133 results match your criteria: "Harvard Medical School Department of Psychiatry[Affiliation]"

Background: This paper describes the process and results of a refinement of a framework to characterize modifications to interventions. The original version did not fully capture several aspects of modification and adaptation that may be important to document and report. Additionally, the earlier framework did not include a way to differentiate cultural adaptation from adaptations made for other reasons.

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Introduction: Health behaviors are critical for weight loss maintenance after weight loss surgery (WLS), and emotional factors often play a role in adherence. Positive psychological constructs (e.g.

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Aim: The aim of this study was to improve early recognition of anti-N-methyl-d-aspartate receptor encephalitis (anti-NMDArE) in children and adolescents by identifying characteristic temporal patterns of clinical features in patients likely to be referred for psychiatric evaluation. In this form of autoimmune encephalitis, NMDAr hypofunction is caused by autoantibodies to receptor surface components. Clinical outcomes following prompt immunotherapy are usually good, but delayed treatment often results in a protracted course with significant residual disability or death.

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Prevalence and clinical features of atypical depression among patients with major depressive disorder in China.

J Affect Disord

March 2019

Key Laboratory of Mental Health, Ministry of Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University Sixth Hospital and Peking University Institute of Mental Health, Beijing 100191, China. Electronic address:

Article Synopsis
  • This study examined the prevalence and characteristics of atypical depression among major depressive disorder (MDD) patients in China, finding that 15.3% of patients had atypical features.
  • Atypical depression patients were more likely to experience severe symptoms, such as suicidal ideation, psychotic features, and seasonal episodes, and generally had an earlier onset of depression.
  • The study's limitation includes not using a validated scale to assess atypical features, but it highlights that atypical depression may be more severe and impactful in Chinese MDD patients.
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Adolescent cannabis use has been implicated as a risk factor for schizophrenia; however, it is neither necessary nor sufficient. Previous studies examining this association have focused primarily on the role of the cannabinoid receptor 1 (CB1R) with relatively little known about a key regulatory protein, the cannabinoid receptor interacting protein 1 (CNRIP1). CNRIP1 is an intracellular protein that interacts with the C-terminal tail of CB1R and regulates its intrinsic activity.

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Mental health interventions do not yet offer complete, client-defined functional recovery, and novel directions in treatment research are needed to improve the efficacy of available interventions. One promising direction is the integration of social work and cognitive neuroscience methods, which provides new opportunities for clinical intervention research that will guide development of more effective mental health treatments that holistically attend to the biological, social, and environmental contributors to disability and recovery. This article reviews emerging trends in cognitive neuroscience and provides examples of how these advances can be used by social workers and allied professions to improve mental health treatment.

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Background & Objectives: We investigated gender differences in individuals with opioid use disorder (OUD) receiving inpatient services and entering a randomized controlled trial comparing extended-release naltrexone to buprenorphine.

Methods: Participants (N = 570) provided demographic, substance use, and psychiatric information.

Results: Women were significantly younger, more likely to identify as bisexual, live with a sexual partner, be financially dependent, and less likely employed.

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Objective: In a previous epidemiological study, we reported on the ascertainment and outcomes of "clinical high risk" (CHR) individuals at the Shanghai Mental Health Center (SMHC, "2011 cohort"). The current study compares demographic and clinical characteristics, including conversion rates, of this sample with a subsequently recruited, independent CHR sample and with published data from western samples.

Method: A new sample of 100 CHR subjects ("2013 cohort") was selected based on screening and semi-structured interviews.

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Background: Telemental health interventions have empirical support from clinical trials and structured demonstration projects. However, their implementation and sustainability under less structured clinical conditions are not well demonstrated.

Introduction: We conducted a follow-up analysis of the implementation and sustainability of a clinical video teleconference-based collaborative care model for individuals with bipolar disorder treated in the Department of Veterans Affairs to (a) characterize the extent of implementation and sustainability of the program after its establishment and (b) identify barriers and facilitators to implementation and sustainability.

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Background: Participant recruitment is an ongoing challenge in health research. Recruitment may be especially difficult for studies of access to health care because, even among those who are in care, people using services least often also may be hardest to contact and recruit. Opt-out recruitment methods (in which potential participants are given the opportunity to decline further contact about the study (opt out) following an initial mailing, and are then contacted directly if they have not opted out within a specified period) can be used for such studies.

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Objective: To examine sex and age distributions in neuroleptic malignant syndrome (NMS) patients based on a systematic literature review.

Method: EMBASE and PubMed databases were searched to identify any observation of NMS published from January 1, 1998 through November 1, 2014 that was accessible and interpretable (using language translation software). Redundant and equivocal reports were excluded.

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Objectives: The aims of this study were to document the trajectory of weight gain and body mass index (BMI) in children with type 1 narcolepsy, and to analyze basal metabolic rate (BMR).

Methods: A total of 65 Chinese children with type 1 narcolepsy with a disease duration ≤12 months were included. In addition, 79 healthy age-matched students were enrolled as controls.

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Prioritizing schizophrenia endophenotypes for future genetic studies: An example using data from the COGS-1 family study.

Schizophr Res

July 2016

VISN-20 Geriatric Research, Education, and Clinical Center, VA Puget Sound Health Care System, Seattle, WA, USA; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA. Electronic address:

Past studies describe numerous endophenotypes associated with schizophrenia (SZ), but many endophenotypes may overlap in information they provide, and few studies have investigated the utility of a multivariate index to improve discrimination between SZ and healthy community comparison subjects (CCS). We investigated 16 endophenotypes from the first phase of the Consortium on the Genetics of Schizophrenia, a large, multi-site family study, to determine whether a subset could distinguish SZ probands and CCS just as well as using all 16. Participants included 345 SZ probands and 517 CCS with a valid measure for at least one endophenotype.

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Article Synopsis
  • - The study investigates how gender and alcohol consumption history affect the cerebellum, which is crucial for cognitive and emotional functions, by analyzing MRI scans from both alcoholic and nonalcoholic individuals.
  • - Results indicate that alcoholics have reduced total cerebellar white matter and that specific regions of the cerebellum show negative correlations with heavy drinking, particularly in men.
  • - The findings suggest that understanding these cerebellar abnormalities can help explain how alcohol impacts brain function differently based on gender and drinking habits.
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Two-year follow-up of a Chinese sample at clinical high risk for psychosis: timeline of symptoms, help-seeking and conversion.

Epidemiol Psychiatr Sci

June 2017

Shanghai Key Laboratory of Psychotic Disorders (No.13dz2260500),Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine,Shanghai 200030,PR China.

Background: Chinese psychiatrists have gradually started to focus on those who are deemed to be at 'clinical high-risk (CHR)' for psychosis; however, it is still unknown how often those individuals identified as CHR from a different country background than previously studied would transition to psychosis. The objectives of this study are to examine baseline characteristics and the timing of symptom onset, help-seeking, or transition to psychosis over a 2-year period in China.

Method: The presence of CHR was determined with the Structured Interview for Prodromal Syndromes (SIPS) at the participants' first visit to the mental health services.

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Unlabelled: Understanding the control of sleep-wake states by the basal forebrain (BF) poses a challenge due to the intermingled presence of cholinergic, GABAergic, and glutamatergic neurons. All three BF neuronal subtypes project to the cortex and are implicated in cortical arousal and sleep-wake control. Thus, nonspecific stimulation or inhibition studies do not reveal the roles of these different neuronal types.

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Purpose: Functional MRI (fMRI) blood-oxygen level-dependent (BOLD) signals result not only from neuronal activation, but also from nonneuronal physiological processes. These changes, especially in the low-frequency domain (0.01-0.

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Alterations of lateral temporal cortical gray matter and facial memory as vulnerability indicators for schizophrenia: An MRI study in youth at familial high-risk for schizophrenia.

Schizophr Res

January 2016

Harvard Medical School, Department of Psychiatry at Massachusetts General Hospital, Boston, MA 02114, United States; Harvard Medical School, Massachusetts Mental Health Center Public Psychiatry Division of the Beth Israel Deaconess Medical Center, Boston, MA 02115, United States; The HST-MIT Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA 02129, United States.

Background: Structural alterations of the lateral temporal cortex (LTC) in association with memory impairments have been reported in schizophrenia. This study investigated whether alterations of LTC structure were linked with impaired facial and/or verbal memory in young first-degree relatives of people with schizophrenia and, thus, may be indicators of vulnerability to the illness.

Methods: Subjects included 27 non-psychotic, first-degree relatives of schizophrenia patients, and 48 healthy controls, between the ages of 13 and 28.

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Study Objectives: Sleep disturbances are frequently reported following traumatic brain injury (TBI); however, the exact disturbances remain unclear. This meta-analysis aimed to characterize sleep disturbance in community dwelling patients with TBI as compared to controls.

Methods: Two investigators independently conducted a systematic search of multiple electronic databases from inception to May 27, 2015.

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Infrastructure Change Is Not Enough: An Evaluation of SAMHSA's Mental Health Transformation State Incentive Grants.

Psychiatr Serv

July 2014

Dr. Leff is with the Harvard Medical School Department of Psychiatry at the Cambridge Health Alliance and with the Human Services Research Institute, both in Cambridge, Massachusetts (e-mail: Dr. Cichocki is also with the Human Services Research Institute. Dr. Chow is with the Department of Economics, Southern New Hampshire University, Manchester. At the time of this research, Mr. Lupton, who is deceased, was with Manila Consulting, McLean, Virginia.

Objective: The authors evaluated the Substance Abuse and Mental Health Services Administration's mental health transformation state incentive grant program, which provided more than $100 million to nine states to make infrastructure changes designed to improve services and outcomes.

Methods: The authors measured infrastructure changes, service changes, and consumer outcomes in the nine programs. Although the federal program had no logic model, the authors adopted a model that hypothesized positive, but small, correlations between the program elements.

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Background: Cognitive deficits are observed throughout all developmental phases of psychosis. However, prior studies have usually focused on a limited illness period and used a wide variety of cognitive instruments. Therefore, it has been difficult to characterize or highlight cognitive functioning in different stages of psychosis.

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Antidepressant effects of open label treatment with coenzyme Q10 in geriatric bipolar depression.

J Clin Psychopharmacol

June 2015

Geriatric Psychiatry Research Program McLean Hospital Belmont, MA and Harvard Medical School Department of Psychiatry Boston, MA Geriatric Psychiatry Research Program McLean Hospital Belmont, MA and Harvard Medical School Department of Psychiatry Boston, MA Geriatric Psychiatry Research Program McLean Hospital Belmont, MA Harvard Medical School Department of Psychiatry Boston, MA and McLean Hospital Laboratory for Psychiatric Biostatistics Belmont, MA Geriatric Psychiatry Research Program McLean Hospital Belmont, MA Harvard Medical School Department of Psychiatry Boston, MA and Shervert Frazier Research Institute McLean Hospital Belmont, MA.

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Background: Although many endophenotypes for schizophrenia have been studied individually, few studies have examined the extent to which common neurocognitive and neurophysiological measures reflect shared versus unique endophenotypic factors. It may be possible to distill individual endophenotypes into composite measures that reflect dissociable, genetically informative elements.

Methods: The first phase of the Consortium on the Genetics of Schizophrenia (COGS-1) is a multisite family study that collected neurocognitive and neurophysiological data between 2003 and 2008.

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