78 results match your criteria: "Shimofusa Psychiatric Medical Center[Affiliation]"

Background: While the preventive effects of green tea and coffee on cognitive decline have been demonstrated, their long-term effects on cognition remain unclear.

Objective: This study aims to investigate the effect of green tea and coffee consumption in middle age on the prevention of dementia.

Methods: This population-based cohort study included 1155 participants (aged 44-66 in 1995).

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  • Anxiety disorders are common mental health issues, and mindfulness-based cognitive therapy (MBCT) has shown effectiveness in treating them, but its cost-effectiveness had not been previously explored.
  • This study involved a randomized controlled trial with 40 anxiety disorder patients to analyze the cost-effectiveness of MBCT compared to standard treatment.
  • MBCT was found to be more expensive than standard treatment by about JPY 13,885 but improved anxiety scores and quality of life, resulting in specific incremental cost-effectiveness ratios that suggest it has a high probability of being a cost-effective option.
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  • This study investigates tau accumulation in the nucleus basalis of Meynert (nbM) in early-onset Alzheimer's disease (EOAD) compared to late-onset Alzheimer's disease (LOAD), using F-florzolotau PET imaging.
  • EOAD patients exhibited a higher overall tau burden in the nbM, but cognitive decline was more closely associated with nbM tau levels in LOAD patients.
  • The research highlights the differing pathological trajectories and relationships between tau in the nbM and neocortex, emphasizing the significance of age of onset in assessing Alzheimer's disease pathology and cognition.
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  • The study investigates how schizophrenia (SZ) affects the sense of agency (SoA) by examining the role of cardiac interoception, which is the brain's awareness of internal bodily signals.
  • Forty-two individuals with SZ and twenty-nine healthy controls performed a task measuring SoA while their heartbeats were recorded, revealing that cardiac signals affected SoA differently between the groups.
  • Results showed that cardiac systole decreased SoA in those with SZ, especially in patients with severe hallucinations, indicating that impaired integration of bodily signals may worsen symptoms and disrupt self-representation.
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Phosphodiesterase 10 A (PDE10A), a pivotal element of the second messenger signaling downstream of the dopamine receptor stimulation, is conceived to be crucially involved in the mood instability of bipolar I disorder (BD-I) as a primary causal factor or in response to dysregulated dopaminergic tone. We aimed to determine whether striatal PDE10A availability is altered in patients with BD-I and assessed its relationship with the clinical characteristics of BD-I. This case-control study used positron emission tomography (PET) with 2-(2-(3-(4-(2-[F]fluoroethoxy)phenyl)-7-methyl-4-oxo-3,4-dihydroquinazolin-2-yl)ethyl)-4-isopropoxyisoindoline-1,3-dione ([F]MNI-659), a radioligand that binds to PDE10A, to examine the alterations of the striatal PDE10A availability in the living brains of individuals with BD-I and their association with the clinical characteristics of BD-I.

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Insomnia is a major concern among stressed workers worldwide. Although stress generally has a detrimental effect on sleep quality, the impact of biological stress, especially the immunological stress response, on sleep quality is not yet fully understood. Stressed workers were recruited through a screening process using a Brief Job Stress Questionnaire.

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Objective: Although psychological distress is a prevalent issue among patients with amyotrophic lateral sclerosis (ALS) and can impact survival, the risk factors contributing to this distress remain insufficiently understood.

Methods: Patients with ALS who completed the Profile of Mood States (POMS) between June 2017 and March 2022 were included. Participants with moderate to severe cognitive decline were excluded, resulting in the recruitment of 121 patients.

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Aim: Patients with schizophrenia often exhibit poor life skills, posing significant clinical challenges. Life skills comprise cognitive functions crucial for planning daily activities, including divergent thinking. However, the cognitive deficits contributing to these diminished skills among patients with schizophrenia are underexplored.

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Background: Although urinary incontinence in stroke survivors can substantially impact the patient's quality of life, the underlying neuropsychological mechanisms and its neural basis have not been adequately investigated. Therefore, we investigated this topic via neuropsychological assessment and neuroimaging in a cross-sectional study.

Methods: We recruited 71 individuals with cerebrovascular disease.

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Background: Some patients are reported to develop depression immediately after COVID-19 infection. Typically, hospitalization is arranged a week to 10 days after symptom onset to avoid outbreak in the psychiatric ward when infectivity is almost eliminated. However, in patients on immunosuppressive drugs, infection is known to persist beyond the 10th day after testing positive with a polymerase chain reaction (PCR) test.

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The effect of second-generation antipsychotics on anxiety/depression in patients with schizophrenia: A systematic review and meta-analysis.

Schizophr Res

August 2024

Multimodal Imaging Group, Research Imaging Centre, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada; Institute of Medical Science, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Department of Psychiatry, University of Toronto, Toronto, ON, Canada; Campbell Family Mental Health Research Institute, CAMH, Toronto, ON, Canada. Electronic address:

Objective: Despite the high prevalence of anxiety in schizophrenia, no established guideline exists for the management of these symptoms. We aimed to synthesize evidence on the effect of second-generation antipsychotics (SGAs) on anxiety in patients with schizophrenia.

Methods: We systematically searched Medline, Embase, PsycInfo, Web of Science, PubMed, and Cochrane library to identify randomized controlled trials of SGAs that reporting anxiety measures in schizophrenia.

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Background: Malignant hyperthermia is a potentially lethal condition triggered by specific anesthetic drugs, especially a depolarizing muscle relaxant of succinylcholine (Suxamethonium). Despite the frequent use of succinylcholine with electroconvulsive therapy (ECT), there has been no reported case of potentially lethal malignant hyperthermia following ECT. In addition, the time interval between the administration of succinylcholine and the onset of malignant hyperthermia has not been outlined in the context of ECT.

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Background And Hypothesis: The glymphatic system (GS), a brain waste clearance pathway, is disrupted in various neurodegenerative and vascular diseases. As schizophrenia shares clinical characteristics with these conditions, we hypothesized GS disruptions in patients with schizophrenia spectrum disorder (SCZ-SD), reflected in increased brain macromolecule (MM) and decreased diffusion-tensor-image-analysis along the perivascular space (DTI-ALPS) index.

Study Design: Forty-seven healthy controls (HCs) and 103 patients with SCZ-SD were studied.

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Individuals with acquired brain injury have reported subjective complaints of depth perception deficits, but few have undergone objective assessments to confirm these deficits. As a result, the literature currently lacks reports detailing the correlation between subjective depth perception deficits and objective stereoscopic vision deficits in individuals with acquired brain injury, particularly those cases that are characterized by a clearly defined lesion. To investigate this relationship, we recruited three individuals with acquired brain injury who experienced depth perception deficits and related difficulties in their daily lives.

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Aberrant heartbeat-evoked potential in schizophrenia.

Prog Neuropsychopharmacol Biol Psychiatry

June 2024

Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan. Electronic address:

Self-disturbance is considered a core feature underlying the psychopathology of schizophrenia. Interoception has an important role in the development of a sense of self, leading to increased interest in the potential contribution of abnormal interoception to self-disturbances in schizophrenia. Several neuropsychological studies have demonstrated aberrant interoception in schizophrenia.

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  • * Results indicated that 34 patients had DVT, with a notably higher incidence in those with Parkinson's disease (38%) compared to other conditions like ALS (2%) and MSA (5%).
  • * Identified risk factors for developing DVT included being female, having Parkinson's disease, increased age, greater disease duration, and high blood pressure variability, suggesting a need for improved patient management regarding anticoagulant use.
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  • Schizophrenia is linked to cortical thinning and changes in brain connectivity, particularly pronounced in treatment-resistant schizophrenia (TRS), but the influence of this structural covariance on treatment response is unclear.
  • A study involving MRI scans compared structural covariance across TRS patients, non-TRS patients (responsive to medication), and healthy controls, finding that non-TRS patients showed better structural connectivity while TRS patients did not significantly differ from either group.
  • Results indicated that higher structural covariance was correlated with reduced symptom severity in non-TRS patients, suggesting that understanding these brain changes could help identify treatment responses in schizophrenia, and more studies are needed to confirm these findings.
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The classical concept of allostasis is proposed as a dynamic adaptive capacity to stressors. The overload of allostasis results in adaptive disorders, and then lead to various psychiatric disorders. The recent concept of allostasis explains not only physiological adaptation but also behavioural changes.

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Objective: Although interoceptive abnormality in patients with functional seizure (FSs) has been demonstrated using explicit tasks, implicit measurements of interoception such as the effect of interoception on perceptual brain processes have not been investigated. It has been shown that perception is normally modulated by interoceptive signals related to the different phases (systole vs diastole) of the cardiac cycle (cardiac modulation effect). Given our previous findings using explicit measures of interoception, we hypothesized that cardiac modulation would be impaired in FSs.

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Purpose: This study aimed to conduct an economic evaluation of mindfulness-based cognitive therapy (MBCT) in healthy participants by performing cost-utility analysis (CUA) and cost-benefit analysis (CBA).

Patients And Methods: CUA was carried out from a healthcare sector perspective and CBA was from the employer's perspective in parallel with a randomized controlled trial. Of the 90 healthy participants, 50 met the inclusion criteria and were randomized to the MBCT group (n = 25) or wait-list control group (n = 25).

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Pneumonia Risk Increased by Dementia-Related Daily Living Difficulties: Poor Oral Hygiene and Dysphagia as Contributing Factors.

Am J Geriatr Psychiatry

November 2023

Department of Neuropsychiatry (MF, AK, TT, TH, JM, SO, SK, HO, YM, YS, SK, AN, HM, RW, MN), Ashikaga Red Cross Hospital, Ashikaga, Tochigi, Japan; Department of Neuropsychiatry (MF, SK, HO, YM, SK, AN, HM, RW, MN), Keio University School of Medicine, Shinjuku, Tokyo, Japan.

Objective: Although pneumonia is the leading cause of death among patients with dementia, the specific underlying causes remain unclear. In particular, the potential connection between pneumonia risk and dementia-related daily living difficulties, such as oral hygiene practice and mobility impairment, and the use of physical restraint as a management practice, has not been extensively studied.

Methods: In our retrospective study, we included 454 admissions corresponding to 336 individual patients with dementia who were admitted to a neuropsychiatric unit due to behavioral and psychological symptoms.

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Background: Patients with functional seizures (FS) can experience dissociation (depersonalisation) before their seizures. Depersonalisation reflects disembodiment, which may be related to changes in interoceptive processing. The heartbeat-evoked potential (HEP) is an electroencephalogram (EEG) marker of interoceptive processing.

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Objective: Corticosteroids can cause psychiatric symptoms known as corticosteroid-induced psychiatric disorders (CIPDs). Little is known regarding the relationship between intravenous pulse methylprednisolone (IVMP) and CIPDs. Therefore, we aimed to examine the relationship between corticosteroid use and CIPDs in this retrospective study.

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Background: Thirty percent of patients with schizophrenia do not respond to non-clozapine antipsychotics and are termed treatment-resistant schizophrenia (TRS). The 40-Hz auditory steady-state response (ASSR) is a well-known to be reduced in patients with schizophrenia compared to healthy controls (HCs), suggesting impaired gamma oscillation in schizophrenia. Given no ASSR study on TRS, we aimed to examine the neurophysiological basis of TRS employing 40-Hz ASSR paradigm.

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