519 results match your criteria: "Menninger Clinic.[Affiliation]"

Background: In residency programs, the availability of faculty mentors for traditional dyadic mentorship relationships may be limited. Few frameworks exist for mentorship programs with a combined faculty and peer mentorship approach. The authors developed the Mentorship Families Program (MFP), a faculty-resident group mentorship program within a psychiatry residency program to meet the need for mentorship for a large cohort of residents.

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Introduction to the Special Issue of Mentalization-Based Treatment with Children, Adolescents, and Families.

Psychodyn Psychiatry

December 2024

Professor, Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine; Educational Consultant, Houston Center for Psychoanalytic Studies; Consultant, Menninger Clinic, Houston, Texas.

This introduction to the special issue on mentalization-based treatment (MBT) with children, adolescents, and families highlights a range of conceptual and clinical contributions that illustrate the richness and usefulness of applying developmental and family systems perspectives to an MBT framework to alleviate the plight of young people and their parents.

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Background: Emotional regulation difficulties in those with narcissistic personality disorder can cause problematic social and occupational functioning and inhibit treatment. Identifying which aspects of emotion regulation difficulties narcissistic personality disorder (NPD) patients have can help inform treatment. Adult psychiatric inpatients (N = 108) were assessed on measures of emotion regulation.

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Associations between big five personality dimensions and lifetime use of cannabis.

Am J Addict

November 2024

Department of Psychiatry and Behavioral Sciences, McGovern Medical School, Houston, Texas, USA.

Background And Objectives: With the rise in cannabis use over the last couple of decades and shifting social views around drug use, the characterization of potential predictors for the development of cannabis use disorder (CUD) may be of high relevance for the implementation of preventive measures toward this condition. We conducted a study with the aim of analyzing possible associations between personality traits and CUD.

Methods: Our sample consisted of 1335 inpatients admitted to The Menninger Clinic between September 2016 and December 2021.

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Importance: Repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) are both recognized as effective treatments for depression when applied individually. However, it is unknown whether rTMS combined with tDCS has better efficacy in the treatment of major depressive disorder (MDD).

Objective: To investigate the clinical effectiveness and safety of rTMS, tDCS, tDCS + rTMS, and sham tDCS + sham rTMS after 2 weeks of treatment in patients with MDD.

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The state of (mis) trust: Human-centered technology development & implementation in intensive mental health settings.

J Affect Disord

December 2024

The Menninger Clinic, Houston, TX, USA; Baylor College of Medicine, Houston, TX, USA; Michael E. DeBakey VA Medical Center, Houston, TX, USA. Electronic address:

Article Synopsis
  • New technology can make mental healthcare better, but patients need to trust their doctors, the organizations, and the technology itself.
  • Building trust is complicated; it involves personal relationships, the reputation of healthcare systems, and how reliable the technology is.
  • The paper discusses challenges to building this trust, like a patient’s background and understanding of technology, and aims to improve mental healthcare with digital solutions by focusing on trust.
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Throughout his career, John Schulenberg challenged us to understand adolescent development as the confluence of distal and proximal experiences along with critical transitions. Heeding this call, we examined whether chronic childhood peer victimization predicted adolescents' depressive symptoms via early-emerging depression growth trajectories, continued victimization into adolescence, and stress-amplification at the middle school transition. Self-reported depressive symptoms and teacher-reported and self-reported peer victimization were obtained from 636 youth (338 girls; M = 7.

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Article Synopsis
  • The ELEKT-D trial explored whether intravenous ketamine is as effective as ECT for patients with treatment-resistant depression (TRD), finding that ketamine is noninferior to ECT in this group.
  • This secondary analysis aimed to identify which clinical features might predict better outcomes with either ketamine or ECT in treating TRD.
  • The study involved 365 participants from five U.S. medical centers, comparing treatment responses based on various baseline factors, such as depression severity and cognitive function, using advanced statistical methods.
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The role of the cerebellum in amnestic mild cognitive impairment (aMCI), typically a prodromal stage of Alzheimer's disease, is not fully understood. We studied the lobule-specific cerebello-cerebral connectivity in 15 cognitively normal and 16 aMCI using resting-state functional MRI. Our analysis revealed weaker connectivity between the cognitive cerebellar lobules and parietal lobe in aMCI.

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Research Education in Psychiatry: Luxury or Necessity?

Alpha Psychiatry

January 2024

Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA.

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Digital Navigator Training to Increase Access to Mental Health Care in Community-Based Organizations.

Psychiatr Serv

June 2024

Beth Israel Deaconess Medical Center, Boston (Alon, Perret, Dwyer, Torous); Clinical Support System for Serious Mental Illness, American Psychiatric Association, Washington, D.C. (Cohen); The Menninger Clinic, Houston (Partiquin, Boyd); Easter Seals Greater Houston, Houston (Partiquin, Reat, Hough); Columbia University Medical Center and New York State Psychiatric Institute, New York City (LeMelle); Mayor's Office for Adult Literacy, Houston (Aguilera); Michael E. DeBakey Department of Veterans Affairs (VA) Medical Center, Houston (Walsh, Hogan, Smith).

Providing human support for users of behavioral health technology can help facilitate the necessary engagement and clinical integration of digital tools in mental health care. A team conducted digital navigator training that taught participants how to promote patrons' digital literacy, evaluate and recommend health apps, and interpret smartphone data. The authors trained 80 participants from 21 organizations, demonstrating this training's feasibility, acceptability, and need.

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The conceptualization of personality disorder has been refined through recent nosological advances introduced in the Alternative Model for Personality Disorders (AMPD). These advances locate self and interpersonal (dys)function at the core of personality pathology. Self-report personality assessment instruments have demonstrated promise in the assessment of Criterion A domains.

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Genome-wide association studies of human personality have been carried out, but transcription of the whole genome has not been studied in relation to personality in humans. We collected genome-wide expression profiles of adults to characterize the regulation of expression and function in genes related to human personality. We devised an innovative multi-omic approach to network analysis to identify the key control elements and interactions in multi-modular networks.

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Article Synopsis
  • The study sought to validate the Disturbing Dream and Nightmare Severity Index (DDNSI) in a clinical context, as it lacked psychometric evidence despite being used widely.
  • Two groups of U.S. inpatients (adults and adolescents) provided data to assess nightmares, sleep quality, and related psychological symptoms.
  • The findings confirmed that the DDNSI effectively measures nightmare frequency and distress, correlating well with related psychological issues, thus solidifying its relevance for future nightmare research.
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Examination of reward processing dysfunctions in the left dorsal striatum and other brain regions among psychiatric inpatients with substance use.

Drug Alcohol Depend

March 2024

Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX,  USA; The Menninger Clinic, Houston, TX, USA. Electronic address:

Background: Substance misuse is a major public health issue and research has established attenuated reward responses to drug cues in those who misuse substances. Yet, little is known about whether the expectation of natural reinforcers engages distinct brain regions in substance misuse.

Methods: Using functional magnetic resonance imaging (fMRI), we delivered juice at expected and unexpected times to examine reward processing dysfunctions.

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Background: Intravenous (IV) ketamine has emerged as a rapid and effective treatment for TRD. However, the specific neural mechanisms of ketamine's effects in humans remains unclear. Although neuroplasticity is implicated as a mechanism of action in animal models, relatively few randomized controlled trials (RCTs) in TRD patients have examined ketamine's impact on functional connectivity, a posited functional marker of neuroplasticity-particularly in the context of a mood-induction paradigm (termed miFC).

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Exposure and cognitive-based therapies are both effective for PTSD, but knowledge of which intervention is best for which patient is lacking. This lack of knowledge is particularly noticeable for group treatments, as no study has examined whether responses to different group therapies are associated with different pretreatment characteristics. Here, we explored whether pretreatment levels of three types of psychological characteristics-PTSD symptom clusters, posttraumatic cognitions, and emotion regulation difficulties-were associated with symptom reduction during group-delivered cognitive versus exposure-based PTSD treatment.

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Posttraumatic stress disorder (PTSD) is a significant burden among combat Veterans returning from the wars in Iraq and Afghanistan. While empirically supported treatments have demonstrated reductions in PTSD symptomatology, there remains a need to improve treatment effectiveness. Functional magnetic resonance imaging (fMRI) neurofeedback has emerged as a possible treatment to ameliorate PTSD symptom severity.

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