes in young people, finding mixed results regarding early puberty's association with mental health issues and the role of brain structure.
  • * The studies suggest that observable physical changes during puberty may better predict mental health problems like depression and anxiety than hormonal measures, indicating that social factors might play a more critical role in these connections.
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This study is original in that it assesses various types of care needs, barriers to care, and factors associated with higher unmet needs among 308 permanent supportive housing (PSH) residents in Quebec (Canada). Data from structured interviews that featured the Perceived Need for Care Questionnaire were collected from 2020 to 2022, controlling for the COVID-19 pandemic period. Eight types of care (e.

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MAPT H2 haplotype and risk of Pick's disease in the Pick's disease International Consortium: a genetic association study.

Lancet Neurol

May 2024

Department of Neuroscience, Mayo Clinic, Jacksonville, FL, USA; Department of Clinical Genomics, Mayo Clinic, Jacksonville, FL, USA. Electronic address:

Article Synopsis
  • Pick's disease is a rare form of frontotemporal dementia characterized by Pick bodies in the brain, which are linked to the MAPT gene and its haplotypes, H1 and H2.
  • The study aimed to investigate how the MAPT H2 haplotype influences the risk, age of onset, and duration of Pick's disease.
  • Data was collected from 338 individuals with confirmed Pick's disease across multiple sites, and associations of MAPT variants with the disease were analyzed using statistical models.
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As permanent supportive housing (PSH) is the main strategy promoted to reduce homelessness, understanding how PSH resident profiles may be differentiated is crucial to the optimization of PSH implementation - and a subject that hasn't been studied yet. This study identified PSH resident profiles based on their housing conditions and service use, associated with their sociodemographic and clinical characteristics. In 2020-2021, 308 PSH residents from Quebec (Canada) were interviewed, with K-means cluster analysis produced to identify profiles and subsequent analyses to compare profiles and PSH resident characteristics.

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Maternal asthma symptoms during pregnancy on child behaviour and executive function: A Bayesian phenomics approach.

Brain Behav Immun

May 2024

Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore; Khoo Teck Puat - National University Children's Medical Institute, National University Hospital, Singapore. Electronic address:

Article Synopsis
  • Maternal asthma symptoms during pregnancy are linked to increased behavioral and executive function problems in children, unlike paternal asthma symptoms.
  • The study analyzed data from 844 families and found that children of mothers with asthma symptoms displayed more significant issues compared to those whose mothers did not have such symptoms.
  • Results suggest that maternal prenatal asthma affects child internalizing symptoms and executive function, with paternal asthma showing no direct impact on child outcomes.
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Emergency department (ED) overcrowding is a growing problem worldwide. High ED users have been historically targeted to reduce ED overcrowding and associated high costs. Patients with psychiatric disorders, including substance-related disorders (SRDs), are among the largest contributors to high ED use.

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Article Synopsis
  • - The study examined why patients with mental disorders frequently visit emergency departments, revealing that inadequate outpatient care and insufficient referrals contribute to their high usage of ED services.
  • - Most patients expressed dissatisfaction with the lack of follow-up and referrals after ED visits, despite some feeling content with the immediate care they received.
  • - Barriers include limited primary care clinician expertise and poor follow-up from psychiatrists; the study suggests enhancing collaboration with outpatient services to better manage these patients and reduce ED visits.
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Cross-species comparative hippocampal transcriptomics in Alzheimer's disease.

iScience

January 2024

Graduate Program in Biological Sciences: Biochemistry, Department of Biochemistry, Institute of Health Basic Sciences, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, State of Rio Grande do Sul 90035-003, Brazil.

Unlabelled: Alzheimer's disease (AD) is a multifactorial pathology, with most cases having a sporadic origin. Recently, knock-in (KI) mouse models, such as the novel humanized amyloid-β (hAβ)-KI, have been developed to better resemble sporadic human AD.

Methods: Here, we compared hippocampal publicly available transcriptomic profiles of transgenic (5xFAD and APP/PS1) and KI (hAβ-KI) mouse models with early- (EOAD) and late- (LOAD) onset AD patients.

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Insulin resistance and glucose metabolism have been associated with neurodevelopmental disorders. However, in the metabolically more susceptible Asian populations, it is not clear whether the genetic burden of glycaemic dysregulation influences early-life neurodevelopment. In a multi-ethnic Asian prospective cohort study in Singapore (Growing Up in Singapore Towards healthy Outcomes (GUSTO)), we constructed child and parental polygenic risk scores (PRS) for glycaemic dysregulation based on the largest genome-wide association studies of type 2 diabetes and fasting glucose among Asians.

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